This kind of acne requires intensive treatment over a period. Your doctor will treat you with combination therapy to control and cure the acne while trying to take care that minimum scars form. The treatment regimen for severe acne may include physical as well as oral and topical treatments. The options ay include- Isotretinoin, Oral antibiotics, Oral contraceptives for female patients, Injecting corticosteroid in the lesion andSurgical procedure. Let us look at them.Isotretinoin: Isotretinoin is one of the most potent treatments fore severe form of acne which has not responded well to other therapies. Isotretinoin is the best treatment option for cystic acne. Isotretinoin is a form of Vitamin A. The normal course of Isotretinoin is one or two pills a day for up to twenty weeks. Your dermatologist best decides this. Isotretinoin should never be taken without medical supervision. Isotretinoin is one of the best options because it helps treat all the four factors of acne formation- excess oil, clogged pores, inflammation and the bacteria P.acnes. Isotretinoin can also have many side effects.Side effects of Isotretinoin - For women, it is very important to be in constant contact with their doctor because Isotretinoin can cause damage to developing foetus. It cannot only never be given during pregnancy but before the treatment begins all possibilities of pregnancy have to be eliminated. Please talk to your doctor in detail and follow his/her instructions very strictly. The other side effects of Isotretinoin may include joint pains, headaches, nausea, depression and others. You must not miss your appointment with your doctor while taking Isotretinoin. Oral antibiotics - broad spectrum antibiotics can reduce the bacteria P.acnes substantially. With reduction in the population of this bacterium inflammation reduces. The choice of the antibiotic is best left to your doctor. The antibiotic may include drugs such as - tetracycline, erythromycin, doxycline etc.Oral contraceptives for female patients- overactive sebaceous glands produce more sebum and are one of the main causes of acne. Some oral contraceptives can reduce the production of excessive sebum. These drugs can be taken only under medical supervision. Sometimes, you may have to consult gynecologist for which your doctor will advise you. Injecting corticosteroid in the lesion - a great help in preparing for a social event, in this treatment a mild steroid is injected in the cyst. The steroid reduces the acne substantially with in few days. This treatment also prevents scarring as it reduces the possibility of bursting of a cyst and dries it totally.Surgical procedure- your doctor may find it necessary to cut open the acne and drain it. It is done with sterile equipment and needs skill. Acne patients should not do draining of acne.This article is only for informative purposes. This article is not intended to be a medical advise and it is not a substitute for professional medical advice. Please consult your doctor for your medical concerns. Please follow any tip given in this article only after consulting your doctor. The author is not liable for any outcome or damage resulting from information obtained from this article.
When you talk about acne we're talking about clogged skin pores, or deep lumps on our face, chest, back, neck, shoulders and upper arms. These may be called whiteheads, blackheads, cysts or nodules. If you are a teenager you're probably going to get acne. In fact, you could get it even if you're as old as 40 something. While it won't threaten your life, it could upset your life by disfiguring you permanently. Even acne that's not severe could end up doing that.Hormones that change during the start of puberty are the reason you get acne. Sebaceous (oil glands) work overtime during this time in your life. They are generally reacting to androgens, a male hormone. Females have androgens too, though not as men as guys.A sebaceous follicle - a hair shaft inside your sebaceous gland - is the culprit. When you are in puberty the cells of your skin lining these sebaceous follicles start to shed more than when you were younger. If these cells stick together as they shed oil increasingly it probably is going to plug up the opening of the sebaceous follicle. The oil keeps building up, though, and with no way to get out it just makes that follicle swell up. This is an acne lesion.Bacteria exists normally in your skin and one bacterium called P.acnes multiplies more than it usually does if a hair follicle gets clogged. This is irritating to your skin and often inflames it. It can even make the follicle burst which then inflames other skin around