Doctor insights on:
Will I Ever Outgrow My Tendency To Get Acne
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
I have a genetic tendency towards acne. I'm sixteen. I'm seeing a dermatologist, but how can I make myself stop these bad habits?
?: Not sure being 16 is a bad habit except for you parents. Mostly do not pick or scrub and follw the derm advice. Until you out grow it you have to control it. ...Read more
Scientific Rx: Start with benzoyl peroxide; if this isn't enough visit your physician, first line is topical retinoic derivatives &/or a topical antibiotic such as clindamycin. If still not sufficient, the right systemic antibiotic for you, perhaps tetracycline 500 2x/day. Dermatologist visit if still not clear. Good luck. All acne is manageable today. ...Read more
Complex: It is an interplay between a particular bacterium, the sebaceous glands whose size, shape and function vary with hormonal and other factors, and the thickness of the keratin layer on the outside of the skin which also varies. I begin people with topical Clindamycin with or without a retinoic acid derivative. This is the 21st century and you have a right to effective treatment. ...Read more
Stronger Rx: This is the 21st century and you don't need to have this. If benzoyl peroxide (the only over-the-counter stuff that works) hasn't cleared you up, add a topical antibiotic such as Clindamycin plus maybe a topical retinoic acid derivative. Move as needed to a systemic antibiotic, Erythromycin or a tetracycline. This usually works; dermatologists have bigger guns. ...Read more
Need Rx: Over-the-counter preparations do not work well. I start with topical Clindamycin with or without a retinoic acid derivative. If needed after a few weeks, consider adding an oral antibiotic such as Erythromycin or tetracycline / Minocycline as suitable for the individual. Dermatologists have the big guns -- accutane, lasers. Freedom from acne should be a person's right. Good luck. ...Read more
Can't be answered: Acne is unrelated to hygiene, lifestyle or diet. There is no figuring out why one person gets it and the next person doesn't. Your life will be easier and happier if you learn not to ask questions like this one. If you have acne yourself, you deserve to be treated effectively. If need be, make the phone call to your physician yourself. ...Read more
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