Acne. Verdict of a cosmetologist

A complete overview of acne solutions

Снова 3 новых подкожных прыща, огромных, красных, и не сбоку где-то, а прямо на самом видном месте

"Morning. Mentally smiling, squinting and stretching sweetly. Today is such an important day, I waited. Finally I will see all my friends, the evening promises to be languid. I go to the mirror and ... oh! Nooo, again I want only one thing - to cover my face with my hands.

It is simply impossible to endure. Again 3 new subcutaneous acne, huge, red, and not on the side somewhere, but right in the most visible place. Yesterday I just cleaned it and scrubbed it. Well, why today? How to cover them now ??? They stick out anyway and are visible for three meters. I hate it. Well, what am I doing? ”

To say that many have passed, to say nothing. A forehead covered with black dots, hefty subcutaneous acne, which every now and then strive to develop into an abscess. Traces that simply cannot be properly masked. Shelves are bursting with cans, and nothing at all helps. You look at yourself without makeup - your lips are shaking from impotence to change anything. Tears come to my eyes ...

Yes, skin diseases are one of the most unpleasant phenomena. Even when they do not carry subjective sensations, for example, itching, such diseases are often visible to people around us, they bring social discomfort, reduce self-esteem and, of course, do not improve the quality of life.

Acne, acne or acne is one such disease. It can appear from a very early childhood, in adolescence, in already adults. Most often, rashes are located on the face, chest and back, but in general severe forms of inverse acne can spread to other areas (including acne on the genitals)

Сальные железы

To understand why acne occurs on the face and how to treat it, you need to know the structure and functions of the protagonist of the whole story - the greasy hair follicle .

The greasy hair follicle is essentially a microorgan in human skin. A complex where hair and sebum are formed, and through the mouth they go to the surface of the skin. On human skin, there are approximately 80-100 thousand sebaceous glands. Of course, depending on the location, there are differences in both their size and frequency. The largest sebaceous glands are located on the face (nose, forehead, chin), scalp, chest, in the external genital area.

The sebaceous glands can be called differently, it depends on the anatomical characteristics: Fordyce granules in the intimate areas, on the areola of the nipples, on the lips; meibomian glands - on the eyelids.

The activity of the sebaceous glands is first observed immediately after the birth of the child and increases during the first week of life. Then comes a slow decrease in the activity of the sebaceous glands, the most inactive period is from 2 to 6 years. A new surge in 7-9 years and lasts up to about 17 years . Further, there is again a downward trend in sebum production. It is believed that in women for every 10 years, the release of sebum is reduced by 32%, and in the male half of humanity by 23%. Here are the statistics. This is of course, under normal working conditions, outside of skin problems.

Comment of a cosmetologist: cosmetologist Juliana Shiyan

Comment of a cosmetologist:

Very often, patients ask me if a person’s skin type is changing. Could it, for example, from fat become suddenly dry? Based on the above, it is obvious that no. Skin type (dry, normal, combination or oily) is a hereditarily determined trait.

If the skin is oily at 17 years old, at 18 it will not dry under any conditions. I note right away that the presence of peeling with any type of skin means only a violation of the protective barrier, but not a cardinal change in the type of work of the sebaceous glands. But it can gradually change.

For example, if you have normal skin, with age it will be closer to dry, oily to combination skin. This process takes decades in adulthood and proceeds completely unnoticed.

Состав кожного сала в прыщах

Sebum is what the sebaceous glands secrete to the surface of the skin. Its composition is the following - cholesterol, fatty acids and alcohols, diglycerides, triglycerides, carotene, wax esters, phospholipids, sterol and squalene esters.

The composition and amount of sebaceous discharge can be different, it depends on gender, age, heredity. And just the changes in the composition of sebum are considered one of the reasons for the development of acne.

Why do we need sebaceous glands and sebum?

This is our protective barrier, a baby is born with it (the original lubrication), then sebum serves as a natural moisturizer, with its sufficient amount, the skin is soft, elastic, it is less likely to get damaged and heal faster. We can say that the water-lipid mantle, which includes sebum, is an antimicrobial, antioxidant, and sunscreen factor. Moreover, more recently, anti-inflammatory properties have also been discovered.

