Doctor insights on:
Why Do I Have Acne On My Face
Acne is one of the most common skin conditions. It affects about 80% of adolescents. Acne starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the face back and chest. The hallmarks of the condition are blackheads, whiteheads (closed comedones), papules, pustules, cysts, nodules, and sometimes scarring. There are numerous treatments available, both topical and systemic. The most commonly used are benzoyl peroxide, retinoids, and antibiotics ...Read more
Scientific Rx: If two weeks on over-the-counter benzoyl peroxide doesn't clear you, get with your physician. You may be a rx for a topical retinoic acid derivative, the oral contraceptive pill (if you're female), topical clindamycin, a systemic antibiotic such as tetracycline, or a dermatology referral for possible isotretinoin. All acne is manageable today; it's not a hygiene or lifestyle problem. We can help. ...Read more
Different options: For over the counter methods try using products that have benzoyl peroxide, salicylic acid, alcohol, and acetone. For prescription treatments you may be prescribed antibiotics, retinoids or vitamin a derivatives, azelaic acid, oral contraceptives, or spironolactone. Always ask a dermatologist about the possible affects and the risks vs benefits of each treatment. Make sure it's best for you. ...Read more
Get treated: Please forgive my frankness. If you have visible acne, it's a sign that for whatever reason you are not getting decent health care for a chronic, serious disease. It's cheap and cruel to tell you, "just smile and be yourself." your acne may look worse to you than to others, but this is the 21st century and any primary care physician can clear up all but the worst acne. It's your right. ...Read more
Scientific Rx: If your acne is "bad" it will not respond adequately to over-the-counter meds though you should start using topical benzoyl peroxide now as you are able to tolerate. Get with your physician who will add some prescription-strength Rx. If you are offered isotretinoin, be brave and go for it despite all the scare stuff online. Pop / "natural" / lifestyle remedies won't work. Acne is manageable. ...Read moreSee 1 more doctor answer
Meds: Many patients do well with over the counter benzoyl peroxide or salicylic acid preparations. Some patients require topical or oral antibiotics or retinoids as well. If the over the counter meds alone don't control your acne after a month of daily use, see a doctor for additional treatment options. It is important to be persistent, and some patients 'get worse before they get better'. ...Read more
My acne on my face is bad..after trying diff things its worse should I just stop putting anything on my face?
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