acne acting vulgarities a skirt a clue

your auger send bad but in fact it's an old word that means common

which acne certainly is acne is fascinating in the pantheon of diseases

many ways trivialize it is simply part of teenage life that faith and and

really doesn't have any health consequences

but what if I framed in a different way acne is a disease that makes people feel

bad

often very bad about themselves just when it was critical that they feel good

about themselves

it's a disease that can scar for life but that could have been prevented

a disease that research shows this is damaging the quality of life

is chronic distressing condition such as as per epilepsy or diabetes

and the timing is so unfortunate just as we start to be more where her parents

oil geyser center located near upper chest back neck and face

all highly visible areas begin pumping out skin Greece

adults can get acne about 10 percent still have a 25

but almost all teenagers do get acne which 15 having a more severe case

it tends to come on earlier in women but do to get a little bit works

unlike most likely resources on the internet I'm not gonna offer you 100

percent here

there really is no cure for acne most to the therapies and gonna discuss have

about a 40 to 70 percent success rate

getting to a higher success rate really depends on you finding your own special

recipe that often requires

you combine different agents what we call step up their

p okay the first piece advice is to talk to a doctor about it

repeat after me my doctor has see more embarrassing things and whatever I show

him or her

so bring acne up and go back if your team isn't working

now

I bet I can guess the current approach them if you're taking who are suffering

from acne

perhaps you wash your skin vigorously to keep like it

to a minimum maybe put people claim or whenever you have an outbreak

any made even avoid certain foods you think worsen your

me well actually the black and black kids

is really just melanin in oxidized lipids not there

so cleaning vigorously or picking can actually inflamed pimples

washing once daily with the mild soap for so close Kinder's fine

pretty people came under existing actually doesn't actually make much a

difference

a key key learning is that when you treating acne you're actually not doing

much for the current pimple

you're preventing the next round so if you are playing the cream

NEC going where you get pimples for most people this is in what we call the

T-cell

it takes 60 weeks and sometimes longer to see if acne treatment is working

diet and acne is interesting

most research shows no connection but the trial quality is generally poor

for example studies trying to provoke acne with large amounts of chocolate

show expect but the trials for to shorten too small to be definitive

a small trial using a low-glycemic diet showed some improvement but

I I'd say there's not enough evidence at this kinda recommend one way being over

another

the answer is likely just eating healthfully and if a patient find a big

difference with a food

I say if I so that food that understand the best treatment for acne we need to

start with the biology lesson

than a mere test then step up their p I think if you comprehend the biology

Lackie it makes treatment a lot easier to understand

when you hit puberty many things happen but

two things in particular at your skin first we get more plugging

this is because the hormonal changes appear ready cause more

oil production what we call see them and the surface of the skin becomes a bit

more crusty

what we call karen is a sin the second thing that happens as we get more

information

this is mostly because the bacteria to colonize is our skin called P acnes

the P acnes mixes with this evil man oil and causes an inflammatory reaction

which gives redness and swelling

now acne confuses as I think because there are so many treatments

1 review indicated a hundred and forty different treatments in into engine 50

combos

so kicker for the mall but we can ask what the clinical research says is the

most effective all these treatments

and I think it follows our biology lesson it's developing a strategy to

a reduce plugging Mb minimize information

we just have acne treatment is to start with one therapy

if it works great if if it only works personally or not at all then you need

to step up to the next level by changing or adding a therapy

okay let's take a bit of a detour into a topical 101

total cals are r medicine see you apply your skin like a cream or gel or lotion

jails had to be stronger and more drying cream so if you have oily skin

and a gel might be a good idea if you have less oily skin

the cream would be better and we all react differently to different topic or

so it's a good idea to experiment with a topical in one area before you apply

everywhere

mister with a lower strength and then ramp it up if you need more

effectiveness

now let see look in the mirror and now by the way is a good time to take a

picture of yourself

pre-treatment leader for comparison let's see you see mostly red and

inflamed pimples

then you need to do something about the information which means you need to try

to reduce the bacteria P acnes

benzoyl peroxide or BP is first line here and it's available over the counter

at any pharmacy

it's good to go graduate bps as he didn't seem to be much difference with

the different strengths I tell people to start with los drinks like

2.5 percent and and start putting on for two hours for four nights in for four

hours for four nights and then the whole night

and then wash it off in the morning if you tolerate that well but you want more

fact than you can try switching to a stronger version

remember you have to give it a few months to see if it works

alright back to the mir look in your face if you see plugin on your skin

which would be small bumps blackheads or whiteheads then you need to focus on

unplugging the classic can plug in agent in acting cares called the retinoid

retinoids work by making your skin less Christina and you need a prescription to

get this treatment

sometimes you can make your skin a bit red and dry so again experiment

dryness can be helped with a moisturizer so if you look in the mirror and see

both red spots

and black or white heads on your skin they need to both

unplugged and reduce information by using a combination of both retinoid NPP

but I suggest you start with one to see how your skin reacts

there's some debate about which one should be first but usually

most people start with BP as its over the counter

okay if these first-line agents have worked it's time to look at the NEX

options for step up therapy

if your women you can consider using a birth control pill as it reduces the

hormones that cause plugging in the first place

this is an especially effective approach if you can have flare-ups have acne

around your period

you can also consider a topical antibiotic to reduce P acnes and

information

these can be prescribed to pre mixed with BP or retinoid

if you already know you tolerate these next we often step up to antibiotics

take by mouth

now we do you worry a bit about over using antibiotics

so it's good to take a break every few months to see if you still need it

if your step up their peers not worked after all these treatments your doctor

has

other options that you can discuss finally if you've exhausted

all your options there is a very strong right now I taken by mouth called

isotretinoin

it is the supreme employer and and it's incredibly effective for severe acne

been a mixed message here though isotretinoin has some potential side

effects and and a powerful drying effects are you really need to pack your

lip balm and moisturizer and so on

and including the fact it absolutely can not be taken by women that is pregnant

so you need to be monitored closely when you're on this medication

having said that I have seen isotretinoin change the lives of more

severe acne sufferers

in and if you think scarring is likely then this may be a reason to consider it

a try no

in some sense acne treatment a simple reduce plugging

information but it's all so complicated as there are many many agents that do

these two things

treating acne is a bit like basketball have to experiment with various players

in combinations

the score can fluctuate initially and it takes a little while to figure out who

will win

but you can win if you stick with

I made a card to help you sort out all the different treatments it's free at my

favorite medicine DICOM

I really hope this helps take care

just