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Comment of a cosmetologist:

When the skin is healthy and the properties of the water-fat barrier are preserved, it can completely do without a cream for several days, and at the same time not dry out and peel off. Any skin care in the form of lotions and creams should ultimately lead to such a healthy state, and not to a complete daily dependence on cosmetics.

When reading all this, a logical question arises: “And where do subcutaneous acne and inflammation on the skin come from, peeling and dryness, greasy shine and black spots, since she has such a wonderful and healing protective barrier?”

Everything would be really simple if the sebaceous glands worked on their own. But there are certain factors in our body that regulate the functioning of all organs and systems, and of course, the sebaceous glands did not stand aside. Regulation of their work is complicated. They are influenced by hormones (androgens, estrogens, prolactin, insulin and an insulin-like growth factor), the nervous system (stresses - neurotropic hormones and neuropeptides), inhabitants of the skin and sebaceous glands (conditionally pathogenic flora - Cutibacterium acnes bacteria, Demodex tick, fungi of the genus Malassezia), nutrition.

Any significant, and sometimes not very, violations in the effect of these factors on the skin, together with a hereditary predisposition, and there is a problem in the form of acne. And treating acne with topical lotions and ointments only locally is usually ineffective precisely because behind the rashes lies a layer of processes that also need to be influenced in order to successfully work with this problem.

Why does a pimple appear?

Why does a pimple appear?

In order to understand this, you need to see how the work of the sebaceous hair follicle changes with acne?

Several theories have been written on this subject, each of which has the right to life. If we combine these theories, then the next version is quite logical.

Due to the effects of the previously described provoking factors, the process of cell renewal on the surface of the skin and at the mouth of the sebaceous hair follicle is disrupted (we see these mouths as pores on the skin). The number of dividing cells increases, they accumulate and slowly desquamate. By and large, they do not have time to make room for new cells. As a result, these cell masses (hyperkeratosis) together with sebum form a cork, often quite dense and gradually increasing in size. Such plugs are called comedones, black dots, blockages.

The bottom line is that they do not allow skin fat to reach the surface of the skin in sufficient volume and disrupt the flow of oxygen into the lumen of the sebaceous hair follicle. As a result, sebum accumulates, stagnates, its composition changes, and oxygen-free (anaerobic) conditions in the NWF are created due to the cork.

All this is just a wonderful environment for the reproduction of bacteria, which before that quite harmless existed in the sebaceous gland. Bacteria breed, secrete substances damaging the walls of the sebaceous hair follicle, as well as excess sebum. And all these microtraumas of the follicle immediately start the process of inflammation in it, such a protective reaction of the body.

Вылез прыщ
cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

Here I consider it necessary to debunk

Myth regarding the appearance of acne:

Bacteria are not the root cause of acne. All bacteria, ticks and fungi participating in the acne process begin to multiply and harm only when there is already fertile soil for this - cork, accumulations of sebum, an oxygen-free environment. Therefore, to be treated with the first antibiotic ointment that comes to the pharmacy is a failure in treatment from the very beginning. Suppression of bacterial activity is only one part of the treatment, it is important to remember this.

Какие бывают прыщи

What are acne:

Acne is a very wide variety of skin inflammatory elements. They can develop from one to another, can immediately arise in a final form.

  • Comedones. This is a non-inflammatory element, it is formed due to the accumulation of large or small amounts of sebum under the cork. To the touch, it is almost always felt when washing or applying cream. Most often comedones stink on the forehead, nose, chin, in the area above the shoulder blades on the back. There are open and closed comedones. Often seen as black dots or whitish nodules.
  • Papula.This is an inflammatory element of red or pink color with a diameter of 1-3 mm, slightly rising above the surface of the skin. Often patients call them that - red acne.
  • Pustule (translated as “abscess”, purulent acne). Usually the papule develops into a pustule. In the center of inflammation, a point with purulent contents is visible. This element passes after the release of purulent contents, often leaves behind a stagnant spot, especially with the active trauma of such a “pimple”.
  • Node. This is a major deep inflammatory element. It appears due to the destruction of the walls of the sebaceous hair follicle, inflammation extends deep and wide, can affect neighboring structures, lasts from several days to several months, often leaves a scar behind itself.
  • Inductive node. It is characterized by the development of a powerful inflammatory edema around the sebaceous gland. Size can reach up to 1-1.5 cm, very painful when touched and facial expressions. After healing, often forms a stagnant spot and scar.
  • Draining sinus.A large inflammatory element of an irregular shape, softening in one place, then in another, and giving purulent contents. Foci of purulent inflammation destroy the tissues inside this sinus, form intracutaneous labyrinths. Outside on the skin, such inflammation may look like a linear focus up to several centimeters long. In one area, inflammation comes to naught, in another it resumes, it can last for years.

