Take an extra five minutes before hopping on the treadmill to completely wash your face and remove your makeup to minimize the risk of breakouts. "Sweat is released through visible pores in the skin," says dermatologist Dr. Janelle Vega. "When makeup covers those pores, that barrier doesn't allow the sweat to make it to the surface of the skin, which can lead to clogged pores. The trapped debris and bacteria are a perfect breeding ground for acne bumps and zits."
How big of a scar you'll be left with after a blemish (if any at all) depends on the depth of the breakout, Schlessinger says. "As our pores become engorged with oil and form a blemish, the pore may swell and collapse the follicle wall," he says. "The depth of the resulting lesion determines the severity of the scar. Shallow lesions usually heal quickly and leave little-to-no scarring, while deeper lesions spread to nearby tissue, causing a more pronounced scar."
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.
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.
Your doctor might recommend an injectable treatment called a filler. "Mainly, I treat acne scars with hyaluronic acid fillers, such as Restylane, but not all acne scars respond to this sort of treatment," Schlessinger says. "Additionally, I personally find that Accutane has a remarkable effect on acne scars if it is prescribed early on in the course of a scarring acne."
Clean your skin gently with a mild soap or cleanser twice a day — once in the morning and once at night. You should also gently clean the skin after heavy exercise. Avoid strong soaps and rough scrub pads. Harsh scrubbing of the skin may make acne worse. Wash your entire face from under the jaw to the hairline and rinse thoroughly. Remove make-up gently with a mild soap and water. Ask your doctor before using an astringent.
"Jessner Peels help to reduce acne lesions overnight by drying them out. They also help to remove the top layers of the skin that cause dry skin and acne flareups. It's important to note that the use of retin-A may cause the acids in the peel to intensify, so if you are using a prescription retin-A it's important to stop using it one week prior to getting the peel," says Dr. Bank. For those with less severe acne or occasional breakouts, there are other types of chemical peels your derm can give you to exfoliate your skin, dry up acne, and help create an instant glow (great for if you're trying to remove a few lingering pimples before a big event in a few days).
Other concerns include inflammatory bowel disease and the risk of depression and suicide in patients taking isotretinoin. Recent evidence seems to indicate that these problems are exceedingly rare. Government oversight has resulted in a highly publicized and very burdensome national registration system for those taking the drug. This has reinforced concerns in many patients and their families have that isotretinoin is dangerous. In fact, large-scale studies so far have shown no convincing evidence of increased risk for those taking isotretinoin compared with the general population. It is important for those taking this drug to report changes in mood or bowel habits (or any other symptoms) to their doctors. Even patients who are being treated for depression are not barred from taking isotretinoin, whose striking success often improves the mood and outlook of patients with severe disease.
There are several low-level light devices designed as at-home acne remedies on the market — but do they really work? Some, like the Zeno electronic "zit-zapper" are FDA-approved as acne remedies, but reviews with these products are typically mixed. Even the best acne treatment won't work for everyone, as the severity of the acne, types of acne and quality of the device are all factors. Ask your dermatologist for a recommendation if you're considering purchasing an at-home light device to treat your acne.
If you're experience hormonal acne every single month—and it's don't-want-to-leave-the-house bad—it's worth visiting your doctor to rule out polycystic ovarian syndrome, a hormonal imbalance that can lead to infertility, anxiety, and depression. Birth control medications, which help regulate hormone levels, are effective in preventing these kinds of breakouts, says Dr. Hale, who's also a fan of DIY remedies when it comes to how to get rid of acne. Home remedies like crushed aspirin application are among her top treatment choices. "You're basically applying pure salicylic acid to it," she explains.
Oral antibiotics: Doctors may start treatment with tetracycline (Sumycin) or one of the related "cyclines," such as doxycycline (Vibramycin, Oracea, Adoxa, Atridox, and others) and minocycline (Dynacin, Minocin). Other oral antibiotics that are useful for treating acne are cefadroxil (Duricef), amoxicillin (Amoxil, DisperMox, Trimox), and the sulfa drugs.