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Acne Treatment

How to prevent and treat breakouts

By E Ware

The impact of acne on its sufferers is frustration, self-esteem problems, scarring and a lot of time and money spent on the myriad of treatments available. Why all this frustration? There is no single agreed-upon cause or treatment for acne. Though acne is most notably prevalent during adolescence, it does occur in people of all ages.

Acne is when a pore of skin becomes clogged by bacteria, debris and the naturally occurring oil produced within each pore. The plugged pore may remain a blackhead or whitehead, or rupture into an inflamed cyst.

While no single cause is to blame, the contributing factors of acne are:

  • Hormones
  • Humid / sweaty conditions
  • Oily cosmetic products
  • Some medications
  • The treatment and prevention of acne varies as much as the known causes. Conservatively speaking, a broad approach should be used to combat acne. Dermatologists and aestheticians usually recommend a combination of three treatment steps:

    • Antibacterial
    • Anti-inflammation
    • Exfoliation

    Antibacterial treatments include products containing benzoyl peroxide (available in varying strengths), tea tree oil or antibiotics. Products with tea tree oil and benzoyl peroxide are widely available, and costs vary from a few dollars to a high-end treatment at around $35. There’s also research supporting use of oral antibiotic medication. A newer drug called Soldyne, in a once-daily dose, has been used with success in preventing acne.

    The treating of breakouts calls for help from anti-inflammatory ingredients. Helpful spot treatments include ingredients such as zinc or sulfur to alleviate and promote healing of existing breakouts.

    Exfoliation steps keep the skin’s surface evenly sloughed, stopping dead cells from clogging pores. Treatments include chemicals like retinol, glycolic acid (an Alpha hydroxy acid) and salicylic acid (Beta hydroxy acid), and are available over-the-counter.

    A professionally administered therapy called a chemical peel uses strong concentrations of Alpha hydroxy acids, Beta hydroxy acid or trichloroacetic acid to induce the shedding of skin cells. Chemical peels cost around $120 per treatment, and several treatments are recommended for full results.

    There are several treatments outside the typical approach, including prescription medicines, professionally administered treatments and home remedies.

    Accutane is an oral retinoid prescription medication administered for moderate to severe acne. It works by decreasing the size of oil glands, killing acne-causing bacteria and reducing skin cell build up.

    Accutane treatments are usually very successful in permanently reducing acne, however the side effects are considerable. It’s known to cause birth defects, so female patients are required to take oral contraceptives while taking Accutane. Other side effects vary and can include extremely dry skin, chapped lips and possibly (although rarely) psychiatric issues.

    A common treatment used to reduce acne is, surprisingly, oral contraceptives. Oral contraceptives can work to reduce oil production by controlling the dose of hormones in the body.

    Another medical treatment includes Photodynamic (Light) Therapy. A chemical is put on the skin in conjunction with intense light to kill acne-causing bacteria. Multiple treatments are usually required to get desired results. Light Therapy is probably the most costly treatment, running up to several thousand dollars for a full series of treatments. Early results in this newer treatment have proved positive.

    In the home remedy arena, several so-called cures exist. A top recommendation includes putting toothpaste on an existing breakout. A do-it-yourself mask recipe using ground aspirin also allegedly works in reducing acne. This is essentially a salicylic acid treatment, as aspirin contains this useful beta hydroxy acid.

    No matter which methods are effective at treating acne, all skin professionals say excessive inflammation causes scarring. That is, if not done properly, popping a pimple or unclogging a pore can create scars. Special tools used to gently unclog pores eliminate chances of scarring. To treat existing scars, aesthetic professionals can perform dermabrasion on patients. A series of dermabrasion treatments costs several hundred dollars but may be well worth the satisfaction achieved in the end.

