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Acne and Scar management

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Acne and Scar management

Remember the last time where a break out /zit/acne/ pimple ruined that perfect skin on your face? Here are few things you could do to take care of your skin to make it acne and blemish free.
Understanding Acne It is the most common skin condition which is actually a malfunctioning of sebaceous or oil producing glands of the back, chest, shoulders and most predominantly on face. Depending on its severity, persistent acne can cause emotional distress, lack of confidence and scaring of skin. However effective treatments are available; earlier you start addressing the issue, lowers your risk of such problems.

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Acne can be broadly put in to two categories,

  • Non-inflammatory – white heads, and black heads
  • Inflammatory – papules, pustules, nodules and cysts.
  • Teenage acne is more common one which is majorly due to lack of skin hygiene, surge of hormones, certain skin whitening products, and bacteria.Adult acne tends to be associated with conditions like hypothyroidism, Poly Cystic Ovarian Syndrome (PCOS) or excess androgen production as its root cause.

What causes acne to develop?

Four main factors that cause acne are

  • Excess oil production (dehydrated oily skin)
  • Certain bacteria like Cutibacterium acnes
  • Clogged hair follicles by sebum and dead skin
  • Excess androgen activity
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Acne is a disease of hair follicles which get plugged by the excess sebum (oil) generated by the attached sebaceous (oil producing) glands. This appears as a whitehead when it is covered by a layer of skin. Once the white head gets oxidized on interaction with air, it turns in to blackhead. These both contribute towards the incidence of non-inflammatory acne. Regular clean up, micro-exfoliation of skin and removal of excess hair by laser can bring down their occurrence to a greater level. An untreated blackhead/whitehead can release its exudates to the skin surface and heal, or ensue to inflammatory acne if the follicle wall ruptures.

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  • PAPULE- when there is a break in the follicular wall, white blood cells rushes to the site and the pore becomes inflamed.
  • Pustule – a deeper inflammation resulting in pus formation which shows as a whiter or yellower surface.
  • CYSTS/Nodules/Conglobata – papule or pustule could either completely collapse or erupt, severely inflaming the surrounding skin and neighboring follicle causing the formation of nodules or cyst which appear large reddish inflamed blemishes usualy covering a large portion of face. It lasts for months and cause deep scarring of face.

Factors which trigger or aggravate acne

  • Hormones– Excess androgens during puberty of boys and girls can lead to hyperactivity of sebaceous glands and produce more sebum load on the skin. Hormonal changes related to pregnancy and the use of certain oral contraceptives could also affect sebum production. Increase androgens in blood levels of a woman can trigger and worsen acne.
  • Medication – corticosteroids , testosterone or lithium could worsen the acne
  • Diet – studies indicate that certain dairy products could cause acne. Any strong correlation between diet and incidence of acne is yet to be ascertained.
  • Stress could worsen the already existing acne, Corticotropin-releasing hormone (CRH) is a hormone released normally by the nervous system in response to stress, and research found that it is elevated in acne lesions. Its role is to coordinate the hormonal and immune response to stress. In the skin, physical stress caused by friction, scrubbing, or cleansing can trigger the release of CRH, which then can stimulate inflammation that attempts to heal the skin. This inflammation may contribute to the formation of a microcomedone
  • Friction or pressure on your skin – constant touching of face with contaminated hands, or items like telephones , cellphones, helmet , pillow surface etc
  • Simple home remedies and management with maintenance treatments like hydrafacial, microdermabrasion, etc could reduce the non-inflammatory acne. The inflammatory acne needs an expert intervention

Basic skin care routine advice includes a cleansing – toning – moisturizing routine which suits your skin type and condition. To avoid constant touching your face, eat healthier and maintain a healthy lifestyle are basics of having a healthy skin. Stress and lack of sleep may not directly cause a breakout, but could cause hormonal imbalance and an episode of acne secondary to it. Heavy make ups could clog the pores and aggravate acne. Always ensure to wash off your hair oil and conditioner properly in the head wash, else might cause face, back acne.

