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.
Rosacea, although distinct from acne, does have some similarities. Unlike common acne, rosacea occurs most often in adults (30-50 years of age). Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends to be more frequent in women but more severe in men. It is very uncommon in children, and it is less frequent in people with dark skin.
"You want to calm the inflammation right away," Chiu says of treating newly popped pimples prone to scarring. She suggested asking your dermatologist to prescribe an anti-inflammatory acne medication like Aczone Gel. For a prescription-free solution, dermatologist Ronald Moy suggests treating newer scars with a product containing innovative growth factors that "stimulate collagen production immediately" and "should prevent any new scars from becoming old scars." This serum from Moy's product line, DNA EGF, uses growth factors clinically proven to speed up the growth of healthy skin cells. Both hyperpigmentation (not true scarring, but the spotty aftermath of a breakout) and atrophic scars (those crater marks more deep and sunken) benefit from a stimulating collagen boost because thickening the skin leads to less visibility of existing scars, Moy says.
Hormone changes as an adult. The menstrual cycle is one of the most common acne triggers. Acne lesions tend to form a few days before the cycle begins and go away after the cycle is completed. Other hormone changes, such as pregnancy and menopause, improve acne in some women. But some women have worse acne during these times. Stopping use of birth control pills can play a role as well.
What you can do differently: Make sure all the skin care products you're using are labeled "noncomedogenic," which means your makeup or skin care has been specifically formulated not to clog your pores. That said, even if the product is "noncomedogenic," if you're using it continuously and your breakouts continue to get worse, make an appointment with your dermatologist, as you could be allergic to another ingredient in the product that is causing your issues.
All three dermatologists suggested that the best solution for boxcar or rolling scars are in-office procedures. Dr. Day, for instance, suggestedEndyMed Intensif, which uses microneedle radio frequency to remodel the skin by delivering heat into the skin to stimulate collagen and elastin production. For at-home treatments, however, Dr. Day turns to Olay's DIY microdermabrasion kit. It comes with both a foam head and crystal polisher, which claims to exfoliate 7 times better than a typical scrub and thoroughly cleanses the face to prevent future breakouts.
See Your Doctor If You Get Large, Deep Breakouts or Acne Cysts: While smaller blemishes can still scar the skin, it's the big guys that usually do the damage. Because they extend deeper into the skin, deep nodular breakouts or cystic breakouts are more likely to destroy skin tissue and leave scars. Over-the-counter acne products just won't help these types of breakouts. Get an appointment with a dermatologist. Quick, effective treatment can help lessen the chance of developing deep scars.
Toning. After you wash and exfoliate you should apply a toner to the face that will help tighten the pores so oil and dirt cannot become trapped and create a home for harmful bacteria. Toners designed for acne sufferers are readily available at drugstores, but you can also apply products like apple cider vinegar or witch hazel. Apply toners with cotton balls and allow them to sit on the skin rather than rinsing them away.
Unfortunately, if you have a scar on the skin then it will for lifelong but the good news is that you can reduce its size, color and appearance on the skin by lightening them up to the point of undetectable. In general, there are 5 types of acne scars like an ice pick, boxcar, rolling, hyperpigmentation, and keloid scars. So, consult your dermatologist for proper treatment.
5. You're scrubbing your skin too hard. A lot of people with acne think that the more you scrub your skin with a washcloth, rough exfoliants (like crushed apricot seeds), or cleansing brushes, the smoother your skin will be, but in reality, the problem will only inevitably get worse. What happens when you do that is you scrub the active acne and the blemish bacteria gets spread across the skin, worsening the condition.
You've probably seen the Proactiv clear skin system advertised on television at some point over the last several years, but does it work? Proactiv is one of the better acne remedies out there for mild cases of inflammatory and noninflammatory acne, hormonal acne, and adult acne. The basic kit comes with a gentle glycolic acid and benzoyl peroxide exfoliator, a benzoyl peroxide pore cleanser, and an oil-free moisturizer that contains both glycolic acid and salicylic acid. Prices and shipping rates vary by location but Proactiv typically starts at $30.
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.
When it comes to acne scars — especially difficult to treat indented or raised ones — the best offense is a good defense. If you’re still struggling with active acne and want to avoid future scarring, Avram likes this drugstore-staple Neutrogena wash because it contains salicylic acid, a beta-hydroxy acid that he says “exfoliates the skin, softens the appearance of the acne itself, and has some antibacterial properties.”
