Acne is a common problem affecting teen ages and young adults. Nowadays middle-aged population also has acne problems and it presents in multiple ways. Severe cases may present as nodular cystic acne, which presents as deep-seated nodules, which are painful and heal with scars.
Treatment of acne is important due to cosmetic reasons and because it leaves permanent scars and pigmentation spots, which sometimes cannot be treated permanently?
Etiology of acne involves hormonal changes improper hygiene, underlying sebaceous dermatitis, oil and cosmetic usage, improper lifestyle and dietary habits contribute in a large member of causes underlying hormonal imbalance presenting as polycystic ovarian syndrome contributes to a large number of adults onset acne. The management is these cases differ and the need for hormonal medications are there. This type of acne is antibiotic resistant.
There have been innovations in acne management:
The wide range of face cleanses which can be individual to skin type are available. Tropical antibiotics in combination with tropical benzyl peroxide and retinoid derivatives of the backbone of acne treatments.
Oral antibiotics, oral isotretinoin which is often combined with oral contraceptives, spironolactone, and insulin sensitizers are widely are widely prescribed.
Combinations of Salicylic acid and Glycolic acid are helpful for controlling active acne and pigmentation. Retinol based peel works well for controlling pigmentation after active acne has healed.
IPL lasers help in acne rosacea and QSNDyag has been found effective in controlling acne induced pigmentation fractional resurfacing lasers (Ex. Yag, Er. Glass and Co2) are effective for reducing acne scarring.
Collagen Induction Rx:
Micro-needling has been found to be effective in controlling acne scars. It is safe and has minimal downtime.
In combination with the new armamentarium of medication and procedures, we can address the problem of acne in a much better manner. Consulting the right dermatologist is must to have an effective solution to the problem.
Acne can be last for many years. Dr. Lipy is specialist for acne treatment and has helped many with excellent result. We try to manage acne medically and suggest procedures like chemical peel, lasers, and micro-needling as per the severity and comfort of the patient.