Acne Treatment Information
Acne is the most common skin disease affecting
adolescents. Some eighty-five percent of high school students will have some
form of acne. Ten percent of those with adolescent acne will continue to suffer
from acne into their mid twenties and early thirties. Adolescent females
experience the worst skin conditions between the ages of 14 and 17 while male
acne is usually more severe the acne peaks between the ages of 16 and 19. Acne
continues to affect some 6-8 percent of individuals into late adulthood.
Fortunately, there is now effective acne treatments
which will result in clear skin. Retin
A Micro - remains the most recommended acne treatment by doctors worldwide.
Order Retin A Micro online (click here for details).
Acne is believed to be secondary to the obstruction of
specialized follicles which are located mainly on the back, chest and face.
Excessive amounts of a substance called sebum (white thick oily substance) are
produced by the sebaceous (oil) glands. These follicles slough off an excessive
number of cells, the sloughed cells often obstruct the opening of the follicle.
This can cause an inflamed lesion known as a comedo. Comedos are later infected
with a local bacteria, Propioni bacterium Acnes. The lesion subsequently
produces the the classic signs of redness and swelling of the infected area.
The following represents a simplified explanation on
how acne forms:
Acne begins as a pore around a hair follicle. Cells
from the lining of the hair follicle are shed and clump together blocking the
sebum, (normal secretion that lubricates the skin), from exiting the pore to the
When the normal outlet for the hair follicle is
blocked, the sebum and dead skin cells begin to accumulate. Bacteria that is
natural to the surface of the skin can then begin to mix with the dead skin
cells and sebum causing infection.
This infection appears as redness, swelling and pus.
Although the topical part of the infection looks unsightly, the actual damage is
happening below the skin.
Squeezing or trying to "pop" an infected pimple creates
pressure which causes the infection to spread, may result scaring. Individuals
should refrain form actively squeezing or "popping" pimples.
When the underlying damage is severe, scar tissue may
form which resembles a depression or the common term "pitted" skin surface.
Acne Treatment Information
Individuals with severe acne or
acne that is not responding to therapy are often referred to a dermatologist.
The type and extent of the acne, as well as, other underlying factors should be
considered prior to treatment.
Blackheads can often take up to 2-3
months to develop. Therefore, although there is some initial improvement in the
first few weeks of treatment it can often take up to 2-3 months of compliant
medication use before you can assess the full benefit of any acne medication.
Many preparations used to treat acne can aggravate the skin resulting in dry
skin, peeling, or possibly increased sensitivity to sunlight. Individuals should
address the current skin care products they are currently using prior to
beginning treatment with any prescription medication. Individuals should avoid
and products that are strongly fragranced or alcohol based. Search for products
that are described as "oil free" or "non-comedogenic" on the label.
Skin care products should include a
mild cleanser and application of a non-comedogenic sunscreen for those areas
exposed to excessive sunlight. If irritation, peeling and/or dryness occurs
following the use of these products, an individual may apply an oil free
moisturizer to the treatment plan. Please note: Most individuals with chronic
acne do not need to use a moisturizer on a regular basis.
The following is a list of
general principles concerning the treatment of acne:
- Individuals should cleanse
their face twice daily with a mild soap and water or an antiseptic wash.
- Avoid abrasive skin
treatments these products can aggravate both comedones and inflammatory
- Acne products should be
applied to all areas affected by acne, not just to a small area surrounding
the current lesion.
- The products should be
applied only to clear dry skin.
- Acne products often cause
often cause dryness particularly in the first 2-4 weeks of use. The skin will
usually adjust to the treatment and will not appear as dry shortly after
- Individuals should apply an
oil-free moisturizer only if the affected skin is irritated or peeling.
- Avoid applying oily cosmetics
such as foundation or sunscreen.
- Avoid excessively humid
conditions such as a sauna, working in an unventilated kitchen or tropical
- Avoid picking, scratching or
otherwise irritating the acne.