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    LISTEN UP FELLOW ACNE SUFFERS! SOMETHING YOU MAY NOT REALIZE!!!! i found a pillow that my parents had stashed in a closet and it was a knock off brand of the temper peidic stuff...very comfy. ive been sleeping on it for the past 2 weeks and for the past two weeks ive been breaking out in acne...and i havent broken out since last year!!! i always sleep on my left side and it was on the left side of my face that i started to breake out. when i thought about the pillow i started to sleep on my right side... the past week ive started breaking out on my right cheek and brow bone...and the acne is subsiding from my left side. so needless to say i wont be using that pillow until it gets pressure washed.... beware fellow posters and anyone who reads this... the bacteria in your pillows and bed sheets and i guess whatever you lay your head on can cause you to break out! jujst a freindly hint...
    Posted on 12/30/2008 5:16:00 PM by Anonymous
    Hey. Im a teengager that just got her first real job at her uncles restruant. im a hostess. its a lot of fun but im starting to have a problem. you see...sometimes i will go into work really tired so ive started drinking mountain dew so the caffeine will keep me awake...and ever since then ive been breaking out really bad on my cheeks and chin. normally i never have pimples bc about a year ago i started using neutrogina and im telling you that its amzing stuff...! but now with work and im thinking too much stress im starting to break out alot and it really sucks bc i just got my first boyfriend about 3 weeks ago and its embarrasing to have to put on more cover up than normal and my acne still show...and then i have to go to work and greet people that come through the door and welcome them and show them to their seats and ask them about their day...while looking them in the face! idk. ive been doing a lot of research lately and seems that big no-nos are... chocolate white bread soda soda soda soda soda soda sugar salt excessive vitamin b12 milk ice cream cheese packaged foods fried foodand artificial stuff. yes yes things are--- 64 ounces of water a day pure orange juice...one glass a day (8 ounces) 8 hours of sleep no heavy creams on the face ... so im committing myself to eating better, quitting the mtn dew addiction, de-stressing, and fighting this acne! it may win battles but we will win the war!!! =) so 2mrw is new years eve and im guna be haning out with all my friends...is there anything yall can think of that can help reduce the look of these zits in about 24 hours? please help. please post.
    Posted on 12/30/2008 5:07:00 PM by Anonymous
    if i dont wana spend a ton of money on acne products and stress from work seems to be the reason im breaking out this past year...whats a way to mellow out? yoga? the oh-ma kinda stuff? wax on wax off???
    Posted on 12/30/2008 4:51:00 PM by Anonymous
    I was at a maternity convention Germany a few months ago and there was only one acne treatment that all the other pregnant women use, it is called Lerosett, I used it once and its amazing. I just wished that Lerosett was better known in America. It would stop so much of the acne anxiety out there. I mean Lerosett is what the OB/GYN give those women, why not here ?
    Posted on 11/28/2008 7:51:00 PM by Anonymous
    VERY GOOD ADVICE FOR MY DAUGHTER. SHE HAS NO ACNE NOW.
    Posted on 10/18/2008 5:25:00 PM by Anonymous
    AFTER FIGHTING ACNE FOR 20 YEARS my Ear, Nose and Throat Dr. gave me an anti-biotic called VANTIN. He told me to take it for two weeks twice daily before he would do my nasal surgery. During the course of taking VANTIN 200 MG my acne cleared up completely. Before taking VANTIN I had BAD acne on my face, chest and shoulders. I was given VANTIN to make sure I did not have an upper respiratory infection before my nasal surgery. My acne was completely gone for SEVEN YEARS!! Then it started coming back a little bit and I went to see my dermatologist. I told him what was given to me 7 years prior and he said "If it worked back then, let's try it again". This surprised me when he said that because most doctors have their own way of doing things and don't ever listen to the patient! So I took VANTIN again and it worked for another 7 years. I am now 51 years old and my acne is coming back a little bit. I am now looking for a dermatologist who will put me back on VANTIN as my dermatologist has retired. I want you to know also that after taking VANTIN the first time, my acne never came back nearly as bad as before taking it. I love this medication but it is hard to find a doctor who will prescribe it for acne even though VANTIN's website states one of the conditions this anti-biotic is prescribed for is skin infections. My acne has never returned to my chest or shoulders nor do I get the big nodules behind my ears. Good Luck to all of you acne sufferers!