that follicle. What results then are acne pimples, nodules and blackheads, commonly referred to as lesions.You may have heard some myths about acne, most of which are probably false. If you heard, for instance, that not having proper hygiene will cause acne, you heard wrong. If you believe this you could end up over washing your face or being too harsh in scrubbing it and you'll make the acne worse. Surface dirt and oil aren't the causes of acne. While you certainly don't want to leave dirt and excess oil on your skin its removal needs to be gentle, with light scrubbing and washing twice a day. Then you should simply pat it dry, again gently. You certainly can try one or several of the over the counter acne treatments or see your dermatologist if the acne is severe or the over the counter treatments haven't worked for you.No matter what you've heard, stress is not an acne contributor. Normal every day stress will not cause acne. While excess stress might take you to a doctor for a prescription to calm you or help you deal with your depression and that medication might irritate your skin, the stress is never the cause for the onset or exacerbation of acne. Of course, if the medicine seems to be the culprit tell your doctor.The third acne myth about acne is that what you eat affects your acne - that things like chocolate or pizza or fried foods can create acne or make it worse. Or that avoidance of such foods will keep you acne free or make it go away. This is not so. Yes, a balanced diet is good for you, but it won't affect your acne.Folks might also tell you that your acne isn't a problem to worry a lot about because it is only cosmetic. Acne, however, can hurt the way you feel about yourself, and it can leave lasting scars both physically and emotionally. In spite of what some people might say to you, that is a serious consequence of acne.
Just when you thought you'd finally got through all the skin problems related to puberty, you wake up one day and find acne. If you ask a dermatologist, you will find out acne is not just a problem for teens. Fortunately, there are some treatments that will help you fight adult acne successfully.Adult Acne FactsDoctors say adult acne is a common problem, but unfortunately an under-recognized one. Most people think acne it just for kids, but it can happen in later years too. It is more common in women than in men. Statistics show that acne affects about 25% of all adult men and 50% of all adult women at some point during their adult life.At the bottom of acne lies the pimple, which doctors call comedo. A pimple is a plug of fat, skin debris and keratin stuck in a hair duct. When it is open, we call it a blackhead and when it's closed over, a whitehead. Whiteheads can cause the walls of the hair duct to rupture, leading to redness, infection and cysts of acne.Many people think that acne is a result of poor hygiene, but this is not true. Both adult and teen acne are caused by a combination of many factors, such as excess oil production, faulty closing of the hair duct or infection. Washing your face gently only twice a day is actually much better than washing it more often.Adult Acne TreatmentYou can choose between an adult acne treatment in a dermatologist's office or at home. However, squeezing pimples at home often leads to infection and scars. Squeezing pimples is also a very effective way to get your acne to spread. Doctors, on the other hands, use special sterile instruments to prevent infection, scarring and acne spread.Another solution is to check your local drug store for "adult acne treatment" s. If you've ever tried this, you know it's loaded with such products. With so many options available, choosing the right adult acne treatment can be quite difficult.A great progress in adult acne treatment has been the producing of the topical retinoid acid, a modified form of vitamin A. Improved versions of this medicine greatly reduce the irritation it can cause. Other acne treatments fight against different causes of acne. They are sometimes used in combination. Such acne treatments include:* Azelaic acid cream* Benzoyl peroxide* Alpha-hydroxy acids (such as lactic acid, glycolic acid and gluconic acid)* Antibiotic pills (of used unwisely, they can lead to antibiotic resistance)* Topical antibiotics (gels, lotions and solutions)* Contraceptive pills for women* Sotret or Accutane for severe acneAccutane and Sotret have several side effects, including birth defects. Women with severe acne problems that choose these treatments should use alternative birth control. Despite the side effects they have, these treatments are probably the best choice for sever acne.
