At least 90% of adolescents have acne — it affects teens of every size and shape, in every country from America to Zimbabwe. A recent study by the American Medical Association revealed (not surprisingly) that acne is one of today’s teenagers’ biggest worries. “Acne can, without question, affect self-esteem,” says Diane Berson, MD, Assistant Clinical Professor of Dermatology at New York University School of Medicine. “Some kids have it so severely that they don’t even want to go out of their house. They make excuses for not going to social functions.”1

It seems unfair, doesn’t it? Just when you’re beginning to grow up and get some ideas about exactly who’s behind the face in your mirror, you’re staring at a minefield of bumps and blemishes. It can be downright depressing — but since everyone has acne, you’re supposed to suck it up and suffer through it… right? Wrong! Today we know more about fighting acne than ever before. And the best way to stop acne is to find out why it starts when it does — during adolescence. Get rid of your acne with Proactiv® Solution – GO NOW!

Why does acne strike teens? At the onset of puberty, the body begins to produce hormones called androgens. These “male” hormones are a natural part of development for both boys and girls, but boys tend to produce more of them — and therefore tend to have more severe breakouts. Why? Our faces and bodies are covered with tiny hairs, each one fitting snugly into a hair follicle, sometimes called a pore. Deep within each follicle, oil glands are hard at work producing sebum, which travels up the hair and out onto the surface of your skin. Sebum’s job is to form a protective layer between your skin and the world, keeping it soft and smooth.

But when androgens enter the picture, your oil glands go into overdrive. They produce extra oil, which can clump together with the dead skin cells on the top layer of your skin. When this sticky mixture finds its way into your pores, it acts just like a cork in a bottle — trapping oil and bacteria inside. Unfortunately, your oil glands just don’t know when to stop; they keep producing oil, and the follicle becomes swollen. Your body’s natural defense system, white blood cells, rush to the area to clean up the mess. The result? Red, painful bumps. Yucky black spots. Zits. Blackheads. Pimples. Acne. It has nothing to do with what you eat, or how often you wash your face.

How can I strike back against teen acne? The best way to zap zits is to prevent them from showing up in the first place! Following are a few simple practices than can help you minimize your breakouts.

A Tip on Avoiding Teen Acne – Keep it clean. Since teenagers produce more oil, it’s important to wash twice a day with warm water and a mild cleanser. Since your skin does need some sebum in order to stay healthy, don’t be tempted to overwash; your glands could pay you back by producing more oil.

Teen Acne Advice – Skip harsh scrubs. It’s okay to exfoliate, but be sure to use a gentle formula with small, smooth grains. Avoid products with almond or apricot shell fragments; they can irritate or even tear your skin and further aggravate your acne.

Avoiding Teen Acne – Say no to alcohol. If you use a toner, avoid products with high concentrations of isopropyl alcohol, or common rubbing alcohol. Alcohol strips the top layer of your skin, causing your glands to produce more oil. The result? Dry, flaky skin — and possibly more blemishes.

Ways to Avoid Teen Acne – Don’t squeeze or pick. Squeezing or picking your blemishes with fingernails, pins or anything else can force bacteria deeper into the skin. This can cause greater inflammation and infection, increasing the chances that your pimple will leave a permanent scar. Remember, a zit that’s bugging you today will go away if treated properly; if you pick at it, it may stick around forever.

Being Smart about Teen Acne – Hands off! The bacteria that causes acne, Propionibacterium acnes, hangs out on your skin all the time; it doesn’t lead to acne until it gets trapped inside the hair follicle. Touching your face, including rubbing or even resting your chin in your hands, can drive bacteria into your pores — where it can begin its dirtywork.

Dealing with Teen Acne – Choose products wisely. If you wear make-up, be sure it’s oil-free and non-comedogenic — that means it won’t clog your pores and make your breakouts worse. The same goes for your sunscreen and even your hair products; sticky sprays, gels and pomades can aggravate acne, too.

Getting Ahead of Teen Acne – Be smart about sun. If you think tanning helps your acne, you’re right — and wrong. Small amounts of sun exposure may improve acne for a few days. But suntans (and burns) also make you shed your dead skin cells faster, so in the long run, you’ll end up with more clogged pores. And that means more acne. Another thing you should know: some kinds of acne medication make skin more sensitive to the sun. So if you’re headed outside in sunny weather, be sure to slather up with sunscreen. Look for sun protection products that are oil-free and have a “sun protection factor” (or SPF) of at least 15 for both UVA and UVB rays.

Avoiding Teen Acne – Accessorize wisely. Heat and friction (rubbing) can cause acne flare-ups. So steer clear of hats and headbands — and if your sports team requires you to wear a helmet or any other equipment that might rub against your skin, try lining it with a layer of clean, soft cotton. And remember to shower immediately after exercising — don’t sit around in a sweaty uniform, no matter how cool you look.

Teen Acne Treatment – Find a regimen and stick with it. Most cases of mild acne can be improved with “over-the-counter” products, or products that don’t require a prescription from your doctor. There is a wide range of treatments available, and there’s a good chance one of them will work for you. If you start treatment before your acne gets severe, you’ll have a better chance of avoiding physical and emotional problems down the road. But if your acne gets worse or lasts more than a couple of weeks, see a dermatologist. Here’s a quick listing of the most common products used to treat acne — click on the links that interest you for more information on that course of treatment.

• Benzoyl Peroxide: Kills the bacteria that causes acne.

• Proactiv® Solution: A dermatologist formulated Combination Therapy® acne management system. Click Here and receive 2 free bonuses when you try Proactiv® Solution Risk-Free for 60 Days!

• Salicylic Acid: Unclogs your pores and encourages skin renewal.

• Tretinoin (Retin-A®): Promotes healthy sloughing.

• Antibiotics: Kill bacteria and reduces inflammation.

• Oral Contraceptives: Help regulate hormone levels.

• Anti-Androgens: Inhibit the body’s production of acne-causing hormones.

• Isotretinoin (Accutane®): Treatment for severe cystic or nodular acne.

Relax — it’s not your fault. The most important thing to remember about acne is that it’s not your fault. You didn’t make your face break out by eating too many french fries, wearing make-up or daydreaming about your crush. Now you know a few of the things that can aggravate acne in teenagers. But since acne is different for everyone, you should watch your own skin carefully for things that trigger breakouts — and avoid them. If your acne still hangs around, see a doctor.

Kerwin Chang writes for http://www.acnestuff.net where you can find out more about acne and other skin care topics.

Part Two – Causes, and Natural Prevention

Who Gets Acne? Nearly 50% of adults and more than 90% of all adolescents are affected by acne. No wonder people are concerned because it is one of the most wide spread medical conditions in the world.

Causes of Acne

The condition – Acne – is influenced by a variety of factors, many of them are simplely out of your control. There is no one cause of acne.

Acne usually begins at puberty, in both males and females, when the body begins to produce male hormones called androgens. These hormones cause the sebaceous glands to enlarge – a natural process of the body’s development. With acne sufferers, the sebaceous glands are over stimulated by androgens – often continuing well into adulthood.

