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Acne after the age of 20 (Adult Acne)

March 2, 2012 By Leave a Comment
Adult women with acne

The adult acne can be divided into a few groups.

Acne after adolescence:
Statistics show that up to 25% will suffer from acne breakouts after the age of 20. This type is different than the regular adolescent acne :
People (mostly women) older than 20 that continue have acne breakouts. This type is more common in females and may continue to the age of 30, 40 and evan 45. included in this type are women, that have acne flare ups during pregnancy. This type of acne is usually worse during the first trimester of pregnancy when levels of progesterone are highest.
Folliculitis : Man in this age may have pimples/bumps in their beard area called folliculitis . Folliculitis is caused by an infection around the hair follicle – usually by a bacteria called Staph Aureus.

Acne due to hormonal imbalance:
Rare cases of acne can be induced by high level of hormones with testosterone like activity. This includes polycystic ovary syndrome , internal diseases/tumor that causes the body to ver produces, or external ingestion of hormones such as the steroids used by professional body builders.

 

Before 20 After 20 
ComedonesManyLess
AreaNose, Forehead, Chin, CheeksAround the mouth, lower cheeks, under the jaws
ScarringMay be severeUsually  less or no scarring

Treatment of post adolescent acne

First step would be to rule out hormonal imbalance, This can be done easily through a couple of blood tests.
Once the blood tests are normal – attention should be placed on cosmetics used. Everything used should be Oil free and non comedogenic.
Medications should be chosen according to the severity, starting with simple non drying topical antibiotics , combined with low percentage of benzyl peroxide, or in milder cases azelaic acid creams. In more severe cases a course of oral antibiotics may be very helpful followed by a followup prevention plan (The right cleanser and mild acne acne topical will be needed long term.) .
In the most severe cases that experience multiple relapses after antibiotics, low dose accutane combined with simultaneous blue light phototherapy will be the ideal choice.

Birth control pills for acne ?
Birth control pills are not a treatment for acne. The estrogens in the pill suppress the levels of testosterone in the circulation , decreasing its effect on the sebaceous gland and by that decreasing sebaceous gland enlargement and sebum secretion. These should be taken only if the women is sexually active. The pills may calm acne breakouts but a rapid relapse is expected when they are stopped. The best pills for acne will be the one that have minimal androgenic (testosterone like) effect . Examples will be Seasonale, Desogen, levlen. Two types of birth control pills have useful non hormonal ingredients that can further reduce the hormonal trigger of acne. Jasmin contains a non hormonal compund similar to spironolactone t and Diane (approved in Europe) a chemical called cyproterone both directely suppress androgen activity.
For the right contraceptive pill consult your Gynecologist…

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Diet and Acne – How to Prevent Acne with Proper Food.

December 31, 2010 By 1 Comment
Nutrition for better skin skintricks.com

Research conducted primitive tribes in Southeast Asia showed that teenagers fed on a basic diet of meat and grain gathered in nature almost never suffer from acne. It seems that sugar, white flour and cow milk  are among the factors that can exacerbate acne. It  is  well known salt contains small amounts of iodine. Since iodine is one of the factors known to worsening acne Yishai claim should reduce the eating of very salty foods.

Eliminate: food that contains lots of sugar, cakes, sweets and ice cream. The  worst  are  baked goods like cookies and white flour,,
white bread and  other sweets.

Eliminate sugary drinks, cola and fruit juices. You should switch to drinking water,
herbal teas and drinks with artificial sweeteners.

Eliminate eating nuts. Nuts contain a large amount of fat in addition to large amount of salt.

Eliminate as  much as possible cow milk.  . Most of the  cows that  give us  milk , are pregnant during milking. The  milk of  these  cows contain a large amount of progesterone like  hormones. These   hormones  have   a    Dihydroxy testosterone (DHT) activity  that  makes  acne  worse.

A study of 47 thousand women (!) In the U.S. showed that women who drank more than two glasses of milk a week was 44 percent more risk of getting acne than women who drank one glass of milk or less. Not found substantial difference between regular   or skim milk. It is  believed that unsweetened soy milk can be a good replacement. It was also found that women who reported eating more than her day of cottage cheese, cheese spreads over 30% fat, milk-based drinks being teenagers – had  more  severe  acne. (The risk was 63 percent higher  than for the  women who reduced these foods).

It is dvised to avoid large quantities of vitamin B6 and B12. Using  large amounts of both these vitamins
have been shown in some cases to cause worsening of acne.

What  you should eat?

It is advised to eat more fish (salmon, tuna, sardines). These fish contain such important fatty acids Omega-3 may also benefit the skin and overall health. It s also possible   to  take capsules containing these acids (fish oil).

It is recommended to drink plenty of water. You should start the day drinking water  and continue to drink
at least 8 cups of additional water during the day.

