Facial Treatment

You may think that acne outbreak is evenly distributed on your face.

Well, that’s not the case. The area in the face called “T-zone” is the most susceptible part to acne. It is the acne picture.

The acne picture or “T-zone” is located on the face extending from the top middle part of the forehead and across from left to right in the shape of the crossbar of the “T”. The zone continues down past the nose and onto the chin in the shape of the base of a “T”. This area is where acne breakouts occur first and if controlled causes little alarm.

Reasons for the outbreaks in this area are numerous. Here are some of them:

1. Constant touching of the face with dirty hands. People have no idea how many times a day they touch their faces, but once aware of the condition begin to break the habit. Touching or rubbing worsen acne on the face and brings more outbreaks. Because of this you are making the best acne picture.

2. Stress is a factor in acne pictures and the first place you find a pimple is either on the chin or nose. The “T” zone is most sensitive and the flare-up will spread quickly throughout this area if not kept clean.

3. The “T” zone is where you will find most of your acne due to the amount of oil and bacteria that collects there. The contour of the face is enabling bacteria and oil to congregate in the crevices and corners around the eyes, lips, chin and corners of the nose.

4. Almost everyone has more than one skin type in the “T” zone.

Everyone’s skin is different and in the “T” zone most people have all the skin types somewhere along the entire strip. You will find a combination of oily, dry or normal skin.

Controlling acne in the zone may be cumbersome using different methods on various spots, but in order to control outbreaks a routine needs to be followed. Here are some tips to control acne picture.

•    Wash your face gently using plenty of warm to hot water with extra clean fingertips. Use a mild soap that contains no oil-based ingredients. Wash at least twice a day. If you finish your regimen with cold water, it will help shrink the pores and close anything that is open.

•    Dry your face with a clean towel or sterile gauze square after it is washed. Rubbing will spread any infections as well as remove any natural moisture that needs to remain on the face.

•    There are antibacterial cleansers and sealers available across the counter or from makeup specialists to use after washing. This activity closes the pores and protects the face, back, arms or chest from the environment.

•    Hydrate your skin, especially in the winter to maintain moisture and neutralize the skin types.

•    If you have oily skin, wipe the oil from the “T” zone and keep it freshened.

•    Do not carry the oils from your hair onto your face by running your hands through the strands and then touching your face. Germs, skin flakes and bacteria rest in your hair and can be transmitted to your sensitive acne areas.

Acne picture in the “T-zone” can be prevented with the right regimen and habit.

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Acne is a skin condition that usually takes place during adolescent years, often times it begins around age nine and carries on until late teenage years. Often times by age nineteen acne will clear up, but for some it extends into the adult years, even late twenties and beyond! Adult acne cure options consist of a large variety of different options. All of the options could be related to a combined hygiene, diet, and application of ointments and/or creams. Adult acne cures tends to vary, but it depends on the severity of the acne cause for each individual.

Acne is usually characterized from oily skin, inflamed lesions, whiteheads, blackheads, yellow or red skin caused from accumulation of scars and pus. Adult acne could be caused from a large variety of different things, such as stress, hormones, poor cosmetics, and even birth control pills. Stress and hormonal imbalances tends to cause glands to over work themselves, and therefore they produce much more oil than they normally would. Poor cosmetics increase the bad bacteria inside your pores, while birth control pills including the ingredient androgen can cause breakouts. Eek!

Its really important to remember that adult acne will need to be treated very differently than teen acne would. So don’t let yourself fall for all those TV adds and products that promise to cure acne because most of those are targeting towards teens. The adult acne cures offered over the counter should work for a majority of different cases, the more severe cases might require a skin care specialist or dermatologists attention though. This tends to be very pricey.

Acne scars might require a different sort of adult acne cure as apposed to a more common adult acne treatment on active acne. Scars could be anything from dark spots, to deep lesions on individuals faces just trying to heal. This is cause from acne maturing and trying to move out. Usually, mild or moderate cases of acne have positive reactions to over the counter adult acne cure options, but not always. The creams and ointments that include salicylic acid or benzoyl peroxide found over the counter seem to be the most common options, but they also tend to be very harsh on skin. These creams and ointments are topically applied directly to the affect area topically, and throughout the day to control acne symptoms. The infected area should be clean and oil free to help you reduce the chances of more acne occurring.

