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How To Live Well with Acne
Acne, Causes and Treatment. 

Acne is a condition that has affected nearly ninety percent of all adults, at one time or another.  Most people experience acne during their teen years, but it is not confined to adolescents.  Thirty percent of men and women over twenty are still coping with this problem. 

Acne begins weeks before you notice a problem in the hair follicles that comprise skin.  Normally these pores have sebaceous glands at the bottom of the hair shaft that secrete sebum, the oil that keeps skin resilient.  Skin cells naturally slough off and renew themselves but a problem begins when the sebum in a pore works together with cell debris that has not be removed to clog a pore.  This becomes a breeding ground for bacteria and the result is a blemish. Prevention is the best form of treatment.  Effective treatment, home or with a dermatologist, begins by confronting the causes.  Begin by drinking eight glasses of water a day, something that will contribute to your overall health.   Drinking enough water is necessary to hydrate the skin and to flush toxins from your system. 

If you have active breakouts, apply hot compresses to pustules, but never pick or squeeze pimples. Playing with pimples nearly always makes bumps stay redder and bumpier longer, and can result in bruising and even scarring of the skin.  It is also a very effective way of spreading the bacteria to other areas.   Instead, use gentle steam baths to open the pores, followed by thorough cleansing.  Vigilant cleansing is the key to getting acne under control.  

Washing twice a day with a mild cleansing bar or liquid (for example, Dove, Neutrogena, Basis, Purpose, and Cetaphil, which are all inexpensive and popular) will keep the skin clean and minimize sensitivity and irritation.  Additionally, a variety of mild scrubs, exfoliants, and masques can be used. These products contain either fine granules or salicylic acid in a formulation that makes it a very mild exfoliant. These products remove the outer layer of the skin, and thus open pores.  Follow cleansing with an over-the-counter antibacterial cream containing benzoyl peroxide, sulphur, or resorcinol. More expensive brands do not necessarily work better, just be certain the products has one of these active ingredients.

Benzoyl peroxide can cause a reaction in some people that will self-resolve with discontinuation of use.  It is a bleach, so keep benzoyl peroxide away from colored clothes, shirts, or towels. Always use water based oil free cosmetics and a treatment cream containing sulphur at night on blemishes.   If the breakouts do not respond to this regimen< consult your primary care physician or a dermatologist, who can prescribe a topical antibiotic cream such as erythromycin.  Retin A and its newer derivative, which are more gentle acting may also be prescribed. 

 In severe cases, short-term oral antibiotic use may be indicated.  Oral contraceptive formulations that are low in estrogen have been shown to clear up acne and some doctors inject large pimples and cysts with cortisone to resolve them quickly. Isotretinoin is used to treat severe, resistant acne. It should be used for patients with severe acne, chiefly of the cystic variety, which has been unresponsive to conventional therapies like those listed above. It should not be used by pregnant women since is has a high risk of causing birth defects.

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