Is chocolate bad for your acne?

Cocoa itself does not  make  acne worse. Nevertheless the sugar and milk in it  can.
If you want chocolate, look for low sugar chocolate containing a high percentage of cocoa (70%).

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Acne Treatment With Blue Light Phototherapy – The Six Most Important Benefits

September 18, 2010 By Leave a Comment
Acne Photherapy
  • Faster results within one month
  • No side effects, painless procedure
  • No downtime -After treatment you immediately return to your daily routine
  • No exposure to antibiotics or other medications
  • Suitable for all body areas, including the sensitive beard, and large areas such as back and chest
  • Avoids  the  use  of  risky and less effective lasers or intense pulse light devices.

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Acne Rosacea Treatment – Best Practical Advice

September 18, 2010 By Leave a Comment
acne clothing, acne home remedies, acne medication, acne scars, acne shop, acne treatment, baby acne, back acne, back pimples, best sunscreen, cancer, cure acne, cystic acne, dry skin, el acne, environmental working group, honey for acne

What is  Rosacea?

Rosacea: is sometimes called adult acne adult. Rosacea is  most common in people with light skin usually appears after the age 30. The patients often have redness on the cheeks, forehead and chin. Later in life small acne-like pimples  can develop in those areas covered   with  enlarged capillaries (Cuprose).

What are the signs of  Rosacea?

Frequent  or  constant  flushing and redness of skin  is common. At the beginning of the disease the  flush  appears and disappears. Later it becomes a permanent with  red cheeks, forehead and chin.

Pimple breakouts: Over the years, people with Rosacea  may  have small red acne like  pimples). Unlike the skin with acne – people with Rosacea do not  have comedones  (black and white points) and their pimples  usually do not appear on the neck and back or chest.

Enlargement  of capillaries: People with Rosacea there usually enlarged  small capillaries mainly cheeks and chin.

Less common signs:

Red eyelids: Also known as Ocular Rosacea. Expressed a sense of constant irritation of the  eyelids with watery discharge and redness of the conjunctiva. Severe cases may  require the treatment of  an ophthalmologist.

Feeling of dry skin: facial skin burns and feels irritated.

Thickening of facial skin and nose: in more difficult cases, especially men, can develop skin thickening nose to the point called Rhinophyma.

In rare cases, the signs will also appearon  the neck,  chest and  behind the ears.

What makes  Rosacea  worse ?

Stress81%

Some cosmetic materials27%                                                                                                                                        

Hot weather75%

Certain medications15%

Spirit57%

Other diseases15%

Strenuous exercise56%

Fruit Types13%

Alcohol52%

Corned Beef10%

Hot bath51%

Certain vegetables9%

Cold weather46%

Dairy products8%

Spicy food45%

Other factors24%

Humidity44%

Hot drinks36%

Heat inside the home!41%

* Results of a study on 1066 patients with Rosea

Treatment or  Rosacea:

The first law is strict avoidance of all the factors below.

There are few treatments later dermatologist can offer:

Topical creams: it is generally assumed that some cases  the  rosacea  is  due  to  response  to a  parasite called Demodex. This  parasite populates  the  sebaceous  glands. Treatment gel that contains metronidazole may help  in these  cases.

Antibiotic treatment: different antibiotics, especially the kind Minocycline  can destroy  p acnes bacteria  and  reduce  skin inflammation in rosacea.

Laser therapy or IPL: lasers or  intense pulse light  devices (IPL)  to collapse the enlarged  blood vessels in the  rosaceous  skin and
reduce  skin redness.

Photodynamic therapy:

The most innovative treatment for rosacea  today is photodynamic therapy. This treatment was applied to the skin a substance called ALA. This material is selectively absorbed by the sebaceous  glands and some of the superficial skin capillaries. After about an hour and skin is exposed to blue light (425  nanometer  -  without UV) – which triggers  a chemical reaction in the skin – called a Photodynamic reaction. The advantage of  PDT  for  Rosacea is that it does not require expensive laser treatments, hospitalization or anesthesia. PDT   has frequently good  cosmetic results without the risk of hyperpigmentation after treatmenAdd an Imaget.