When the sebaceous glands are stimulated by androgens, it produces extra sebum. During the journey up the hair follicle pore to the skin’s surface, sebum mixes with natural skin bacteria and dead skin cells that have been shed from the lining of the hair follicle. This process is normal, but the presence of the extra sebum in the pore increases the chances of clogging and can cause acnr.

On your face there can be as many as 500,000 bacteria per square centimeter. This bacteria is present in all skin types and is part of the skin’s natural environment. Once the pore is plugged however, the bacteria can multiply quickly in a closed space which fosters the development of acne.

The body sends white blood cells to attack the unwanted bacteria. This process is called chemotaxis. It results in pimples that become red, swollen, and painful.

Pollution has been proven to be one of the major causes of acne. This is because particles that become trapped in pores will block the pores and the result will in most cases be infections.

Prevention

There are lots of ways to control acne. Cleanse your skin up to three times a day with products containing the mangosteen fruit that will not strip your skin of all its natural oils but will stimulate skin turnover and exfoliation. Change your pillow cases and bed sheets often. The buildup of dirt on your face after a long day adds to the toxins on your face. Also the moisture from sweaty or wet cloths can irritate your skin and cause blemishes. Many don’t realize that some of the acne on other areas of the body are worse than the arne on your face.

The sun is not a cure for acne as believed by many people. Small amounts of UV light are essential for skin health, but getting a tan can cause unbalanced skin cell shedding which causes even more acne to appear and it can easily out weigh the benefits of UV light. Cosmetics are another common cause of acne. A lot of the products not only contain dangerous toxins but they plug the pores and most cleaning products are unable to remove the pore plugging debris of the makeup. Smoking is also harmful because it reduces collagen in your skin, this makes acne wore and scaring more likely.

Treatment

The first step is to cleanse the skin with natural plant compounds which stimulate skin growth and help exfoliate old cells. If you have particularly oily skin you may need to cleanse three times a day (morning, afternoon and bedtime).

Using liquid compounds capable of penetrating deep into the pores of the skin to dissolve sebum and dislodge debris is the next step. A product having the mangosteen fruit as a main ingredient will have remarkable natural antibiotic compounds which have been laboratory tested and proven to control p-acne and staphylococcus aureus, – the two bacterial strains known to be involved with acne.

Also products with the mangosteen fruit contain large quantities of anti inflammatory phytochemicals which reduce the severity of acne skin lesions. If these phytochemicals can remain on the face over night in the form of a moisturizer it can be a further benefit. If possible acne sufferers should use a gel moisturizer and not a creamy moisturizer since the high secretion of sebum which is a natural moisturizer may be sufficient.

Conclusion

Acne can be very emotionally and socially damaging whether it is confined to adolescence or continues through adulthood. Studies have shown acne can leave people to feel ugly, dirty, angry and depressed.

Fortunately you do not have to live with acne. There is always something you can do to help the health of your skin. One of the newest plants to be incorporated into skin care products is the mangosteen. The mangosteen fruit has been shown to exhibit anti inflammatory properties, anti bacterial properties and is a potent anti oxidant which are ideal properties to have in the prevention of acne.

Acne Scarring

A detailed and comprehensive discussion of acne scars starts with causes of scarring, prevention of scarring, types of scars, and treatments for scars.

Before talking about scars, a word about spots that may look like scars but are not scars in the sense that a permanent change has occurred. Even though they are not true scars and disappear in time, they are visible and can cause embarrassment.

Macules or “pseudo-scars” are flat, red or reddish spots that are the final stage of most inflamed acne lesions. After an inflamed acne lesion flattens, a macule may remain to “mark the spot” for up to 6 months. When the macule eventually disappears, no trace of it will remain—unlike a scar.

Post-inflammatory pigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people, but occasionally is seen in people with white skin. Early treatment by a dermatologist may minimize the development of post-inflammatory pigmentation. Some post-inflammatory pigmentation may persist for up to 18 months, especially with excessive sun exposure. Chemical peeling may hasten the disappearance of post-inflammatory pigmentation.

Causes of Acne Scars

In the simplest terms, scars form at the site of an injury to tissue. They are the visible reminders of injury and tissue repair. In the case of acne, the injury is caused by the body’s inflammatory response to sebum, bacteria and dead cells in the plugged sebaceous follicle. Two types of true scars exist, as discussed later: (1) depressed areas such as ice-pick scars, and (2) raised thickened tissue such as keloids.

When tissue suffers an injury, the body rushes its repair kit to the injury site. Among the elements of the repair kit are white blood cells and an array of inflammatory molecules that have the task of repairing tissue and fighting infection. However, when their job is done they may leave a somewhat messy repair site in the form of fibrous scar tissue, or eroded tissue.

White blood cells and inflammatory molecules may remain at the site of an active acne lesion for days or even weeks. In people who are susceptible to scarring, the result may be an acne scar. The occurrence and incidence of scarring is still not well understood, however. There is considerable variation in scarring between one person and another, indicating that some people are more prone to scarring than others. Scarring frequently results from severe inflammatory nodulocystic acne that occurs deep in the skin. But, scarring also may arise from more superficial inflamed lesions. Nodulocystic acne that is most likely to result in scars is seen in these photos:

(Photos used with permission of the American Academy of Dermatology

National Library of Dermatologic Teaching Slides)

The life history of scars also is not well understood. Some people bear their acne scars for a lifetime with little change in the scars, but in other people the skin undergoes some degree of remodeling and acne scars diminish in size.

People also have differing feelings about acne scars. Scars of more or less the same size that may be psychologically distressing to one person may be accepted by another person as “not too bad.” The person who is distressed by scars is more likely to seek treatment to moderate or remove the scars.

Prevention of Acne Scars

As discussed in the previous section on Causes of Acne Scars, the occurrence of scarring is different in different people. It is difficult to predict who will scar, how extensive or deep scars will be, and how long scars will persist. It is also difficult to predict how successfully scars can be prevented by effective acne treatment.

Nevertheless, the only sure method of preventing or limiting the extent of scars is to treat acne early in its course, and as long as necessary. The more that inflammation can be prevented or moderated, the more likely it is that scars can be prevented. (Click on Acne Treatments for more information about treatment of mild, moderate and severe acne). Any person with acne who has a known tendency to scar should be under the care of a dermatologist. (Click on Find a Dermatologist to locate a dermatologist in your geographic area).

Types of Acne Scars

There are two general types of acne scars, defined by tissue response to inflammation: (1) scars caused by increased tissue formation, and (2) scars caused by loss of tissue.

Scars Caused by Increased Tissue Formation

The scars caused by increased tissue formation are called keloids or hypertrophic scars. The word hypertrophy means “enlargement” or “overgrowth.” Both hypertrophic and keloid scars are associated with excessive amounts of the cell substance collagen. Overproduction of collagen is a response of skin cells to injury. The excess collagen becomes piled up in fibrous masses, resulting in a characteristic firm, smooth, usually irregularly-shaped scar. The photo shows a typical severe acne keloid:

(Photo used with permission of the American Academy of Dermatology

National Library of Dermatologic Teaching Slides)

The typical keloid or hypertrophic scar is 1 to 2 millimeters in diameter, but some may be 1 centimeter or larger. Keloid scars tend to “run in families”—that is, abnormal growth of scar tissue is more likely to occur in susceptible people, who often are people with relatives who have similar types of scars.

