It appears much more in adolescence, reaching about 80% of young people, and also in adulthood, especially in women over 25 years. The fact is that acne triggers self-esteem as the skin has inflamed lesions that are not so easy to disguise with makeup. But why disguise if you can eliminate the problem, right? Acne can be classified into? Primary? (vulgar) or? secondary? (hormonal, cosmetic, excoriated, solar) and has several treatments in order to eliminate them. Know better what they are!
The choice of treatment
It is made based on each person's knowledge of acne such as bacterial colonization, sebaceous secretion, inflammation and occlusion of the follicular orifice, so the treatments need to be customized? It's no use wanting to follow the care of an acquaintance or relative. Objectives include improving infectious condition and physical appearance and minimizing scarring.
The ideal treatment is related to the response of each one. Isotretinoin is the only method that induces permanent results, but in many patients it is not accepted due to the many side effects and it cannot be used by those who have milder acne. Other ways to treat acne call for extended periods to control the signs and symptoms.
The use of antibacterial soaps is essential. Moderate Acnes they are treated with topical substances combined with benzoyl peroxide, antibiotics, azelaic acid, salicylic acid, etc. The combination is necessary since each one acts differently on the skin.
- Benzoyl peroxide has great bactericidal power and, thanks to its anti-inflammatory effect, it decreases the number and size of skin lesions. It does not trigger bacterial resistance, but may cause mild irritation and contact dermatitis.
- Azelaic acid is effective for treating mild to moderately acne, with inflamed or non-inflamed lesions. What bothers patients most is that the onset of their action is slow.
- Topical retinoids, such as tretinoin and isotretinoin, act on keratinization defect, decreasing sebum and sebaceous gland size. In addition, they expel mature comedones, inhibit the inflammatory reaction and improve the penetration of other active agents.
- Topical antibiotics slow the growth of bacteria on the skin surface, especially in the pilosebaceous follicle region. They also act anti-inflammatory, improving the appearance of the skin.
Antibiotics are usually prescribed for the most severe acne cases. In any case, the use of topical substances should not be discontinued (according to medical recommendations).
For women, it is also worth doing ultrasound to check the incidence of polycystic ovaries, as they facilitate the onset of acne by making the skin oilier. If so, a contraceptive may better or even cure the problem.
Isotretinoin: The Salvation of Severe Acne
It is an oral retinoid that treats the severe acne, ie the one that has nodules and cysts and is still resistant to other treatments. Thus, isotretinoin is the last attempt in most cases because it is a strong treatment with more serious side effects.
At the beginning of treatment, the body is able to expel all the accumulated sebum. This is why acne even gets worse in the beginning. Then there is a reduction in sebum and a decrease in keratin layer, reducing the formation of new pimples. The improvement usually happens at the end of the first or second month of treatment.
Attention! Before starting treatment, your doctor will order blood tests to check red and white blood cells, cholesterol, triglycerides and liver functions. These tests may be repeated throughout the treatment. For women, in addition to these tests, the pregnancy test is crucial, as this drug leads to malformation of the fetus.
Treatments for smooth skin
At acne marks They are common even in those who started treatment early and do not squeeze the lesions to a lesser extent, of course. The good part is that there are several ways to gain smooth skin, as if acne had never been a problem. Your dermatologist may choose to fill in (with hyaluronic acid, which lasts about a year), chemical peel (which renews the skin), dermabrasion and microdermabrasion (which promote a sanding of the skin, causing new skin to appear) and laser treatments. Nowadays, ugly and scarred skin is only for those who insist on it. Make an appointment with your dermatologist.
Acne | Nucleus Health (January 2021)
- Acne, Skin