Of course, acne does not appear at all, even in adolescence. And many, against the background of the most severe forms of acne in other people, do not consider a couple of acne on the eve of the menstrual cycle. So why do some suffer so much, while others all their lives with perfect skin.

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Comment of a cosmetologist:

The location of acne on the face, the so-called acne map, does not matter much in determining the causes of this disease. Pimple on the chin or forehead, pimple on the lip or cheek - this is not so important, although certainly the doctor will pay attention to it. Of much greater importance for diagnosis is the quality and quantity of inflammatory elements, the condition of the skin as a whole, the background on which they are located (unchanged skin or redden constantly), whether acne itches. And localization rather simply allows the doctor to understand whether it is acne, or whether it is worth suspecting another disease that masquerades as acne.

Risk groups for the development of acne or causes of acne:

Risk groups for the development of acne or causes of acne:
  • Hereditary predisposition is the key. If a person has a “acne gene” in the human genotype, all other factors will be just triggers for the appearance of rashes. The risk of acne in a child is up to 70% if both parents have this disease
  • Endocrine disorders, for example, hyperandrogenism (increased production of steroid hormones) with the subsequent development of hormonal-metabolic disorders.
  • Gastrointestinal diseases
  • Stress
  • Immune Disorders
  • “Western Diet” - an uncontrolled amount of foods with a high glycemic index, combined with an abundance of dairy products.
  • Reception of hormones, anabolic steroids, milk protein-based nutritional supplements
  • Climatic factors (uncontrolled exposure to the sun or tanning beds)
  • High plasma cholesterol
  • Improper skin care at home and provocation in a massage or cosmetology room (for example, oil massage)
  • Smoking (still controversial, but still mentioned in many scientific sources)

Not all of the listed reasons will cause a rapid onset of acne, but at the same time they will greatly aggravate its course - prolonged and severe exacerbations, poor treatment effectiveness or a short period of remission (improvement). Most are characteristic of acne in men and women almost equally.

The age at which acne occurs can be any:

The age at which acne occurs can be any:
  • Acne in newborns (neonatal). They can appear in the first week of a baby’s life, mainly in boys. Associated with hormonal manifestations at this age, or with hormonal therapy during pregnancy. Rashes quickly and completely pass by themselves, they do not require treatment.
  • Early childhood acne (infant) - at 3-6 months, also more often in boys. There may be comedones, papules and pustules. The disease lasts from 6 months to several years, is treated with local drugs. The forecast is favorable.
  • Preschool acne.They are very rare. Often their appearance is accompanied by impaired growth, weight and overall development of the child. When acne appears before 7 years, it is worth contacting an endocrinologist.
  • Pre-puberty (i.e., occurring on the eve of the teenage period). Appear from 7 to 12 years. This is considered a tendency toward earlier sexual development. Usually begins with the formation of a large number of blockages, black dots in the T-zone. With an abundance of inflammation and pustules at this age, it is worth visiting an endocrinologist and a pediatric dermatologist.
  • Youthful acne (teenage) - from 12 to 17 years. For this acne, the entire spectrum of inflammatory elements is characteristic with damage to the face, chest, and back. Mandatory treatment by a dermatologist and cosmetologist
  • Late acne (adult acne) - This diagnosis is made after 25 years of age. More common in women. Patients require a thorough examination and treatment by a dermatocosmetologist, gynecologist, endocrinologist.

In terms of severity, there are many classifications, if you combine and simplify them, it will turn out like this:

SEVERITY SIGN
EASY Comedones and no more than 10 papules and pustules
MODERATE 10 to 40 papules and pustules, spots and scars
HEAVY more than 40 papules and pustules, the presence of nodes and post-acne
cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

Which doctor to go with acne?

This question seems strange, but quite logical. Everything seems to be simple - go to a dermatologist or dermatocosmetologist with a skin disease. But practice shows that a huge number of people suffering from acne begin their journey with a pharmacy and a mountain of useless tubes, continue it with a cosmetologist with a sister or no medical education at all, with a gastroenterologist and, at best, an endocrinologist-gynecologist. As a result, the patient comes to someone who can really help cope with acne a few years later, with skin tormented over the years, ongoing inflammation and / or marked traces after acne - scars and spots.

