Acne – Pimples all over the face – especially teenagers and young adults know the problem. is it cure? What Is The Best Acne Treatment? don’t worry acne can be treated.
In Today’s Article, We Will Discuss “What Is The Best Acne Treatment”
Table Of Contents
1) What Is Acne?
Acne is one of the most common skin diseases. Around 85 percent of the population had been affected before. Acne, due to the hormonal changes during puberty, occurs mainly in adolescents from the age of 11 years. Almost every teenager has ever discovered the characteristic blackheads and pimples in his face. By the third decade of life, the disease usually stops again.
About 60 percent of the adolescents suffer from harmless, so-called physiological acne, usually only have to struggle for a year or two with a few blackheads and pimples, which can get controlled with over-the-counter drugs from the pharmacy.
At about 40 percent, however, there is a more pronounced form, the so-called clinical acne, which can last for five to twenty years and requires specialist treatment. If the medication discontinued too early, it relapses, and the therapy begins again.
Therefore, even after the acne is mostly under control, the doctor will prescribe a maintenance therapy. It may take one to two years, or even longer, to reach the natural recovery phase at the end of the second and the beginning of the third decade of life.
In many, but especially the very severe forms of acne can be not only a heavy burden on the body but also for the soul. Papules, pimples, and knots – especially on the face – can be cosmetically very annoying and reduce personal self-esteem.
In the case of correct acne, it is therefore essential to visit a dermatologist, who may also call in a colleague from the Department of Psychosomatic Medicine, also because of these psychosocial factors.
2) Acne Causes – And Risk Factors
There are several factors involved in the development of acne.
- Sebum gland hyperfunction
- Cornification Disorder in the Sebaceous Gland
- Over-colonization with bacteria
- Inflammatory reaction
Sebum Hyperfunction And Keratinization Disorder
In adolescents, the sebaceous glands increase and produce more sebum during puberty under the influence of male sex hormones (androgens). It comes to a sebaceous gland hyperfunction. Usually, the sebum passes unhindered through the sebaceous gland canal to the surface of the skin.
In acne, however, there is an increase in the formation of the hard material by the also ausrogengten, the gang lining cells. The excess horn material eventually clogs the excretory duct. At first, the blackheads (microcomedones) form, which we can not see with the naked eye.
From these arise all other typical acne skin symptoms including open and closed blackheads. By gentle pressure, one can recognize the filiform emptying whitish content – the sebum-horn mixture – the blackhead. Their black dot can identify open comedones in the middle.
This blackish spot consists of melanin, which comes from the pigment-forming cells (melanocytes) of the mouth of the aisle. So it’s not dirt. From clear blackheads, the hard sebum material can be easily solved by peeling substances, acne cleansing agents or drugs such as vitamin A acid preparations, in the closed blackheads just when squeezing the risk of inflammation, deterioration, discoloration, and scarring.
Here, the so-called acne toilet can help the experienced medical comedian also.
Because male and female sex hormones stimulate the production of fat and horn cells in the sebaceous glands, acne is somewhat more common and usually more pronounced in men and boys than in girls and women.
Over Colonization With Bacteria And Inflammation
Due to the overactivity of the gland, a particular bacterium (Propionibacterium acnes) in the sebaceous gland duct has improved growing conditions and proliferates. In itself, we have all of these bacteria on the skin. They have many enzymes that, among other things, decompose the sebum and keep the inflammation in the vicinity of the sebaceous gland apparatus in motion.
Specialized immune cells migrate into the region, loosen up the wall of the aisle, and the to-and-fro of messengers of the inflammation is facilitated and strengthened. As a result, pustules, papules, and nodules form on the skin. When the bacteria capsulate in the follicular duct, antibiotic resistance may develop, which is directly associated with inflammation and weaker response to certain local acne medications.
External factors that promote obstruction of the sebaceous ducts should also be avoided. These include fats or oils in care and cosmetic products, certain medications, hot and humid climates or even mechanical stimuli, for example, due to over-tightening or occupational clothing (chin straps, helmets, face protection).
3) Acne Symptoms
Acne develops mainly where there are many sebaceous glands: on the face, neck, on the chest (neckline), on the back, on the upper arms and especially shoulders. Acne can also occur under the armpits and in the genital, gluteal and inguinal region. But this is not the disease of the sebaceous glands but one of the hair follicles (terminal hair follicles), so a completely different disease.
One differentiates between the symptoms of the acne (acne vulgaris) several forms, which are characterized by different skin changes, flowing transitions are always present:
A) Acne comedonica:
It is characterized by the appearance of open and closed blackheads, which are not or hardly inflamed. The number of closed blackheads, especially in women significantly exceeds the number of open blackheads. The comedones are mainly in the face of the acne comedonica, especially in the lateral nasal, chin and forehead area.
B) Acne Papulopustulosa:
In this acne, the form can be found in addition to blackheads inflammatory pustules (pus-filled protrusions of the duct) and painful papules (up to five millimeters in size) and small nodules (five to ten millimeters in size). In addition to the face, the chest, back, and upper arms can also be affected. From the inflammations, different types of scar can arise quickly or later.
C) Acne Conglobata:
Mainly men are affected by this severe form of acne. It forms one to two centimeters large, highly inflammatory and painful nodes that merge in the course of courses or encapsulate as deep abscesses. Once the inflammation has healed, characteristic acne scars persist.
Also, there are several other forms of acne, some of which are mentioned here:
A) Acne fulminans is a complication of acne conglobata. It can lead to fever and the death of affected skin areas (skin necrosis).
B) Renal inflammation and arthritis.
C) Acne inversa occurs under the armpits and in the groin area.