Other ways to treat more severe cases of adult acne tend to require prescriptions from dermatologists for hormone therapy or anti-bacterial medications. Sometimes laser light treatments can also help to eliminate bacteria that could cause more acne by drying up the skin a bit. To help you eliminate acne symptoms you should also practice a good hygiene method and eliminate fat, oil and grease from your diet.

Adult acne cure options might take several months to be effective. It is very important to be patient when it comes to treating acne, results usually don’t come as fast as we want them to. Adult acne cure products that promise instant results usually aren’t healthy for the individuals and tend to be too harsh on skin. I highly recommend this product review if you are interested in a safe and effective cure.

Adult acne is a growing skin concern among women and men. There has been an alarming increase in the number of people battling adult acne over the years.

One of the prime reasons for adult acne is believed to be chronic stress. In the present times, especially in the gloomy business economy, adults are under immense stress. The stress releases hormones that lead to acne and breakouts. And in this fast paced world, people often tend to overlook skin care in their busy schedules.

Causes of Adult Acne

Genetics
If you have had a family history of acne, then you might suffer from adult acne sometime or the other in your life. So it’s best to be prepared and take good care of your skin in order to prevent this from becoming a problem..

Cosmetics
Cosmetics and make-up essentials often contain comedogenic ingredients, i.e. ingredients that clog the skin pores. If you keep your make-up on the face for long periods of time, you skin pores might get clogged and give rise to acne. Avoid using cosmetics that contain mineral oil, isopropyl myristate and artificial fragrances. Women often tend to hide breakouts by covering them with heavy concealers. However, if left for too long it can aggravate the situation and make the breakouts worse.

Hormones
Hormonal fluctuations are a primary cause of teenage acne. But they can also be a cause for adult acne as well, especially in for women. Women tend to go through hormonal changes as adults, as in case of pregnancy or if using birth control pills. These changes in hormonal levels can promote acne.

Environmental Changes
Your skin can become affected by environment stressors like pollution, extreme weather conditions, excessive sun exposure, and others. All these stressors can lead to over production of skin cells. The excessive cells can get trapped in the follicles and cause breakouts.

Heat & Humidity
Hot weather increases the blood flow within the body and increases the oil production. As a result, the sebaceous glands produce more sebum which get accumulate within the skin cells and promote acne.

Medication
Certain medications may also cause acne as side effects.

Difference between Adult Acne and Teen Acne

Adult acne generally occurs around the chin, jawline and neck areas and if often accompanied by pigmentation changes. Moreover, it heals slower and makes the skin highly susceptible.

Teen acne, on the other hand can occur anywhere on the face and are most common on the cheeks. They can also heal more quickly with appropriate acne medications.

Treatment Ingredients for Adult Acne

There are a variety of products available in the market that treat adult acne. They are often combined with potent ingredients that address aging concerns as well. Here are some popular ingredients you should look for while buying skin care products for adult acne.

Clays
Magnesium, Bentonite and Kaolin help to ooze out oil (sebum) from within the skin pores and refine the texture of the skin.

Hydroxy Acids
These can be either AHAs (alpha hydroxy acids) or BHAs (beta hydroxy acids). Look for salicylic acid (BHA) that can flush out oil and sebum particles and clean the skin pores. Lactic acid (AHA) helps control acne and has powerful anti-aging benefits.

Triclosan
It is an anti-microbial agent that eliminates the acne causing bacteria. It is extensively used in cleansers and toners.

Benzoyl Peroxide
It is a powerful anti-bacterial agent that eliminates almost all the anaerobic bacteria in a very short span of time (with regular use).

Sulfur
It has potent anti-bacterial properties that help to absorb oil and aids in the breakdown of keratin elements which cleans the follicles.

Anti-Inflammatories
Ingredients like chamomile, aloe vera, coneflower, green tea, spiraea, menthol, zinc sulfate and oat extract for instance help to calm acne inflammations and relieve skin irritations.

Product Suggestions:

Obagi Tretinoin Cream 0.025%
A derivative of Vitamin A, it stimulates cell turnover and contains an active ingredient in Retin-A. It stimulates the growth of healthy skin and is great to treat acne and scaly skin problems. It also has anti-aging benefits to reduce fine lines and wrinkles.

iS Clinical Active Serum
This is a highly concentrated serum that effectively improves both skin texture and pigmentation. It is anti-acneic and is ideal for patients dealing with both aging skin and oily acneic skin.

