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DocDerma - The Acne specialist
Acne is a general term for an eruptive skin disease. There are many types of acne lesions including blackheads, whiteheads, papules, pustules, and cysts. Acne is one the most common skin conditions. Acne generally occurs in teenagers and young adults, though it can affect anyone.Request for Consultation
During adolescence, the body begins to develop more sebum, an oily substance that is produced to ensure our skin does not dry out. When sebum cannot flow freely to the skin, clogged pores result. Bacteria already found on the skin's surface flourishes in the excess oil and causes inflammation.
The degree of inflammation determines what type of acne appears on the skin. A small amount of inflammation results in a blackhead or a whitehead formation. This means oil flow is blocked right at the surface of the skin and is the mild form of acne. If the pore is blocked deeper within the skin produces red bumps called papules or a pimple. If the pore becomes blocked deeper still causes pustules or pus-filled pimples. The most severe type of acne lesions are cysts, which occur when very deep blockage causes intense inflammation. Cysts, sometimes called nodules, are very painful bumps and lead to scarring if left untreated.
The main factors that can trigger or aggravate acne are hormonal changes that are related to puberty and pregnancy, menstrual period, drugs, cosmetics, or stress, which cause the sebaceous glands to produce more oil that make acne worse
There are four key elements that contribute to acne. They are: excess oil, clogged pores, bacteria, and inflammation.
Research has proven that heredity, hormones, menstruation, and emotional stress can trigger acne, or make it worse. Although many of these factors cannot be avoided, it is recommended that patients not wash or scrub the skin excessively, which can irritate the skin and make acne worse. Diet does not generally contribute to acne, although if greasy foods are ingested often, oil from the food may transfer onto the skin, particularly around the mouth, and worsen acne. Likewise, if you have oily hair, shampooing often may help reduce the risk of oil from the hair transferring onto the skin.
When acne is properly treated, it can restore the confidence and positive self-image that often wane in people afflicted by acne.
There are many acne treatment options available. We recommend treatment according to your age, type, skin condition, and severity of your acne. Every case is different, and treatment effectiveness depends on your skin’s reception. Talk to Dr. Chalasani about finding the right treatment plans for you. Fortunately, when acne is properly treated, it can restore the confidence and positive self-image that often wane in people affected by acne.Request for Consultation
Some common treatment options include
Cleansers containing glycolic acid, salicylic acid, or benzyl peroxide may help reduce acne. These agents dry out the skin, remove debris, and unclog clogged pores. Some cleansers containing benzyl peroxide will dry the skin, causing it to peel, and thereby helping prevent the growth of bacteria.
Topical retinoids work by loosening the plugs in clogged pores. They are also helpful in removing superficially clogged pores that cause blackheads and whiteheads.
Topical antibiotics are used to remove the skin bacteria that leads to papules and pustules. They may be used in combination with other agents.
Oral antibiotics may be prescribed for moderate acne, and are effective in treating papules, pustules, and cysts. They work to decrease inflammation and bacteria around the acne lesion.
Isotretinoin is an oral medication that is used for the more severe acne. Isotretinoin reduces the size of the skin’s oil glands and the amount of oil the skin produces. The reduction in oil also leads to the reduction of bacteria living in the skin. Isotretinoin also slows down how fast the skin produces skin cells inside the pore, which helps pores from becoming clogged. There are many severe side effects of Isotretinoin, such as depression, birth defects if taken while pregnant, which is why it is important to consult with Dr. Chalasani, understand all the risks, and decide whether the Isotretinoin is right for you.
These may help reduce acne in female patients by decreasing the effect of male hormones that increase or trigger acne development. Birth control pills also have serious side effects that must be considered when determining your acne treatment plan.
There are numerous light and laser-based therapies that can reduce acne.
If scarring from acne occurs, options such as chemical peels, dermarollers, PRP, subcission and laser threatment can help reduce the appearance of scars. Talk to Dr. Chalasani if you are interested in this type of treatment.