Acne scar treatment: Injections of steroids can flatten keloid scars, according to Dr. Elbuluk. When they are discolored or red, there is some active inflammation in the skin. “The goal is to make the inflammation go away,” she says, “and certain lasers, such as pulsed dye laser, can improve any discoloration by targeting blood vessels.” Cryosurgery freezes the scar tissue, causing it to slough off, but this can cause pigmentation problems of its own among people with darker skin, who are already at higher risk for keloids. Prevention has an important role to play for anyone who is prone to keloids, she says. Using a scar-minimizing treatment like Mederma and/or silicone gel scar sheets before scars form can help stave off a keloid. Vitamin C serums such as Kiehl’s ‘Clearly Corrective’ Dark Spot Solution, Perricone MD Vitamin C Ester Serum, Skinceuticals C E FERULIC® vitamin C serum, or Kiss My Face C The Change (Ester C Serum) can also reduce pigmentation around a keloid scar.
People who escaped their teen years almost pimple-free may develop persistent adult-onset acne as they get older. Despite the normal increase in androgen levels during puberty, some doctors believe that flare-ups of acne have less to do with androgen levels than with how a person's skin responds to an increase in sebum production or to the bacteria that causes acne. The bacteria Propionibacterium acnes occurs naturally in healthy hair follicles. If too many of them accumulate in plugged follicles, they may secrete enzymes that break down sebum and cause inflammation. Some people are simply more sensitive than others to this reaction. Sebum levels that might cause a pimple or two in one person may result in widespread outbreaks -- or even acute cystic acne -- in another person.
There are many treatments for mild acne. Mild acne can consist of whiteheads, blackheads and small pustules. At home, you can wash your face twice per day with warm water and a gentle cleanser or soap. Your doctor may suggest you also try an over-the-counter lotion or cream. These medicines may make your skin dry if you use them too much. Be sure to follow the directions.
While acne is a much more visible condition than most, it is important to remember that it is like most diseases, in which early detection can help to mitigate its impact. Bearing that in mind, we have taken the time to put together 10 of the most common causes for acne, so that you can be better informed and potentially avoid some (and only some) of its root causes.
29. Antibiotics are an option. Oral antibiotics are usually used for moderate to severe acne, especially on the back or chest, and kill bacteria in your skin pores. The ones most commonly used are tetracycline and erythromycin. Like all antibiotics, they can cause yeast infections as well as more severe side effects and can interfere with the effectiveness of birth control pills. They can also cause increased sun sensitivity, so you'll need to be extra careful when going outside and use SPF daily. For more extreme cases, your doctor may suggest Isotretinoin (Accutane), which is used in moderate to severe cases of acne when nothing else works, but can have more extreme side effects.
Love it!...In love!...I got this product as a free sample from Kate Somerville and I'm so glad I was able to try it out because this really has helped my acne so far!...I have pretty oily skin and gets lot of breakouts and redness around my nose and chin, and after using this for just a few days at night my skin looks a lot more even and no new pimples!
Over-the-Counter Creams and Lotions. Retinoid creams or lotions can help clear your skin and also lessen wrinkles. Products made with sulfur can be good for the occasional spot treatment. Benzoyl peroxide is another acne fighter. Use benzoyl peroxide products only occasionally, because they can dry out your skin, Day says. You could also try a milder benzoyl peroxide product.
Unfortunately, sometimes our workout routines can have a negative effect on our skin and be a cause of acne. One of the top perpetrators of gym-related skin conditions is dirty workout equipment. Whether it’s a yoga mat, weights, or handle bars on a cardio machine, shared gym equipment is filled with bacteria and dirt. When this comes into the contact with the skin and sits on the surface, it can cause skin irritation. If you don’t shower immediately after working out, the mixture of sweat, body oils, and bacteria can remain heavy on the surface of your skin, settling back into your pores and causing the onset of pimples.
Phase 2: My Torture Facial After two weeks of adhering to Shamban's strict regimen, I go back to her office for a facial. I'm thinking it's going to be the ultimate doctor visit, like a relaxing spa day with Enya playing and detox tea served at the end. But I hop into the facialist's chair and I'm immediately engulfed in a stringent smell that makes me choke -- a far cry from the lavender and eucalyptus I was expecting. And the process begins.
If you have body acne, taking a shower as soon as possible after working out is also key. It turns out that standing around in tight, sweaty workout clothes puts you at the greatest risk for body acne and rashes. “The whole idea is that the bacteria that live on the skin can get trapped in the hair follicles and cause inflammation,” says dermatologist Dr. Elizabeth Hale. “The more you work out in the heat the more likely this is.” Dr. Levin agrees that showering right after a workout is your best defense against body acne. But in a pinch, body wipes like the Yuni Shower Sheets will do the trick.
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:
You can apply all the topicals you want, but unfortunately, most treatments you'll find at the drugstore won't help with acne scars, Hellman says. However, she notes that derma rollers (at-home microneedling devices) may help with acne scarring. If you're on a tight budget, that should be your first stop. You can get one on Amazon for less than $20. (Use yours once a week followed by a Vitamin C serum for best results—here's how to pick the best ones.)
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.
Yes, it is possible to lessen, if not completely eliminate, your acne troubles with food. The key is knowing which foods help -- i.e antioxidant rich, fiber packed, protein loaded, vitamin soaked, healthy fat filled foods (that was quite a mouthful, wasn't it?) -- as well as which foods are really, really BAD for acne; i.e. sugar loaded, preservative packed, salt soaked, unhealthy fat filled foods.