La Roche-Posay Effaclar K
It is a great acne treatment for oily and sensitive skin. Effeclar K controls breakouts which in turn reduces blackheads and improves the skins texture. It contains LHA which is a micro exfoliator.

If proper cleansing and topical treatment are not enough, an oral antibi­otic may be prescribed. Oral antibiotics such as tetracycline (Achromycin V), erythromycin (ERYC, Ilotycin, and others), minocycline (Dynacin, Minocin), doxycycline (Doryx, Vibramycin, and others), ampicillin (Om­nipen, Polycillin, and others), cephalosporins, and sulfa drugs are often pre­scribed by dermatologists for more severe acne with many papules and/or pustules. These are often very helpful, but one cannot stay on antibiotics forever.

For women who have acne and also need birth control, hormonal ther­apy may be useful, especially if the acne is thought to be driven by a hor­monal imbalance. Birth control pills with 50 micrograms of estrogen and low progesterone can help to control acne and are sometimes prescribed for just that purpose in women. Examples include Demulen 1/50, Demulen 1/35, Loestrin 1/20, Ortho-Novum 7-7-7, Triphasil, and Tri­Norinyl. In more severe cases in older women, antiandrogens such as spironolactone are sometimes used.

Isotretinoin (Accutane) is frequently used for severe acne. It usually yields great results that can markedly improve a person\’s self-image and self-esteem. Isotretinoin is a strong derivative of vitamin A that significantly reduces the glands\’ production of sebum and shrinks the oil glands. However, it can cause side effects, including very dry skin and mucous membranes, sore muscles and joints, bone changes, rising levels of cholesterol and blood fats, elevation of liver enymzes, and headaches. Close monitoring by a physician is necessary. Often, more than one course of treatment is necessary for very severe, chronic cases. However, people are often pleased with the results, so they are willing to put up with the side effects and risks. The biggest risk concerning isotretinoin concerns pregnancy. This drug causes birth defects, so it cannot be used if you are planning to get pregnant just before, during, or just after the course of treatment.

Physical therapies for acne include liquid nitrogen, acne surgery, and corticosteroid shots. Dabbing liquid nitrogen very lightly on acne lesions causes a mild shedding of skin and improvement, especially of discrete acne cysts. Acne surgery consists of using a comedone extractor to carefully re­move the contents of blackheads and whiteheads. It also includes draining pustules and cysts through a small incision. Inflamed, painful cysts also heal very quickly with local corticosteroid shots directly into the lesions. How­ever, this is not a method for long-term control of acne, only for emer­gency shrinkage of large, painful lesions.

Chemical peels, dermabrasion, scar excision, and collagen injections are helpful for deep scarring resulting from severe acne. With dermabrasion, af­ter local anesthesia is given, a high-speed mini-sander is used to remove the top layer of scarred skin the new skin grows back without as much scar­ring. However, this procedure poses the risk of your skin healing with light or dark spots, and it is not painless. With chemical peels, a mild, moderate, or strong acid is used to peel off the top layer or layers of skin. The new skin heals without superficial acne scars and with an evening out of overall skin tone and coloring. Local swelling, redness, and sun sensitivity are to be expected. Many deep (“ice pick”) scars are too deep for dermabrasion, and are better treated by being individually excised by a skilled dermatologic surgeon. After excision, the skin is closed. Collagen injections can also be used to temporarily fill deep acne scars.

Acne is a very common skin concern among women. There are also an extensive variety of acne treatments available on the market – from anti-acneic cleansers and moisturizers that serve to control acne to specialized acne spot treatments that work to heal stubborn pimples and blemishes. Moreover, there are hundreds of website on the internet that claim to showcase the ‘best’ and ‘most effective’ acne solutions. However, in order to treat your acne effectively, you need to be aware of the various treatments that are available and decide on the most suitable one.

Acne is usually associated with the development of zits, pimples, whiteheads and blackheads. And the acne treatment you choose should depend on the extent and severity of the condition. Here are some popular acne treatments:

Preventive or Mild Acne Skin Care Products
Non-Prescription Drug Store Remedies
Prescription Products suggested by Dermatologists
Home Remedies

Mild Acne Skin Care Products

These products aim to prevent acne altogether or prevent the existing acne from getting worse. You can find a wide variety of cleansers, toners make-up removers and even moisturizers and sunscreens that contain anti-acneic ingredients that help control acne on the skin and prevent pimples, zits, and blackheads by unclogging skin pores.

