What you can do differently: Wipe your face, chest, and back down before you work out with facial wipes, like Neutrogena Makeup Remover Cleansing Towelettes, to remove your makeup. Then, if you don't have time to shower immediately after the gym, use another fresh facial wipe to clear away any sweat and bacteria on your skin to minimize the chance of new pimples popping up.
Explore ways to get rid of acne scars using these ingredients. There are plenty of options for application because they come in many shapes and forms. A gentle cleanser should be used twice daily—at morning and at night—to apply active ingredients in small doses. Exfoliants can be your best friend when learning how to get rid of acne scarring, but they can also be your worst enemy; exfoliating too often or too intensely could irritate your complexion and worsen the inflammation of your scars.
Exfoliating cleansers and masks: A variety of mild scrubs, exfoliants, and masks can be used. These products may contain salicylic acid in a concentration that makes it a very mild peeling agent. These products remove the outer layer of the skin and thus open pores. Products containing glycolic or alpha hydroxy acids are also gentle skin exfoliants.
If a pore gets clogged up and closes but bulges out from the skin, you're left with a whitehead. If a pore gets clogged up but stays open, the top surface can darken and you're left with a blackhead. Sometimes the wall of the pore opens, allowing sebum, bacteria, and dead skin cells to make their way under the skin — and you're left with a small, red bump called a pimple (sometimes pimples have a pus-filled top from the body's reaction to the bacterial infection).
What you can do differently: For starters, stop going to tanning beds. Period. And if you are in the sun, make sure to slather on a titanium dioxide- or zinc-based sunscreen (these are natural sun protectants and their formulations usually contain fewer chemicals, so they won't break you out as easily), and wear a sun hat or ball cap to shield your facial skin from harsh rays.
"Fluctuation in hormones, such as before one's menstrual cycle, is the main cause," explains dermatologist Julia Tzu, M.D., of Wall Street Dermatology. Specifically, androgens (male hormones) like testosterone. This usually rears its ugly head in the form of deep (painful) cystic acne around the chin, neck, and back, says dermatologist Rebecca Kazin, M.D., F.A.A.D., of the Washington Institute of Dermatologic Laser Surgery and the Johns Hopkins Department of Dermatology.
Pimples are raised red spots with a white center that develop when blocked hair follicles become inflamed or infected with bacteria. Blockages and inflammation that develop deep inside hair follicles produce cystlike lumps beneath the surface of your skin. Other pores in your skin, which are the openings of the sweat glands, aren't usually involved in acne.
Both Avram and Tzu recommend looking for products with mark-fading hydroquinone. Ambi Fade Cream includes 2 percent hydroquinone, the highest concentration allowed without a prescription. “It also contains soy, which is well known for treating pigmentation issues, and vitamin E which helps with scarring,” says Tzu. While the FDA considers hydroquinone safe, it is banned in Europe and can potentially cause irritation or further discoloration, so remember to patch-test and check with a dermatologist whether it’s right for you.
This is Dr. Schultz's number-one piece of advice. "Exfoliation is the most important thing you can do on a regular basis to be fighting acne both in terms of preventing it and treating it." His go-to ingredient? Glycolic acid. While a glycolic cleanser will help, a treatment that really soaks into your skin is what will give you the results you want. Try BeautyRx Advanced 10% Exfoliating Pads or Drunk Elephant T.L.C. Framboos Glycolic Night Serum.
If saving babysitting money for a year still won't make a dent in the funds you need to get a fancy laser treatment that will blast away acne scars, don't be discouraged. Thanks to the geniuses behind drugstore brands like La Roche-Posay, there's a new class of products that feature smart technology and better-than-ever ingredients to help treat dark marks and acne scars — at an affordable price. “La-Roche Posay’s Pigmentclar line is unique in the way it combines exfoliating lipohydroxy acid (LHA), phe-resorcinol, and ferulic acid, which are both strong brightening ingredients, all together to form a topical product that’s seriously effective," says dermatologist Dr. Mona Gohara.
Lasers. Your dermatologist can use a laser to remove the outer layer of your skin, contour areas of acne scars, or lighten redness around healed acne lesions. Various types of lasers are used, depending on whether the acne scar is raised or flat. More than one laser treatment may be required and, depending on the laser used, you may need to several days to heal.
