"With Dr. Pilest's help, I no longer have to worry about my acne. From acne to clear skin. Thanks! " Jorge E, age 23
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What is Acne?
Acne occurs when the pores become plugged. Blackheads, whiteheads, pimples, and deeper lumps (cysts or nodules), occur on the face, neck, chest, back, shoulders, and even the upper arms. Acne is experienced by both teenagers and adults all the way through their 40’s. Untreated acne can leave scars, which can be treated by Dr. Pilest. Although acne can be upsetting and disfiguring, break outs can also lead to serious and permanent scarring.
How does acne form?
Hormones found in both males and females rise during adolescence (puberty) and stimulate and enlarge the oil (sebaceous) glands of the skin. These glands are found in the face, upper back, and chest. Rarely, acne can be due to a hormonal imbalance.
The oil glands are connected to a hair-containing canal called a follicle. The sebaceous glands make an oily substance called sebum, which reaches the skin surface by emptying through the skin surface opening of the follicle. The hair follicle opening is sometimes called the pore. The oil (sebum) causes the cells from the follicular lining to shed more rapidly and stick together, forming a plug at the hair follicle opening. Bacteria grow and stimulate inflammation, which causes the wall of the follicle to break. The bacteria spill into the skin causing redness, swelling, and pus.
One of the most recent and effective acne treatments is Isolaz - a dual action treatment which uses suction to remove the clogged matter in the pores combined with a special medical light which kills the bacteria in the pore and on the skin surface. Used alone or in conjunction with RX and topical therapy to enhance and speed skin clearing.
Does diet cause break outs of acne?
Acne is not caused by the foods you eat. Dermatologists have differing opinions on the importance of your diet in the management of acne. One can conclude that a strict diet by itself will not clear your skin, but if certain foods seem to make your acne worse (Soda, chocolate, or fried foods), then try to avoid them. It is always important to obtain a well balanced diet. Drinking a good amount of water helps hydrate the skin.
Does sunlight help or worsen the skin?
A tan can temporarily mask your acne. Sunlight ages the skin and can cause skin cancer, therefore, you should not sunburn, “bake in the sun,” or use sunlamps. Choose a sunscreen that is oil-free, such as a gel or light lotion.
What types of cosmetics should I use?
If you wear a liquid foundation or use a moisturizer, look for ones that are oil-free and not just water-based. Choose products that are “non-comedogenic” (should not cause whiteheads or blackheads or “non-acnegenic” (should not cause acne).
We recommend Oxygentix oxygenating makeup or pure mineral makeup. The Oxygentix line is available at Total Dermatology. Be sure to thoroughly remove your cosmetics every night with an oil-free cleanser and water. A flesh-tinted acne lotion containing Benzoyl Peroxide, Salicylic Acid, or Sulfur can safely hide blemishes. Also, shield your face when applying hairsprays, perfumes/colognes and gels.
What types of treatments help acne?
Combination Omnilux Light Therapy
Photodynamic Acne Treatment is a new procedure used to treat resistant acne as well as older acne scars leaving skin smoother. This process begins with an agent, Levulan, applied to the skin, then activated with specific wavelengths of light. The procedure takes 45 minutes. The Levulan agent targets all acne glands, acne rosacea (redness), and benign bumps on the skin. This treatment decreases skin oiliness, and the appearance of pores is minimized. The all over skin texture improves. Redness and skin peeling may occur during the first two days and you must avoid sun exposure the following day. 3-4 treatments are recommended at 2-3 week intervals to obtain optimal results. Because PDT is a topical procedure, there are no systemic side effects.
Are there simple programs that will help my acne?
Control of acne is an ongoing process.
Acne treatments work by preventing new acne. Treatment takes time. If your acne has not improved after 6 to 8 weeks, you may need a change in your treatment. The treatment Dr. Pilest recommends will vary according to your type of acne. Occasionally, an acne-like rash can be caused by makeup, lotions, or from an oral medication. It is important to help Dr. Pilest by providing a history of what you are using on your skin or taking internally. Dr. Pilest can then choose the best way to cure your acne. The following are a list of options available at Total Dermatology to assist you in clearing up your acne.