Effective Solutions for Treating Acne on Cheeks: What You Need to Know - Dermatology

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What to do about acne?


What should I do if I have a lot of acne on my cheeks? I’ve seen doctors before, but it hasn’t been effective.
If I don’t pop them, they won’t go away, but if I do, my pores will become enlarged.
What should I do? Will using glycolic acid make them disappear on their own?

fan, 20~29 year old female. Ask Date: 2007/06/08

Dr. Huang Ruiyun reply Dermatology


Accept the facts.
It is normal for adults to have some degree of acne, with varying severity among individuals, just like the differences in eyebrow thickness.
Stop looking in the mirror and causing yourself unnecessary worry.

Reply Date: 2007/06/08

More Info


Acne on the cheeks can be a frustrating and persistent issue for many individuals. Understanding the underlying causes and exploring effective treatment options is crucial for managing and reducing breakouts. Here’s a comprehensive overview of effective solutions for treating acne on the cheeks, along with insights into the mechanisms of various treatments.


Understanding Acne
Acne is primarily caused by the clogging of hair follicles with oil (sebum), dead skin cells, and bacteria. Factors such as hormonal changes, diet, stress, and certain medications can exacerbate acne. Cheek acne can be particularly stubborn due to factors like touching the face, using certain skincare products, or even the materials of pillowcases and phone screens.


Effective Treatment Options
1. Topical Treatments:
- Benzoyl Peroxide: This is a common over-the-counter treatment that helps kill acne-causing bacteria and reduce inflammation. It is available in various strengths and can be applied directly to the affected areas.

- Salicylic Acid: This beta hydroxy acid (BHA) helps to exfoliate the skin and unclog pores. It is effective for treating mild to moderate acne and can be found in cleansers, toners, and spot treatments.

- Retinoids: Prescription-strength retinoids (like tretinoin) promote cell turnover and prevent clogged pores. They can be very effective but may cause initial irritation, so starting with a lower concentration is advisable.

- Alpha Hydroxy Acids (AHAs): Products containing glycolic acid can help exfoliate the skin's surface, improving texture and reducing the appearance of acne scars over time.

2. Oral Medications:
- Antibiotics: For moderate to severe acne, dermatologists may prescribe oral antibiotics to reduce bacteria and inflammation.

- Hormonal Treatments: For women, hormonal therapies such as birth control pills can help regulate hormones that trigger acne.

- Isotretinoin: In severe cases, isotretinoin (commonly known as Accutane) may be prescribed. It is highly effective but comes with potential side effects and requires close monitoring.

3. Professional Treatments:
- Chemical Peels: Dermatologists can perform chemical peels using stronger concentrations of AHAs or BHAs to exfoliate the skin deeply and reduce acne.

- Laser Therapy: Certain laser treatments can target acne-causing bacteria and reduce inflammation, providing a more long-term solution.

- Extraction: A dermatologist can safely extract blackheads and whiteheads, minimizing the risk of scarring and further irritation.

4. Skincare Routine:
- Gentle Cleansing: Use a mild, non-comedogenic cleanser to wash your face twice daily. Avoid harsh scrubs that can irritate the skin.

- Moisturizing: Even oily skin needs hydration. Look for oil-free, non-comedogenic moisturizers that won’t clog pores.

- Avoid Touching Your Face: This can introduce bacteria and oils from your hands, worsening acne.


Lifestyle Modifications
- Diet: Some studies suggest that high-glycemic foods and dairy may exacerbate acne. Consider reducing these in your diet and focusing on whole foods, fruits, and vegetables.

- Stress Management: Stress can trigger hormonal changes that lead to acne. Techniques such as mindfulness, yoga, and regular exercise can help manage stress levels.


Conclusion
While it can be tempting to squeeze or pop acne, this often leads to scarring and enlarged pores. Instead, focus on a consistent skincare routine and consider consulting a dermatologist for personalized treatment options. Products like glycolic acid can help with exfoliation, but they work best when used as part of a comprehensive approach. Remember that treating acne takes time, and patience is key. If over-the-counter treatments are not effective, seeking professional advice is essential to find a solution that works for you.

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