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Advances in the Treatment of Acne
Acne
Technically called acne vulgaris, this skin disease affects millions of Americans annually. It can vary from quite mild to extremely severe.
Acne usually develops when the sebaceous glands and the lining of the hair follicle begin to work overtime, as they do in adolescence. Normally, the lining of the hair follicle sheds cells that are carried to the surface of the skin by the sebum. When the follicle is overworked and clogged, cells and sebum accumulate, forming a plug (comedo).
If the plug stays below the surface of the skin, it is called a "closed" comedo or whitehead. If the plug enlarges and pops out of the duct, it is called an "open" comedo or blackhead because the top is dark. This is not dirt and will not wash away. The discoloration is due to the way light is absorbed by the skin cells within the opening.
Causes and Risk Factors of Acne
About 80 percent of all teenagers develop acne, but this disease can also begin as late as the ages 25 or 30, particularly for women. No one is certain as to what exactly causes acne or why it usually begins in adolescence, but hormones, primarily testosterone, certainly play a large role. A number of other factors, most importantly heredity, are also important. If one of your parents had acne, there's a good chance you will, too.
Symptoms of Acne
There are two main types of acne: non-inflammatory and inflammatory.
In non-inflammatory acne, there are usually just a few whiteheads and blackheads on the face. A relatively mild type of acne, it can often be treated effectively with nonprescription medicines. The majority of people with acne have this type of acne.
With inflammatory acne, the whiteheads become inflamed, and red pimples and pustules develop. In its most severe form, inflammatory acne can cause disfiguring cysts and deep, pitting scars of the face, neck, back, chest and groin. Prescription drugs and sometimes surgery are needed to treat inflammatory acne.
Treatment of Acne
Dr. Mash will examine you and suggest the appropriate treatment for you. It COULD include all or some of the following:
•She might advise a nonprescription acne medicine to apply regularly. Over-the-counter drugs containing sulfur, resorcinol, salicylic acid, and benzoyl peroxide, are all effective for treating mild acne.
• She will tell you to use ordinary hygiene on affected areas, washing your face once or twice daily with your usual soap or cleanser. Deodorant soaps may be used, but they are of no particular value for acne.
• Do not scrub or use a loofa. Friction makes acne worse.
• Do not pick or squeeze. This may worsen scarring.
Her Prescrbed Options may include:
• Topical treatments such as retinoids (tretinoin, tazarotene, or adapalene) or antibiotics (benzoyl peroxide, clindamycin)
• Oral antibiotics
• Hormonal medications like oral contraceptives
• In severe cases, an oral medication called isotretinoin (Accutane) may be prescribed. This is extremely effective, but side effects may include severe birth defects, changes in blood fats and cholesterols, and mood changes. Because of these side effects, Accutane is usually used only for patients with severe acne, or, in patients who have failed all other treatments.
As with most diseases, acne responds best if treatment is begun early in the course of the disease. Treating your acne before it becomes severe may also help to reduce permanent scarring.
One of the powerful NEW treatments for acne in Dr. Mash's office is the ISOLAZ. Read about this below.
 
Our New Acne Laser,
The Isolaz™ Acne and Pore Purification laser
• The only FDA system cleared to treat comedonal (black head/white head) acne
• The only no downtime painless laser treatment for acne.
• The only system that purifies and literally drains
your pores from the inside.
• The only system that combines vacuum and laser to help destroy acne causing bacteria.
• Isolaz clinical studies show immediate results within 24-48 hours, including pore size, reduced redness, clearing of skin discoloration and immediate drying/flattening of the blemishes
• The laser also rejuvenates the skin with intense pulsed light to rid of the textural and pigmentary abnormalities that acne often leaves behind.
Some of the most common
questions I get are about choosing products to care for different skin
conditions. Some people even come to see me carrying shopping bags full
of expensive lotions and potions that they've tried with varying degrees
of success. Luckily, being a skin care junkie myself, I'm usually
familiar with most of these products. The good news is, there are simple,
effective steps you can take to keep your skin healthy and looking its
best - without breaking the bank.
Back To Dr. Mash Desk | More Specials | Go to the MJM Online Store
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