What causes acne on the upper back. How to identify Pityrosporum Folliculitis. What are the most effective home remedies for treating upper back acne. How to prevent recurrence of Pityrosporum Folliculitis. What lifestyle changes can help manage upper back acne. When to seek professional medical help for persistent acne. How to differentiate between regular acne and Pityrosporum Folliculitis.

Understanding Pityrosporum Folliculitis: The Hidden Cause of Upper Back Acne

Acne on the upper back can be frustrating and persistent, often resisting traditional acne treatments. In many cases, what appears to be stubborn acne may actually be a condition called Pityrosporum Folliculitis. This skin issue is caused by an overgrowth of yeast in the hair follicles, resulting in an itchy, acne-like eruption that can be challenging to treat.

Pityrosporum Folliculitis is particularly common in the “cape distribution” area, which includes the upper chest and upper back. The pimples associated with this condition are typically uniform in size, resembling pinhead-sized bumps. Unlike regular acne, Pityrosporum Folliculitis is not caused by bacteria but by an overgrowth of a yeast naturally present on our skin.

Key Characteristics of Pityrosporum Folliculitis:

• Tiny, itchy, rounded pink pimples
• Occasional tiny whiteheads
• Primarily located on upper back, shoulders, and chest
• May also appear on forearms, hands, lower legs, and face
• Associated with oily skin
• Often accompanied by a stinging sensation

Factors Contributing to Pityrosporum Folliculitis Development

While the exact reasons why some individuals develop Pityrosporum Folliculitis are not fully understood, several factors are believed to play a significant role in its occurrence:

1. Hot, humid environments promoting yeast overgrowth
2. Non-breathable clothing, especially synthetic materials
3. Use of greasy sunscreens and oily emollients
4. Oily skin tendencies
5. Weakened immune system
6. Stress and fatigue
7. Diabetes
8. Use of oral steroids
9. Oral contraceptive pills
10. Being overweight, leading to increased sweating and tighter clothing

It’s important to note that oral antibiotics can exacerbate Pityrosporum Folliculitis. This is because antibiotics suppress the skin’s natural bacteria, allowing the yeast to overgrow without competition.

Distinguishing Pityrosporum Folliculitis from Regular Acne

How can you tell if your upper back acne is actually Pityrosporum Folliculitis? There are several key differences:

• Itchiness: Pityrosporum Folliculitis is typically very itchy, while regular acne usually isn’t.
• Uniformity: The pimples in Pityrosporum Folliculitis are usually uniform in size and appearance.
• Distribution: While it can appear elsewhere, Pityrosporum Folliculitis is most common on the upper back, chest, and shoulders.
• Response to treatment: If your “acne” isn’t responding to traditional acne treatments, it might be Pityrosporum Folliculitis.

Effective Home Remedies for Treating Upper Back Acne

While professional medical treatment may be necessary for severe cases, there are several home remedies that can help manage Pityrosporum Folliculitis and upper back acne:

1. Anti-Dandruff Shampoo Treatment

Using anti-dandruff shampoos containing ketoconazole (like Nizoral) or selenium sulfide (like Selsun Blue) can be effective against the yeast causing Pityrosporum Folliculitis. Apply the shampoo to the affected areas, leave for 10 minutes, then rinse off in the shower. Repeat this process once a week.

2. Propylene Glycol Solution

A 50% propylene glycol in water solution can be applied to the affected areas twice daily using a gauze pad. Continue this treatment for 3 weeks, then reduce to twice a week application.

3. Tea Tree Oil

Tea tree oil has natural antifungal properties that can help combat the yeast overgrowth. Mix a few drops of tea tree oil with a carrier oil like coconut oil and apply to the affected areas daily.

4. Apple Cider Vinegar

The acidic nature of apple cider vinegar can help balance the skin’s pH and create an inhospitable environment for yeast growth. Mix equal parts water and apple cider vinegar, apply to the affected areas with a cotton ball, leave for 10 minutes, then rinse off.

5. Aloe Vera Gel

Aloe vera has anti-inflammatory and soothing properties that can help reduce redness and irritation. Apply pure aloe vera gel to the affected areas twice daily.

6. Garlic

Garlic has natural antifungal properties. Crush a few cloves of garlic and mix with a little olive oil. Apply this mixture to the affected areas for 10-15 minutes before rinsing off. Be cautious as this may cause skin irritation in some people.