Hypertrophic and keloid scars persist for years, but may diminish in size over time.

Scars Caused by Loss of Tissue

Acne scars associated with loss of tissue—similar to scars that result from chicken pox—are more common than keloids and hypertrophic scars. Scars associated with loss of tissue are:

Ice-pick scars usually occur on the cheek. They are usually small, with a somewhat jagged edge and steep sides—like wounds from an ice pick. Ice-pick scars may be shallow or deep, and may be hard or soft to the touch. Soft scars can be improved by stretching the skin; hard ice-pick scars cannot be stretched out.

Depressed fibrotic scars are usually quite large, with sharp edges and steep sides. The base of these scars is firm to the touch. Ice-pick scars may evolve into depressed fibrotic scars over time.

Soft scars, superficial or deep are soft to the touch. They have gently sloping rolled edges that merge with normal skin. They are usually small, and either circular or linear in shape.

Atrophic macules are usually fairly small when they occur on the face, but may be a centimeter or larger on the body. They are soft, often with a slightly wrinkled base, and may be bluish in appearance due to blood vessels lying just under the scar. Over time, these scars change from bluish to ivory white in color in white-skinned people, and become much less obvious.

Follicular macular atrophy is more likely to occur on the chest or back of a person with acne. These are small, white, soft lesions, often barely raised above the surface of the skin—somewhat like whiteheads that didn’t fully develop. This condition is sometimes also called “perifollicular elastolysis.” The lesions may persist for months to years.

Treatments for Acne Scars

A number of treatments are available for acne scars through dermatologic surgery. The type of treatment selected should be the one that is best for you in terms of your type of skin, the cost, what you want the treatment to accomplish, and the possibility that some types of treatment may result in more scarring if you are very susceptible to scar formation.

A decision to seek dermatologic surgical treatment for acne scars also depends on:

* The way you feel about scars. Do acne scars psychologically or emotionally affect your life? Are you willing to “live with your scars” and wait for them to fade over time? These are personal decisions only you can make.

* The severity of your scars. Is scarring substantially disfiguring, even by objective assessment?

* A dermatologist’s expert opinion as to whether scar treatment is justified in your particular case, and what scar treatment will be most effective for you.

Before committing to treatment of acne scars, you should have a frank discussion with your dermatologist regarding those questions, and any others you feel are important. You need to tell the dermatologist how you feel about your scars. The dermatologist needs to conduct a full examination and determine whether treatment can, or should, be undertaken.

The objective of scar treatment is to give the skin a more acceptable physical appearance. Total restoration of the skin, to the way it looked before you had acne, is often not possible, but scar treatment does usually improve the appearance of your skin.

The scar treatments that are currently available include:

Collagen injection. Collagen, a normal substance of the body, is injected under the skin to “stretch” and “fill out” certain types of superficial and deep soft scars. Collagen treatment usually does not work as well for ice-pick scars and keloids. Collagen derived from cows or other non-human sources cannot be used in people with autoimmune diseases. Human collagen or fascia is helpful for those allergic to cow-derived collagen. Cosmetic benefit from collagen injection usually lasts 3 to 6 months. Additional collagen injections to maintain
the cosmetic benefit are done at additional cost.

Autologous fat transfer. Fat is taken from another site on your own body and prepared for injection into your skin. The fat is injected beneath the surface of the skin to elevate depressed scars. This method of autologous (from your own body) fat transfer is usually used to correct deep contour defects caused by scarring from nodulocystic acne. Because the fat is reabsorbed into the skin over a period of 6 to 18 months, the procedure usually must be repeated. Longer lasting results may be achieved with multiple fat-transfer procedures.

Dermabrasion. This is thought to be the most effective treatment for acne scars. Under local anesthetic, a high-speed brush or fraise used to remove surface skin and alter the contour of scars. Superficial scars may be removed altogether, and deeper scars may be reduced in depth. Dermabrasion does not work for all kinds of scars; for example, it may make ice-pick scars more noticeable if the scars are wider under the skin than at the surface. In darker-skinned people, dermabrasion may cause changes in pigmentation that require additional treatment.

Microdermabrasion. This new technique is a surface form of dermabrasion. Rather than a high-speed brush, microdermabrasion uses aluminum oxide crystals passing through a vacuum tube to remove surface skin. Only the very surface cells of the skin are removed, so no additional wound is created. Multiple procedures are often required but scars may not be significantly improved.

Laser Treatment. Lasers of various wavelength and intensity may be used to recontour scar tissue and reduce the redness of skin around healed acne lesions. The type of laser used is determined by the results that the laser treatment aims to accomplish. Tissue may actually be removed with more powerful instruments such as the carbon dioxide laser. In some cases, a single treatment is all that will be necessary to achieve permanent results. Because the skin absorbs powerful bursts of energy from the laser, there may be post-treatment redness for several months.

Skin Surgery. Some ice-pick scars may be removed by “punch” excision of each individual scar. In this procedure each scar is excised down to the layer of subcutaneous fat; the resulting hole in the skin may be repaired with sutures or with a small skin graft. Subcision is a technique in which a surgical probe is used to lift the scar tissue away from unscarred skin, thus elevating a depressed scar.

Skin grafting may be necessary under certain conditions—for example, sometimes dermabrasion unroofs massive and extensive tunnels (also called sinus tracts) caused by inflammatory reaction to sebum and bacteria in sebaceous follicles. Skin grafting may be needed to close the defect of the unroofed sinus tracts.

Treatment of keloids. Surgical removal is seldom if ever used to treat keloids. A person whose skin has a tendency to form keloids from acne damage may also form keloids in response to skin surgery. Sometimes keloids are treated by injecting steroid drugs into the skin around the keloid. Topical retinoic acid may be applied directly on the keloid. In some cases the best treatment for keloids in a highly susceptible person is no treatment at all.

In summary, acne scars are caused by the body’s inflammatory response to acne lesions. The best way to prevent scars is to treat acne early, and as long as necessary. If scars form, a number of effective treatments are available. Dermatologic surgery treatments should be discussed with a dermatologist.

Frequently Asked Questions About Acne

Acne is a very common disease. People who have it tend to have similar kinds of questions about it and its treatment. This section addresses some of the common questions asked by people with acne. Please remember that your dermatologist is always the best source of specific information about your individual health issues, including acne.

Questions and Answer does follows:



What causes acne?

The causes of acne are linked to the changes that take place as young people mature from childhood to adolescence (puberty). The hormones that cause physical maturation also cause the sebaceous (oil) glands of the skin to produce more sebum (oil). The hormones with the greatest effect on sebaceous glands are androgens (male hormones), which are present in females as well as males, but in higher amounts in males.

