Acne

What Is acne?

Acne, commonly known as pimples or acne vulgaris is a disorder of the oil glands. It is a common skin disease, characterized by areas of seborrhea (scaly red skin), comedones (black heads and white heads), papules (pin heads), nodules (large papules) and scars.

In adolescence, it is usually caused by an increase in androgens such as testosterone, which occurs during puberty, regardless of sex. It more often affects skin with a greater number of oil glands; these areas include the face, the upper part of the chest, and the back.

It occurs most commonly during adolescence, affecting an estimated 80 to 90% of teenagers. It usually improves around the age of 30 but may persist into adulthood. Permanent scarring may occur.

What are the signs and symptoms of acne?

Typical features include: seborrhea (increased oil-sebum secretion), comedones, papules, pustules, nodules (large papules), pigmentation, uneven skin colour and possibly scarring.

The appearance varies with skin colour. Some of the large nodules can appear on the buttocks, groin, and armpit area, and anywhere else where sweat collects in hair follicles and perspiration ducts. Cystic acne affects deeper skin tissue than does common one.

What are acne scars?

Acne scars are the result of inflammation within the dermis. The scar is created by the wound trying to heal itself resulting in too much collagen in one spot.

Ice-Pick Scars : Deep pits, that are the most common and a classic sign of acne scarring.

Box-Car Scars : Angular scars that usually occur on the temple and cheeks, and can be either superficial or deep, these are similar to chickenpox scars.

Rolling Scars : That give the skin a wave-like appearance.

Hypertrophic Scars : Thickened, or keloid scars.

What are the Causes of acne?

Following are causes of acne -.

Hormonal : During puberty and menstrual cycle, an increase in sex hormones called androgens cause the follicular glands to grow larger and make more sebum. A similar increase in androgens occurs during pregnancy, also leading to increased sebum production. Use of anabolic steroids may have a similar effect.

Development of acne vulgaris in later years is uncommon. True acne vulgaris in adult women may be a feature of an underlying condition such as pregnancy or disorders such as polycystic ovary syndrome, hirsutism or Cushing’s syndrome. Menopause-associated acne occurs as production of the natural anti-acne ovarian hormones.

Genetic : Genetic plays important role.

Psychological : Acne increase when stress Increase.

Infectious : Propionibacterium acnes (P. acnes) causes acne.  In some cases Staphylococcus aureus causes acne.

Diet : The relationship between diet and acne is unclear as there is no good quality evidence. Acne worsens with high glycemic load diet. There is also a positive association between the consumption of milk and a greater rate and severity of acne.

What is Management / Treatment?

General Management

Topical Creams : Many different creams exist including benzoyl peroxide, antibiotics, retinoids, salicylic acid, alpha hydroxy acid, azelaic acid, nicotinamide.

Oral/Systemic Treatments : Antibiotics, Isotretinoin , Antiseborrheic medications, Anti-androgen medications, Hormonal treatments.

Soaps/Face Wash.

Procedure

Chemical Peel

A chemical peel is a chemical solution to smooth the texture of your skin by removing the damaged outer layers. Although chemical peels are used mostly on the face, they can also be used to improve the skin on your neck, hands, back & legs. Read More…

Comedone Extraction

In comedone extraction a comedone extractor instrument is placed central to the comedone and a firm downward pressure is applied as a result unwanted material is then come out from the comedone. Read More…

Derma Roller/Micro Needling/Skin Needling

Derma rollers are used for a treatment process called Micro-Needling or Skin Needling. It is a form of collagen induction therapy. Read More…

Dermapen

Dermapen is a revolutionary micro-needling device which aims to tighten, lift and rejuvenate skin. The device uses multiple needles that pierce the skin vertically with minimal pain. Read More…

Filler/Dermal Filler/Skin Filler

Filler or Dermal Filler/Skin Filler made from highly purified form of hyaluronic acid that mimics the effects of natural hyaluronic acid. When injected just below the surface of the skin, it adds volume to skin, smoothing unwanted lines and wrinkles. Read More…

Intense Pulsed Light (IPL)

Intense pulsed light, commonly abbreviated as IPL, is a technology used by medical practitioners to perform various skin treatments including hair removal and photorejuvenation. Read More…

Intralesional Injection

In Intralesional injection, the direct delivery of medication percutaneously into skin lesions. Intralesional injections are effective for a wide range of indications, are easily performed and are relatively safe. Read More..

Microdermabrasion/Skin Polishing

Microdermabrasion/Skin Polishing is a light cosmetic procedure that gently remove the outermost layer of dead skin cells. It is a procedure to exfoliate or temporarily remove superficial layer of the skin. Much like brushing one’s teeth, Microdermabrasion/Skin Polishing helps to gently remove skin “plaque” and skin debris. Read More…

Microneedling RF (Radio Frequency)

The microneedling RF(Radio Frequency) involves penetration of microneedles into the skin to deliver radiofrequency pulse into the targeted skin. This results in the body’s own production of elastin and collagen fibres, making skin firmer and healthier. It is very safe and useful procedure. Read More…