Acne Treatments Options
Topical treatments for acne include
a wide variety of creams, lotions, gels or solutions. These products use a
combination of benzoyl peroxide, alphahydroxy acids, antibiotics, salicyclic
acid, or retinoids (vitamin A derivatives) such as tretinoin, isotretinoin and
If the over the counter treatment
options do not provide relief from the acne individuals may need to consult with
their physician to use prescription topical preparations. Most prescription
topical preparations contain a vitamin A derivative such as tretinoin,
There is often some confusion
between the different forms of Retin A on the market. Currently, you will see
literature on Retin A, Retin A Micro and Renova. All three of these brand name
medications contain the same active ingredient Tretinoin. The difference in the
three products is the vehicle by which the Tretinoin is delivered topically to
Retin A - There
are three different forms of Retin A: cream, gel and liquid. They are available
in different strengths that are available from your physician. Retin A (tretinoin)
is indicated for topical application in the treatment of acne vulgaris. Although
the exact mechanism of action is unknown, Retin A is thought to loosen and expel
existing acne plugs in the skin and prevent new lesions from forming. It
directly attacks the primary cause of acne, the plug.
Micro (tretinoin gel) microsphere - remains the most recommended acne treatment by doctors worldwide .
Retin A Micro is the first prescription medication utilizing the
Microsponge systems technology. Where as conventional formulations of topical
medications are intended to work on the outer layers of the skin; releasing
their active ingredients upon application, producing a highly concentrated layer
of active ingredient that is rapidly absorbed. The Microsponge systems can
prevent excessive accumulation of medication within surface layer of the skin.
Thus, significantly reducing the irritation of effective medication without
reducing their efficacy.
Less than one-thousandth of an inch
in diameter, each Microsponge system can serve as a reservoir or a closed
container to protect certain substances from degradation or absorption, and as
an absorbent receptacle to collect undesirable substances. Microsponge
technology of entrapment of undesirable substances is believed to contribute to
the decrease in reported side effects in the Retin A Micro system as compared to
more traditional methods of delivering Tretinoin the active ingredient in Retin A.
The novel acne treatment entraps
tretinoin in Microsponge systems and formulates them into a gel. The
microspheres hold the drug in reserve, allowing the skin to absorb small amounts
of tretinoin over time. Dermatologists who conducted the pivotal clinical
studies believe this may be why most Retin A Micro patients experience little or
no irritation. The microspheres themselves remain on top of the skin and are
easily washed off when patients shower or wash their face. Retin A Micro also
reduces the appearance of facial shine (oiliness) on the skin's surface.
In clinical studies, the overwhelming majority of Retin A
Micro patients experienced little or no cutaneous irritation in four categories
- erythema, peeling, burning/stinging, and
itching - at two weeks, the typical peak irritation period for tretinoin.
You may now
order Retin A Micro online, the most recommended acne treatment by doctors
worldwide (click here to order).
cream) 0.05% - is clinically proven to reduce fine facial
wrinkles, fade brown spots and smooth surface roughness. Clinical trial data
suggest that the emollient (an agent that softens and soothes the surface to
which it is applied) system used in Renova is significantly better than Retin A's
vehicle at minimizing irritancy, the main limiting factor when treating photodamaged skin with retinoids. Renova is prescribed by Dermatologist
to reverse the signs of aging skin, whereas, Retin A Micro is prescribed for the
treatment of acne.
All three medications contain the active ingredient Tretinoin, the difference
is the delivery system to the different layers of the skin. Retinol, should not
be confused with Retin A, Retin A Micro or Renova. Retinol is the technical name
for (preformed) vitamin A (vitamin A is created in the body from beta-carotene). However, Retin A Micro represents the most efficient method of getting the
active ingredient Tretinoin into your pores to stop the acne.
Oral Medications To Treat
Acne that is more severe or resistant to topical
treatment can be treated with oral medications. Oral antibiotics are effective
in treating acne, however like topical preparations, they do not cure acne, and
may need to be taken for a prolonged period of time.