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Shaving Problems – Nine Best Dermatologist’s Rules

September 11, 2010 By 3 Comments
giluach

Shaving  Problems-

  1. Shave after washing the face with hot water; even better, after a shower, since heat and humidity soften the beard.
  2. Shaving with a razor blade is preferable to using an electric razor.  Electric razors crush the hairs of the beard, and they may penetrate and wound the skin.
  3. Only shave in one direction, for instance, from top to bottom.  Shaving in two directions goes against the grain of the beard and can cause the tips of the hairs to penetrate and wound the skin.
  4. Change razor blades every few days for the sake of both hygiene and easy shaving.
  5. Use a shaving gel, preferably one for sensitive skin.
  6. Leave the gel (or shaving cream) on the face for four minutes before beginning to shave.
  7. Do not use after shave lotions too often, since some of them cause allergies.
  8. After shaving apply a sun block to protect your skin.
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Acne Treatment Update- Dermatologist’s View

September 11, 2010 By Leave a Comment
Acne treatment dermatologist advice skintricks.com

TREATMENTS FOR ACNE

In light of my experience in treating thousands of cases of acne, I would advise any young person who begins to develop acne to consult a dermatologist.  The appearance of the pustules themselves as well as the marks and scars they leave have an enormous influence on the mood and even on the social standing of a young person.

It is most unfortunate that many young people do not know that 99% of acne cases can be treated, and that proper treatment prescribed by a skilled dermatologist can greatly alleviate the suffering and symptoms.

Individual treatment is prescribed according to the severity and type the acne.  During the first visit at the dermatologist’s office, the doctor examines the acne, determines which factors worsen the case and explains to the patient how to avoid them.  Since most of the ointments and lotions used to treat acne dry the skin, I advise the use of a soap which cleans the skin but does not dry it.  In most cases an antibiotic liquid should be swabbed onto the skin in the morning (brand names: Acnetrim, Akne-mycin, Dalacin T), and in the evening an ointment or gel containing a substance called benzoyl peroxide (brand names: Panoxyl Gel, Oxy, Akneroid) should be applied.  These substances open the sebaceous glands and reduce the number of bacteria found in them.  If there are many blackheads or whiteheads present, it is advisable to use a preparation containing various concentrations of retinoic acid (brand names: Retin A, Locacid).  Since the use of retinoic acid can cause redness and sensitivity, it is important to protect the skin from direct sunlight during the morning and afternoon hours.

In severe and moderate cases of acne it is advisable to complement the treatment with the use of antibiotics from the tetracycline group.  Antibiotic treatment can last from four months to several years, and in most cases has no side effects.

In exceptionally severe cases, those which do not respond to antibiotic treatment, a drug called Roaccutane should be considered.  This preparation is based on Vitamin A and represents a real breakthrough in treating dermatological diseases.  It reduces the size of the enlarged sebaceous glands of people suffering from severe cases of acne and thus leads to a significant improvement in the most difficult conditions.  The course of treatment lasts three months and only in extremely rare cases is an additional three-month course necessary.  Accutane’s most usual side effect is a dryness and slight peeling of the skin around the lips and fingernails, and these disappear when the treatment has been completed.  In spite of the fact that the drug is considered safe, it is advisable to check the level of blood lipids and liver function monthly during the course of the treatment.

IMPORTANT: It is absolutely forbidden to initiate a pregnancy while this drug is being taken or until at least two months after the cessation of treatment.

Remember that at least a month to six weeks will be necessary before the influence of any acne treatment is noticed, and that the treatment must continue for a matter of months.  Sometimes the condition becomes worse at the beginning of the treatment, and for that reason it is important for the patient to schedule regular visits to the dermatologist at least once every other month, since the treatment may have to be changed as it progresses.

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Acne Flare Up – Twelve Most Common Causes

September 11, 2010 By Leave a Comment
acnepic2
  1. Menstrual cycle
  2. Drugs such as corticosteroids , lithium, Vitamin B12, drugs used in the treatment of epilepsy, drugs containing iodine
  3. Muscle-building hormones
  4. Exposure of the face or body to motor oil or grease
  5. Birth control pills containing small amounts of estrogen and larger amounts of progesterone
  6. Discontinuation of birth control pills
  7. The use of greasy ointments and lotions
  8. Excessive face-washing (more than three times a day)
  9. Rubbing or scratching or “picking at” the face
  10. The use of a toothpaste containing fluoride (acne around the mouth and lips)
  11. Excessive use of hair gels and creams (acne of the forehead)
  12. Greasy foods and snacks, spicy foods (for some people only. Each person must discover for himself which foods worsen his acne.)
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Comedones And Acne Pimples – How They Develop ?

September 11, 2010 By Leave a Comment
Typical black Comedones

How black comedones (blackheads) develop ?

The first phase in the development of any acne pimple is the occurrence of a blockage in the opening of the follicle. The blockage is a result of dead skin cells having accumulated at the opening of the follicle. At the same time, the quantity of sebum in the gland increases, and cannot drain as usual due to the blockage. At the upper part of the gland’s opening, cells containing a pigment called melanin accumulate, giving the blackhead its dark color.

How white comedones (whiteheads) develop?

In the case of whiteheads, total blockage occurs in the opening of the follicle. All of the sebum is underneath the skin, having no contact with the air outside it.

How an inflamed pimple, or pustule, develops ?

