Acne Overview

Acne is rarely serious, but it often causes emotional distress and can lead to acne-caused lesions of the skin. With the right treatment, you can often keep breakouts under control. Measures can also be taken to reduce scars left by blemishes. Untreated or non-responsive skin breakouts (severe acne) may results in formation of scarring, a scenario more difficult to treat. Some figures of acne never cause development of cosequent lesions, however, severe acne forms such as cystic acne are very likely to be followed by facial scars. Also rosacea in some individuals is more prone to occurrence of facial scars, which may suggest genetic factors as a predisposing factor. Mechanical stimulation of lesions is another mode of causing cellular damage in sebaceous follicles in dermis level. Appropriate treatment of acne early and adequately is the best preventive method.

Combination therapy is essential for deep cysts and severe blemishes. Isotretinoin (Accutane) is an effective medication available for severe acne such as cystic acne or a blackhead that doesn't respond to other treatments. Patients who take Isotretinoin require close monitoring by a dermatologist because of the possibility of severe side effects such as allergic reaction (inflammation of face and tongue) blurred vision, dryness of the vision and etc.
Oral contraceptives. Oral contraceptives, including a combination of norgestimate and ethinyl estradiol, have been shown to improve acne in women. Oral contraceptives may cause other side effects that you'll want to discuss with your doctor. Cosmetic surgery. Doctors are able to use cosmetic surgery to diminish scars left by cystic acne. Procedures include peeling away damaged skin with chemicals or by freezing it, dermabrasion and laser resurfacing. Peeling procedures eliminate superficial facial scars. Dermabrasion, which is usually reserved for more severe scars, involves removing the top layers of skin with a rapidly rotating wire brush. Laser resurfacing involves using short pulses of intense light to remove the outer layer of your skin. If your skin tends to form scar tissue, these procedures can make your complexion worse.

In most cases the manifestations are worse in winter and improves during the summer, suggesting a salutary effect of sunlight. However, in some cases exposure to sunlight worsens the disease. The constant friction caused by protective devices such as a helmet, shoulder pads or pillows will make its management more difficult simultaneous with higher likelihood of skin scarring. Rupture of sebaceous follciles (a cutaneous gland that secretes sebum) is among other aggravating factors. Rupture could be result of skin injury by mechanical squeezing of lesions, abrasive scrubbing of the skin or skin resurfacing methods such as dermabrasion.

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