Acne Medications

강남피부과 Acne is a disease that affects hair follicles and oil glands. Skin oils and dead skin cells clog pores and cause inflammation. This causes pimples. Some people get more severe acne than others.

강남피부과

Over-the-counter acne treatments usually work well. They can include gels and creams containing benzoyl peroxide. Acne may also require prescription medications to reduce bacteria.

Topical medications

There are many types of topical acne medications available over the counter or by prescription. They are washes, gels, creams and lotions that contain ingredients that help to treat acne by cleansing the skin, inhibiting bacterial growth or speeding up skin cell turnover. They come in a wide range of strength and concentrations. They are usually applied once or twice a day. Over-the-counter topical acne treatments include antiseptic washes that gently clean the skin; and gels, lotions or creams containing ingredients that exfoliate, decrease oil production, inhibit bacterial growth or diminish the formation of comedones. Examples include benzoyl peroxide, salicylic acid, glycolic acid and azelaic acid (Finacea, Azelex).

Topical clindamycin and erythromycin are antibiotics that kill bacteria, reduce inflammation and prevent pores from becoming clogged. They are often combined with benzoyl peroxide or a topical retinoid and are effective in treating both comedonal and inflammatory lesions.

Other topical medications that help to treat acne are retinoids, such as tretinoin and adapalene; alpha-hydroxy acids (such as glycolic and salicylic acid) which loosen blackheads and whiteheads and accelerate skin cell turnover; and dapsone, which decreases inflammation and helps reduce the number of pimples. Benzoyl peroxide may bleach clothes, towels and sheets, so should be used carefully and sparingly.

Other topical medications include clascoterone, which blocks the 강남피부과 effects of androgens on the skin and is effective in improving inflammatory lesions; and salicylic acid, which is related to aspirin and has been well-studied for safety in pregnancy. There are also many herbal, organic and “natural” products that are marketed to treat or prevent acne, but they have not been well-studied for safety in pregnancy.

Oral medications

Acne medications can be taken orally to kill bacteria or regulate hormone changes that cause acne. They may take up to a year before you see results. These medications include antibiotics, retinoids and hormonal treatments. Most of these are only available by prescription and should be used as directed.

Antibiotics are commonly prescribed for mild to moderate acne and decrease bacteria and fight inflammation. These are usually tetracyclines (minocycline, doxycycline or azithromycin) or a macrolide (erythromycin or azithromycin). Oral antibiotics can also be combined with benzoyl peroxide to treat acne and reduce oil production. Benzoyl peroxide is available over the counter and works by unclogging pores, killing bacteria, and helping to prevent new acne from forming. It is important to use only a small amount of the product, as too much can irritate skin and can make it sensitive to sunlight.

Other oral medications are retinoids, which work to change the way skin cells grow and prevent clogged pores. These are typically available by prescription, and some examples are tretinoin (Retin-A), tazarotene (Tazorac) and adapalene (Differin). Oral isotretinoin is another effective treatment for severe acne. This medication shrinks sebaceous glands, which helps to halt the production of excess oil and decrease acne breakouts. However, isotretinoin can cause severe side effects, and should only be used under a doctor’s supervision.

Subscision

Subcision is a minor surgical procedure that triggers the body’s natural healing process to eliminate the appearance of depressed acne scars. It involves a needle or blunt cannula that is placed under the skin to cut the fibrotic strands of scar tissue that are tethering the upper layer of skin to the lower layers. The break in these strands allows the skin to rise, thereby eliminating the depression and allowing it to heal with a smooth texture. In most cases, subcision is used to treat rolling acne scars and can be combined with other treatments such as suctioning, microneedling with platelet-rich plasma, dermabrasion, and laser resurfacing.

A number of studies have shown that subcision is an effective treatment for atrophic acne scars, especially rolling scars. It is also more effective than other atrophic scar treatments, including suctioning and chemical peels. The treatment is also cost-effective and causes few side effects. Furthermore, when combined with other treatments, it can improve results and reduce the need for multiple sessions.

During the subcision procedure, we will use a number 18 or 20 gauge needle to puncture the skin surface. After the area is numbed, we will use the tip of the needle to break up fibrotic bands of scar tissue that are tethering top layers of skin to the underlying tissues. Then, the skin will be encouraged to grow new tissue and produce collagen in the area of the scar.

Medical procedures

Medications can help heal current acne lesions and prevent scarring. They work by clearing away bacteria, drying excess oil and reducing inflammation. Some are applied to the skin and others you swallow. Treatments include benzoyl peroxide, which kills bacteria; retinoids, which come from vitamin A and reduce oil production; and antibiotics, which stop or slow the growth of bacteria.

Other medical procedures may be used to treat specific types of acne. These can include blemish excision and drainage, which remove the pus-filled core of a cyst or nodule; chemical peels, in which an agent such as salicylic acid or glycolic acid is used to irritate the surface of the skin, which triggers the body’s natural healing response; and laser therapy, which uses heat to destroy scarred collagen.

Your dermatologist will examine your skin to identify the type of acne lesion you have and order lab work to determine whether another medical condition or medication might be causing it. For example, some women with severe acne develop it during menstruation due to a high level of the androgen testosterone in their bodies; these women might benefit from hormone therapy such as low-dose estrogen and progesterone (birth control pills) or spironolactone, which blocks the effects of certain hormones on the body’s oil glands.

Some medical treatments are available to improve the appearance of your skin after acne has cleared up, but these should be used as a complement to a regular acne treatment routine. These include dermabrasion, in which a device with a specialized brush “sands” the surface of the skin to remove dead cells; microdermabrasion, in which a small burst of suction is used to gently vacuum out the pores; and chemical peels, in which repeated applications of an agent such as alpha hydroxyl acids or trichloroacetic acid cause the top layer of the skin to shed, revealing fresher tissue.