Use a broad spectrum sunscreen and ice your skin after a long day’s sun exposure to prevent acne break outs. Many DIY acne treatments are very popular such as steaming, ice flushing, some prescribed face masks, curd, and honey and tomato paste. it can be used as at home remedy for quick fixes for a very mild break outs , not to be done to manage an inflamed acne condition which may worsen and cause post inflammatory hyperpigmentation (PIH) and scaring of face if left untreated. And it’s more expensive and time consuming to get rid of the PIH and acne scars.

Best way to maintain acne free skin is to go for medi-facials that is customized for your skin type and recommended by your doctor, every 4-6 weeks. These facials helps in removing the damaged skin and reduce the sebaceous load on your skin and unclogs the pores thus helping the skin to breath better and improves skin’s innate immunity in general.

ACNE TREATMENT

We offer an array of peels, hydrafacial, and FDA approved lasers for acne treatment. Each treatment lasts for 4-6 months with a combination of medications and maintenance therapies.

  • We also offers other facilities and treatments such as scar removal, tattoo removal, hair transplant in Bangalore, glutathione injections, laser hair removal, pigmentation treatment, skin specialist in Bangalore, hairfall treatment, prp treatment, hair treatment.
  • An initial skin purifying session is given to remove the dead cells accumulated on the skin, remove bacteria and unclog the pores.

Depending on the skin condition treatment is tailored which may include a combination of either of the following

  • Oral medication
  • Chemical peels
  • Laser treatment
  • Topical medication
  • Medifacials
  • Home care products are prescribed to prevent recurrence

Frequently asked questions

  • Acne is seen only in puberty?

    Though acne is very common due to hormonal surges during puberty, adult acne is increasingly predominant and in most cases very stubborn causing a lot of PIH and scaring of skin

  • Could certain food cause acne?
  • Could stress cause acne?

    Some studies have shown increased stress could cause surge of hormones like Corticotropin-releasing hormone (CRH), which is seen in active acne conditions. It may not cause acne but may exacerbate the condition.

  • Wearing a sunscreen can make your skin oily and cause acne?

    Well, sunscreen 101! You just have to pick the right sunscreen. There are two categories of sunscreen: Chemical sunscreen (eg, oxybenzone and avobenzone etc) and physical sunscreen, which physically reflect UV rays (eg, titanium dioxide and zinc oxide) while some chemical sunscreens can irritate the skin, causing breakouts , physical sunscreens may be of actual help . Also look out for non comedogenic , perfume free sunscreens. Zinc oxide, a common active ingredient in physical sunscreens may kill acne-causing bacteria. Mineral sunscreens are also quite popular for its repairing and antioxidant effects apart from deflecting UV rays away from skin. So no more SPF excuses!

  • Acne is caused because of dirt on skin or not washing enough?

    Recent studies on teens show that washing your face twice daily is more effective than just once daily. But excessive washing of the face could rip off the essential natural oils and moisturizing factors from the skin and may dry out your skin. Mild cleansers are advised. Leave on products like vitamin a derivatives are more efficacious

  • Acne goes away on its own, basic skin care regime is all it takes?

    Well it's a myth! Acne usually worsens on its own. Even untreated benign black head or white head could lead to becoming an inflammatory one which would lead to infection, hyper pigmentation and scarring. Over the counter benzoyl peroxide treatment could be used for a mild acne, but for severe cases consult your doctor immediately at our clinic.

  • Your make up can aggravate acne?

    Some makeup can definitely exacerbate acne, especially the thicker liquid foundations that clogs your pore. Lighter and looser powder foundations, like mineral powder aren’t nearly as occlusive and aggravating to your skin.

  • Acne is just a cosmetic problem?

    Acne could have lasting consequences on how you feel about yourself. If left untreated , it can make your skin less healthier. Improperly managed acnes could cause blemishes and leave permanent scars.

  • Popping pimples help?

    Well, though it may get rid of the pus filled red pimple, it may leave behind acne marks and scars if it doesn't push the pus in to deeper planes and make it more deeper acne. Sometimes the pus that comes out thus further spreads acne to nearby pores.