    Posted on 9/14/2008 7:46:00 PM by Anonymous
    I'VE HAD ACNE FOR ALMOST 7 YEARS!!! im so sick and tired of it...nothing works...i've been on prescription for the whole time...it goes away but a week later i get it back!!! i get nasty ones filled with puss. none of my friends mention it to me because they know how i feel about it...but i know that they want to try to help me but i get embarrassed about it very quickly!!! I really need something to fix this for me!
    Posted on 9/5/2008 10:00:00 PM by Anonymous
    I found a product on the market called: Blast-A-Blemish that will help you. They have a 4-Step Acne Skincare Kit. I't really cleared up my acne. They also allow you to try their on the go acne treatment. All I had to pay was the shipping and handling cost of $6.95 for a two months supply. I would try it. You can go get it at: Blast-A-Blemish.com
    Posted on 7/7/2008 4:27:00 PM by Anonymous
    I HIGHLY recommend trying Acnexus (I ordered it off of ebay). I was sceptical at first since I had tried many other treatments. This is the only face wash that did not dry out my face and has made my skin radiant. I'm 35 and have battled bouts of acne throughout my adult life (pregnancy was hell)--this stuff is great! I only wish that it was sold in stores. If you have tried tons of products already and have been disappointed (I sent back my Proactiv for a refund...) then definitely give Acnexus a try. It's a one-step acne treatment that has made it possible for me to go cover-up free!
    Posted on 7/6/2008 1:23:00 AM by Anonymous
    i wish there was some way it would all just g away. i like a couple of guys in my grade but they dont seem to like me because of my acne. when i ask someone out they say no because of my face. i have heard some really rude comments and it hurts to know that your that person that they are talking about. its not entirly your fault that you have acne, but you schouldt be pin pointed for it. im soooooooooooo tired of getting put down because of my acne it hurts really bad. but im soo proud of the many peopl who stand up to the people that put them down and say you knowwhat there are things about you that arent very pretty either but i dont make fun of you. im soo proud of the people that have acne and stand up for themselves as if they wer just normal people because we are, we just have alittle skin problem.
    Posted on 6/29/2008 6:29:00 PM by Anonymous
    i have had acne for a couple of years and im only 12 i have had it since i was 9. it was embarrasing because i was the only girl in my grade to this day to have acne. i need to find a way to get rid of it but nothing i use seems to work, all the stuff that does work we cant afford or find.
    Posted on 6/29/2008 6:20:00 PM by Anonymous
    I know that all of you that posted are quite stressed about the Acne problems. (I don't blame you at all for hating acne because I hate acne too!) Did you know that the #1 reason Acne is caused by is stress? Maybe all the worries about Acne is just worsening the problem and is just escalating. For the person who posted about your child and Acne I recommend that you ask him if anything is bothering him or is stressing him out or he is just stressed out about acne. For all of you I recommened that you should stop worrying about the way you look and fearing being out in the world because everyone goes through the same thing basically. It's also creating stress and that then worsens the Acne. Also picking or squeezing the Acne just worsens it and it just leaves scars after. (Like anyone needs to walk around with scars) I hope this information was very helpful. (I am not an Acne expert either. I am just a person that wants to make your lives better with all the info that I know) I know exactly how annoying Acne is and I know just all you feel too! Sorry there are two of the same post. I made spelling errors on the last one.
    Posted on 6/27/2008 12:44:00 PM by Anonymous
    I have nice and clear skin, but on my left cheek, it always form new pimples. I try many different acne treatments, but they are not working. I had break out and the redness never go away. My left cheek have some scars. What can I do to prevent any new pimples from forming? Is there any cream to help reduce the redness and scars? Please advise. Thank you.
    Posted on 6/10/2008 1:44:00 PM by Anonymous
