Acne (also known, as acne vulgaris) is the most common skin condition in the United States. It occurs when your hair follicles become plugged with oil and dead skin cells. Acne is most frequently seen among teenagers, but it can affect individuals of all ages. The most common locations include the face, chest, upper back, and shoulders.

Acne 1-1

Acne Signs and Symptoms

Acne results in a variety of skin lesions, including

  • Whitehead
  • Blackheads
  • Papules (small red, tender bumps)
  • Pustules (what many people commonly call “pimples”)
  • Cysts
  • Nodules

There are many effective treatments available, however acne can be persistent. Depending on the severity of the disease, acne can cause significant emotional distress and can leave permanent scarring.

Causes of Acne

Several factors can cause acne, including:

  1. Overproduction of the normal oil of the skin (known as sebum),
  2. Increased activity of certain hormones (androgens),
  3. Increased growth of the normal skin bacteria, Propionibacterium acnes,
  4. Plugging of hair follicles by dead skin cells, and
  5. Medications such as lithium, cortisone, hormones, iodides, isoniazid, progesterone-only birth control, testosterone, and certain seizures medications

Acne Self-Care Guidelines

Cleanse acne-prone areas with gentle soap or cleaners. Use products labeled “water-based” or “noncomedogenic” to help reduce clogged pores. There are several over-the-counter acne medications that may help your acne, if used on a regular basis.

Benzoyl peroxide is perhaps the most effective over-the-counter treatment and is available as a variety of forms and strengths. Benzoyl peroxide tends to dry the skin. So, if you are prone to dry skin, consider using a weaker strength (for instance, benzoyl peroxide 2.5-5% concentration). If you are prone to oily skin, consider using a higher strength concentration (for instance, benzoyl peroxide 6-10% concentration). Caution benzoyl peroxide can bleach your clothing and towels.

Exfoliating agents containing salicylic acid, sulfur, resorcinol, glycolic acid, or lactic acid can also be helpful but can cause some dryness of the skin. If treatment does not improve with self-care, you should consider seeking further medical care.

Acne Treatments

Our doctors can help control your acne and avoid scarring with a combination of topical therapies, oral medications, and procedures.

Topical treatments (creams, gels, or washes) for acne can include:

  • Antibacterial agents such as clindamycin (Cleocin), erythromycin, sulfur, sodium sulfacetamide, dapsone (Aczone) and azelaic acid (Finacea, Azelex) and
  • Retinoids (vitamin A derived products) such as tretinoin, tazorotene, and adapalene.

Oral treatments for acne can include:

  • Antibiotics such as doxycycline, minocycline, trimethoprim-sulfamethoxazole (Bactrim DS), or cephalosporines,
  • Oral contraceptives that contain both estrogen and progesterone (for example, Ortho Tri-Cyclen, Estrostep, YAZ),
  • Anti-androgens agents such as spironolactones, and
  • Isotretinoin (a strong medication for severe acne unresponsive to the above treatments).

Several procedures may be helpful, either alone or in combinations with prescription medication, such as

  • Laser therapies,
  • Chemical peels with repeated applications of chemical solutions such as salicylic acid, glycolic acid, or retinoic acid,
  • Extraction of whiteheads and blackheads, and
  • Steroid injections directly into acne lesions.

If you are interested in learning more about treatment options for your acne, please call Heller Dermatology & Aesthetic Surgery to schedule your appointment!