Common Acne Concerns: Expert Answers for Oily Skin Care - Dermatology

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My question?


Dear Dr.
Jin,
I am currently starting to see a dermatologist.
I have oily skin with many comedones and occasionally develop larger pimples.
I am very concerned about the comedones and have a few questions I would like to ask you:
1.
Do I only need to apply the medication prescribed by the doctor, or can I also use other products like toner and lotion (gel-based)?
2.
I have heard that using crystal soap to wash my face is effective.
Is this correct?
3.
If I follow the doctor's instructions for applying medication and taking oral medication, will that help reduce my pores? What else can I do?
4.
Will taking dermatological medications for a long time have negative effects on my body? What types of medications are typically prescribed by doctors?
5.
I am accustomed to drinking a cup of coffee every day.
Could this be too stimulating and contribute to acne?
I apologize for the many questions, and I appreciate your help.
Sincerely,
A-Pan from Taichung

A Pan, 20~29 year old female. Ask Date: 2001/02/23

Dr. Jin Lianchun reply Dermatology


Hello, Miss:
1.
You can use toner; however, you need to be cautious in selecting the ingredients for lotion, as those that are likely to clog pores should be avoided.
2.
It is not recommended to use crystal soap.
3.
Go to bed early (before 11 PM); regular exercise promotes circulation; you may also consider glycolic acid peels or using at-home glycolic acid products.
4.
It is generally safe to take acne medication continuously for six months.
These medications typically include antibiotics that target the bacteria within the acne, and they may also have a mild effect on regulating hormones.
Some treatments may include additional medications for hormonal regulation.
5.
Individuals prone to acne should try to avoid coffee and black tea, while green tea is acceptable to drink.
Wishing you a speedy recovery.

Reply Date: 2001/02/23

More Info


Hello, 阿潘! Thank you for your questions regarding your oily skin and acne concerns. It’s great that you’re seeking professional help from a dermatologist. Let’s address your questions one by one, and I’ll provide some additional insights based on medical knowledge.

1. Using Additional Products: It’s generally advisable to follow your dermatologist's instructions regarding the medications prescribed. If your doctor has recommended specific topical treatments, you should prioritize those. However, if you wish to use additional products like toners or gel-based moisturizers, ensure they are non-comedogenic (won't clog pores) and suitable for oily skin. Look for products that contain ingredients like salicylic acid or hyaluronic acid, which can help manage oiliness and hydrate the skin without causing breakouts.

2. Using Crystal Soap: Crystal soap or any soap that is gentle and formulated for oily or acne-prone skin can be beneficial. However, avoid harsh soaps that can strip your skin of its natural oils, leading to increased oil production as your skin tries to compensate. A gentle, pH-balanced cleanser is usually the best choice for oily skin.

3. Reducing Pore Size: While medications prescribed by your dermatologist can help manage acne and improve skin texture, it’s important to note that pore size is largely determined by genetics. However, regular exfoliation (chemical exfoliants like AHA or BHA) and maintaining a consistent skincare routine can help keep pores clear and minimize their appearance. Additionally, treatments like chemical peels or laser therapy can also be considered for more significant improvements, but these should be discussed with your dermatologist.

4. Long-term Medication Use: The medications prescribed by dermatologists, such as topical retinoids or oral antibiotics, can be safe for long-term use when monitored by a healthcare professional. However, it’s essential to have regular follow-ups to assess the effectiveness and any potential side effects. Your dermatologist will determine the best course of action based on your specific condition and response to treatment.

5. Coffee Consumption: Drinking coffee in moderation is generally not linked to acne. However, excessive caffeine can lead to increased stress levels, which may exacerbate acne for some individuals. If you notice a correlation between your coffee intake and breakouts, it might be worth reducing your consumption. Staying hydrated with water is also crucial for overall skin health.

Additional Tips for Oily Skin Care:
- Regular Cleansing: Cleanse your face twice daily to remove excess oil and prevent clogged pores. Avoid over-cleansing, as this can lead to irritation and increased oil production.

- Moisturizing: Even oily skin needs hydration. Use a lightweight, oil-free moisturizer to maintain skin balance.

- Sun Protection: Use a non-comedogenic sunscreen daily to protect your skin from UV damage, which can worsen acne and lead to post-inflammatory hyperpigmentation.

- Diet and Lifestyle: A balanced diet rich in fruits, vegetables, and whole grains can support skin health. Consider reducing dairy and high-glycemic foods, which some studies suggest may contribute to acne in certain individuals.

In conclusion, managing oily skin and acne can be a multifaceted approach involving proper skincare, medication, and lifestyle adjustments. Always consult with your dermatologist before making changes to your routine or introducing new products. They can provide personalized recommendations based on your skin's needs. Best of luck on your journey to clearer skin!

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