Oral antibiotics i.e. tetracycline, minocycline, doxycycline or
erythromycin remain the mainstay of oral treatment for acne that is resistant to
topical treatment. Maximum benefit may take several months, and the dose should
be adjusted to achieve and maintain satisfactory control of acne. In addition,
caution should be used when using antibiotic treatment such as tetracycline
secondary to increased sensitivity to the sun.
Oral hormonal therapy - is often used
effectively in females with acne. Women who benefit most from hormonal treatment
are typically in their 20s or 30s, and have a history of failed treatment, or an
intolerance to standard acne therapies (both topical and systemic).
In addition, many have a history of menstrual
irregularities, premenstrual acne flare-up, and facial oiliness. Hormonal
treatment is generally not used in the most severe forms of acne, nodular/cystic
acne. While certain popular oral contraceptive pills can result in an increase
in acne while other oral contraceptives can help improve acne. The progesterone
component of the pill largely determines whether a brand of pill will exacerbate
or improve acne.
When a woman in her late thirties or early forties
develops acne increased androgen production is suspected. In almost all adult
female patients with this condition, supplemental progesterone clears the skin.
One hypothesis is that ovarian follicle depletion leading to progesterone
deficiency results in increased adrenal production of androgens. When
progesterone is re-supplied, androgen production goes down and the skin clears.
Estee Lauder to Neutrogena,Estee Lauder to Neutrogenaoin -a vitamin A derivative, is also used in more severe cases of acne. Oral
isotretinoin, is commonly used to treat severe cystic acne, and can be very
effective in these severe and potentially scaring cases of acne. Oral
Isotretinoin is usually given for a 4-6 month course which will improve a large
number of individuals' acne. However, many individuals will experience some
recurrence of their acne, which is often much less severe, but may require
additional oral isotretinoin treatment.
Oral isotretinoin treatment is usually
limited to those individuals with severe acne secondary to the severe side
effects associated with the medication. Common side effects associoilinessated with oral isotretinoin include: dry skin often resulting in dermatitis, cracked dry lips,
irritation to the nose and eyes.
Oral isotretinoin is strictly controlled secondary to its
potential effect on an unborn fetus if taken during pregnancy. It is essential
that all females of potential child bearing age are counseled prior to treatment
and that these women be on a suitable contraceptive routine. Isotretinion has no
adverse effects on male fertility.
Physical Treatments For Acne
The following is a brief list of physical treatment
Sunlight or ultraviolet light can act as an
anti-inflammatory agent providing some relief. However, sun exposure results in
ageing skin and can result in skin cancer.
- Cryotherapy (freezing treatment) - is
sometimes used by dermatologist to control new nodules.
- Intralesional steroid injections - can
be used to shrink older nodules.
- Cautery or diathermy - cautery or
diathermy involves the use of an instrument to produce heat to the nodules.
Common Myths Concerning Acne
The following is a list of common myths concerning the
causes of acne:
- Acne is a result of certain foods we consume. Acne
was often thought to be caused by the consumption of certain foods i.e.
chocolates, dairy foods, soft drinks, citrus and various other foods and
beverages. Clinical studies have shown that individuals who change their diet
did not have significant changes in the their acne. All adolescents should
follow a healthy diet, however, eating, on occasion the common fast foods and
deserts will not have a significant effect on the their acne.
- Acne is an infectious disease. Although one of the
treatment options for acne is antibiotics acne is not an infectious disease.
- Acne is not contagious and cannot be spread to other
- Acne somehow is an allergy. Acne is not an allergic
- Acne is not caused by poor personal hygiene. In fact
excessive scrubbing or cleaning often will make the acne worse.
- Sunlight is beneficial for acne. Most dermatologists
agree that sunlight and ultraviolet light has no beneficial effect in the
treatment of acne. Excessive sunlight and ultraviolet light may cause
premature ageing and skin cancer.