We go to a dermatologist (with a child to a child) or a cosmetologist with a dermatological education.

The doctor will conduct an examination, ask key questions, prescribe an examination if necessary, and send him to the right specialists. In the case of acne, it is the dermatologist or cosmetologist who directs the process, since only he knows all the nuances of this disease, he is interested in and implements all the latest research and scientific achievements on this issue.

Acne tests

Acne tests

This examination in full or in part is most often prescribed for acne.

  • Complete blood count and biochemical blood test (AST, ALT, glucose, GGT, total protein, alkaline phosphatase, total bilirubin, lipid spectrum, serum iron, cortisol, ferritin, zinc, vitamin D3 (25-OH)
  • Blood test for antibodies to helminths and Helicobacter pylori.
  • Blood test for thyroid hormones - TSH and T4
  • Hormone tests - FSH, LH, DHEA, prolactin, testosterone, androstenedione, 17-OH-progesterone, SHBG. Surrender taking into account the menstrual cycle, the doctor at the appointment will specify what and on what day.
  • Based on the results of laboratory indicators, referral to other specialists is possible, examination and treatment with them
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Comment of a cosmetologist:

Сдавать заранее эти анализы не стоит, но если у вас на руках есть результаты предыдущих обследований, то стоит взять их на первую консультацию с собой, также как и список всего, чем лечили кожу с начала высыпаний по данный момент.

How to cure acne?

A question that I want to get a quick and short answer, right? Advertising with magic muffs flooded television, the Internet, social networks. Forums are full of tips, reviews on acne remedies, which dietary supplement has finally got rid of acne or the device helped cleanse the skin.

I think if everything was so simple, for one, two, or three, then every day patients with tears in their eyes would not come to me, try everything that is possible and impossible, and did not even solve their problem a bit. And acne treatment, for a minute, is one of the most common reasons for visiting a cosmetologist.

There are several key points to treating acne:

  • 1.Nutrition.
  • 2. Home Care
  • 3. Local treatment
  • 4. Systemic treatment
  • 5. Procedures
cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

Take a look at this list. It is short but very important. This is the foundation, and it almost always includes all of these points. There is no such unique procedure that will save you from acne without establishing home care, nutrition and medical treatment. As there is no lotion that will solve a multi-year problem on max. In my practice, I very often encounter the fact that patients are waiting for a magic pill, even though none of the previous ones helped. With acne, there is only one way out - to receive the doctor’s recommendations and persistently systematically implement them.

Nutrition for Acne

Nutrition for Acne

The most important thing is where to start. A lot of health problems are solved when we monitor what we put in our mouths. In the case of acne, this axiom confirms itself many times, although discussions are still ongoing on the effect of nutrition on the appearance of acne.

First of all, it is recommended to exclude two types of products - these are products with a high glycemic index and dairy products (including those based on milk protein - bars, shakes)

Exclude:
  • Alcohol (beer)
  • Dairy products (milk, including nonfat, dairy desserts, condensed milk, cottage cheese, cheeses, yoghurts, kefir, etc.)
  • Foods with a high glycemic index include fast food, sugary soft drinks, energy drinks, milk chocolate, sugar, white bread, muffins, pasta made from non-firm varieties, confectionery, sweet fruits (raisins, dates, bananas).
  • Spicy seasonings and mixes, mayonnaise, ketchup
What can be:
  • Low-fat meat (turkey, veal, skinless chicken)
  • Low-fat fish (carp, tilapia, perch, trout, pike)
  • Vegetables (cucumbers, bell peppers, cabbage, broccoli)
  • Berries and fruits with medium and low glycemic index (lingonberries, blueberries, plums, grapefruits, currants), dried apricots, prunes.
  • Nuts and honey in small quantities
  • Eggs
  • Hard pasta of wheat, bread, crackers
  • Separate mild spices, herbs, tomato paste
  • Chicory, tea without additives with lemon. A lot of clean water.
cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

In the practice of a very famous American dermatologist F. William Danby, an interesting case is described when a young girl with severe acne underwent treatment with systemic retinoids. She completed the first course very successfully.