Sebaceous glands are found together with a hair shaft in a unit called a sebaceous follicle. During puberty, the cells of the skin that line the follicle begin to shed more rapidly. In people who develop acne, cells shed and stick together more so than in people who do not develop acne. When cells mix with the increased amount of sebum being produced, they can plug the opening of the follicle. Meanwhile, the sebaceous glands continue to produce sebum, and the follicle swells up with sebum.

In addition, a normal skin bacteria called P. acnes, begins to multiply rapidly in the clogged hair follicle. In the process, these bacteria produce irritating substances that can cause inflammation. Sometimes, the wall of the follicle bursts, spreading inflammation to the surrounding skin. This is the process by which acne lesions, from blackheads to pimples to nodules, are formed.



I wash my face several times a day. Why do I still get acne?

Many people still believe that acne is caused by dirty skin. The truth is, washing alone will not clear up or prevent acne. Washing does, however, help remove excess surface oils and dead skin cells. Many people use all kinds of products, including alcohol-based cleansers, and scrub vigorously, only to irritate the skin further and worsen their acne. Washing the skin twice a day gently with water and a mild soap is usually all that is required. However, acne is actually caused by a variety of biologic factors that are beyond the control of washing. For that reason, you should use appropriate acne treatments for the acne.



Does stress cause acne?

Stress is commonly blamed for the development of acne. Stress can have many physiologic effects on the body, including changes in hormones that may theoretically lead to acne. In some cases the stress may actually be caused by the acne lesions, not the other way around! If the acne is being treated effectively, stress is not likely to have much impact on the majority of people.



I never had acne as a teenager. Why am I now getting acne as an adult?

Usually, acne begins at puberty and is gone by the early 20s. In some cases, acne may persist into adulthood. Such types of acne include severe forms that affect the body as well as the face (which afflict males more than females) and acne associated with the menstrual cycle in women. In other cases, acne may not present itself until adulthood. Such acne is more likely to affect females than males.

There are several reasons for this. As females get older, the pattern of changes in hormones may itself change, disposing sebaceous glands to develop acne. Ovarian cysts and pregnancy may also cause hormonal changes that lead to acne. Some women get acne when they discontinue birth control pills that have been keeping acne at bay. Sometimes young women may wear cosmetics that are comedogenic-that is, they can set up conditions that cause comedones to form.



What role does diet play in acne?

Acne is not caused by food. Following a strict diet will not, clear your skin. While some people feel that their acne is aggravated by certain foods, particularly chocolate, colas, peanuts, shellfish and some fatty foods, there is no scientific evidence that suggests food causes or influences acne. Avoid any foods which seem to worsen your acne and, for your overall health, eat a balanced diet–but diet shouldn’t really matter if the acne is being appropriately treated.



Does the sun help acne?

Many patients feel that sunlight improves their acne lesions and go to great lengths to find sources of ultraviolet light. There is no proven effect of sunlight on acne. In addition, ultraviolet light in sunlight increases the risk of skin cancer and early aging of the skin. It is, therefore, not a recommended technique of acne management, especially since there are many other proven forms of treatment for acne. Moreover, many acne treatments increase the skin’s sensitivity to ultraviolet light, making the risk of ultraviolet light exposure all the worse.



What is the best way to treat acne?

Everyone’s acne must be treated individually. If you have not gotten good results from the acne products you have tried, consider seeing a dermatologist. Your dermatologist will decide which treatments are best for you. For more information about the types of acne treatments that are available, and for basic acne treatment guidelines, please see Acne Treatments in the main part of AcneNet.



What kind of cosmetics and cleansers can an acne patient use?

Look for “noncomedogenic” cosmetics and toiletries. These products have been formulated so that they will not cause acne.

Some acne medications cause irritation or pronounced dryness particularly during the early weeks of therapy, and some cosmetics and cleansers can actually worsen this effect. The choice of cosmetics and cleansers should be made with your dermatologist or pharmacist.

Heavy foundation makeup should be avoided. Most acne patients should select powder blushes and eye shadow over cream products because they are less irritating and noncomedogenic. Camouflaging techniques can be used effectively by applying a green undercover cosmetic over red acne lesions to promote color blending.



Is it harmful to squeeze my blemishes?

Yes. In general, acne lesions should not be picked or squeezed by the patient. In particular, inflammatory acne lesions should never be squeezed. Squeezing forces infected material deeper into the skin, causing additional inflammation and possible scarring.



Can anything be done about scarring caused by acne?

Scarring is best prevented by getting rid of the acne. Dermatologists can use various methods to improve the scarring caused by acne. The treatment must always be individualized for the specific patient. Chemical peels may be used in some patients, while dermabrasion or laser abrasion may benefit others. It is important that the acne be well controlled before any procedure is used to alleviate scarring.



How long before I see a visible result from using my acne medication?

The time for improvement depends upon the product being used, but in almost all cases it is more a matter of weeks or months instead of days. Most dermatologists would recommend the use of a medication or combination of medications daily for 4 to 8 weeks before they would change the treatment. It is very important for patients to be aware of this time frame so they do not become discouraged and discontinue their medications. Conversely, if you see no change whatsoever, you might want to check with your dermatologist regarding the need to change treatments.



Would using my medication more frequently than prescribed speed up the clearing of my acne?

No–always use your medication exactly as your dermatologist instructed. Using topical medications more often than prescribed may actually induce more irritation of the skin, redness and follicular plugging, which can delay clearing time. If oral medications are taken more frequently than prescribed, they won’t work any better, but there is a greater chance of side effects.



My topical treatment seems to work on the spots I treat, but I keep getting new acne blemishes. What should I do?

Topical acne medications are made to be used on all acne-prone areas, not just individual lesions. Part of the goal is to treat the skin before lesions can form and to prevent formation, not just to treat existing lesions. Patients are generally advised to treat all of the areas (forehead, cheeks, chin and nose) that tend to break out rather than just individual lesions.



My face is clear! Can I stop taking my medication now?

If your dermatologist says you can stop, then stop–but follow your dermatologist’s instructions. Many times patients will stop their medication suddenly only to have their acne flare up several weeks later. If you are using multiple products, it may be advisable to discontinue one medication at a time and judge results before discontinuing them all at once. Ask your dermatologist before you stop using any of your medications.



Does it matter what time I use my medication?

Check with your dermatologist or pharmacist. If you were taking one dose a day of an antibiotic, you could probably take it in the morning, at midday or in the evening, although you should pick one time of day and stay
with it throughout your treatment. With oral medications prescribed twice a day or three times a day, you should try your best to spread out the doses evenly. Some antibiotics should be taken on an empty or nearly empty stomach. For optimal results with topical treatments, you should strictly follow your dermatologist’s recommendations. For example, if instructed to apply benzoyl peroxide in the morning and a topical retinoid at bedtime, it is important to follow these directions strictly. If the two were applied together at bedtime, for example, you could decrease the efficacy of the treatment because of chemical reactions that make them less effective.



I have trouble remembering to take my oral medication every day. What’s a good way to remember? What should I do if I forget a dose?

This is a common problem. Many patients try to associate taking their medication with a routine daily event such as brushing teeth or applying makeup. It also helps to keep the medication close to the area where the reminder activity is carried out.

