Any acne treatment is a weeks-long experiment that you’re conducting with your skin. Acne is slow to heal, and in some cases, it can get worse before it gets better (nearly every benzoyl peroxide product we looked at emphasized the likeliness of irritating acne further, and starting off with a lighter application). April W. Armstrong, a doctor at the University of California Davis Health System, recommends waiting at least one month before you deem a product ineffective.
Light therapy is a treatment method that involves delivering certain specific wavelengths of light to an area of skin affected by acne. Both regular and laser light have been used. When regular light is used immediately following the application of a sensitizing substance to the skin such as aminolevulinic acid or methyl aminolevulinate, the treatment is referred to as photodynamic therapy (PDT). PDT has the most supporting evidence of all light therapies. Many different types of nonablative lasers (i.e., lasers that do not vaporize the top layer of the skin but rather induce a physiologic response in the skin from the light) have been used to treat acne, including those that use infrared wavelengths of light. Ablative lasers (such as CO2 and fractional types) have also been used to treat active acne and its scars. When ablative lasers are used, the treatment is often referred to as laser resurfacing because, as mentioned previously, the entire upper layers of the skin are vaporized. Ablative lasers are associated with higher rates of adverse effects compared with nonablative lasers, with examples being postinflammatory hyperpigmentation, persistent facial redness, and persistent pain. Physiologically, certain wavelengths of light, used with or without accompanying topical chemicals, are thought to kill bacteria and decrease the size and activity of the glands that produce sebum. As of 2012, evidence for various light therapies was insufficient to recommend them for routine use. Disadvantages of light therapy can include its cost, the need for multiple visits, time required to complete the procedure(s), and pain associated with some of the treatment modalities. Various light therapies appear to provide a short-term benefit, but data for long-term outcomes, and for outcomes in those with severe acne, are sparse; it may have a role for individuals whose acne has been resistant to topical medications. A 2016 meta-analysis was unable to conclude whether light therapies were more beneficial than placebo or no treatment, nor how long potential benefits lasted. Typical side effects include skin peeling, temporary reddening of the skin, swelling, and postinflammatory hyperpigmentation.
Oral isotretinoin is very effective. But because of its potential side effects, doctors need to closely monitor anyone they treat with this drug. Potential side effects include ulcerative colitis, an increased risk of depression and suicide, and severe birth defects. In fact, isotretinoin carries such serious risk of side effects that all people receiving isotretinoin must participate in a Food and Drug Administration-approved risk management program.
Acne isn’t just a problem for teens. According to studies, those pesky zits and pimples can pop up at any age. Whether it’s your diet, environment or stress that’s to blame, you don’t have to suffer helplessly. To get the skinny on acne, we talked to board-certified dermatologist Cynthia Bailey, M.D., president and CEO of Advanced Skin Care and Dermatology Physicians, Inc. and founder of DrBaileySkinCare.com. Here, she shares her best tips on how to choose the right acne cleanser for you, as well as how to use it to get the best results.
Protect your skin. Skin care doesn't end when you leave your bathroom. Wear a noncomedogenic (non-pore clogging) sunscreen with an SPF of 30 or more that offers both UVA and UVB protection to shield your sensitive skin against the sun's harsh rays. A water- or light liquid-based sunscreen is best for acne-prone skin. Limit your time in the sun, especially between the hours of 10 a.m. and 2 p.m. While outside, wear a hat with at least a 2-inch brim and clothing to cover exposed skin.
The treatment regimen your doctor recommends depends on your age, the type and severity of your acne, and what you are willing to commit to. For example, you may need to wash and apply medications to the affected skin twice a day for several weeks. Often topical medications and drugs you take by mouth (oral medication) are used in combination. Pregnant women will not be able to use oral prescription medications for acne.
Acne is the most common skin condition in the United States. Between 40 and 50 million Americans have it. It occurs at any age, but most sufferers are teenagers and young adults. Research shows four key players are involved in its formation: excess oil, clogged pores, bacteria and inflammation. The excess oil is sebum which our bodies make to prevent the skin from drying out. Sebum increases dramatically during adolescence when hormones known as androgens spur sebum production into overdrive. If excess sebum cannot flow freely to the skin’s surface, clogged pores result. P. acnes, a bacteria found on everyone’s skin, flourishes in the excess oil and results in inflammation.
Lastly, it is important to incorporate topical medications such as retinoids, topical antibiotics and topical anti-inflammatory agents to better resolve and control the adult acne. Added benefits such as anti-aging with use of topical retinoids are a plus as well. Thus, there is hope for adult female acne. Birth control pills that contain estrogen or medication that decreases the effects of male hormones (antiandrogens) may help certain women. Some birth control pills have been approved for the treatment of acne. Dr. Turner can help you determine if this is an effective treatment option for you.