Despite some discomfort due to side effects, I got a wonderful effect, the skin cleansed/ The doctor did not have time to rejoice at the joint success of the treatment, after literally 3-4 months the patient returned with the previous situation on her face.

I had to repeat the course of pills. Success again and again after a few months the patient returns with acne. The girl was terribly unhappy and frankly disappointed in the eminent specialist, the doctor is puzzled. Not only did the acne on the face not recede, so also the process developed on the chest and back. Since retinoid therapy still had its effect, it was decided to repeat the course again.

This story would have lasted a long time if, after about the fifth year, at the next interrogation with addiction regarding the observance of all the rules, including nutrition, the patient did not confidently ask the doctor if the processed cheese is a dairy product.

It turned out that when at the beginning of treatment all milk and many favorite foods were banned, the patient found solace in this product, without even thinking about the fact that it should also be excluded. The history of this acne ended with the exclusion of cream cheese from the diet and, of course, not without the last final course of retinoids.

Home Acne Care

This is the factor in which every first person suffering from acne makes mistakes. And it’s not his fault. There is very little reliable information on how to properly care for skin with acne, so that if you do not help, then at least not harm and not aggravate the situation. Meanwhile, the shelves of shops and pharmacies are bursting with alcohol tonics and hard scrubs, with promises on the packaging in a couple of weeks to see clean matte skin in the mirror. Is that familiar?

cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

My practical experience shows that, unfortunately, not every dermatologist and cosmetologist attaches importance to home care. Very often, girls and young people taking treatment and coming to acne treatments continue to experiment on their skin at home.

The result is one - a weak and short effect of treatment. The medicine inside and out on the skin is what removes from exacerbation and is used for a short time, and home care, often fundamentally wrong, has been with you for years. So what will have a stronger effect in the end?

SIX Important Rules for Home Acne Care:

SIX Important Rules for Home Acne Care:
  • 1. Exclude scrubs, brushes, face sponges. The desire to cleanse and even out the skin of the face is quite natural, but it is important to remember that with skin diseases the skin barrier is broken and the skin after aggression is restored for a very long time. Even if the cleansing seems very soft to you, for acne-prone skin, this effect can be fatal. Moreover, usually people with problematic skin choose tough means - scrubs with sharp particles of irregular shape, it scratches the skin and makes it very vulnerable. Very frequent cleanings with abrasive particles lead to uncontrolled renewal of cells on the surface of the skin, this is a defense against aggression. As a result, peeling, irritation, even more blockages appear, and smoothness and freshness immediately after applying scrubs and brushes is very fleeting. There is much more harm than good.
  • 2. Exclude self-cleaning. Squeezing acne, blackheads and blockages uniquely calms the nerves, but does not add beauty and health to your skin. Self-cleaning is a risk of increased inflammation, the formation of large stagnant spots and sunken scars, the appearance of a vascular network in places of frequent pressure (nose wings, chin), cleaved deep scars, and infection. Cleaning should be done by a professional aptly and rarely.
  • 3. Exclude oils and cosmetics with oils in the composition - two-phase makeup removers, hydrophilic oils, micellar waters with added oils, creams with oil in the composition. Pure oil should not touch problem skin at all, even if it peels off, and the oil says that it is from acne!
  • 4. Means for washing should be water-based - foams, gels, mousses. They should not contain scrub particles. Exclude milk.
  • 5. The cream should be specialized for problem skin - non-comedogenic. This means that it does not contain components that cause blockages, plugs and inflammations. Such a cream is prescribed by a cosmetologist or it can be purchased at a pharmacy.
  • 6. Exclude alcohol tonics and lotions, including pure alcohol, salicylic. Alcohol overdries the skin, which leads to an even more pronounced sebum secretion. Imaginary freshness and purity after such funds is short-term, and the pathological process grows with a vengeance. Sometimes a cosmetologist can prescribe a remedy with alcohol in the composition, but he will indicate how to use it correctly, in which system and will cancel it in time.
cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

To summarize, home care should be soft and moisturizing, with a minimum amount of funds. Problem skin requires careful care, its protection and restoration functions are impaired, you need to help it.

Cosmetics may contain active substances - fruit acids, retinol, anti-inflammatory peptides, extracts of soothing herbs, ichthyol, but it should not be aggressive. Acne mask, for example, is not an obligatory part of the program, but is possible subject to all of the above. If a specialist has appointed you to care, then the less creativity in it in the form of additions from yourself, the better.