In most cases, if you miss a day of your oral treatment, do not double up the next day; rather, get back to your daily regimen as soon as possible–but there may be different instructions for different oral medications. Ask your dermatologist or pharmacist about what to do if you miss a dose of your particular medication.



I have been using topical benzoyl peroxide and an oral antibiotic for my acne and have noticed blue-black and brown marks developing on my face and some discoloration on my body. The marks are especially noticeable around acne scars and recently healed lesions. Is this a side effect of medication and is it permanent?

It is not possible to make general statements about side effects of medications that apply to individual cases. A dermatologist should be consulted. The facial marks and body discoloration described by the patient in this case do fall within the range of side effects of some antibiotics.



Unique patterns of pigmentation are sometimes seen in acne patients treated with certain oral antibiotics—particularly minocycline. The pigmentation patterns that appear may include:

* Localized blue-black or brown marks in and around acne scars and in areas of previous acne inflammation

* A “muddy skin” appearance that may cover much of the body

* Diffuse brownish pigmentation of the feet and lower legs.

The pigmentation side effect gradually disappears after the therapy is discontinued.

Any side effect of a medication should be noted by the patient and brought to the attention of the physician. While most side effects are temporary they should be discussed with the physician and monitored.



My doctor is prescribing a topical retinoid for my acne. He said a retinoid is a substance related to vitamin A. If the drug is related to vitamin A, shouldn’t vitamin A dietary supplements be helpful in getting rid of acne?

Dietary vitamin A is essential to good health, especially vision. It has healthful effects in the skin. Large doses of vitamin A for the treatment of acne is not recommended on grounds of safety. The retinoids and retinoid-like substances used as topical treatments for acne are prepared especially for their potent effect on the shedding of cell lining in the sebaceous follicle. Their use should be monitored by a dermatologist.

Dietary vitamin A has multiple health effects in the human body. Vitamin A is essential for good vision. Extreme vitamin A deficiency can result in blindness, usually accompanied by dry, scaly skin. Vitamin A overdose that far exceeds the Recommended Dietary Allowance (RDA) of 5,000 IU can have effects nearly as catastrophic. Extreme vitamin A overdose can cause the skin to blister and peel—an effect first seen in early North Pole explorers who nearly died after eating polar bear liver that has an extraordinarily high vitamin A content.

Topical retinoids are usually prescribed as a treatment for moderate to severe acne. Side effects are chiefly dermatologic, including redness, scaling and dryness of the skin, itching and burning. These side effects can usually be managed by adjustment of the amount and timing of retinoid applied to the skin. Dose adjustment must be discussed with the dermatologist who prescribed the treatment.



Are there any acne treatments specifically for people with dark skin? Are there any treatments specifically harmful to dark skin?

There are no acne treatments specifically for use on dark skin. Acne treatments are generally as safe and effective on dark skin as on light skin. Some treatments for acne scars may cause temporary lightening of dark skin.

Acne is a common skin disease that has the same causes and follows the same course in all colors of skin.

Very dark or black skin may be less well-moisturized than lighter skin. Topical anti-acne agents such as benzoyl peroxide that have a drying effect on the skin should be used under the supervision of a dermatologist. Benzoyl peroxide also is a strong bleach and therefore must be applied carefully to avoid inadvertent decolorization of a patch of hair, towels or clothing.

Darker skin has a tendency to develop post-inflammatory hyperpigmentation (excessive skin darkening at places where the skin was inflamed). Severe inflammatory acne may result in dark spots. The spots resolve over time; a dermatologist may be able to recommend cosmetic measures to make the spots less apparent until they resolve. Some acne treatments, such as topical retinoids and azelaic acid, may also help fade the discoloration.

Removal of acne scars by dermabrasion or chemical peeling may cause temporary lightening or darkening of dark skin in the areas of treatment. Scar treatment should be discussed with a dermatologist or dermatologic surgeon before it is undertaken.

Alterations of melanin (dark pigments that give the skin its color) pigmentation such as vitiligo and melasma are not related to acne, but they may be present simultaneously with acne. The diagnosis and treatment of melanin pigmentation disorders such as vitiligo requires a dermatologist with knowledge and experience in treating these conditions.



Is acne that appears for the first time in adulthood different from acne that appears in adolescence?

Acne has a specific definition as a disease of sebaceous follicles. This definition applies to acne that occurs at any age. However, it may be important to look for an underlying cause of acne that occurs for the first time in adulthood.

Current understanding of the causes of acne vulgaris is described in the Main Text section Why and how acne happens. In brief summary, acne vulgaris develops when excessive sebum production and abnormal growth and death of cells in the sebaceous follicle result in plugging of follicles with a mixture of sebum and cellular debris and formation of comedones (blackheads and whiteheads). Bacteria in the follicles—chiefly Propionibacterium acnes, the most common bacterial colonist of sebaceous follicles—may contribute to the inflammation of acne by release of metabolic products that cause inflammatory reaction. The pathogenic events, which cause disease, in the sebaceous follicle are believed to be due in large degree to changes in levels of androgenic (male) hormones in the body—a circumstance usually associated with growth and development between ages 12 and



Some acne investigators believe that although this understanding is generally correct, there is more yet to be learned about the causes of acne vulgaris.

Acne that appears after the age of 25-30 years is (1) a recurrence of acne that cleared up after adolescence, (2) a flare-up of acne after a period of relative quiet—for example, during pregnancy, or (3) acne that occurs for the first time in a person who had never previously had acne.

Acne that occurs in adulthood may be difficult to treat if there are multiple recurrences. Some patients with severe recurrent acne have undergone repeated courses of treatment with the potent systemic drug isotretinoin.

Acne flares in association with pregnancy or menstruation are due to changes in hormonal patterns.

Acne that appears for the first time in adulthood should be investigated for any underlying cause. Drugs that can induce acne include anabolic steroids (sometimes used illegally by athletes to “bulk up”), some anti-epileptic drugs, the anti-tuberculosis drugs isoniazid and rifampin, lithium, and iodine-containing drugs. Chlorinated industrial chemicals may induce the occupational skin disorder known as chloracne. Chronic physical pressure on the skin—for example, by a backpack and its straps, or a violin tucked against the angle of the jaw and chin—may induce so-called acne mechanica. Some metabolic conditions may cause changes in hormonal balance that can induce acne.

Some lesions that appear to be acne may be another skin disorder such as folliculitis—infection and inflammation of hair follicles—that require different treatment than acne. Acne that appears for the first time in adulthood should be examined and treated by a dermatologist.



My 15-year-old daughter has what I would describe as a very mild case of acne. She has made it much worse by constant picking and squeezing. She looks in the mirror for hours, looking for some blackhead or blemish she can pick or squeeze. Does she need psychological counseling?

Excessive picking and squeezing of otherwise mild acne is a condition called excoriated acne, seen most often in young women. A dermatologist may provide effective counseling.

The
typical person with excoriated acne is a person—often a young women—who is so distressed with her appearance due to acne that she literally tries to “squeeze the acne out of existence.” The acne is often very mild, but the person’s face may constantly be covered with red marks from squeezing, and open sores where lesions have been picked open.