The teen years are a trying time for any person. Although the worries and cares of adulthood are still far into the future, the teen is not exactly a happy and relaxed person. The carelessness and ignorance of childhood makes room for rebellion and questions about ones values and place in the world. Looking for their own road through life teens feel insecure and, often enough, misunderstood. Unfortunately, if the search for a place under the sun is not enough, teenagers also have to deal with other problems, such as acne. This unsightly condition is the bane of many teenagers because of the effects it has at psychological level. It doesnt take a lot to foster a negative self image in a teenager. Most of them are at least somewhat insecure about their outward appearance because of various real or imaginary blemishes. But a real condition that causes true discomfort and mars a young face is something else altogether. The fragile self image and self respect of teenagers are hard pressed to cope with the pressure exerted by the opinions of others and the comparisons with various role-models that teenagers find for themselves. In extreme cases, the negative self image turns into self hatred and the disfiguring condition is seen as a cruel instrument of self punishment for failing to rise up to some standard or other. Teenagers live in small worlds. Parents, friends and the amorphous group of half-familiar school mates are the limits of their social lives. Naturally, teenagers tend to attach more importance to the praise or criticism coming from their friends or school mates, on grounds that parents love you anyway and are fatally biased. But, since teens can be very cruel to each other, the criticism of school mates is frequently unkind and meant to hurt. This serves to increase the feelings of anxiety, insecurity and self hatred, resulting in withdrawal from the social environment into a private world of pain and shame. Teenagers are terribly earnest about outward appearances and criticism. They are still away from the age when human beings come to terms with themselves and are no longer much interested in what others say or think. Hiding ones body or face and feeling ashamed just because somebody else said that this is the thing to do is a mistake and teenagers should be helped to see this. Acne can be defeated with persistence and by using the right products. However, the psychological effects of acne must also be fought, or else they may never go away. The teenager who hated himself for having pimples on his face will turn into the adult who hates himself for being a little overweight or not making as much money as some co-worker. The feeling of discomfort and shame with oneself does not always go away in time. Sometimes it just finds a new problem to act as its power source. This is the lasting effect of acne: a poor self image, a lack of confidence and a feeling of being at a disadvantage when comparing oneself to other people. These moods and mindsets can ruin anybodys social life and often they also get in the way of professional development. Unfortunately, acne is not just skin deep.
LifestyleIs your lifestyle causing your acne? Certainly not. But the way you live affects your whole body, including its largest organ: the skin. The place you work, the hours you keep, the ways you play all of these can take a toll on the epidermis, especially in those who are prone to acne. Following are a few everyday acne triggers you might not be aware of, and a few things you can do to avoid them. Comedones on the job. Since some part of your skin is always in contact with your environment, its important to pay attention to the substances with which you come into contact on a regular basis. You may be exposing yourself to comedogenic (pore-clogging) substances on the job without even knowing it; while these substances are not the cause of your acne, they can aggravate it. For example: the airborne grease in a fast-food restaurant can create an invisible film on your skin, clogging your pores. Most industrial oils the kinds used in cars, in factories, on bicycles are comedogenic as well.Acne & Sleep - Sleep and your skin. The simplest good deed you can do for your skin may surprise you: sleep! Scientists and mothers around the world agree that a good nights sleep at least eight hours can do wonders for your complexion. How? A healthy, well-rested body has the resources to build a strong immune system. While a robust immune system wont prevent acne altogether, it can help fight infection so your lesions clear up more quickly. Luckily, your body isnt picky; uninterrupted sleep in the daytime is just as beneficial. So if you work late, sleep late and try to maintain a regular schedule. Acne & Sun - Savvy sun worshipping. While its true that small amounts of sun exposure may initially improve acne, dont be fooled; the benefit is temporary. Consistent sun bathing will dry your skin, causing your sebaceous glands to produce more oil. Also, skin that has been exposed to the sun has to slough old cells more