Such products are especially essential for people with oily and acne prone skin. In fact, these products should be an integral part of your daily skin cleansing regimen regardless of whether you have acne or not. This is because they control the production of excessive sebum and prevent the skin pores from getting clogged. And because the sebum doesn’t get accumulated within the skin pores, acne causing bacteria do not survive.

Product Suggestions:

Obagi Clenziderm M.D. Daily Care Foaming Cleanser
It is a powerful cleanser that contains about 2% of Salicylic Acid and removes oil and dirt from the skin.

Non-Prescription Drug Store Remedies

These remedies generally comprise of exfoliates and mild chemical peels that serve to remove the layer of dead skin cells from the surface and thus reveal the healthy new cells that lie underneath. As a result, the bacteria infested skin pores are cleansed and the skin becomes fresh and smooth. These products contain specialized active ingredients like salicylic acid or benzoyl peroxide and aim to eliminate acne causing bacteria and extract the extra oil from the skin.

However, one should be very careful while using these products. Start with products containing lower concentrations of active ingredients and see how your skin responds to it. Once your skin gets used to it, you may increase the concentration. You may also consider using alpha-hydroxy-acid based skin moisturizers.

Product Suggestions:

iS Clinical Active Serum
This is a highly concentrated serum that effectively improves both skin texture and pigmentation. Active Serum is anti-acneic and is ideal for patients dealing with both aging skin and oily acneic skin

Prescription Products suggested by Dermatologists

People with severe acne should consult a dermatologist or at least use prescription acne products recommended by them. These products address the particular type of acne that you have and provide immediate relief. They are usually topical creams, ointments and spot treatments that you can apply directly on the affected spots.

Product Suggestions:

Obagi Tretinoin Cream 0.025%
It is used to treat acne, scaly skin, fine lines and wrinkles. This is the starting strength Obagi recommends for those who have not used Tretinoin cream before. It is also available in 0.05% and 0.1% concentrations.

Home Remedies

There are a number of home remedies for acne that are available on the internet. However, it is best to provide proper treatment for your acne and use professional acne skin care products only.

A Word of Caution: Never try and squeeze your pimples and blackheads. This may push the bacteria to further inside the skin cells and lead to further bacterial infestation and permanent scarring of the skin.

Recent studies have documented the trend noticed by many Dermatologists that post-adolescent acne is increasing, particularly in women. The reasons for why their are more women with acne are becoming better understood. It is hoped that this new understanding will lead to more appropriate therapies for adult women. New over the counter treatments are emerging, particularly combination therapies based on alpha hydroxy acids that are more suited for aging skin.

Research show that up to 14% of adult women aged between 25 and 45 suffer from some form of acne. (Knaggs, et al) Reasons are not fully understood. Use of cosmetics, hormone abnormalities and prescription drug use are often cited as causes. For example the role of the hormone, androgen in adult acne has been extensively studied. Elevated levels of androgen have been correlated with excessive facial sebum, or oil in the facial skin, one of the primary symptoms associated with acne . However researchers find that the majority of adult women who suffer from acne do not have abnormal androgen levels or hormone disorders. Confusing the entire hormone/adult acne connection, is that oral contraceptives or other estrogen therapies effective in controlling androgen levels can be effective in controlling acne.

Researchers also point to increasing levels of stress as the primary cause of periodic breakouts in adult women. Correlations have been found for example between acne and high stress occupations and a correlation between stress and androgen has been documented. (Karrer-Voegeli, et al)

In general Dermatologists report utilizing the same general principles of acne treatment for both adult women and adolescents, but there are differences in adolescent acne and adult acne, that suggest different therapeutic approaches. Researchers see, for example, an increase in facial pore size in adult women. Also oral antibiotics appear to work slower in older women and oral contraceptives to control acne have different contraindications in adolescents than in adult women. Adult women are also less sensitive to the irritating effects of benzoyl peroxide, the active ingredient of most over-the-counter acne treatments. However, Adult women do suffer more from the skin drying effects of benzoyl peroxide. This is particularly difficult situation for adult women with persistent or adult onset acne. They are typically unable to use skin moisturizers to counter these skin-drying effects as moisturizers often aggravate acne.