The word excoriate means to scratch or abrade the skin. Excoriated acne is a medically recognized condition that should be discussed with a dermatologist. Occasionally giving in to a temptation to squeeze a blackhead is not defined as excoriated acne. Hours in front of a mirror, squeezing and picking every blemish, is a definition of excoriated acne. A dermatologist may be able to counsel the patient regarding a course of treatment in which the patient can participate, but keep “hands off.”



Can the rate of secretion or the composition of sebum be altered by diet? If it can, shouldn’t alteration of diet be considered a treatment for acne?

Diet has never been proven to have a role in the cause or treatment of acne. Dietary manipulation may have a role in the treatment of some scaling diseases of the skin, but not in the treatment of acne.

Dietary cause is one of the most persistent myths about acne. Foods, such as chocolate or greasy foods, do not cause acne, but certain foods seem to make some people’s acne worse. The following can bring on or worsen it:



Hereditary factors



An increase in male hormones found in both males and females



Menstruation



Emotional stress



Oil and grease from cosmetics, work environment

No food has been shown to be effective in preventing or treating acne. A healthy diet is, of course, necessary for good general health.



Shouldn’t I just try to eliminate sebum from my body?

No. When it isn’t blocked in your pores, sebum helps keep your skin healthy.



Why does acne usually start at puberty?

No one knows for certain. What is known is that the sebaceous glands that produce sebum get much larger at puberty than they were before.



Why does the skin around a pimple turn red?

This redness is caused by the body’s inflammatory response. Inflammation is a sign that your immune system is working to fight an infection. However, the inflammatory response doesn’t always work perfectly, and can even be the cause of scarring.



If my skin turns red, does that mean that I’m going to have scars?

Usually, no. Even when there will be no permanent scar, the aftereffects of the inflammatory response can leave the skin red for months, sometimes for more than a year.



What are free radicals?

Free radicals are byproducts of oxidation in your body. We all need oxidation to occur as part of our life process, but there is concern that the buildup of unrecycled free radicals contributes to many conditions, including skin damage. Antioxidants, including several of the active ingredients in Acuzine, help prevent the buildup of free radicals.

Finding an acne skin care product that really works and doesn’t cause uncomfortable side effects is a never-ending battle for many patients. With all of the “miracle” acne medicines that claim to banish your pimples overnight, it’s no wonder consumers are skeptical.

If you frequently suffer from acne outbreaks, there are several topical skin care products available as an alternative to oral prescription drugs. Acne medicine in the form of topical creams or gels generally has fewer and less serious side effects.

What Causes Acne

Acne occurs when a hair follicle becomes clogged and bacteria grow on the surrounding skin. The overgrowth of bacteria causes the skin to become inflamed and the result is acne in the form of pimples, blackheads, whiteheads, and boils.

Mild acne can be treated with over-the-counter formulations, but moderate to severe cases call for stronger prescription acne medicine.

Acne Affects All Ages

When someone mentions acne, the first thought that comes to mind is a pimply-faced teenager. But acne is not restricted to this age group. Both young and middle aged adults make up a large percentage of patients who use acne skin care products on a regular basis.

Like teens, adult patients often feel embarrassment and anxiety about their skin’s appearance. Finding an acne medicine that works quickly and prevents future outbreaks is important to acne sufferers of all ages.

Acne Skin Care Tip – Seek a Physician’s Advice

It’s best to seek a dermatologist’s advice before selecting an acne medicine to use over the long term. Some skin care products are effective initially but after extended use they may not produce the same results.

A dermatologist is better qualified than your family physician to recommend an acne medicine that best suits your skin care needs, depending upon the severity and frequency of your acne outbreaks.

Advantages of Topical Creams as Acne Medicine

Some prescription acne medicine in pill form can produce unwanted side effects almost as troubling as the acne itself. In order to avoid these complications, many doctors will prescribe a topical cream instead of oral medications.

These acne skin care creams and gels are often just as effective as skin care pills. Topical skin care products can also be used by patients who may be unable to take prescription pills due to drug interactions.

BenzaClin Topical Cream

BenzaClin topical gel is a prescription acne medicine commonly used to treat mild to moderate acne. Unlike other skin care products that require some time before an improvement is noticed, BenzaClin works quickly to treat skin care problems such as acne vulgaris.

Patients wishing to try BenzaClin can do so without the worry of serious side effects that frequently accompany many oral prescriptions drugs. The most common side effects caused by BenzaClin are usually limited to the skin and may include dryness, redness, or itching in the affected area.

BenzaClin acne medicine is applied to acne outbreaks just twice a day. Its active ingredients include clindamycin and benzoyl peroxide.

Benzoyl peroxide is a well-known acne medicine that reduces both oily skin and inflammation. Clindamycin is a powerful antibiotic that kills the bacteria responsible for acne outbreaks.

Coupled together, these two ingredients are the basis for a potent acne skin care product that is generally well tolerated by most people.

Preventative Skin Care Tips – Recognizing Acne Triggers

In addition to finding an acne skin care treatment that works well for you, it is just as important to know what conditions or substances can trigger your acne outbreaks. Here are some tips to reduce your acne woes:

1. After an acne flare up, do not pick or scratch at the affected area. Doing so can postpone the healing process and lead to scarring. Instead, continue using your prescribed acne medicine or other skin care product until the condition subsides.

2. Don’t over wash or scrub your blemishes. Many acne sufferers think their skin condition is due to poor hygiene. This is not the case. In fact, many acne patients clean or wash their faces too often, which can aggravate the skin.

3. Although no specific foods have been linked to acne, eating a well balanced diet should be part of your overall health and skin care regime. By eating a healthy diet and avoiding an excessive amount of processed foods, you can improve your health as well as limit acne occurrences.

4. Get enough rest. While a good night’s sleep won’t rid your face of pimples, a regular schedule that includes at least six hours of uninterrupted sleep will help your body function better and limit the number of future acne outbreaks.

5. Try not to stress out over acne. Stress is one of the leading causes of acne in adults. To increase the effectiveness of your acne skin care product, try incorporating various stress techniques into your daily routine. Exercise or participate in some other activity that helps take your mind off of your acne.

Acne

This factsheet is for people who have acne.

Acne is a skin condition that causes spots. Most people affected by acne are aged between 12 and 25.1 However, men and women in their 30s and 40s can also suffer. There are many treatments available to help deal with the condition.

What is acne?

Acne is a skin condition that typically causes one or more of the following:

* blackheads (comedones)

* whiteheads

* red or yellow spots

* greasy skin

* scars

Acne typically affects the skin of the face, back, neck, chest and arms and the severity of the condition can vary.

Acne affects people of all skin colours. The processes that cause acne are exactly the same in people with black or brown skin but the impact is altered by the skin pigmentation.

Acne is very common and affects about 80 in 100 people aged 11-30 at some time.

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Acne

This factsheet is for people who have acne.

Acne is a skin condition that causes spots. Most people affected by acne are aged between 12 and 25.1 However, men and women in their 30s and 40s can also suffer. There are many treatments available to help deal with the condition.

