Struggling with Acne: Effective Treatments and Skincare Tips - Dermatology

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Help for a face full of acne!


I have been struggling with acne since high school, and I currently have acne, acne scars, and blackheads on my face.
I have oily skin.
I don't understand why I am breaking out.
My daily routine is normal; I don't eat fried foods, I don't stay up late, I don't wear makeup, I avoid spicy foods, my menstrual cycle is regular, and I am the only one in my family with this issue.
Recently, I visited a dermatologist who prescribed me both oral and topical medications.
The oral medications include BORYMYCIN 50, TRIMERIN, DEFENSE, and MEPDN, while the topical treatments are DERMALEAN GL, STIEMYCIN, and RTN, which I apply at different times of the day.
However, after using the topical medications, my face becomes extremely dry and flaky the next day.
I am unsure what to apply afterward, and instead, I end up developing more blackheads.
Why is this happening? The issue with acne has been a constant source of distress for me, and I don't know what to do.
I am considering seeing a traditional Chinese medicine practitioner; which is better, traditional Chinese medicine or Western medicine? Every time I look in the mirror and see my acne-covered face, I feel like crying.
Doctor, please help me! Should I take anything specific? What kind of toners or lotions available on the market are suitable for acne-prone skin? Can people with acne use commercially available face masks?

Xiao Shi, 10~19 year old female. Ask Date: 2009/03/19

Dr. Jiang Yujiao reply Dermatology


At the age of nineteen, the sebaceous glands are particularly active.
With your self-discipline and by seeking appropriate treatments, you should see good results.
I suggest you not to be too anxious and avoid applying medication too frequently, as overuse can lead to secondary skin damage and peeling.
Treating acne is a fundamental part of dermatology training, and the medications used are consistent.
Choose a hospital or clinic that is convenient and suitable for you for regular treatment, and you should see results fairly quickly.
Currently, dermatology clinics typically stock skincare products suitable for acne-prone skin, which you can inquire about with your physician.
The prices are generally reasonable, around a few hundred dollars per item, and the quality and effectiveness have been vetted by specialists in the field.
Response from Jiang Yujiao.

Reply Date: 2009/03/19

More Info


Dealing with acne can be a frustrating and emotional journey, especially when it feels like you’ve tried everything without success. Your concerns about the medications prescribed and the side effects you’re experiencing are valid, and it’s important to address them comprehensively.

Firstly, acne is primarily caused by a combination of factors including excess oil production, clogged pores, bacteria, and inflammation. Even if you maintain a healthy lifestyle, hormonal fluctuations, genetics, and skin type can contribute to acne development. Since you mentioned that you have oily skin, this could be a significant factor in your acne struggles.

The medications prescribed to you, including BORYMYCIN (an antibiotic), TRIMERIN, DEFENSE, and MEPDN, are aimed at reducing bacteria and inflammation. The topical treatments like DERMALEAN GL, STIEMYCIN, and RTN are likely designed to help unclog pores and reduce oiliness. However, it’s not uncommon for topical treatments to cause dryness and peeling, especially if they contain active ingredients like retinoids or benzoyl peroxide. This dryness can sometimes lead to an increase in acne as your skin may overcompensate by producing more oil.

If you are experiencing excessive dryness and peeling, it’s essential to adjust your skincare routine. Here are some tips that might help:
1. Moisturization: Even oily skin needs hydration. Look for non-comedogenic moisturizers that won’t clog your pores. Gel-based moisturizers can be a good option as they hydrate without adding excess oil.

2. Gentle Cleansing: Use a gentle, sulfate-free cleanser to avoid stripping your skin of its natural oils. Over-cleansing can lead to irritation and worsen dryness.

3. Introduce Products Gradually: If you’re using multiple topical treatments, introduce them one at a time. This approach helps you identify which product may be causing irritation.

4. Spot Treatments: If certain areas are particularly dry or irritated, consider using a soothing spot treatment that contains ingredients like aloe vera or chamomile.

5. Avoid Harsh Exfoliants: While exfoliation can help with acne, using harsh scrubs can exacerbate dryness and irritation. Instead, consider chemical exfoliants like salicylic acid or glycolic acid, which can be gentler on the skin.

6. Consult Your Dermatologist: If the dryness and peeling persist, it’s crucial to communicate this with your dermatologist. They may need to adjust your treatment plan, possibly reducing the frequency of topical applications or prescribing a different formulation.

Regarding your question about Traditional Chinese Medicine (TCM) versus Western medicine, both have their merits. TCM focuses on holistic approaches and may offer treatments that address underlying imbalances in the body. However, Western medicine often provides more immediate results through targeted treatments. It may be beneficial to explore both avenues, but ensure that any treatments you pursue do not conflict with your current medications.

As for skincare products, look for those labeled as “oil-free” and “non-comedogenic.” Avoid heavy creams and opt for lightweight formulations. When it comes to masks, clay masks can be beneficial for oily skin as they help absorb excess oil, but be cautious with frequency to avoid over-drying.

In summary, managing acne requires a balanced approach that includes effective treatments, proper skincare, and open communication with your healthcare provider. It’s understandable to feel overwhelmed, but with the right adjustments and support, you can find a routine that works for your skin. Remember, patience is key, as it may take time to see significant improvements.

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