Acne-Skin Clearing Solutions -
Part-1
Acne. If you're a teenager, you can't wait to get rid of it.
If you're an adult, you can't believe it's back. Fortunately, improvements in
acne treatments over the last decade mean you don't have to put up with it
anymore. The major determining factor in who gets acne is genes,
according to Albert M. Kligman, M.D., Ph.D., emeritus professor of
dermatology at the University of Pennsylvania School of Medicine in
Philadelphia. In other words, you may have inherited a skin characteristic
that makes you more likely to develop acne. You have thousands of oil
glands in the skin on your face, chest, and back that lubricate the skin by
producing sebum, or oil, explains Alan D. Klein, M.D., a member of the teaching
staff at Ventura County Medical Center in California and a spokesperson for the
American Academy of Dermatology. "You have as many as 2,000 oil glands per
square inch in the central part of your face," he says. The oil from the glands
flows through tiny ducts to the skin surface.
Sometimes, these oil ducts become plugged with sebum,
bacteria, and dead skin cells that are shed from the lining of the duct. That's
acne. The condition often appears during adolescence because of changing hormone
levels, which enlarge the oil glands and encourage them to produce more oil.
Although the process is not well understood, the increase in oil appears to fuel
acne, perhaps by stimulating the production of "sticky" skin cells that, when
shed, tend to plug the duct. The situation usually settles down by the end of
the teen years or during the early 20s. So why do adults develop acne?
There are a variety of reasons, among them:* Hormones. "Premenstrual acne is
real," Kligman says. Pregnancy, changes during the menstrual cycle, and birth
control pills can cause fluctuations in hormone levels and subsequent
fluctuations in acne in women. In some women, low-dose oral contraceptives
improve acne; in others, they make acne worse.
If you have acne along with menstrual irregularities, you may
want to see a physician to see if abnormal hormone levels are to blame.* Stress.
Dermatologists agree that high levels of stress can affect hormone levels.*
Cosmetics. Wearing heavy, oily makeup may clog pores and cause acne.*
Occupational exposure. If you're a mechanic or you're standing over the deep-fat
fryer at the local fast-food joint, your face may be getting assaulted by oils,
some of which may cause acne. Numerous chemicals in the workplace can also cause
acne.* Certain medications. Some drugs, such as Dilantin (which is used in the
treatment of epilepsy), can cause acne, says Alan N. Moshell, M.D., director of
the Skin Disease Program at the National Institute of Arthritis and
Musculoskel-etal and Skin Diseases. No matter what's causing your acne,
there are steps you can take to help clear up your skin.
Do No Harm.
In other words, don't pick, press, rub, or otherwise
manipulate those pimples, warns Kligman. "You risk spreading the bacteria and
increasing the chances for scarring," explains Klein. Vincent A. DeLeo, M.D.,
assistant professor of dermatology at Columbia--Presbyterian Medical Center in
New York, gets even more descriptive: The plug at the top of the pore is like a
balloon. You can pop it, but below the surface, the sebum, bacteria, and skin
cells may leak into the surrounding tissue, causing inflammation.
Use Benzoyl Peroxide.
A number of over-the-counter products contain this
ingredient, which helps break up the plug of dead skin cells, bacteria, and oil
in pores and cuts down on the bacteria as well. Start with the lowest
concentration, and work your way up, especially if you have sensitive skin,
because the higher the concentration, the more irritating it may be. Use it once
or twice a day. If it dries the skin too much, Kligman suggests applying a mild
moisturizer.
Give one of the other over-the-counter
products a shot.
Other acne products contain sulfur or resorcinol, which help
unplug oil glands by irritating the skin, Klein says. Most dermatologists,
however, believe that benzoyl peroxide is the most effective over-the-counter
ingredient for acne.
Apply over-the-counter products for
prevention.
"Don't just spot the product on existing acne," DeLeo says.
"Put it on acne-prone areas." That can include your entire face (avoiding the
lips and eyes, however), back, and chest.
Go easy on your
face.
"Kids with oily skin use hot water, a washcloth, and a drying
soap and think they can wash their acne away," Kligman says. "But they can't."
DeLeo points out, "You can wash your face ten times a day and still have acne.
It has nothing to do with cleanliness." Washing removes oils from the surface of
the skin, not from within the plugged ducts. And adults can certainly suffer
from both acne and dry skin, says Klein. In fact, if you're too aggressive in
your quest for cleanliness, you may very well end up drying out or irritating
the sensitive skin on your face.
Wash properly.
How do you do that? Use a mild soap. DeLeo recommends Dove
Unscented, Tone, Basis, or Neutrogena. Rub lightly with your fingertips and warm
water. Do not use a washcloth. If your skin is oily, use a soap with benzoyl
peroxide for its drying properties, suggests Klein. And wash once or twice a
day.
[To Be Continued In Next Blog]
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