    Reducing the amount of soda and drinking alot of water daily helps tremendously, and you have to be patient in whatever you are trying to do help it because the acne cycle is about 2-3 weeks meaning the medication used on your face is supposed to treat acne before it appears and acne comes 2-3 weeks before you can acutally see it on your face, so you could wash your face morning, night and do everything perfect but still see acne for some weeks, so you just have to keep doing it daily.
    Posted on 6/10/2008 3:50:00 AM by Anonymous
    I am 25 years old and have had bad acne for about 2 years! I've used just about every over the counter medication you can think of and even have gotten a antibiotic prescription from my dermatologist for acne and even that stopped working for me! But now I've discovered that if you don't drink ANY soda and cut out chocolate it helps significantly! After one week I already saw results just from cutting out those two things! Its worth a try if you get fed up like I did! People used to tell me that soda's and chocolate didn't cause acne but they were wrong!
    Posted on 6/9/2008 11:47:00 AM by Anonymous
    When I was young I had very nice skin. Now I'm 26 and have been hit with a crazy out break! I picked at them and NOW I have the MARK's... I't is very upsetting and I don't even want to leve my house how can I get my face back? erica_kwg @ yahoo
    Posted on 5/30/2008 10:50:00 PM by Anonymous
    I dont look at myself in the mirrior any more, I stay in the dark, I walk with my head down and I have no money to buy expensive acne treatments. I am 18 years old and I hate not looking at people because of my acne. I am afraid because my acne is white and nasty. I' ve tried just drinking water and eating healthy but nothing seems to work. I hate when there's acne on top of my lips and i am afraid to look up at my boyfriend and kiss him. My acne is messing with my self esteem!
    Posted on 5/20/2008 2:51:00 PM by Anonymous
    mine stinkz. i have mostly clear skin but right near the chin area i have major acne. it is disgusting!
    Posted on 2/18/2008 2:13:00 PM by Anonymous
    I am a 24 year old female who didn't start suffering severely from acne until college. Now, I am in the working world and I am breaking out AGAIN! I have been to the dermotologist, tried ALL the medicines, ALL the topical treatments, and it will clear up for a while, but then it comes back again. It is the most humiliating thing. I lose ALL self confidence when i break-out and it causes serious depression. I should let it control my life, but it does. I have tried Proactiv on and off throughout my life. It kind of helps, but it dries me out so much, i think it is making my situation worse. SO, i have JUST ordered the cleanser called Acnexus. Has anyone heard of it? It is apparenly moving to the #1 spot of Acne Treatments ABOVE Proactiv! It is only one step! I have been researching it for a while and I have yet to read anything negative about it! I just need relief. You know?
    Posted on 1/27/2008 1:49:00 PM by Anonymous
    I heard that preparation H can help with acne.
    Posted on 1/5/2008 9:24:00 PM by Anonymous
    can someone please tell me how i can totally get rid of my mild case of acne? i am a 15 year old teen who wants a clear, beautiful complexion. i drink pop(soda) only about once a month or less, so that is not the problem. i would really appreciate some help. thankyou.
    Posted on 1/5/2008 11:41:00 AM by Anonymous
    NEVER pick or scratch at acne. not only does it cause the acne to spread, but it will also inflame the acne and cause redness.
    Posted on 1/5/2008 11:38:00 AM by Anonymous
    My Aunt had extensive hives and facial issues when she drank Diet Coke, by the case daily. She has removed all diet sodas from her life and now has a beautiful completion. The problem with the soft drinks is their high sugar content and aspertaine. The sugar and chemicals enters the blood stream causing more problems. For example, when a person is sick and has a cold Dr's recommend no sugar and bed rest. Treat his skin breakouts in the same manor. Don't feed the infection, fight it and win. I wish him all the best in the trying situation.
    Posted on 12/30/2007 7:48:00 PM by Anonymous
    my son had this problem in his teens, we use dthe accutane treatment, and it worked for him. but as you said it has many side effects. now his son has the same problem. we have tried many products but nothing seems to work.baby shampoo seemed to do some good but not anymore. he seems to have more problems when he drinks dr. pepper and mountain dew. why would these sodas be causing more problems?
    Posted on 12/26/2007 12:01:00 AM by Anonymous