What is the best way to treat severe acne?

 

Understanding Acne: Causes, Symptoms, and Treatment Options

What is Acne?

Acne is a chronic skin condition characterized by eruptions on the face and body. It occurs due to the blockage and/or inflammation of the pilosebaceous units (consisting of hair follicles and sebaceous glands).

Forms of Acne

Acne manifests in various forms depending on the type of morphological elements, their quantity, localization (face, body, scalp), presence of scars (post-acne), and cysts:

  • Comedonal: Open and closed comedones.
  • Papulopustular: Inflammatory changes (papules and pustules) alongside comedones.
  • Nodular: Nodules, cysts, and/or scars.
  • Conglobate: Large nodules formed from multiple communicating cysts, often leading to scarring.

Causes of Acne

Acne affects all age groups, affecting 85% of teenagers and 12% of adult women. Key factors in its pathogenesis include:

  • Hyperkeratinization of hair follicles.
  • Microbial colonization by Cutibacterium (Propionibacterium) acne.
  • Excessive sebum production.
  • Inflammatory mechanisms. Neuroendocrine (hormonal) factors and genetic predisposition also play significant roles.

Symptoms

Acne lesions such as comedones, papules, pustules, nodules, and cysts appear on the face, ears, scalp, back, and chest. Severe acne can lead to post-acne scarring.

Stages of Severity

Acne is categorized into mild, moderate, and severe forms based on its activity level.

Acne Treatment

Treatment approaches vary based on the severity of acne:

  • Mild acne: Topical therapy with benzoyl peroxide, retinoids, antibiotics, or azelaic acid.
  • Moderate acne: Combination of topical treatments and systemic antibiotics. Systemic retinoids may be considered as an alternative therapy.
  • Severe acne: Combination of topical and systemic treatments, including antibiotics and systemic retinoids. Oral contraceptives, anti-androgens, and spironolactone are alternative therapies for women with moderate to severe acne.

Cosmetic Correction Methods

Cosmetic procedures such as chemical peels, phototherapy, intralesional corticosteroid injections, cryotherapy, laser resurfacing, and hyaluronic acid injections are used to reduce post-acne scarring.

Advantages of Various Treatment Modalities

  • Topical Therapy: Controls mild to moderate acne without systemic effects. Some formulations may not be suitable for pregnant or lactating women.
  • Systemic Therapy: Oral contraceptives, anti-androgens, spironolactone, and systemic antibiotics reduce sebum production and inflammation. Systemic retinoids, such as isotretinoin, are highly effective for severe acne but require monitoring due to potential side effects.

Conclusion

Understanding the underlying causes and available treatment options for acne is crucial for effective management. Consulting a dermatologist is recommended to develop a personalized treatment plan based on the severity of the condition and individual patient factors.

Assessing Acne Severity

Evaluation of acne severity, skin characteristics, phototype, and presence of other dermatoses is crucial. For women, signs of hyperandrogenism are assessed, and if necessary, referrals to gynecologists or endocrinologists are made. Optimal therapy is prescribed, always considering the patient’s preferences. The treatment’s efficacy is evaluated after one month for severe acne and three months for mild acne.

Dermatologist’s Recommendations for Acne Patients

  • Maintain a Balanced Diet: While there’s no clear evidence linking acne to diet, a balanced and varied diet is recommended. However, foods with a high glycemic index (sweets, pastries) are known to increase insulin-like growth factor levels, leading to increased sebum production by sebaceous glands.
  • Prioritize Hygiene: Cleanse the skin with gentle foaming or gel cleansers (soap-free products known as syndets) using warm water. Avoid aggressive products and scrubs.
  • Avoid Picking at Acne: Squeezing acne can worsen infection and lead to scarring. Moisturize the skin while using topical treatments. When treating acne with topical agents (especially retinoids), it’s essential to increase skin hydration to prevent redness and peeling (as recommended by your dermatologist).
  • Adapt Skincare Products According to Season: Adjust the richness of moisturizers and the frequency of use of cleansing products based on seasonal changes. Cold, heat, sun exposure, humidity fluctuations, and other environmental factors affect skincare.
  • Use Sun Protection: Apply sunscreen when outdoors to reduce scarring and pigmentation.
  • Choose Non-comedogenic Skincare Products: Opt for products that do not clog sebaceous gland ducts.

Revamin Acne Cream is an advanced cream for imperfections. This cosmetic product contains nourishing ingredients that prevent breakouts and discourage the formation of new pustules. The cream’s formula deeply penetrates the skin, leaving it healthy, elastic, and smooth. Revamin Acne Cream is designed for people with problematic skin. It targets all types of acne, regardless of the cause. Regular use of the cream helps reduce breakouts and imperfections, limits excess sebum production, and alleviates redness and inflammatory conditions.Revamin Acne Cream is in demand among those who want to maintain healthy skin.

Visit the official website of the product.


Zinamax is a bioactive supplement that supports acne elimination. The product is intended for those who want to get rid of pustules, inflammation, and improve the condition of their skin. The effects of the tablets can be observed within a month of use. The product possesses anti-inflammatory and antibacterial properties. It deeply moisturizes the skin and promotes wound healing. Additionally, it reduces sebum secretion, leaving the skin in excellent condition. Zinamax was created based on plant extracts, vitamins, minerals, and other nutrients known for their action on acne. The main component of the product is lactoferrin, a protein that exhibits a range of properties, helping to destroy bacteria, viruses, fungi, and parasites.

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Nonacne is a product for acne-prone skin. Its ingredients help to get rid of acne and prevent their appearance. Regular use of this product makes the skin beautiful and smooth. The product is highly popular among teenagers and adults who have also faced the problem of acne.

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