THE EXPERT EXPLAINS HOW TO GET RID OF ACNE. What to choose: a medication for lubrication or to be taken in? Stay in home care or go for treatment in the office? And finally, who to ask for help-gynecologist, dermatologist or cosmetologist? Here are the questions asked by people with acne. Now they will meet our friend the expert! About acne – its causes and treatment, we talk with a real expert. Magdalena Movers doctor of medical Sciences, dermatologist and certified doctor of aesthetic medicine and the owner of the office of medical cosmetics “Bella”. Her knowledge and experience is a guarantee of a beautiful complexion. We better not get in!
Doctor of medical Sciences Magdalena Lopushinsky: acne occurs when excessive keratinization of the orifices of the sebaceous glands, which leads to their blockage and results in the formation of microtechnical. In such an environment, Propionibacterium bacteria, which usually inhabit the mouth of the sebaceous gland, begin to activate, which leads to the formation of inflammation – and mainly causes a flurry of inflammatory processes.
What triggers the formation of inflammation?
A very important role is attributed to the receptors, which are represented in the sebaceous gland. These are protein molecules responsible for the contacts between the gland and the surrounding world. These receptors are hormones, the immune system, various inflammatory factors, the nervous system, the fat itself… Structure and receptor sensitivity vary from person to person-it is genetically determined and changes over the years.
And this, as we live, causes acne? Factors such as ultraviolet radiation, cigarette smoke, stress and a diet with a high glycemic index affect the excessive production of Pro-inflammatory lipids through receptors. Lifestyle affects the formation of acne and can determine its severity. Recently, however, a very important role in the formation of acne is also attributed to the composition of sebum. In people suffering from this disease there is an increased content of oxidized squalene and oleic acid. A squalene and oleic acid provoke changes in the sebaceous glands-in particular, excessive keratinization (keratosis of the epidermis), inflammation and the formation of trace elements. In this situation, it is important to provide the body with anti-inflammatory and antibacterial linoleic acid and vitamin E.
Acne treatment – the best methods. How is acne treated? Acne treatment is symptomatic, not causal, and it should start with a visit to a dermatologist (not a gynecologist) who will match individual therapy and recommend proper daily care. Depending on the form of acne and severity, local treatment is used with retinoids, azelaic acid, benzoyl peroxide and antibiotics, General treatment during which you take antibiotics, hormones or isotretinoin, as well as physical treatment consisting of procedures in the office, but always preceded the appointment of a dermatologist.
Which of these methods would you recommend as the best?
The best effects of treatment, both for extensive changes and for oily, carbon monoxide complexion, give oral drugs from the group of retinoids, usually containing isotretinoin. They act on all the mechanisms of acne: they reduce the secretion of sebum, keratosis of the mouth of the sebaceous glands, the settling of bacteria and the tendency to inflammation. In addition, it has a very beneficial effect on the stimulation of collagen synthesis, which is noticed, especially in adult patients with skin moisturizes – during therapy with these drugs occurs in them for significant skin rejuvenation. However, if there are contraindications to its use, or changes are not so much amplified, you can use oral antibiotic therapy in combination with the simultaneous use of external drugs with retinol, azelaic acid, retinaldehyde, salicyl or antibiotics. Some of these substances also improve the appearance of the skin, increasing elasticity and reducing wrinkles.
Acne treatment-the most common mistakes. What are the worst mistakes people make with acne? Often patients use therapy for a month, two, and stop treatment immediately after improvement. And the problem comes back… Acne is not a disease only a physiological condition, and it should be treated for so long, until there are new changes – sometimes a year, sometimes several years. Another common mistake made by patients is the use of drugs, purposefully, on a small pimple, and not on the countryside, where there is a tendency of changes. Drugs should be applied to the skin, where there are acne, seborrhea, and not only where there are already ready pustules. Patients often do not care about diet and hygiene of life, and it also reduces the effectiveness of treatment.
Acne skin at home and in the beauty salon. How to care for acne skin at home? You should wash it with a gel adapted to its degree of fat or dryness. Twice a week to apply fine-grained pilling or enzyme. It is also important to use moisturizing products that prevent excessive dryness of the skin.
And the treatments in the beauty salon that will help in the fight against acne?
Cabinet procedures are a complement of treatment – accelerates the fluidity of the lesion, promote the treatment of dermatological and allow you to get the best cosmetic effects. Effective in the fight against acne are pillingi inspection, microdermabrasion, light and lasers, IPL and Isolaz. It is necessary, however, to remember that the office procedures must necessarily take place under the watchful supervision of a doctor. In the treatment of acne, an important role should be played by a dermatologist, which includes the development of acute inflammation. Then-working closely-the doctor and beautician can effectively deal with acne and complications after it together.