Another study focused in on dairy. In 2005, an article in the Journal of the American Academy of Dermatology took on milk and milk products. By examining the diets of 47,355 women, researchers observed a significant connection between milk and dairy intake and breakouts. Some researchers believe this is caused by high levels of hormones found in our milk products. Much of the milk consumed is produced by pregnant cows, who pump out progesterone, IGF-1, and other compounds that are then passed into the milk. We may also be subject to Bovine Growth Hormone (BGH). These hormones can signal the oil glands to start producing more sebum, which can affect acne. Unfortunately, switching to organic milk doesn’t seem to make a difference, and neither do skim milk options. In fact, skim milk has been observed to worsen the skin, which researches have attributed to lower levels of estrogen and different processing activities. Milk is also known to contain a number of vitamins, some good and some not so beneficial to your skin. Research has shown a correlation between acne and vitamin A in milk. 
The inflammation caused by your breakout can cause more than just the pimple you see on the surface, it can also cause damage below the skin. "The inflammatory response produces a loss in collagen and the overlying skin will collapse and leave a depression," Howard Sobel, M.D., a NYC dermatologist and founder of DDF Skincare, tells SELF. To get rid of these tiny pockmarks, Dr. Karolak relies on a TCA Cross chemical peel. TCA stands for trichloroacetic acid. "We use a little applicator and go into the hole with chemicals to cause a burn. That causes the wall of that ice pick to heal itself and close in on itself," explains Dr. Karolak.
Whether your acne has persisted since your teenage years or has appeared as a new skin problem in later life, consider seeing a dermatologist if you're looking for treatment options. A specialist can help you determine the factors which may be triggering your acne and can help you with prescription medications to help regulate hormones or treat your breakouts without drying or otherwise irritating your aging skin.
Retinoids: Retin-A (tretinoin) has been in use for years, and preparations have become milder and gentler while still maintaining its effectiveness. Newer retinoids include adapalene (Differin) and tazarotene (Tazorac). These medications are especially helpful for unclogging pores. Side effects may include irritation and a mild increase in sensitivity to the sun. Adapalene 0.1% is now available without a prescription. With proper sun protection, however, they can be used even during sunny periods. The combination medication known as Epiduo gel -- which contains the retinoid, adapalene, along with the antibacterial, benzoyl peroxide -- is applied once a day.
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:
A quick primer on light therapy: red light is known to promote circulation and reduce inflammation while blue light targets acne-causing bacteria and makes oil glads produce less sebum. What this mask helped me most with was preventing new breakouts from forming on top of the cluster already invading my chin. It stopped what was previously a never-ending cycle of acne.
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Topical vitamin C serum: "Vitamin C serums block abnormal pigment production and can brighten spots that have already developed," says Dr. Zeichner. "They can be layered underneath your sunscreen in the morning." These serums can also help build collagen and promote healing, says says Dr. Shah, who suggests trying "SkinCeuticals C E Ferulic to do the trick.
In order to treat acne marks and scars, it's helpful to learn how to distinguish between the two. "What many people don’t realize is that a dark or pink mark on the skin is not actually an acne scar. Inflammation in the skin often leaves behind a stain as part of the natural healing process. The inflammation revs up pigment production, creating the mark that fades on its own over several weeks to months," says dermatologist and 2018 Acne Awards judge Dr. Joshua Zeichner. Unlike scars, these are smooth to the touch (AKA, not raised or indented), and signify that there is no permanent collagen damage to the skin.

Oral contraceptives: Oral contraceptives (birth control pills), which are low in estrogen to promote safety, have little effect on acne one way or the other. Some contraceptive pills have been shown to have modest effectiveness in treating acne. Those that have been U.S. FDA approved for treating acne are Estrostep, Ortho Tri-Cyclen, and Yaz. Most dermatologists work together with primary care physicians or gynecologists when recommending these medications.

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