7. Turmeric Paste

Turmeric has anti-inflammatory and antimicrobial properties. Mix turmeric powder with a little water to form a paste. Apply to the affected areas, leave for 15-20 minutes, then rinse off.

Lifestyle Changes to Prevent and Manage Upper Back Acne

In addition to topical treatments, certain lifestyle changes can help prevent and manage Pityrosporum Folliculitis:

• Wear breathable, loose-fitting clothing, especially in hot and humid conditions
• Shower promptly after sweating
• Avoid oily skincare products and sunscreens
• Manage stress through relaxation techniques and regular exercise
• Maintain a healthy diet rich in fruits, vegetables, and whole grains
• Stay hydrated to help flush toxins from your body
• Change bed sheets and pillowcases regularly

When to Seek Professional Medical Help

While home remedies can be effective for mild cases of Pityrosporum Folliculitis, there are situations where professional medical help is necessary:

• If symptoms persist or worsen despite home treatment
• If the condition is causing significant discomfort or affecting your quality of life
• If you’re unsure whether you’re dealing with Pityrosporum Folliculitis or another skin condition
• If you have a weakened immune system or other underlying health conditions

A dermatologist can provide a definitive diagnosis and prescribe more potent treatments if needed. These may include oral antifungal medications like Nizoral (ketoconazole) or Sporanox (itraconazole), which are often more effective than topical treatments for severe cases.

Long-Term Management and Prevention of Recurrence

Pityrosporum Folliculitis has a tendency to recur, even after successful treatment. To minimize the risk of recurrence:

• Continue using antifungal shampoos or solutions on a maintenance basis (e.g., once a week)
• Be vigilant about maintaining good hygiene practices, especially in hot and humid conditions
• Address any underlying factors that may contribute to yeast overgrowth, such as hormonal imbalances or immune system issues
• Consider periodic use of oral antifungal medications if recommended by your dermatologist

Remember, what works for one person may not work for another. It may take some trial and error to find the most effective combination of treatments and lifestyle changes for your individual case of Pityrosporum Folliculitis.

Debunking Common Myths About Upper Back Acne

There are several misconceptions about upper back acne and Pityrosporum Folliculitis that can lead to ineffective treatment approaches:

Myth 1: All acne is caused by bacteria

While bacterial overgrowth is a common cause of acne, Pityrosporum Folliculitis is caused by yeast overgrowth. This is why traditional acne treatments that target bacteria may not be effective.

Myth 2: Scrubbing the skin will clear up acne

Excessive scrubbing can actually irritate the skin and worsen Pityrosporum Folliculitis. Gentle cleansing is more effective.

Myth 3: Diet doesn’t affect acne

While the link between diet and acne is complex, some studies suggest that a low-glycemic diet may help reduce acne symptoms. Additionally, a balanced diet supports overall skin health.

Myth 4: Sunlight clears up acne

While sun exposure may temporarily improve the appearance of acne, it can lead to skin damage and potentially worsen Pityrosporum Folliculitis in the long run.

Myth 5: Acne only affects teenagers

Pityrosporum Folliculitis can affect adults of all ages, particularly those with oily skin or those living in hot, humid climates.

Understanding these myths can help you approach your skincare routine more effectively and avoid treatments that may exacerbate your condition.

The Role of Diet in Managing Upper Back Acne

While diet alone may not cure Pityrosporum Folliculitis, certain dietary changes can support overall skin health and potentially reduce symptoms:

• Reduce sugar intake: High sugar consumption can lead to increased inflammation in the body, potentially exacerbating skin conditions.
• Incorporate probiotic-rich foods: Probiotics can help balance the body’s microbiome, which may have a positive effect on skin health.
• Eat foods rich in zinc: Zinc has anti-inflammatory properties and may help regulate oil production in the skin.
• Increase omega-3 fatty acid intake: These healthy fats can help reduce inflammation in the body.
• Stay hydrated: Proper hydration supports overall skin health and helps flush toxins from the body.

Remember, while dietary changes can support skin health, they should be used in conjunction with topical treatments and lifestyle modifications for the best results in managing Pityrosporum Folliculitis.

Pityrosporum Folliculitis – American Osteopathic College of Dermatology (AOCD)

Pityrosporum folliculitis is a condition where the yeast, pityrosporum, gets down into the hair follicles and multiplies, setting up an itchy, acne-like eruption. Pityrosporum folliculitis sometimes turns out to be the reason a case of acne isn’t getting better after being on antibiotics for months. It is especially common in the cape distribution (upper chest, upper back) and the pimples are pinhead sized and uniform.

