Acne treatment is a complex and lengthy process aimed at reducing the severity and duration of the disease, reducing the risk of scarring and improving the psycho-emotional state of patients. It includes facial cleansing and skin care procedures, topical and systemic therapy, as well as therapy aimed at correcting the effects of the disease, such as scarring and hyperpigmentation.
Facial cleansing is an integral part of skin care. It is related to both the prevention and treatment of the disease. Increased sebum production is observed in almost all patients with acne. Facial cleansing aims to mechanically evacuate the sebum in the hair and fat ducts, thus preventing their blockage. Manual and overly aggressive facial cleansing can break the skin barrier, cause dryness or irritation. Such risks do not exist when using professional facial cleaning equipment. In Dr. Stavrov Aesthetics we use the device Profacialwhich combines vacuum, multipolar radiofrequency and ultrasound.
Usually, any newly diagnosed acne is started with topical therapy. It is also the first choice in mild forms of the disease, in pregnant and lactating women.
■Cosmetics - Cosmetic products are used for oily and acne-prone skin. Only medical cosmetics are safe and effective because they are dermatologically tested. Products that are suitable for oily skin are marked with a green sticker. The same goes for the makeup used - it should have a light texture, designed for this type of skin so as not to clog pores.
■ Antibiotics - They are used due to their anti-inflammatory and antibacterial effects. The most popular representatives of this group of drugs are Azithromycin, Erythromycin, Clindamycin. Due to the increased antibiotic resistance of P. acnes, they should never be prescribed alone.
■ Benzoil peroxide - It is an antibacterial agent and also has a moderate comedonolytic effect. It is available on the market in the form of gel, cream, lotion and more. in concentrations from 2.5% to 10%. Resistance to P. acnes does not develop. The side effects are related to the concentration of the product and are of irritative and contact-allergic type.
■ Retinoids - They are the basis of any topical acne therapy due to their pronounced anti-inflammatory and comedonolytic action.
Systemic therapy is approached when the local does not give the desired result or when it is a moderate or severe form of acne.
■ Antibiotics - They are used not only to reduce the amount of P. acnes, but also because of their anti-inflammatory action. The most popular representatives are Doxycycline and Minocycline. Topical and systemic antibiotics are not combined.
■ Retinoids - Represent the gold standard for the treatment of moderate to severe acne. They have a powerful anti-inflammatory and anti-comedogenic effect. They require clinical and paraclinical follow-up over a period of time. They are absolutely contraindicated during pregnancy and lactation.
■ Contraceptives - Used only in women. Antiandrogens have the exact opposite effect of androgens, inhibiting the growth and secretion of sebaceous glands. They are used when acne is associated with certain endocrine diseases. In these cases, the therapy is conducted in parallel by a dermatologist and endocrinologist.
Diet for acne
Some foods have the ability to significantly increase sebum secretion and thus worsen the clinical picture of active acne. Learn about the right foods, as well as the ones you should avoid, here.
Treatment of scars and hyperpigmentation
Scars and hyperpigmentation are severe cosmetic consequences of the inflammatory processes that take place during the disease. There is a real risk of their development in moderate and severe forms of acne. The most effective means of combating these complications remains their early and proper prevention. You can learn more about the correction of scars and hyperpigmentation caused by acne at here.