It’s known that the acne vulgaris (acne) is the formation of comedones, papules, pustules, nodules, and/or cysts as a result of obstruction and inflammation of pilosebaceous units (hair follicles and their accompanying sebaceous gland). It most often affects adolescents but it often prolonged in the adulthood.
Acne occurs when pilosebaceous units become obstructed with plugs of sebum and desquamated keratinocytes, then colonized and sometimes infected with the normal skin anaerobe Propionibacterium acnes. Manifestations differ depending on whether P. acnes stimulates inflammation in the follicle; acne can be noninflammatory or inflammatory
The most common trigger is puberty, when surges in androgen stimulate sebum production and hyperproliferation of keratinocytes. Other triggers include hormonal changes that occur with pregnancy or throughout the menstrual cycle; various hormonal abnormalities ( Polycystic Ovary Syndrome ); occlusive cosmetics, cleansing agents, clothing; humidity and sweating, sun exposure. Associations between acne exacerbation and diet (eg, chocolate), inadequate face washing, masturbation, and sex are unfounded. Some studies question an association with milk products.
What is my acne type ?
Most people aren’t sure about this, but it’s important so you get the right treatment. If you’ve got severe acne, using a treatment for mild acne isn’t going to give you the results you want.
Different types of acne have different treatment. That is why you need personalised examination and after a complete clinic exam and after the discussion with your dermatologist, you will receive the right treatment combination. A doctor or dermatologist can usually tell you what type of acne you have by simply observing the number, type and depth of the acne spots. A suitable course of action can then be made, based on the doctor’s observation.
Different treatments have different methods of action. Some unblock pores; others reduce oil production or reduce the bacteria that complicates acne.
When deciding which type of therapy to recommend, a doctor will consider individual circumstances such as the extent and severity of the acne, if you have scars or at risk of scarring as well as the emotional and social impact on the affected person.
A combination of both skin treatments and tablets is often beneficial.
Adverse effects are a possibility with any medication, including acne medications, but most will be mild and manageable. The more common or more potentially serious ones are included in the following information along with advice on how these can be minimised or prevented.
Where do I find a dermatologist?
In our clinic you will benefit of personalised advise after a complete and carefull examination.
Related with your acne type you will receive single therapy or combination of topical agents (retinoids, benzoyl peroxide, glycolic or salicylic acid, topical antibiotics), systemic agents (antibiotic, systemic retinoids, hormonal therapy) and physical therapy.
Associate with your medication you might need a fototherapy (Laser or Intense Pulsed Light), microdermabrasion or chemical peel.
Small scars can be treated with chemical peels, laser or dermabrasion. Deeper, discrete scars can be excised. Wide, shallow depressions can be treated with subcision or filler injection.