D) Acne neonatorum occurs in newborns but heals quickly after delivery. The cause is male sex hormones that are transmitted from the mother to the embryo.
E) Acne infant is associated with persistence of acne in infancy and is suspected of congenital hormonal enzyme deficiency disorders.
F) Acne medicamentosa: pimples and pustules caused by medication, for example, by cortisone preparations, vitamin B complex, iodine compounds, antidepressants or modern anti-tumor preparations.
G) Acne venenata (occupational acne/contact acne) affects people who are professional with oils or tar, work in a hot and humid environment (smelting furnace, lack of heat), or ingredients in cosmetics cause it.
4) Acne Diagnosis
Especially when pimples occur in the face, shoulders, and chest during puberty, acne can be considered. To exclude other skin diseases such as purulent hair follicles and fungal infections and to initiate treatment, a visit to a dermatologist is recommended. The diagnosis of “acne” can already be based on the typical appearance.
Also, information on the time of occurrence, whether a rapid course is present, to other existing (skin) diseases and the familial accumulation of acne, as well as the tendency to scar formation, drug intake, and nutritional habits, are critical.
To help diagnose acne and prepare an appropriate treatment plan, the doctor may remove purulent wound exudate from the pustules or nasal secretions, or even blood, in severe cases or suspected infections.
5) Acne Therapy
While it may be sufficient in the very light physiological acne to prevent pimples with appropriate skin care, it is necessary for more pronounced forms to see a doctor and work with him to develop a treatment plan.
Depending on the severity and severity of the disease, he can prescribe suitable active ingredients and give tips on appropriate care measures. Even one should not put a hand to the blackheads: It is recommended a visit to a trained medical beautician/beautician.
In the treatment of particular forms of acne, such as acne venenata and acne medicamentosa, the prevention of the causes in the foreground.
Caution: Pimples in the facial area above the upper lip should not be stated by any means! Here threatens due to the vascular and especially lymphatic connections in the brain area a carryover of germs and a closure of certain vessels (sinus vein thrombosis).
6) Skin Care
In general, it is advisable to cleanse the acne-affected skin regions once a day only with pH-neutral and perfume-free soaps or washing lotions. Excessive washing with aggressive substances destroys the environment of the skin and can lead to a worsening of acne. After washing, the skin should never be greasy or oily, as fats and oils clog pores. More suitable are water-based moisturizers. Make-up and sunscreen should also be fat-free for this reason.
Sometimes the impression arises that sun exposure has a healing effect on acne. However, this is based on the fact that acne was less noticeable on the tanned skin. In particular, UVA radiation in solariums can promote acne.
UV radiation is not a treatment option for acne. Some of the anti-acne agents make the skin more sensitive to UV light, which can lead to secondary damage more quickly. Therefore, acne patients should not be overly exposed to the sun.
Nutrition – ( The Best Acne Treatment )
Those who find that certain foods hurt the skin should change their diet and omit incompatible foods, especially fast-carbohydrates and high-saturated fatty acids.
Treatment With Drugs
Based on the extent of the disease and whether the inflammation predominates or the excessive production of sebum and the blockage of the sebaceous glands, the doctor or the doctor selects the appropriate medication.
Externally, acne can be treated with creams, gels, and various solutions. These reduce the further inflammation and spread of the acne. Suitable active ingredients are:
A) Benzoyl peroxide: it acts primarily bactericidal and does not lead to resistance.
B) Antibiotics combat the bacteria that colonize the sebaceous gland duct and thus have an anti-inflammatory effect. They must never be used alone or in combination with other preparations for more than two to three months. They are prescription.
C) Retinoids (vitamin A acid preparations) can be used externally in all forms of acne alone or combination preparations. They counteract the excessive keratinization of the sebaceous gland ducts and thus reduce the formation of comedones. They also inhibit inflammation and are often combined with benzoyl peroxide.
They are also ideal for maintenance therapy. Retinoids are prescribed and have some side effects that your doctor will tell you about.
I) Azelaic acid reduces the keratinization of the sebaceous glands, is anti-inflammatory and has an antibacterial effect.
II) Alpha hydroxy acids are natural fruit acids. They open the pores of the excretory ducts.
Systemic Therapy – ( The Best Acne Treatment )
For more severe forms of acne, it may be necessary to administer medication internally (systemically), i.e., in the way of tablets. The following groups of active ingredients are suitable:
A) Hormone preparations: In some women, the acne improves taking birth control pills, this should have an anti-male hormone effect. However, it takes the lowest six months for the force to be noticeable.
They always have to be combined with local remedies such as retinoids or azelaic acid — antibiotics, which fight against inflammation from the inside and additionally have an antibacterial effect. They are always combined with external means.
B) Retinoids (isotretinoin): This preparation is the most effective remedy for the most severe acne. It has side effects that your doctor will tell you about. Among other things, it can cause harm to the unborn child, so in women who use retinoids, pregnancy must be excluded, and safe contraception must be guaranteed at least three months beyond the discontinuation of medication.
The most important goal of acne treatment is not to let any scars develop. That is why it is so crucial to initiate the right therapy in time. Also should not be pushed around by the pimples.
If there are still scars, there are several ways in which they can be masked or eliminated: disfiguring or cosmetically disturbing acne scars can be concealed with a highly covering makeup.
Methods such as the surgical lifting of sunken scars, peeling with different acids that only the doctor may use, grinding, injections of collagen and corticosteroids in combination with cold as well as the massage of the scar tissue with medicated ointments are offered to improve the appearance of the skin. Under certain circumstances, surgical removal of scar tissue or large-scale laser treatment may be useful.
If and what procedures are suitable for them, acne patients are best advised to consult with a doctor or skin care specialist specializing in scar treatment for appropriate acne therapy.