Acne Ointment

Acne Ointment

External (local) treatment of rashes is of great importance. The doctor now has the opportunity to prescribe drugs that will work on all parts of the pathological process and solve the problem right at the skin level

Acne Ointment

Mostly prescribed drugs of the following groups:

  • Retinoids (Adapalene, Isotretinoin)
  • Antibiotics (clindamycin, erythromycin, sodium fusidate)
  • Benzoyl peroxide
  • Azelaic acid
  • Sulfur and zinc preparations
  • Combined preparations (combinations of the preceding paragraphs)
  • Homeopathy
  • Phytopreparations
cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

I intentionally do not write drug names. All of them can be found on the shelves of pharmacies without problems and even consult with a pharmacist or neighbor what kind to take. In my practice, like any dermatologist or cosmetologist who works with acne, there are very often patients whose skin no longer responds to anything.

Just because they tried all the drugs in a row, which included antibiotics, of course, and the entire cutaneous flora had long developed resistance to these drugs (resistance). And where we could do with a minimum of effort, we have to make the maximum, and this is always time, nerves, costs and additional risks for undesirable effects.

I already omit the fact that in 30% of cases, the patient’s face is not acne at all, but rosacea, for example, for which there is a completely different treatment and other drugs. Therefore, before you go to the pharmacy for another muff and treat acne at home, think about whether you need it. Maybe it's better to sign up with a cosmetologist?

What to drink from acne?

Or in other words, systemic acne therapy. What does systemic mean? This means taking tablets or capsules orally for a certain period to achieve a certain dosage, i.e. concentration in the blood of a person.

Often at the reception, it becomes obvious that there is no sense only to smear creams or change care, more serious intervention is needed. This usually happens with moderate to severe degrees of acne. Preparations for systemic therapy are prescribed by a cosmetologist or dermatologist, fully control the treatment, if necessary cancels, replaces or alternates drugs.

  • Systemic retinoids (Roaccutane, Aknekutan, Verokutan, Sotret)
  • Systemic antibiotics (group of tetracyclines, macrolides, lincosamides)
  • Hormone therapy (combined oral contraceptives) - appoints a gynecologist-endocrinologist after an appropriate examination and strictly according to indications.
  • Zinc preparations
  • Homeopathy

Acne Treatments

Acne Treatments

Procedures will never be the main and only in the treatment of acne, but underestimating their role is stupid. Now cosmetologists have tremendous opportunities. Just 25 years ago, the face was steamed over the Chamomile and cleaned as soon as possible in order to be in time while it was warm, and this cleaning, and even, perhaps, salicylic peeling, was all that a specialist could offer. Compared to those times, we live in another millennium in the literal sense of the word.

  • Gentle and effective cleansing - this is something without which no face has yet been cured of acne. Removing comedones and blockages with acne is a must.
  • Peelings. Salicylic and at least 20 options for modern options. Align the color, tone and topography of the skin, help remove acne marks. Peelings are very helpful in the treatment, as they have a powerful anti-inflammatory, exfoliating and antibacterial effect.
  • Plasma therapy - work with acne and traces of it, often in combination with other procedures
  • Placental Preparations - Melsmon, Laennec, Kurasen
  • Ozone therapy
  • The introduction of drugs into the foci of inflammation
  • Photodynamic therapy is one of the discoveries of recent years in the treatment of acne. Used for acne resistant to other treatments or as an alternative to them.
  • Laser Therapy Both low-intensity laser radiation (LLLT) is used for an anti-inflammatory effect, and ablative resurfacing to eliminate stagnant spots and scars after acne.
  • Cryotherapy - against the background of existing methods, is no longer so relevant, but old-school doctors still use the method.
cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

Finding a good and experienced doctor to treat acne is only half the task, in my opinion. All my patients who received a worthy result as a result of the treatment themselves worked very hard on it. Even more than half the success is solely their merit. Persistently, conscientiously follow the recommendations, trust and give feedback to the doctor, steadily accept all roughness during treatment and ultimately get clean smooth skin. This is admirable!

How to treat acne in a teenager?

How to treat acne in a teenager?