If there are multiple ice pick scars, acne scar treatment devices that use radiofrequency energy are Dr. Hellman’s first choice. “These treatments help build collagen from the inside out, and collagen helps to fill the scars from within,” she says. Several treatments are usually needed. The procedures are done using local anesthesia, and it’s effective in all skin types, she says. In one study, published in a 2015 issue of the Journal of Cosmetics, Dermatological Sciences and Applications, Dr. Hellman found that approximately four treatments with a radiofrequency device produced significant improvement in the depth of the scars. A follow-up study in a 2016 issue of the same journal showed that these results held for up to two years, although some people had touch-ups.
For many women, acne can be an upsetting illness. Women may have feelings of depression, poor body image, or low self-esteem. But you don't have to wait to outgrow acne or to let it run its course. Today, almost every case of acne can be resolved. Acne also can, sometimes, be prevented. Talk with your doctor or dermatologist (a doctor who specializes in treating skin problems) about how you can help prevent acne and if treatment would help you.
13. You're still a sun-worshipper. You're probably already aware that lying out in the sun and going to tanning beds cause skin cancer, but if that still hasn't stopped you from hitting the beach without sunscreen or the proper protective gear (aka that chic sun hat), perhaps this will. Contrary to popular belief, the sun isn't healing your acne, it's actually making it worse. What happens is, as your face gets red from the sun, it makes any breakouts you might already have blend in, creating the appearance of clearer skin. But what's really going on is the sun causing your skin to dry out and triggering more oil production, which can lead to more zits.
Rouleau also enlightened me about another culprit making my skin care routine less effective: using oil-based products at the beginning of my skin care routine. As Rouleau explained, oils have a large molecule size and, therefore, should go at the end of a skin care routine because it almost acts like a sealant. When you use a cleansing oil or balm first (as I used to do along with makeup wipes), you're basically creating a barrier that makes it more difficult for other skin care products to penetrate and do their job.
Dilute white vinegar facial soaks or cleansing daily or weekly using approximately 1 part regular table vinegar to 6 parts water may be helpful. Vinegar helps as a natural disinfectant and can help decrease the number of yeasts and bacteria on the skin. Since vinegar may flare rosacea in some people, try a small test area before applying to the entire face.
Many people believe that acne is a hygiene problem. This is a complete myth. Acne is caused by toxins and excess hormones. When your hormones become imbalance, your oil glands produce excessive quantities of sebum. This forms plugs and traps with bacteria, resulting in inflammation and acne breakout. The basic foundation in how to clear acne effectively is to control your hormones and toxins. This will prevent future acne breakout.
"Leafy green vegetables and other brightly-colored fruit and vegetables which are rich in antioxidants and nutrients dampen inflammation and improve skin quality (studies have shown acne patients have higher oil production and lower antioxidant levels)," says Dr. Weiser. "Limit intake of dairy products, which can contain hormones and antibiotics that can worsen acne breakouts." Other skin-boosting superfoods include eggs, nuts, legumes, and quinoa.
90. If you’re going to pop a pimple at home, do it the right way. Sterilize your hands and a small needle with rubbing alcohol, then gently puncture the whitehead of the pimple, just enough to break the skin. Using a clean cotton swab, press on either side of the pimple until it’s drained. Cover with a bandage to keep the area clean while it’s healing.
Skin-care geeks rejoiced when the formerly Rx-only Differin gel became available over the counter, in 2016. A prescription-strength retinoid, Differin also affects cell turnover faster than OTC retinols to prevent the formation of new acne. Avram recommends it for those dealing with a lot of small pimples and only the occasional monster cyst. Because Nagler says retinoids “encouraging collagen remodeling,” a well-tolerated formula like Differin can also reduce the appearance of deeper scars.
Your body is capable of taking care of your scars and they will get lighter with time. However, if you expose them to the sun, their healing process will slow down and the scars will get darker. So, avoid the sun. If it’s essential to go out in sun, use sunscreen to guard your skin and also cover yourself with hat, umbrella, clothes- whatever you can lay hands on.
