Acne issues?
Hello, I have a lot of acne and acne scars on my face.
I visited a doctor who diagnosed me with acne, but after taking medication and applying topical treatments for almost a month, my condition has worsened and more acne has appeared.
What should I do?
Da, 10~19 year old female. Ask Date: 2012/08/21
Dr. Wu Yuxin reply Dermatology
In addition to medication prescribed by a physician, patients also bear some responsibility for acne control, such as maintaining a proper lifestyle.
Many people believe that simply seeing a doctor, taking medication, or applying topical treatments is sufficient; however, if they do not adhere to a proper sleep schedule or fail to maintain good hygiene, they will not achieve the desired treatment outcomes.
The regularity of a woman's menstrual cycle and the consistent management of comedones are critical factors in treatment.
It is advisable to discuss these aspects further with your physician.
Reply Date: 2012/08/21
More Info
Dealing with persistent acne can be frustrating and disheartening, especially when treatments seem ineffective. Acne, or acne vulgaris, is a common skin condition that affects many individuals, particularly during adolescence and young adulthood, but it can persist into adulthood as well. Here’s a comprehensive overview of effective solutions for managing persistent breakouts, along with some insights into the condition itself.
Understanding Acne
Acne is primarily caused by the overproduction of sebum (oil) in the skin, clogged pores, bacteria, and inflammation. Factors such as hormonal changes, diet, stress, and genetics can exacerbate the condition. It’s important to understand that acne can manifest in various forms, including blackheads, whiteheads, papules, pustules, cysts, and nodules. Each type may require different treatment approaches.
Common Treatments for Acne
1. Topical Treatments: These include over-the-counter products containing ingredients like benzoyl peroxide, salicylic acid, and retinoids. Benzoyl peroxide helps kill bacteria and reduce inflammation, while salicylic acid aids in exfoliating the skin and unclogging pores. Retinoids, derived from vitamin A, promote cell turnover and prevent clogged pores.
2. Oral Medications: If topical treatments are ineffective, dermatologists may prescribe oral medications. Antibiotics like doxycycline or minocycline can help reduce bacteria and inflammation. Hormonal treatments, such as birth control pills, can be effective for women whose acne is linked to hormonal fluctuations. Isotretinoin (commonly known as Accutane) is a powerful option for severe cases but comes with significant side effects and requires close monitoring.
3. Chemical Peels and Microdermabrasion: These procedures performed by dermatologists can help exfoliate the skin, reduce acne scars, and improve skin texture. Chemical peels use acids to remove the outer layer of skin, while microdermabrasion uses a device to gently sand the skin.
4. Laser and Light Therapy: These treatments target the bacteria that cause acne and reduce inflammation. They can also help with scarring. Different types of lasers and light therapies are available, and a dermatologist can recommend the best option for your skin type.
5. Lifestyle Modifications: Diet can play a role in acne. Some studies suggest that high-glycemic foods and dairy may exacerbate acne in some individuals. Maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall skin health. Additionally, managing stress through techniques like yoga, meditation, or regular exercise can also be beneficial.
When to Seek Further Help
If you’ve been using prescribed medications for a month without improvement, it’s essential to follow up with your dermatologist. They may need to adjust your treatment plan or explore other underlying issues that could be contributing to your acne. Conditions like polycystic ovary syndrome (PCOS) or hormonal imbalances can lead to persistent acne and may require specific treatments.
Addressing Acne Scars
If you’re also dealing with acne scars, treatments such as laser therapy, microneedling, or fillers can help improve the appearance of scars. It’s crucial to consult with a dermatologist to determine the most appropriate treatment based on your skin type and the nature of your scars.
Conclusion
Acne can be a challenging condition to manage, but with the right approach and persistence, effective solutions are available. It’s vital to maintain open communication with your healthcare provider, adhere to prescribed treatments, and be patient, as some treatments may take time to show results. Remember, you are not alone in this struggle, and many effective options can help you achieve clearer skin.
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