A small quantity of bacteria is always present in the sebaceous gland, which are called propionibacteria acne, or p. acne for short. When the gland is blocked and the sebum consequently accumulates within, p. acne begins to multiply quickly. The body responds with an infection, characterized by redness, pain, and the rush of leukocytes, or white blood cells, into the sebaceous gland in an attempt to kill the bacteria. By this time, pus has formed in the sebaceous gland, in turn forming the familiar red acne pimple.

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Acne Creams Which Ones To Choose – Dermatologist’s View

September 11, 2010 By Leave a Comment
Rapid treatment for pimples

Acne  Creams Which Ones  To Choose

Benzoyl Peroxide:

Benzoyl Peroxide is at the moment the most common topical compound used to treat acne. It usually comes in a clear gel form, and occasionally contains oxy tint, an ingredient designed to conceal blemishes.

Action:

Benzoyl Peroxide’s main action is destroying bacteria in the upper parts of the sebaceous glands.

Side effects:

Benzoyl Peroxide’s main drawback is that in many patients, it causes severe skin irritation, dryness, or redness in the treated area. A small number of patients discover that they are actually allergic to Benzoyl Peroxide. Overuse can cause severe dryness and irritation, and even exacerbate the case of acne. You should also know that Benzoyl Peroxide can bleach or stain clothing with which it comes into contact, so that patients who use it to treat acne on the back may want to take this into account when choosing what to wear.

Directions for use:

Benzoyl Peroxide-containing creams or ointments are definitely suitable for treating all mild cases of acne. Patients with only a few pimples may apply it directly to those places. If there are more than just a few pimples, spread a thin film of cream or ointment over the entire affected area, in order to prevent the acne from spreading. Always start with a strength of 2.5% and see how your skin reacts to it. The first week, apply the cream or ointment once a day, then wash it off after one hour. The second week, leave it on for two hours every evening. If no redness or dryness occurs, then the third week it may be left on overnight.

Topical  retinoids  for  Acne:

Retinoid topical formulations are based on a Vitamin A acid known as tretinoin, or retinoic acid. Tretinoin breaks through the blockage in the sebaceous glands, and in so doing, reduces the number of comedones, or blackheads and whiteheads, which go on to develop into acne pimples. Because tretinoin reduces the number of comedones, it also reduces the production of infectious blemishes which appear as reddish acne pimples.

Tretinoin’s / retinoic acid’s side effects

Tretinoin causes light peeling and a sensation of dryness of the skin. This is because tretinoin causes a certain thinning of the epidermis, or outer layer of skin. Occasionally, the case of acne worsens during the first month of treatment with tretinoin. In all cases, since the epidermis is thinner, there is increased sensitivity to the sun, and proper precautions should be taken.

How to use tretinoin

Products containing tretinoin come in both cream or gel form, so the patient may choose his or her preference. Gel is more suitable for oily skin, and cream for drier skin. Always apply the product at night, and in very small amounts—some say even a pea-sized dab is enough for your entire face. Apply sunscreen every morning before going out, and naturally you’ll want to refrain from sunbathing entirely. Overexposure to the sun while using tretinoin can cause severe irritation to the skin, and even lead to scarring.

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Acne Pimples – The Seven Most Important Tips

September 11, 2010 By Leave a Comment
skin rash due to drugs

SOME COMMON MYTHS ABOUT ACNE

[1] Acne goes away by itself in time.

The truth: acne can last for years after adolescence, and there are many adults 
who suffer from it.

[2] Lack of physical exercise or sexual activity causes or worsens acne.

The truth: At the time of this writing, no clear connection has been found between acne and physical activity or sexual relations.

[3] Acne is caused by eating “unhealthy food.”

The truth: Despite the fact that in most cases improper diet does not cause acne, there are dermatologists and researchers who believe that eating large quantities of greasy foods and snacks and spicy food can worsen the condition.

[4] Strong soap should be used frequently to dry acne pustules.

The truth: Skin which has been affected by acne is generally sensitive and irritated.  Therefore, it should be washed with mild soap no more frequently than twice a day.

[5] Extracting blackheads and whiteheads will prevent acne.

The truth: While it is true that professional extraction of comedos (blackheads) by a cosmetician will prevent the development of some of the pustules, it is only a temporary and partial treatment.  It is preferable to use the correct ointments and lotions and sometimes to take antibiotics, which are more efficient in preventing acne pustules.

[6] Squeezing the pustules will get rid of them.

The truth: Squeezing the pustules forces the inflamed sebaceous gland deeper into the skin and increases the risk of scarring.

[7] Extended exposure to sunlight can cure acne.

The truth: While it is true that monitored exposure to sunlight can improve acne, the improvement will be short-lived and cumulative exposure will cause irreversible damage to the skin.

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