Facials can be an effective way to get rid of non-inflammatory or comedonal acne (whiteheads and blackheads). Comedones occur when pores get clogged with oil and dead skin cells. Facial exfoliation takes off the top layer of skin, which unclogs pores and helps oil flow naturally through the follicles, thus avoiding future breakouts. Extractions remove the existing comedones, which both helps your appearance and also lessens the likelihood developing a pimple (which occurs when a comedone becomes inflamed).
Avoid touching or rubbing your face, since that can make acne worse. Try to keep your cell phone from touching your face, too. Use earbuds instead of having the phone against your skin. Also, don't lean your face on your hands, which may carry oils and germs that can irritate blemishes. Sweat can also make acne worse. Sweaty after exercise? Wash up.
Topical treatments on their own may not be enough to give you clear skin, especially in those with complicated, inflammatory cystic acne. There are several acne medication options approved for use by the FDA, but which one is best for you is a question for your dermatologist and/or general practitioner. Baldwin says if you have insurance and you have acne, a prescription may be the best step because "it makes no sense to try to handle the condition yourself or to use over the counter products that are always less effective than prescriptions meds." Here are a few of the acne medications you'll want to ask about:
So if popping pimples doesn't cause scarring, what does? Long-lasting scars typically turn up after a recurring bout with cystic acne. Cystic acne is a breakout that burrows deep into the skin. These red, painful nodules occur when clogged pores are filled with pus and bacteria, which causes inflammation. Cystic breakouts are often tied to an internal fluctuation of hormones like testosterone (that's why they're common during puberty, monthly menstruation, and perimenopause). "If there is a cyst in the skin, it's going to cause a scar the longer it sits there because pus or bacteria deeper inside the pores cause surrounding inflammation," says Dr. Karolak. And as a result, the inflammation affects the collagen production as well as the fat stores under the skin, creating a visible scar on the surface.
As you go about treating acne, it's important to remember that all acne isn't the same. What works really well for one kind of pimple might not work at all for another. You want to use the type of acne treatment that targets your particular kind of acne. If you use the wrong treatment you might even make your breakouts worse. The first step in how to get rid of acne is understanding what kind of acne you have—read on to learn about blackheads, white heads, small red bumps, hormonal acne and cystic acne, and how to best treat each.
"I have seen many patients develop a tolerance to prescription acne treatments, and when they stop working, it’s devastating. Treating acne demands a more holistic approach that includes lifestyle, nutrition, and advances in topical skincare. I developed Outsmart Acne™ Clarifying Treatment to be used as part of a whole-person regimen to help skin stay consistently clear."Howard Murad, M.D., FAAD
A new, big trend in acne treatments over the past year has been stick-on dots. Some brands, like Nexcare Acne Absorbing Covers, aren't medicated; instead, the clear, absorbent, sterile patches (which feel more like gel than a Band-Aid) dry out the zit like a sponge. Bonus: They'll keep you from picking at it! Despite the fact that they contain no actual medicine, the Nexcare covers have a perfect five-star rating on drugstore.com and a cult following. Meanwhile, many brands do medicate their acne dots, like Peter Thomas Roth's new Acne-Clear Invisible Dots. These invisible stick-on patches contain salicylic acid, tea tree oil, and hyaluronic acid to disinfect and clear clogged pores.
The SUPERMUD® Clearing Treatment was developed to address common skin concerns, which include blemishes, redness, scars, razor bumps, and in-grown hair. The potent mud formula supports skin’s natural oil balance, while a proprietary blend of six acids (glycolic acid, salicylic acid, lactic acid, mandelic acid, pyruvic acid, and tartaric acid) works to help minimize pores and create clearer skin. Activated-X charcoal lifts away dirt and other skin congestions, resulting in a refined, healthy-looking complexion.
You can help keep rosacea under control by keeping a record of things that cause it to flare up. Try to avoid or limit these triggers as much as you can. Antibiotic lotions or gels can also help. Sometimes, you may need to take antibiotic pills. Your dermatologist may treat you with laser surgery. If you think you have rosacea, talk with your doctor about these treatments.
One study that gained a lot of traction in the acne vs. food debate appeared in the Archives of Dermatology in 2002. This research was based on the study of 115 people in Eastern Paraguay and 1,200 individuals in Papua New Guinea. The individuals in this study lived on a diet of self-raised lean meats and fresh plant foods, and scientists were astonished to record not a singular case of acne in either population. Based on this evidence, researchers concluded that the standard Western diet composed largely of starches and refined sugars might be a culprit between the high rates of acne in the Western world.
Inflammation is the single greatest gauge of scar development. The greater the inflammation on the skin, the more likely scarring is to occur. Deep breakouts that take a long time to heal also increase the chance of scarring. Blackheads, whiteheads, and other non-inflamed blemishes typically don't cause scarring because these types of lesions don't injure skin tissue.
Isotretinoin has a high risk of inducing birth defects if taken by pregnant women. Women of childbearing age who take isotretinoin need two negative pregnancy tests (blood or urine) before starting the drug, monthly tests while they take it, and another after they are done. Those who are sexually active must use two forms of contraception, one of which is usually the oral contraceptive pill. Isotretinoin leaves the body completely when treatment is done; women must be sure to avoid pregnancy for one month after therapy is stopped. There is, however, no risk to childbearing after that time.