Acne: Causes, Scarring, and Effective Treatments

The annoyance of acne?

Hello, doctor: For the past year or two, I have been troubled by acne.
Every time I have a breakout, I either experience constipation or it occurs before my menstrual period.
Additionally, I have hemorrhoids; could this be related? I also have dark acne scars on my face.
How can I remove them? Can I use alpha hydroxy acids for chemical peeling to treat this? Which hospitals in central Taiwan offer qualified chemical peeling services?

jean, 20~29 year old female. Ask Date: 2000/11/15

Dr. Zheng Lizhen reply Dermatology

Before menstruation, due to hormonal influences, it is common for acne to worsen.
Regarding constipation and hemorrhoids, it is generally said that they can lead to increased heat in the body.
In fact, constipation can exacerbate hemorrhoids, as it leads to the accumulation of free radicals in the body.
Additionally, individuals who are prone to constipation often have a lower intake of fruits and vegetables, which makes it harder for free radicals to be eliminated, thus worsening acne.
The red or dark pigmentation left by acne usually fades gradually over time (approximately 3 to 6 months).
Using whitening products and sunscreen can help accelerate the fading process.
Whether a chemical peel is necessary should be determined by a dermatologist.
In central Taiwan, any dermatology specialist can perform chemical peels, including hospitals such as China Medical University Hospital, Kuang Tien General Hospital, Cheng Ching Hospital, and Changhua Christian Hospital, among others.

Reply Date: 2000/11/15

More Info

Acne is a common skin condition that affects many individuals, particularly during adolescence and young adulthood, but it can persist into adulthood as well. Understanding the causes, scarring, and effective treatments for acne is essential for managing this condition effectively.

Causes of Acne
Acne is primarily caused by the overproduction of sebum (oil) in the skin, which can clog pores. This process is often influenced by hormonal changes, particularly during puberty, menstruation, and pregnancy. In your case, you mentioned experiencing acne flare-ups before your menstrual cycle, which suggests a hormonal component. Additionally, stress, diet, and certain medications can exacerbate acne.

Constipation and hemorrhoids (痔瘡) are generally not directly linked to acne. However, stress and dietary choices that lead to constipation can indirectly influence hormonal balance and skin health. It’s important to maintain a balanced diet, rich in fruits, vegetables, and whole grains, to support overall health and potentially reduce acne flare-ups.

Scarring and Post-Acne Marks
The dark spots you see on your skin after acne lesions heal are known as post-inflammatory hyperpigmentation (PIH). These marks can take time to fade and are more common in individuals with darker skin tones. They are not permanent but can be persistent, requiring treatment to expedite fading.

Effective Treatments for Acne
1. Topical Treatments: Over-the-counter products containing benzoyl peroxide, salicylic acid, or retinoids can be effective in treating mild to moderate acne. These ingredients help to unclog pores, reduce inflammation, and promote cell turnover.

2. Prescription Medications: For more severe cases, dermatologists may prescribe topical or oral antibiotics, hormonal treatments (like birth control pills), or stronger retinoids.
3. Chemical Peels: You mentioned the possibility of using glycolic acid peels (果酸換膚). Chemical peels can be effective in treating acne and reducing the appearance of scars. They work by exfoliating the top layer of skin, promoting new skin growth, and improving skin texture. However, it’s crucial to consult with a qualified dermatologist to determine the best type of peel for your skin type and condition.

4. Laser Treatments: For more persistent scarring, laser treatments can be an option. These treatments can help reduce the appearance of scars and improve skin texture.

5. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, promoting collagen production and improving the appearance of scars.

Recommendations for Treatment
Before starting any treatment, it’s advisable to consult with a dermatologist who can assess your specific situation and recommend a tailored treatment plan. They can also provide information about reputable clinics for chemical peels in your area, such as those in central hospitals.

Conclusion
Managing acne requires a multifaceted approach, including lifestyle modifications, topical treatments, and possibly professional interventions. While hormonal fluctuations can contribute to acne, addressing dietary habits, stress management, and proper skincare can significantly improve your skin's condition. Remember, patience is key, as many treatments take time to show results. Always seek professional guidance to ensure the safety and efficacy of the treatments you choose.

Similar Q&A

Understanding Acne: Causes and Effective Treatment Solutions

Can you explain why acne occurs and how to improve it?

Dr. Jin Lianchun reply Dermatology
Hello, Miss: Acne is formed by multiple factors including: 1. Excessive keratinization of hair follicles 2. Overactive sebaceous gland secretion 3. Blocked oil leading to bacterial proliferation and inflammation 4. Staying up past 11 PM (lack of sleep) 5. High stress levels (incl...

Effective Ways to Eliminate Acne and Pimples for Clear Skin

How to eliminate acne and comedones.

Dr. Jiang Yujiao reply Dermatology
Hello: In response to your question, let's first understand the causes of acne and comedones, which generally involve three factors: (1) increased sebaceous gland secretion, (2) hyperkeratinization at the sebaceous gland openings, and (3) bacterial proliferation. Regular fac...

Effective Treatments for Acne Scars and Stress-Related Breakouts

I have been troubled by acne since I was young. I rarely stay up late and do not eat snacks, yet I still get breakouts. My menstrual cycle has always been normal, but I still experience this issue. Initially, I didn't pay much attention to it, but now that there are so many ...

Dr. Wu Yuxin reply Dermatology
The treatment for acne varies depending on whether it is comedonal, inflammatory, or cystic acne. Acne scars also require different treatment approaches based on whether they are red scars, dark spots, or atrophic scars.

Effective Strategies to Improve Acne: Expert Dermatologist Tips

Doctor, could you please advise on how to treat scattered acne?

Dr. Chen Yiying reply Dermatology
Hello: In response to your question, acne is caused by abnormal keratinization of the follicular openings. Treatments such as retinoids, alpha hydroxy acids, and azelaic acid can be used to improve this abnormal keratinization.