EradiKate™ Mask Foam-Activated Acne Treatment gently exfoliates dead skin cells and helps unclog pores while sulfur reduces the appearances and helps prevent pimples, zits, and future breakouts. Within minutes Kate’s unique foam-activated technology penetrates to help dissolve impurities and dirt, and address oily skin. An advanced botanical complex of boswellia serrata, honey extracts, and rice bran work to calm and soothe skin. Use this mask with Kate Somerville’s bestselling EradiKate Acne Treatment for an acne regimen that promotes a clearer complexion.
11. You're wearing a lot of hats or constantly touching your face. Anything that can trap sweat and bacteria against your skin and clog your pores, like the lining of a tight hat, can cause zits to crop up. Also, touching your face or resting your chin in your hand while you're sitting at your desk can transfer bacteria from your hand onto your face and brew blemishes. (Tip via Dr. Downie.)
Alcohol-based toners have been an anti-acne step since forever, but are so harsh and drying on skin that they can cause skin to produce even more oil, and they can irritate; as with benzoyl peroxide or any other irritant, they can further inflame a case of acne. But dabbing skin with witch hazel or non-alcohol toner (we love S.W. Basics’ toner with witch hazel and raw apple cider vinegar, $9.99, swbasicsofbk.com) can serve as a mild exfoliant, to unclog pores and deposit ingredients like tea tree oil or salicylic acid. Tea Tree Oil Facial Cleansing pads from Desert Essence ($7.99, desertessence.com) are particularly brilliant, combining both ingredients.
Even if you have amazing willpower—like the willpower of a Girl Scout with a full inventory of Thin Mints under her bed—and never, ever mess with your acne, you can still scar. "Acne scars result from damage to the skin following repeated inflammation from acne cysts," says Judith Hellman, M.D., a board-certified dermatologist in New York City. "Pimple popping can make the process worse, but acne can cause scarring even without pimple popping."
True acne scars — as in indentations in the skin like ice-pick scars — can only be erased with professional procedures like microneedling or lasers. Fortunately, what most of us refer to as “scars,” according to Julia Tzu, M.D., founder and medical director of Wall Street Dermatology, are actually marks caused by post-inflammatory hyperpigmentation (brown spots) or post-inflammatory erythema (red spots), that will fade over several months or years. Fortunately, there are products that can speed up the process.
26. Get your SPF on. Sunscreen isn't just for summer—your skin needs protection every day, even in winter. There are now sunscreens for every skin type imaginable—even ones that help make your skin less oily, so your face stays matte and pimple-free! Look for a daily moisturizer with SPF that says it's "lightweight," "oil-free," or "oil-controlling." For the highest level, look for a PA++ rating, it covers both UVA and UVB rays, so you're guarded against everything from burns to future wrinkles!
Cystic Acne: The most severe type of acne, cystic acne requires dermatological care and prescription acne medication to treat. Even the best acne products available over the counter are no match for this painful condition in which the area of the outbreak becomes inflamed, but not infected. Cystic acne can result in permanent scarring. However, it's important to know that all acne lesions can scar. Scarring is related to size, amount of inflammation, genetics and delay in therapy.
Many theories about diet and acne abound; Anolik is most convinced by the ones surrounding sugar and dairy. “Dermatologists really didn’t believe in all the dietary restrictions for acne, but studies in the past ten years have convinced us a bit,” he says. “Dairy and high-glycemic foods do seem to play a part.” High-sugar diets are known to feed bacteria; any diet that increases overall inflammation in the body doubtlessly plays a part. Specific diets—from Ayurveda to low-carb to veganism—definitely work for some people.
When you think about it, consistently reaching for your go-to face towel every day is like reusing a dinner napkin over and over again. Using dirty towels can harbor bacteria, and they can even introduce new bacteria to your skin, which may lead to more pimples. Thankfully, this doesn't mean you need to reach for a new towel every single time you wash your face, according to Dr. Melissa Kanchanapoomi Levin, board-certified NYC dermatologist and clinical instructor at NYU Langone and Mount Sinai Hospital. As long as you're truly washing off all of your makeup, you can stick to switching out your towels on a weekly basis.
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.