Struggling with Acne: Effective Solutions Beyond Skincare Products - Dermatology

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Acne issues?


I have been struggling with acne for a long time and have tried many skincare products, such as creams, facial cleansers, and alpha hydroxy acids, but none have been effective.
I still keep getting breakouts.
Every time I go out, I encounter beauty therapists who tell me about their products and encourage me to buy them.
Initially, I thought they might actually work, but after trying several times, I realized I was misled, and they were of no use at all.
Are the beauty therapists on the street just pushing products for their sales targets? Recently, I have been taking a supplement called "deep-sea shark oil." I want to know if this supplement is effective in removing toxins from my body and normalizing my endocrine system to prevent breakouts.
What else can I do to avoid having acne besides maintaining a regular sleep schedule and a balanced diet? Can you provide me with an answer? Thank you.

Angelo, 10~19 year old female. Ask Date: 2000/10/09

Dr. Zheng Lizhen reply Dermatology


To address the issue of acne, in addition to maintaining a regular sleep schedule and a balanced diet, hormonal balance also plays a significant role; otherwise, it wouldn't be referred to as "teenage acne." The hormonal changes during puberty lead to an increased incidence of acne among adolescents, as clogged pores, excessive sebum production, bacterial growth, and inflammation contribute to its formation.
Therefore, acne treatment often involves a multifaceted approach.

"Clearing" the skin is the primary task, which involves removing oxidized oils and dirt from the face to reduce bacterial growth.
Alpha hydroxy acids or retinoids can help improve excessive keratinization and unclog pores, while oral or topical antibiotics can be used to kill bacteria and reduce inflammation.
If acne is widespread, it is advisable to consult a dermatologist, as relying solely on skincare products or fish oil supplements may not be sufficient.
Early treatment can prevent the future development of pitted scars, which could require significantly more time and money to treat than addressing the issue now.

Reply Date: 2000/10/09

More Info


Dealing with acne can be incredibly frustrating, especially when it feels like you've tried every skincare product on the market without seeing any significant improvement. It's important to understand that acne is a multifaceted condition influenced by various factors, including hormonal changes, diet, stress levels, and even genetics. While topical treatments can be effective for some, they may not work for everyone, and sometimes a more comprehensive approach is necessary.

First, let's address the use of skincare products. Many individuals find themselves caught in a cycle of trying new creams, gels, and washes, often pushed by salespeople who may not fully understand their skin's needs. It's crucial to remember that not all products are suitable for every skin type. For instance, products containing harsh ingredients can sometimes exacerbate acne rather than alleviate it. Instead of relying solely on over-the-counter products, consider consulting with a dermatologist who can provide personalized recommendations based on your skin type and condition.

Regarding the use of supplements like deep-sea shark oil, while omega-3 fatty acids (found in fish oil) can have anti-inflammatory properties, they are not a guaranteed solution for acne. Some studies suggest that omega-3s can help reduce inflammation in the body, which may indirectly benefit acne-prone skin. However, it's essential to approach supplements with caution and consult a healthcare professional before starting any new regimen, especially if you're already taking other medications or supplements.

In addition to skincare and supplements, lifestyle factors play a significant role in managing acne. Here are some strategies that may help:
1. Dietary Adjustments: While the relationship between diet and acne is still being studied, some people find that reducing their intake of dairy and high-glycemic foods (like white bread and sugary snacks) can help improve their skin. Incorporating more whole foods, fruits, vegetables, and lean proteins may also support overall skin health.

2. Hydration: Drinking plenty of water is essential for maintaining healthy skin. Hydration helps to flush out toxins and can improve skin elasticity and appearance.

3. Stress Management: Stress can trigger hormonal changes that may worsen acne. Engaging in stress-reducing activities such as yoga, meditation, or regular exercise can be beneficial.

4. Consistent Skincare Routine: Establishing a gentle skincare routine that includes cleansing, moisturizing, and sun protection is vital. Look for non-comedogenic products that won't clog pores. Avoid over-exfoliating, as this can irritate the skin and lead to more breakouts.

5. Professional Treatments: If over-the-counter products are not effective, consider professional treatments such as chemical peels, laser therapy, or prescription medications. A dermatologist can help determine the best course of action based on your specific situation.

6. Hormonal Considerations: For some individuals, hormonal imbalances can contribute to acne. If you suspect this may be the case, discussing hormonal treatments with a healthcare provider could be beneficial.

7. Regular Sleep Patterns: Ensuring you get enough sleep is crucial for overall health and can impact skin health as well. Aim for 7-9 hours of quality sleep each night.

In conclusion, while skincare products are an essential part of managing acne, they are just one piece of the puzzle. A holistic approach that includes dietary changes, stress management, and professional guidance can lead to more effective and lasting results. If you're feeling overwhelmed, don't hesitate to seek help from a dermatologist who can provide tailored advice and treatment options. Remember, managing acne is often a journey, and finding the right combination of strategies may take time.

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