What is acne?

Acne is a skin condition that typically causes one or more of the following:

* blackheads (comedones) 2,3

* whiteheads2,3

* red or yellow spots2,3

* greasy skin2,3

* scars2,3

Acne typically affects the skin of the face, back, neck, chest and arms and the severity of the condition can vary.1,4

Acne affects people of all skin colours. The processes that cause acne are exactly the same in people with black or brown skin but the impact is altered by the skin pigmentation.

Acne is very common and affects about 80 in 100 people aged 11-30 at some time.4

The skin

The surface of the skin has lots of small sebaceous glands just below the surface. These glands make an oily substance called sebum that keeps the skin smooth and supple.

Tiny pores (holes in the skin) allow the sebum to come to the skin surface. Hairs also grow through these pores.

IIllustration showing the structure of skin

Illustration showing the structure of skin

What causes acne?

Acne is caused by the overactivity of the sebaceous glands that secrete oily substances onto the skin.

The sebaceous glands of people with acne are especially sensitive to normal blood levels of a hormone called testosterone, found naturally in both men and women.

Testosterone in people prone to acne triggers the sebaceous glands to produce an excess of sebum. At the same time, the dead skin cells lining the openings of the hair follicles (the tubes that hold the hair) are not shed properly and clog up the follicles.

These two effects combined cause a build-up of oil in the hair follicles. This causes blackheads and whiteheads to form.

For some people, their acne does not progress beyond this stage.

However in other people, the build-up of oil in the hair follicles creates an ideal environment for a bacterium called Propionibacterium acnes to grow.

These bacteria normally live harmlessly on your skin but when this ideal environment is created, they grow. They feed off the sebum and produce substances that cause a response from your body’s immune system. This inflames the skin and creates the redness associated with spots.

In more severe ‘inflammatory acne’, cysts develop beneath the skin’s surface. These acne cysts can rupture, spreading the infection into nearby skin tissue. This can result in scarring.

What makes acne worse?

There are a number of things that can make your acne worse. These include the following:

* picking and squeezing the spots may cause further inflammation and scarring1

* stress can make acne worse in some people, although it is not clear why1,

* in women, outbreaks may be affected by the hormonal changes that occur during the menstrual cycle1,

* excessive production of male hormones such as testosterone from conditions such as polycystic ovary syndrome may be another cause.5 For more information, please see the separate BUPA factsheet Polycystic ovary syndrome

* some contraceptive pills may make acne worse. This is due to the type of progestogen hormone in some pills whereas some other types of contraceptive pills can improve acne – see Treatments section below. Your GP will advise you which contraceptive pill to take

* some medicines can make acne worse. For example, some medicines taken for epilepsy, and steroid creams and ointments that are used for eczema. Do not stop a prescribed medicine if you suspect it is making your acne worse, but tell your GP. An alternative may be an option

* steroids can cause acne as a side-effect

Treatment

Acne may cause you considerable emotional distress but there is a range of treatment options to help you tackle the problem. No treatment will completely ‘cure’ your acne. The aims of treatment are to prevent new spots forming, to improve those already present, and to prevent scarring.3

Home treatment

It is important to keep spot-prone areas clean, so wash the affected area twice a day with an unperfumed cleanser.1,6 The skin needs a certain amount of oil to maintain its natural condition, so avoid aggressive washing with strong soaps.

There are a number of over-the-counter remedies available from pharmacies to treat mild acne. These usually contain antibacterial agents such as benzoyl peroxide (eg Oxy and Clearasil Max).

As well as its antibacterial effects, benzoyl peroxide can dry out the skin and encourage it to shed the surface layer of dead skin. Together, these effects make it harder for pores to become blocked and for infection to develop.

Benzoyl peroxide can cause redness and peeling, especially to start with. This tends to settle down if you reduce the number of times you use it. You can then build up your use gradually.

No home treatments for acne will work immediately. It can take weeks, if not months, for significant effects to be noticeable. If home treatments have not worked after two months, or you have severe acne, you should visit your GP.

Prescription medicines

Your GP may start your treatment by prescribing a preparation containing benzoyl peroxide. If this does not work, or if you have more severe acne, there are a range of other treatment options that you can either rub onto your skin (topical) or take in tablet form (oral).

Topical treatments

There are several topical treatments you may be prescribed including those listed below:

* azelaic acid (Skinoren) is an alternative to benzoyl peroxide and may not make your skin as sore as benzoyl peroxide

* topical retinoids (eg Adapalene) are medicines based on vitamin A, which are rubbed into the skin once or twice a day.7 They work by encouraging the outer layer of skin to flake off

* a topical antibiotic lotion applied to the skin can be used to control the P. acnes bacteria (eg Dalacin T). Treatment needs to continue for at least six months. Preparations that combine an antibiotic with other acne medication are available (eg Benzamycin which combines an antibiotic with benzoyl peroxide)

Oral treatments

There are several oral treatments you may be prescribed including those listed below:

* oral antibiotics (tablets), such as tetracycline, can be prescribed for inflammatory acne. They should be taken daily for around three months, although it might take four to six months for the benefits to be seen.7 The success of this treatment can be limited because the strains of bacteria are often resistant to the common antibiotics. Antibiotics do not prevent pores from becoming blocked so treatment to prevent blackheads, such as benzoyl peroxide, is often also prescribed at the same time

* some types of oral contraceptive tablets help women who have acne. A combination of the usual pill hormone called ethinylestradiol with cyproterone acetate (eg Dianette) suppresses male hormone activity so is often used in women with acne

* isotretinoin (eg Roaccutane) is a medicine known as an oral retinoid, which also exists in a topical form (see above). Isotretinoin works by drying up oily secretions. It tends to be prescribed to people with severe forms of acne that have proved resistant to other treatments. There a number of serious side-effects of this drug, such as liver disorders and depresssion. You should not take isotretinoin if you are pregnant, as it is very dangerous to an unborn baby. For safety reasons, isotretinoin is only prescribed under the supervision of dermatology specialists.

Ask any medical doctor if there is a connection between diet and acne and almost all of them will claim there is none. Quoting from the Journal of the American Medical Association: “Diet plays no role in acne treatment in most patients…even large amounts of certain foods have not clinically exacerbated acne”.

With years of medical education and clinical experience behind these claims, how can we the simple folks who suffer from acne challenge these statements and think otherwise? The answer is: doubt. Doubt, if its stays in the borders of reason, can open many doors otherwise will stay forever shut. Believe it or not, doubt can change reality. Doubt can cure your acne and doubt can even save your life.

Fact is, countless of acne sufferers have reported that their acne seemed to get worse when they consumed certain foods and saw dramatic positive change over their acne condition when they eliminated the same foods from their diet and when certain foods with specific nutritional value were incorporated into their diet.

So why do dermatologists so stubbornly insist that diet does not cause acne? The answer: you can’t make a profit promoting a healthy diet. At least not as much money as you could make by selling drugs and over the counters. There is a huge pressure upon doctors coming from the drug and pharmaceutical companies to prescribe expensive medications and lotions that create dependency. The truth is, that your doctor is in a way, a hostage by the trillion dollar drug companies. Did you know that the drug companies, who have no interest in producing something that they cannot control financially, sponsor most medical schools?