It also balances the pH level of the body and of the skin when it is applied topically. And due to its anti-bacterial and anti-inflammatory, it is very effective in the treatment of pimple scars also. All of these properties of apple cider vinegar are given by its beneficial components that includes vitamins, minerals, carbolic acid, aldehydes, amino acids, acetic acid and many more properties.
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.
Yes. Although rosacea has a variable course and is not predictable in everyone, it gradually worsens with age, especially if untreated. In small studies, many rosacea sufferers have reported that without treatment their condition had advanced from early to middle stage within a year. With good therapy, it is possible to prevent progression of rosacea.
Your dermatologist may prescribe Accutane®, if other treatments have not worked. This is a strong medicine that can help prevent scarring and treat active disease. But, Accutane also can cause birth defects. It is important that you are not pregnant and do not plan to get pregnant while taking this medicine. You must use two methods of birth control at the same time. This is done for one month before treatment begins, during treatment, and for a full month after stopping the drug. Talk with your dermatologist about when it's safe to get pregnant. Other side effects of this drug may include dry eyes, itching, mood changes, and changes in the blood and liver. You and your dermatologist can decide whether this medicine is right for you based on the pros and cons. Use any prescribed medicine exactly as you are advised. Taking more medicine than you are supposed to take may make acne or your general health worse. Ask your doctor what to do if you miss a dose.
7. You smoke. Every time you light up a cigarette, you decrease the amount of oxygen that goes to your face. This not only predisposes you to cancer, and causes the breakdown of collagen and elastin that leads to wrinkles and increased pore size, but the carcinogens in the smoke also irritates your skin and dries it out, triggering your skin to produce more oil and possibly more breakouts. (Tip via Dr. Downie.)
The bad news: There's no secret ingredient or miracle gadget that makes scars totally disappear. Don't get discouraged, though. A lot of what you think is acne scarring is really just hyperpigmentation or erythema (brown or red spots) rather than an actual change in the texture of the skin. Plus, there's a bevy of gels, creams, and treatments that can bring that discoloration down. We asked top dermatologists to recommend the most effective of the bunch.
Since the UV rays and visible light from the sun can further darken acne marks, all the dermatologists agree it’s essential to wear sunscreen daily. “Sun protection can make a big difference in whether or not these marks remain permanent,” says Nagler, so much so that she’ll often recommend patients wait and see what their scars look like after a year of careful sun protection before opting for an expensive or invasive procedure. This CeraVe oil-free sunscreen is ideal for acne-prone skin, and also contains niacinamide, which is known to help brighten skin and fight inflammation.
Since there is some overlap between acne and rosacea, some of the medications may be similar. Acne and rosacea have in common several possible treatments, including (but not limited to) oral antibiotics, topical antibiotics, sulfa-based face washes, isotretinoin, and many others. It is important to seek a physician's advice before using random over-the-counter acne medications since they can actually irritate skin that is prone to rosacea. Overall, rosacea skin tends to be more sensitive and easily irritated than that of common acne.
Dr. Day says another product ingredient to look out for is retinol to "help minimize and even avoid scarring." Dr. Chiu suggests this particular SkinMedica product because it "induces new collagen formation, which can soften acne scars, as well as unclogs pores for acne prone skin while bringing pigment to the surface with its exfoliative properties." Start using it twice a week and you'll notice fine lines start to fade as well.
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.
While over-the-counter products don’t treat the hormonal component of acne, salicylic acid—a.k.a. willow bark, a.k.a. what aspirin is made of—addresses all other aspects involved in a breakout. “It works,” says Anolik, who recommends using salicylic acid-based products in conjunction with benzoyl peroxide preparations that target acne bacteria with greater strength. Benzoyl peroxide can definitely cause dryness and irritation; if you decide not to use it, know that you’ve got to be even more vigilant about the bacteria on your skin, so cleanse and treat more often. Tea-tree oil preparations like Tammy Fender’s Clarifying Dermagel ($72, goop.com) help. Burt’s Bees Natural Solutions Acne Spot Treatment ($10, burtsbees.com) combines tea tree and salicylic acid for powerful (yet easy on skin) results.
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.