The Different Types Of Acne
Acne is classified into several different types
including the following (Warning some of the following
pictures are somewhat graphic):
Vulgaris (most common acne) - condition of the sebaceous glands of the
skin. Sebaceous glands surround each hair follicle and produce sebum, (white
thick oily substance), produced to lubricate the hair. Acne Vulgaris usually
appears one to two years prior to puberty and is prompted by stimulation of the
facial sebaceous glands the male hormones, androgens. Women also produce
small quantities of these male hormones contributing to their acne. Recent
studies have suggested that those individuals with acne have an increased
sensitivity to the androgens rather than increased levels of the hormones.
Acne - refers to the pattern of acne in which most lesions are
comedones or blackheads that are located on the chin and/or forehead of the
patient. Open comedones are blackheads secondary to the presence of surface
pigment (melanin) as compared whiteheads that are closed comedones that contains
particle such as dirt. The cells lining the sebaceous duct proliferate
excessively in this form of acne blocking the sebaceous duct forming a comedone.
Acne - effects newborn babies that often get mild acne primarily on
their faces. Infantile acne generally affects the cheeks, chin and forehead. As
with other forms of acne infantile acne is more common amongst male and usually
only lasts a few months. However, infants with severe infantile acne are more
prone to develop acne vulgaris near puberty.
Conglobata - is a severe form of acne affecting the face, chest and
back. Acne conglobata is a severe form of acne vulgaris. Acne conglobata is
characterised by multiple inflamed and un-inflamed nodules and scars. The acne
may be associated with Hidradenitis suppurativa, a condition in which similar
boil-like lesions occur in the armpits, groins and under the breasts.
fulminans - is a rare and very severe form of acne conglobata
associated with systemic symptoms. The acne almost always affects males. Often
the acne is precipitated by the use of Testosterone.
Medicamentosa - is acne that is caused by or aggravated by certain
Medications that can result in acne medicamentosa
include the following:
- Oral steroids may cause steroid acne.
- Contraceptive agents: medroxyprogesterone injection
(Depo-Provera) and oral contraceptives which reduce circulating sex hormone
binding globulin (SHBG), can aggravate acne in females.
- Anabolic steroids such as danazol, stanozolol can
cause severe acne including acne conglobata and acne fulminans.
Additional medications thought to cause acne:
- Antiepileptics ( phenytoin, phenobarbital,
- Antituberculous drugs (isoniazid, rifampicin,
- Antidepressants (lithium, amoxapine)
- B vitamins (B12, cyanocobalamin)
- Halogens (iodides, chlorides, bromides, halothane)
Excorié - is a term used to describe
individuals that excessively pick at their lesions removing the active lesions
and comedones resulting in only scratch marks, sores and scares.. Most
individuals are guilty of picking or squeezing their lesions. However,
physicians do not approve of this method of treatment because this can result in
infection and excessive scarring. Acne excorié is more common in females than
males, and is often an indication of stress or depression.
Acne Scarring - affects some 30 percent of those individuals with
moderate to severe acne vulgaris. Scarring is particularly common in acne
conglobata and acne fulminans. Scarring results from a fibrous process in which
new collagen is laid down to heal the injured cells. The new collagen
subsequently results in excessive "scare tissue". Individuals should seek
treatment early to help reduce future scarring.
prescription Retin A Micro is the best acne treatment
available. More doctors recommend Retin A Micro than any other acne treatment. As reported above, the Retin A Micro Acne Treatment System uses an innovated
method of delivering Tretinoin
the active ingredient in Retin A without the harsh side effects i.e. redness,
peeling, burning, stinging, and
itching. Retin A Micro also reduces the appearance of facial shine (oiliness) on
the skin's surface.
You can know purchase
the prescription Retin A Micro Acne System online by completing a brief medical
questionnaire which is subsequently reviewed by a qualified doctor. Once approve
your Retin A Micro order will be promptly shipped to you discreetly (with no
hint of the contents).
Why trust your acne treatment to any other acne
treatment? The Retin A Micro Acne Treatment System allows more of the active
ingredient to get into your skin pores to stop and reverse the sign of
acne without the common side effects associated with most acne treatment
clearer more vibrant skin, buy
the most recommended acne treatment by doctors worldwide (click here to order
the Retin A Micro Acne Treatment System).