Dealing with Persistent Acne and Blackheads on Cheeks: A Guide - Dermatology

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I have been troubled by large pimples on my nose and cheeks for a long time?


Hello, I am currently in the second year of junior high school, and I have been experiencing persistent acne and large pimples.
The acne on my cheeks is increasing in number and size, and there are blackheads developing within the acne, making it difficult to manage.
What should I do? Should I see a dermatologist or visit a medical aesthetic clinic? Thank you.

Chen Yi-Bao, 10~19 year old female. Ask Date: 2016/02/09

Dr. Wu Yuxin reply Dermatology


For dermatology, the quickest methods include the use of alpha hydroxy acid (AHA) lotions, chemical peels with AHAs, or manual extraction of comedones.

Reply Date: 2016/02/09

More Info


Dealing with persistent acne and blackheads, especially at a young age, can be quite frustrating. It’s important to understand that acne is a common skin condition that affects many teenagers due to hormonal changes, increased oil production, and other factors. Here’s a comprehensive guide on how to manage and treat your acne and blackheads effectively.


Understanding Acne and Blackheads
Acne occurs when hair follicles become clogged with oil and dead skin cells. This can lead to various types of blemishes, including blackheads, which are open comedones that appear dark due to oxidation, and pimples, which are inflamed lesions. Factors contributing to acne include hormonal fluctuations, diet, stress, and improper skin care routines.


Steps to Manage Acne and Blackheads
1. Establish a Consistent Skincare Routine:
- Cleansing: Use a gentle cleanser twice a day to remove excess oil and dirt. Look for products containing salicylic acid or benzoyl peroxide, which can help unclog pores and reduce inflammation.

- Exfoliation: Incorporate a mild exfoliant 1-2 times a week to remove dead skin cells. Avoid harsh scrubs, as they can irritate the skin and worsen acne.

- Moisturizing: Even if your skin is oily, it’s essential to use a non-comedogenic moisturizer to keep your skin hydrated without clogging pores.

2. Spot Treatments:
- For existing pimples, consider using spot treatments containing benzoyl peroxide or salicylic acid. These ingredients can help reduce inflammation and speed up healing.

3. Avoid Picking or Squeezing:
- It can be tempting to pick at acne or blackheads, but this can lead to scarring and further irritation. Instead, allow blemishes to heal naturally.

4. Diet and Hydration:
- Maintain a balanced diet rich in fruits, vegetables, and whole grains. Some studies suggest that dairy and high-glycemic foods may exacerbate acne, so consider reducing these in your diet.

- Drink plenty of water to keep your skin hydrated.

5. Sun Protection:
- Use a non-comedogenic sunscreen daily to protect your skin from UV damage, which can worsen acne and lead to scarring.

6. Consider Over-the-Counter Products:
- Look for products labeled as “oil-free” and “non-comedogenic.” Ingredients like retinoids can also help prevent clogged pores and promote skin cell turnover.


When to See a Dermatologist
If your acne persists despite following a consistent skincare routine or if it worsens, it may be time to consult a dermatologist. A dermatologist can provide personalized treatment options, which may include:
- Prescription Medications: Topical retinoids, antibiotics, or hormonal treatments can be prescribed based on the severity of your acne.

- Professional Treatments: Procedures such as chemical peels, microdermabrasion, or laser therapy can help reduce acne and improve skin texture.

- Skin Care Products: A dermatologist can recommend specific products tailored to your skin type and condition.


Conclusion
Managing persistent acne and blackheads requires patience and a consistent approach. By establishing a proper skincare routine, making dietary adjustments, and seeking professional help when necessary, you can significantly improve your skin's condition. Remember, it’s essential to be gentle with your skin and avoid harsh treatments that can lead to irritation. If you’re unsure about what products to use or how to proceed, visiting a dermatologist or a reputable skincare clinic can provide you with the guidance you need.

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