The right diet, although not a solution by itself, can, in many cases, dramatically reduce inflammation and even completely clear one’s acne (if you’re one of the lucky ones who’s acne is triggered by allergic response to food). Promoting a clear skin diet simply means less profits for the drug and pharmaceutical companies.

The truth is that conventional medications will never cure your acne, simply because they are pre-designed NOT to fix the internal cause of acne. They are pre-designed to deal with the external symptoms of a disease as they create more and more dependency and more dependency means making more money all at our expense and ignorance.

The Theory That Diet Doesn’t Cause Acne Is A Myth

The dogmatic theory that diet does not cause acne and that acne is merely an incurable genetic disorder was based upon two dated researches published in 1969 and 1971 that were aimed at studying the connection between diet and acne.

These studies were the foundation of the ‘acne symptoms treatment strategy’, meaning, because acne is a genetic disease that cannot be prevented, the only way to deal with acne would be to tackle its symptoms (bacteria, inflammation, puss, redness, greasiness), by applying creams, antibiotics, taking prescription drugs and over the counters.

Surprisingly enough, years after the above studies were published, clinical trials and in depth researches experimenting the acne diet link have found that the studies from 1969 and 1971 had came to the wrong conclusions and were in fact seriously flawed.

Recent studies have clearly found a significant connection between diet and acne. It appears that the wrong diet is now thought to be one of the leading acne contributing factors that can negatively affect hormonal regulation and the natural process of toxic elimination, which can seriously aggravate one’s existing acne.

Diet Shapes Who You Are (Including Your Acne)

In the same way that crashing waves shape beach cliffs and just like the wind shapes the canyon walls, slowly and methodically over time, so does eating shapes and effects our physic, our internal system, our physical and mental being, from the organ down to the cellular level.

The idea that an object foreign to our body that is inserted by the food that we eat, has no effect on us, or has no impact on chronic conditions such as acne is absurd. Diet is the primary thing that affects and shapes who we are.

Diet has cumulative effect on our bodies, and that includes our skin condition and acne, which is a manifestation of a chronic internal problem slowly shaped and built by the wrong daily dietary choices over the years.

Acne Diet and The Kitavan Islanders

While in the U.S, more than 80% of teenagers between 16 and 18 have acne and more than 17 million Americans suffer from some form of acne, there is an interesting evidence that native people that live and eat in traditional ways, have significantly lower to no occurrences of acne.

In 2002, Dr. Cordain and his colleagues published a landmark study that examined 300 people living in the Kitavan Islands off the coast of Papua New Guinea that showed that none of the islanders had even one blemish on his or her face. Similar to the Kitavans, no case of acne had been observed when the same experiment had been conducted upon the South American Indians called the Ache, living in a remote jungle in eastern Paraguay.

The natives of Kitavan and the South American Indians had no access to the latest over the counters, topical creams or conventional acne medications and they had no dermatologist to consult with. The only vast difference between them and American or European citizens is their diet.

Acne Diet and Sugar: The Sweet Poison

Aside from the fact that sugar is a 100% pure chemical with zero nutritional value, recent studies have clearly shown a connection between the consumption of sugar and the aggravation of acne.

When you consume any form of refined carbohydrates (white sugar, white flour, white rice) here’s what happens: right after you insert that ’sweet poison’ into your body, it rapidly spikes up your blood sugar levels. Your body needs to bring those levels down so it secrets a surge of insulin, other male hormones and an insulin-like growth factor called IGF-1. The excretion of these hormones overwhelms your liver and your internal system in general. The excess of male hormones encourages the skin to excrete large amounts of sebum oil: The greasy substance that encourages the p.acne bacteria to grow, resulting in the aggravation of your acne.

Acne Diet and Dairy Products: Got Milk? Got Acne

If you thought sugar can aggravate your acne, here’s another major nutritional player in the formation of acne: behold the miracles of milk. Milk (all dairy products included) is the most harmful, mucus forming, allergenic and acne aggravating food you can find. Surprised? I thought so. After years of constant brainwashing by the media, who can blame us for thinking milk is good for strong bones and healthy teeth? The truth is: every sip of milk contains 59 different raging hormones, (which trigger the hyper-production of sebum oil resulting in more acne), saturated animal fat, steroid hormones, dead white blood cells, and cow pus in abundance!

Did you know that the Food and Drug Administration (FDA) allows 750 million pus cells in every liter of milk (about two pounds) produced in America? Think about it, the next time you pop a pimple.

Scientific studies already point the finger at milk as one of the worst acne aggravating foods: “As pointed out by Dr. Jerome Fisher, ‘About 80 percent of cows that are giving milk are pregnant and are throwing off hormones continuously.’ Progesterone breaks down into androgens, which have been implicated as a factor in the development of acne…Dr. Fisher observed that his teenage acne patients improved as soon as the milk drinking stopped.”

If there’s one element you should remove from your diet in the quest for clear skin make it this one. Not only will you see an immediate improvement over your acne, you’ll feel a huge weight has been lifted from your body. If you worry about calcium intake, don’t! Milk being acidic forming food creates a leeching effect where calcium is taken from your bones to balance the acidity. Milk actually deprives your body from its calcium resources. Green leafy vegetables, nuts and seeds are not only excellent sources of calcium they also have the powers to help you fight your acne symptoms.

Diet Is Only One of The Factors That Cause Acne

Dairy products and sugar are not the only acne aggravating foods. The two above cannot sum up the list of western made acne triggering foods. There are several other foods you should clearly stay away from if you ever wish to clear your acne. The good new is that there are tons of other foods such as essential fatty acids that are not only excellent for your skin, they can actually help you clear your acne, by re-balancing your body and promoting to an acne-free environment.

The right nutrition plays an important part in the complex process of acne formation. When doctors claim there is no link between diet and acne because certain individuals can eat specific foods and get acne while others eat the same foods and don’t, these doctors have failed to realize that there are several factors involved in the formation and aggravation of acne and diet is only ONE of them.

The Final Verdict On The Acne Diet Connection: How To Finally Overcome Your Acne Challenge

Acne is a complex condition that is triggered by several underlying factors. The only way to neutralize your acne condition is to tackle all these acne-contributing factors-holistically.
Since the wrong diet is only one of these acne-triggering factors, in most cases no special diet can cure acne.

There is a however, a tight connection between diet and acne formation. Dietary factors can trigger and aggravate your existing acne. Avoiding the wrong foods such as milk, sugar and hydrogenated oils, and eating cleansing and hormonal balancing foods such as green leafy vegetables and essential fatty acids, can help your skin heal itself from the inside out and dramatically reduce your acne symptoms.

There are also several important dietary principals that you must understand and follow if you ever want to cure your acne for good.

Taking responsibility over your body and adhering to these dietary principals along with taking the necessary steps to tackle all acne contributing factors, holistically, will not only cure your acne permanently and give you the flawless acne free skin you deserve, following these principals will also significantly improve your overall health, mental well-being, look and feel.