frequently; when you combine the extra oil and extra dead cells, you create the ideal environment for comedones, or blocked pores. So if you work (or play) in the sun, its important to protect your skin with sunscreen. Look for oil-free products that provide at least an SPF 15 protection level from UVA and UVB rays. Acne & Stress - The stress connection. Not surprisingly, stress often has a starring role in the ongoing acne drama. Ninety percent of my patients complain about what stress does to their skin. It has a huge impact, and its becoming a bigger problem every day, says Katie Rodan, MD, a clinical professor of dermatology at Stanford University. How can stress emotional anxiety caused by any number of factors in your life show up on your face? The connection is purely chemical. When you become tense, your adrenal glands go work, flooding your bloodstream with the hormone cortisol. This triggers the sweat glands in your face to produce more oil. When your sebaceous glands go into high gear, theres a higher probability that this excess oil will mix with dead skin cells and clog your pores, trapping bacteria inside. The result? More acne, primarily inflamed papules rather than blackheads or whiteheads.What can you do? Of course, you can't eliminate stress from your life it's part of being human. But you can minimize its damage by leading a healthy lifestyle. A balanced diet and at least seven hours of sleep every night will help you build a stronger physical foundation; if you're well fed and well rested, you're less likely to feel irritated by the events of your day. Try to get some exercise every day, even if it's just a walk around the block at lunchtime. It's also important to take time out of every day to relax read a book, take a bath, practice yoga, or do whatever makes you feel happy and calm. It's an important step towards overall good health, and therefore the health of your skin. DietsDont eat that youll get zits! Weve all heard it; from parents, friends or even the family doctor. But the fact is, even after extensive study, scientists have not found a connection between diet and acne. Not chocolate. Not french fries. Not pizza.According to the American Academy of Dermatology, A healthy diet is important for improving raw materials for healthy skin, but they also note that greasy or sugary foods do not cause acne.1 Likewise, a study published in the Journal of the American Medical Association concurred, Diet plays no role in acne treatment in most patientseven large amounts of certain foods have not clinically exacerbated acne.1 Of course, that doesnt mean you should make a habit of eating foods high in sugar or fat. The skin is the bodys largest organ, so whats good for the rest of you will be good for your skin, too.Acne Prevention & Diet - Nutrients for healthy skin. There are a number of nutrients found in everyday foods that are known to promote a healthy body and therefore healthy skin. Get wise to these substances, and youll increase your chances of conquering your acne.Acne Prevention & Diet - Vitamin A. Naturally occurring Vitamin A, or retinol, is found in fish oils, liver and dairy products. The Vitamin A produced by plants is known as Beta-carotene, and is found in yellow/orange fruits and vegetable such as carrots, yams, apricots and cantaloupe, as well as green vegetables like parsley, kale and spinach. Extremely high doses of Vitamin A are toxic, so don't overdo it.Acne Prevention & Diet - Vitamin B-2. Stress has been known to aggravate existing cases of acne, and Vitamin B-2 is often helpful alleviating stress. Foods with a high concentration of B-2 include whole grains, fish, milk, eggs, meat and leafy green vegetables.Acne Prevention & Diet - Vitamin B-3. Found in peanuts, eggs, avocados, liver and lean meats, Vitamin B-3 improves circulation, promoting healthy skin. It also reduces the cholesterol level in the blood and helps you metabolize protein, sugar & fat increasing your energy through proper utilization of food.Acne Prevention & Diet - Vitamin E. Vitamin E is found in almonds, peanuts, sunflower seeds, broccoli, wheat germ and vegetable oils. A powerful antioxidant, it protects your cells against the effects of free radicals, which are potentially damaging by-products of the bodys metabolism.Acne Prevention & Diet - Zinc. Even in trace amounts, the antioxidant zinc is known to boost the immune system, improving overall health which of course is reflected in the skin. Zinc can be found in eggs, whole grains, nuts and mushrooms.Acne Prevention & Diet - Know your own triggers. Since acne is different for everyone, there may be certain foods that cause flare-ups in your skin. Clearly, these foods should be avoided. You may also want to check your vitamin supplements for their iodine content; while normal amounts of iodine have not been shown to affect skin, amounts greater than the RDA of 150 mcg may aggravate your acne.Overall, use your common sense. Drink lots of water and eat a healthy, balanced diet but dont be afraid to indulge your cravings every now and then.