Cleansing . Create a cleansing routine, washing your face each morning and before bed. This alone can significantly reduce acne breakouts. Wash your face for at least a minute to ensure that all bacteria are killed. Make sure to wash away any makeup before going to bed as these products can increase acne outbreaks while damaging the skin. Use oil free products that will not clog the pores during this step. Also wash any other areas where acne appears during this ritual such as your chest, back or shoulders.
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).
If you have oily or combination skin and are prone to breakouts, you should be using skin-care products labeled "oil-free," "non-comedogenic," or "water-based," Dr. Schultz says. Just one of these will ensure that the lotion you're slathering on isn't going to clog your pores and make matters worse. Try a gel-based moisturizer like Belif The True Cream Aqua Bomb; for an SPF option, we like PCA Skin Weightless Protection Broad Spectrum SPF.
Lasers: Dermatologists often remodel collagen using lasers, "which do not completely eliminate acne scars but can improve them by 30% or more," according to Dr. Woolery-Lloyd. "These can be helpful in reducing the redness associated with acne marks and scars. I use a pulse-dye laser called the V-Beam for red scars. When treating older scars that are no longer red, I like to use the Fraxel laser. When lasers are used to treat acne scars, the results can differ dramatically based on two things: how many treatments you have done, and how much social downtime you're willing to accept as part of the recovery process," says Dr. Bowe. "Erbium laser resurfacing is also another option and it's more aggressive than Fraxel," says Dr. Shah. "It's a minimal burning of surrounding tissues and has fewer side effects like less swelling and redness, but it's won't work for those with darker skin tones."
If you have scarring, your dermatologist may suggest surgery to help heal acne lesions and remove scarring. A laser can reshape scar tissue and reduce redness. Dermabrasion is a type of surgery that can remove surface scars and reduce the depth of deep scars. Another option is to transfer fat from one part of the body to the face. In some cases, a single treatment can help scarring. But for lasting results, several are often needed. There are also topical treatments for acne scarring.
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.
Best used for treating hyperpigmentation, these products — packed with glycolic acid — promote cellular turnover to remove the top layers of the skin revealing a brighter, fresh complexion, says New York City-based dermatologist Dendy Engelman. "Glycolic acid is the smallest acid in size," she says. (This means it can get deep into the skin.) "It is very effective in breaking down skin cells and removing dead particles," says Engleman. "It boosts collagen production and elastin production with the removal of waste and dead skin cells." Bottom line: By removing these dead cells, healthy, glow-y skin is revealed.
Shower twice a day. Take a shower or bath in the morning and at night. Alternatively, take a shower in the morning and then again after physical activity, like exercise, or sweating. Wash your entire body with a mild cleanser and use shampoos that limit oil production in your hair. Be sure to always shower after exercising to remove the dead skin cells your body has sloughed off through sweating.
Physicians commonly prescribe oral antibiotics to patients with moderate rosacea. Tetracycline (Sumycin), doxycycline (Vibramycin, Oracea, Adoxa, Atridox), and minocycline (Dynacin, Minocin), are oral antibiotics commonly prescribed are presumed to work by reducing inflammation. A newer low-dose doxycycline preparation called Oracea (40 mg once a day) treats rosacea. The dose may be initially high and then be tapered to maintenance levels. Patients should consider common side effects and potential risks before taking oral antibiotics.
17. Less is more. Too many products can irritate and too many steps may tempt you to skip. When it comes to your skin, more is definitely NOT more. In other words, trying a bunch of different remedies at once won't boost your chances of making the zit disappear — more likely, it'll just wreak havoc on your skin and turn a teeny-tiny pimple into a red, blotchy mess.
Wrap your index finger with cotton, and gently start removing black heads and white heads starting from one side of the face until the skin is clean. For stubborn black heads and white heads, make sure you hold the skin tight with the left hand while using a lancet in the right hand to gently poke the blemish. Using the lancet will make it easier for the white head to come out without bruising the skin; especially with a product like BD Ultrafine. This takes about 10-20 minutes depending on the severity of the acne.
Chemical peels. Chemical peels can reduce the appearance of shallow acne scars and post-inflammatory hyper-pigmentation around a healed acne lesion. A chemical peel may be administered by a doctor, nurse, nurse practitioner, or spa aesthetician and involves applying a chemical to your skin to remove its outer layer, giving it a smoother, more even appearance. Depending on the strength of the acid used, you may experience redness and peeling for a few days afterward.
Acne scar treatments are best handled with special attention and care from your dermatologist since they require more intense procedures than over-the-counter options. The downside: Treatments tend to be expensive. If you aren't quite ready to put a dent in your savings, know that you aren't alone in your struggle with acne scars. Just by reframing your way of thinking, you may even learn to feel much more comfortable with them.
Baldwin says squeezing is the best way to get rid of blackheads, but it should be left to a professional if possible. “A good cosmetologist can do an awesome facial," she says. “Pore strips can also help. But both of these are made much easier by starting on a retinoid first. Prescription retinoids soften the pore contents and make the whole process more successful and less painful. With time they will also eradicate the blackheads." The best way to get rid of blackheads for good is with a skin care regimen and the best acne products for clearing the pores. Do not try to pop blackheads or dislodge the blockage with your nails, as your hands may introduce new bacteria to the pores. Instead, see how to get rid of acne fast and prevent blackheads with these acne treatments:
Light treatments: Recent years have brought reports of success in treating acne using special lights and similar devices, alone or in conjunction with photosensitizing dyes. It appears that these treatments are safe and can be effective, but it is not clear that their success is lasting. At this point, laser treatment of acne is best thought of as an adjunct to conventional therapy, rather than as a substitute.