AcneAcne is a condition that affects majority of the population at some point in their life. It is an extremely common skin condition in adolescents, but in adults too, equally affecting both men and women. Though it does not pose a serious risk, acne has a major psychological impact which makes it a life affecting condition, impacting our normal life, self-confidence and well-being. Acne can often cause intense feelings of anxiety and stress, which can sometimes make people with this condition become socially withdrawn. This combination of factors can lead to people with acne becoming depressed.Acne vulgaris as known in medical terms, is easily recognizable by its specific symptoms: the presence of blackheads, whiteheads, and other types of pimples and blemishes on the skin. The most common spots for breakouts are the face, chest, shoulders, and back.
How do we develop acne?Acne appears when an oily substance called sebum clogs pores. In many cases the condition is aggravated when the sebum production is stimulated by hormones which in combination with dead skin cells will lead to white and blackheads (comedones). Our own skin bacteria Propionobacterium acnes also known now as Cutibacterium acnes will digest lipids from excessive sebum production, inducing an inflammatory papule. To summarize, a pre-exiting skin condition, hormonal hyperactivity, combined with the lack of a correct skin care routine might be the triggering factors for developing acne. You will often hear that acne is not influenced by your diet. Nevertheless, a recent study with more than 20000 participants revealed that consumption of fatty and sugary products, sugary beverages and milk was associated with current acne in adults. These findings are extremely interesting and suggest that a Western diet which is rich in animal products and fatty and sugary foods is indeed associated with the presence of acne in adults.
Recognizing your acne typeIt is crucially important to recognize how many types of acne we usually deal with and which is our condition.
- Inflammatory acne is characterised by red inflamed papules, pustules and nodules which will often lead to scarring and hyperpigmentation
- Hormonal acne is characterised by adult-onset acne with inflammatory acne along jawline, cheeks and neck
- Nodulocystic acne is characterised by severe inflammatory acne with deep nodules and pustules
- Comedonal acne is characterised by blackheads and whiteheads also known as comedones
TreatmentIt is important to note that acne treatment is a long journey, it might take a minimum of 4-6 sessions before the result is visible.Early treatment is extremely important in order to prevent acne scarring and hyperpigmentation. Only 20-30% of the scars will improve over time therefore further treatments will be required. Treatment depends on severity, type of skin and colour.
Chemical peels for acne and acne scarring
Microneedling for acne scarring
Mesotherapy and PRP for acne scarring
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