There are always some nuances with adolescents, but they are more often associated with the characteristics of age, and not with the capabilities of the modern pharmaceutical industry.

Diet for acne - all the same features that are described above, only you need to monitor compliance, since at this age fast food and milk are in high esteem.

Home care. Here, parents need to start with themselves and throw aside their grandmother's advice that there is nothing better than salicylic alcohol. Also to explain to the child that acne is not dirt on the face, and attempts to properly wash with a bar of soap and a washcloth and rub with a hard scrub will only aggravate the process. The rules of care are all exactly the same as I described above - a minimum of funds and aggression, a maximum of hydration and regularity. Already just the right wash, treatment lotion, suitable cream and occasionally facial cleansing can help with an unreleased process and mild forms of teenage acne. It will be good if a specialist selects home care, save a lot of nerves and money. He will explain in simple terms to the child the rules of care. Believe me, there is a difference from whom the teenager will hear recommendations.

An external treatment is prescribed by a doctor, there is no need for any initiative. Sometimes systemic therapy is immediately indicated, and in severe forms, retinoids can be after 12 years, antibiotics after 8 years. It is important only to get to a competent doctor who will consider all factors and evaluate all risks.

The following procedures are allowed - cleansing, peeling, darsonval, microcurrents, cryomassage. More serious procedures are connected according to the situation. It is not worth it to load a teenager with visits to a cosmetologist if there is no urgent need for it. Rarely, but regularly.

cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

Children always want a quick result and are not ready to painstakingly work on it. It is necessary to talk with the child about this, encourage, draw pictures of a good effect, give him confidence in himself and in the treatment process. Only attention, not silence and ignoring the problem, works wonders

Acne Treatment During Pregnancy

A very topical issue for those who plan to become a mother or suddenly found out that they are already in a position. Pregnancy occurs and acne is not going to recede. Often in the 1-2 trimester, an exacerbation of the process occurs. The reason for such an exacerbation of acne in women is often the abrupt cancellation of all drugs that were used for treatment before, as well as the intake of folic acid in high doses before pregnancy and in the first months of its onset.

The complexity of treatment in this case lies in the fact that most effective drugs either give complications, or simply are not tested for safety. And those drugs that are proven safe, women simply do not use because of their prejudices about any treatment, or their family. So it turns out, either the doctor is reinsured, or the patient herself, while the acne blossoms and brings tangible discomfort to the owner.

On nutrition, the recommendations do not differ from the data above.

Home care

Cosmetics should not contain retinol, retinoic acids, retinaldehyde, vitamin A, hydroquinone, hormones, placenta, essential oils. High concentrations of fruit acids are also undesirable - this can lead to pigmentation spots. Given the tendency of pregnant women to the appearance of age spots, it is recommended to use special photoprotective agents, always marked "non-comedogenic."

External treatment

In fact, not so few external preparations are allowed: benzoyl peroxide, erythromycin, azelaic acid, salicylic acid, clindamycin, sulfur. But even the permitted drugs are prescribed by a dermatologist, as there are nuances of their use during pregnancy - the concentration of the active substance, the allowable area, season.

Prohibited during pregnancy: retinoids (including combination drugs with them), zinc.

Systemic treatment

Systemic drugs (for oral administration) - some antibiotics are allowed, but they are prescribed by a doctor because of emergency, always weighing the benefits for the mother and the possible risks to the fetus. Systemic retinoids are prohibited, the risk of having a baby with developmental disabilities (teratogenic effect) is very high.

Acne Treatments During Pregnancy

All injections and hardware procedures are excluded. Gentle atraumatic cleansing in the absence of pustules, light superficial peels with low acid concentrations, cryomassage are allowed.

cosmetologist Juliana Shiyan cosmetologist Juliana Shiyan

Comment of a cosmetologist:

Ideal if you have acne, first finish the treatment, especially if it is systemic (antibiotics, retinoids), and then plan a pregnancy. But even in the case of a pleasant period and acne at the same time, there are always options for external treatment and home care.

In my practice there were different patients. Some acne passed, and during pregnancy and lactation, the skin was in excellent calm condition, while others, on the contrary, usually quite clean skin gave an acute process. One thing is for sure, do not worry in advance, we always act according to the situation. You can help and improve the skin during pregnancy, since there are now funds

Article author: Juliana Shiyan

Cosmetologist Врач косметолог: Dr.Shiyan

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