Disclaimer: The statements and information on this site have not been evaluated by the Food and Drug Administration (FDA) and are for entertainment purposes only. Any information provided on this site is also not a substitute for the advice of a licensed medical practitioner, nor is any information included intended to diagnose, treat, or cure any disease. Individuals are advised not to self-medicate in the presence of significant illness. Ingredients in supplements are not drugs. Always consult with a health care professional before taking any dietary supplement. This site receives compensation for referred sales of some or all mentioned products. The information on this website is a compilation of my personal opinion after trying all the products as well as based on information from other websites reviewing the mentioned products.
Combined oral contraceptives. Four combined oral contraceptives are approved by the FDA for acne therapy in women who also wish to use them for contraception. They are products that combine estrogen and progestin (Ortho Tri-Cyclen, Yaz, others). You may not see the benefit of this treatment for a few months, so using other acne medications with it the first few weeks may help.
Neutrogena is one of the best drugstore beauty brands, hands-down, and you can't go wrong with this simple acne wash for acne-stricken skin. It's an Allure Magazine Reader Choice Awards winner, as well. Readers love it because the salicylic acid gel is gentle and soothing — spiked with aloe and chamomile. It also dries out breakouts without drying out sensitive, irritable skin, according to Allure.
You’ll need to practice patience with acne treatments that contain tretinoin, but many users say the wait is worth it, considering the results. Generally, it takes up to six months, but often less, to notice results from tretinoin. Note: you may experience a slight increase in acne in the first couple of weeks of use, but it’s only temporary as your body adjusts to the medicine.
Contrary to the marketing promises of “blemish banishers” and “zit zappers,” immediate results are not the trademark of acne treatments — a frustrating truth to anyone suffering through a breakout. And while pimples are personal (your stress-induced spots will look and act differently than your best friend’s breakout), the best acne treatments will include a regimen of products to hit all of acne’s root causes. We tested 43 kits to find the most well-rounded breakout-fighting solutions on the market.
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Many doctors treat whiteheads, blackheads, or pimples, with either a prescription for an antibiotic or prescription strength benzoyl peroxide or both. These treatments are harsh for mild to moderate problems. If you have an exceptionally deep skin infection causing nodules or cysts, you should be given a referral to a dermatologist. This is also true if you have an aggressive form of acne that causes blemishes to grow together all over your upper body (acne conglobata). You will probably need laser therapy or surgical reconstruction procedures if you have this rare condition.
Combined oral contraceptive pills contain progesterone and estrogen and help to balance out the levels of testosterone in the body12 One obvious effect of this is birth control, but dermatologists have also found it very useful for treating hormonal acne. Testosterone doesn’t directly cause acne, but when hormone levels fluctuate and testosterone increases above its baseline level, it can lead to increased acne for some. This is because increases in testosterone and other androgens leads to an increase in sebum production, which can cause more clogged pores and more p. acnes bacteria, leading to blackheads, whiteheads, pimples, or even cysts.
A complete skin care regimen to control acne usually starts with washing. The ideal face wash creates a soft creamy lather in warm water. It rinses off dirt, excess oil, and makeup, leaving the face ready for the next step in daily skin care, whether that is toner, moisturizer, exfoliant, sunblock, or more makeup. It is fragrance-free, and it does not create a foam, film, or tingly sensation on the face. Any product that foams and suds vigorously, like a detergent, is a strict no-no for acne treatment, especially on dry skin.
The alkaline ingredients in Ivory Soap reach into the skin and dissolve the fats and ceramides that lock moisture in and keep the skin soft and flexible. Tight skin constricts pores, locking oil and acne bacteria inside. If you wash your face with Ivory Soap once or twice a day, you almost certainly will have no big pieces of dirt or grime lurking in enlarged pores, but you are likely to have an ongoing problem with whiteheads and blackheads, and the constant irritation will also make pimples redder and more inflamed.
Alpha-Hydroxy Acids – These are synthetic acids derived from sugary fruits that remove dead skin cells3 while reducing inflammation. The two common types that can be found in over-the-counter acne treatments are glycolic acid and lactic acid. Another benefit of these acids is that they improve the appearance of your acne scars and make your pores look smaller by stimulating the growth of new, healthy skin.
Photodynamic therapy – Photodynamic therapy is a relative newcomer to the world of acne treatment. Often reserved for moderate to severe acne because of the seriousness of the procedure and the downtime required following each treatment, photodynamic therapy reduces the size of sebaceous glands that produce oil. However, permanently reducing your skin’s sebum output may have long-term consequences because of sebum’s positive qualities, such as helping the skin to retain moisture and fighting bacteria.
Low concentrations of salicylic acid, like 0.5 percent, are perfect for people who have both acne and sensitive skin. If you have sensitive skin, you know that most of the “best” acne medications just don’t work for you because they are too strong. Products that are too strong for you can cause increased inflammation, which can actually lead to more acne rather than less. Because of this, salicylic acid is our number one recommendation for sensitive skin.
If you’re used to seeing advertisements for acne treatments using five or six different products to clear up blemishes, you might be surprised that a simple three-step kit is our top pick. In fact, we favored Paula’s Choice for its simplicity. This twice-daily, three-step kit — which includes a cleanser, an anti-redness exfoliant, and a leave-on treatment — is concise without cutting corners.