More nuanced approaches to over-the-counter topical adult acne treatments are needed. A number of studies have pointed to alpha hydroxy acids as therapeutic agents that could be particularly appropriate for older women. (Bowe WP, et al) Alpha Hydroxy acids have moisturizing properties and several products have been developed and used successfully, notably the prescription product, Lac-Hydrin, Alpha Clear Acne Treatment by Niora and a variety of products by Murad. These companies pioneered the use of topically applied fruit acids as moisturizers. Alpha hydroxy acids do not have the direct anti-bacterial effect of Benzoyl peroxide, but they do micro exfoliant surface tissue and tend to reduce pore size, two factors which indirectly inhibit bacterial growth, and as an anti-aging side benefit tend to improve the appearance and health of the skin.

Because alpha hydroxy acids have both effective anti-acne and anti-aging properties the potential exists to utilize these safe and well known substances in more over-the-counter treatments. Dermatologists continue to research alpha hydroxy acids and the results from more studies are anticipated in the near future.

Post-adolescent acne. Int J Cosmet Sci. 2004 Jun;26(3):129-38. Knaggs HE, Wood EJ, Rizer RL, Mills OH.

Androgen dependence of hirsutism, acne, and alopecia in women: retrospective analysis of 228 patients investigated for hyperandrogenism. Medicine (Baltimore). 2009 Jan;88(1):32-45. Karrer-Voegeli S, Rey F, Reymond MJ, Meuwly JY, Gaillard RC, Gomez F.

Effective Over-The-Counter Acne Treatments. Semin Cutan Med Surg. 2008 Sep;27(3): 170-6 Bowe WP, Shalita AR

Unfortunately, acne is a problem experienced by many people all across the globe. Teenagers and adults can suffer from this condition which often negatively affects their confidence and self-esteem. The good news is that acne control from skin is available in many forms.

First of all, you need to take good care of your skin to minimize further breakouts. This means you should avoid using harsh chemical products that may irritate the skin. Also, make sure to gently scrub your face. Washing your face too vigorously or using abrasive products will only intensify the problem. You may think that washing your face many times a day will help to eliminate your acne problem. Unfortunately, this decision will have the exact opposite effect! Washing your face twice daily – once in the morning and once in the evening – should be sufficient.

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Another method to control acne is avoiding the sun as much as possible. Some people still believe the myth that the sun will dry your pimples and help to clear your acne. Unfortunately, this is definitely not the case. In fact, skin damage caused by the sun’s ultraviolet rays has an enhanced effect on acne. This is because acne increases the sensitivity of your skin. In addition, many products aimed at combating acne will also make your skin more sensitive to the sun. You may be tempted to use a sun block. However, you have to be careful since many of these products are oil-based and will clog your pores even further. The best advice is to wear a hat and sunglasses as often as possible and make an effort to avoid the sun completely.

Men with acne should also be very careful when they are shaving. Try to use disposable razors whenever possible and ensure the blades are very sharp. Use soap and water or shaving cream to soften the hair on your face and neck. You should shave as little as possible since it can make your acne even worse. Women should also be careful to select water-based makeup only; oil-based products will increase your acne flare-ups. All makeup will clog your pores so you need to wash your face thoroughly every night.

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Presently, there are about five or six treatments that are broadly used in the preclusion and removal of acne. There are literally thousands of different products that use these treatments in one form or another. Some of the widely used adult acne prescriptions are given below.

Antibiotics are designed to fight bacteria and are used to control acne mainly from the inside. There are topical antibiotics, such as clindamycin, that are applied directly to the skin. Other antibiotics such as tetracycline are in pill form.

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Relative newcomers to the war against acne are herbal remedies. It is thought that certain herbs are effective in regulating oil levels and other bodily functions that pertain directly to acne.

Retin-A is a combination of retinoic acid and vitamin A acid. It is designed to treat acne, wrinkles and sun damage. It supposedly does this by unplugging follicles and turnover over dead skin cells. Salicylic Acid. This is another widely used formula in controlling acne, especially preventing future breakouts. Salicylic acid helps slow down the shedding of cells inside the follicle. It is available in many over-the-counter treatments.

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Sulfur is used in acne control mainly to promote drying and peeling of the skin. This may be good for eliminating existing acne but its effects on preventing future acne are questionable. Accutane is a very powerful drug that is a derivative of vitamin A. It is normally prescribed for severe acne in cases where other treatments have failed to work. Accutane is normally taken for 4-6 months.

It is important to note that everyone’s skin seems to react differently to these treatments. For some people, benzoyl peroxide works great. You really have to experiment a bit and find out which treatment works best for you.

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