This yeast is a normal skin inhabitant, different from the yeast that causes thrush and from baker’s or food yeast. Everyone has it on his or her skin but in most cases it causes no problem. The condition affects young to middle-aged adults of either sex. It is associated with a tendency to seborrheic dermatitis or severe dandruff.

Pityrosporum folliculitis is not an infection as such; it is an overgrowth of what is normally there. The yeast overgrowth may be encouraged by external factors and/or by reduced resistance on the part of the host. The reasons why a particular patient develops pityrosporum folliculitis are not fully understood but the following are believed to be important:

• The yeast tends to overgrow in hot, humid, sweaty environments, clothing that doesn’t “breathe” especially synthetics, which encourages sweating.
• Application of greasy sunscreens and oily emollients such as coconut oil.
• An oily-skin tendency – the yeast feeds on skin oil. Skin oil production mainly depends on hormone factors.
• Decreased resistance to microorganisms (immunity).
• Stress or fatigue.
• Diabetes.
• Oral steroids such as prednisone.
• Oral contraceptive pill.
• Being overweight, resulting in more sweating and tighter clothing.

Oral antibiotics can aggravate pityrosporum folliculitis because skin-inhabitant bacteria and yeasts are normally in competition on the skin surface. When antibiotics suppress the bacteria the pityrosporum yeasts can over grow.

The rash consists of tiny itchy rounded pink pimples with an occasional tiny whitehead. The spots are located mainly on the upper back, shoulders and chest. Sometimes spots are found on the forearms, back of the hands, lower legs and face. The tendency to scratch spots is greatest on the forearms, face and scalp. Most patients have oily skin.

 Most patients seek advice because of the itch. This may have led their doctors to suspect scabies or other mite infestations. The itch tends to come in episodes, accompanied by a stinging sensation. Some patients notice the itch is worse after sweat inducing exercise or after a hot shower. When scratched, the spots may display a local hive-like reaction with a surrounding red flare.

Patients may also have tinea versicolor or seborrheic dermatitis. In these conditions an overgrowth of the same pityrosporum yeast is believed to be involved. Patients may also have true acne accompanying the pityrosporum folliculitis. This is not surprising because increased skin oil also encourages acne but in this case there is an overgrowth of the normal skin bacteria rather than yeast.

Treatment must deal with both the yeast overgrowth and any predisposing factors, otherwise the condition will recur. Unfortunately we often either do not know, or cannot correct, all the factors that make one susceptible so the condition has a tendency to return once the anti-yeast treatment is stopped.

Topical therapy is not always effective, and may be worth a try. These include Nizoral or Selsun shampoos, applied for about 10 minutes and washed off in the shower. This is repeated once a week. Other topical treatments include 50% propylene glycol in water applied twice daily with a gauze pad for 3 weeks, then twice a week or Lamisil solution, sprayed on the skin surface, for 14 days then weekly or for just a few spots apply Loprox or Nizoral cream twice a day.

Oral treatments are the most effective. The two used are Nizoral and Sporonox. One will need to wait a week or two for clearing, and recurrences are to be expected. A last resort is Accutane pills. These are general guidelines and a dermatologist can help decide the best treatment.

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The medical information provided in this site is for educational purposes only and is the property of the American Osteopathic College of Dermatology. It is not intended nor implied to be a substitute for professional medical advice and shall not create a physician – patient relationship. If you have a specific question or concern about a skin lesion or disease, please consult a dermatologist. Any use, re-creation, dissemination, forwarding or copying of this information is strictly prohibited unless expressed written permission is given by the American Osteopathic College of Dermatology.

How to Get Rid Of Back Acne

Those who have acne will know that the pesky little whiteheads, cystic spot eruptions and blackheads aren’t usually contained to your face.

From bacne (acne on your back) to buttne (acne on your backside – yep, it’s a thing) body spots can be pretty rubbish to deal with.

Everything You Need To Know About Treating Back Acne

What causes back acne?

We may be used to be discussing acne on our faces but on our backs is a different story. There are a range of reasons you might be suffering from the skin condition.

‘Back acne is typically caused by a build up of oils and dead skin cells in and around pores. The pores can become clogged and attract bacteria which thrives. This causes leads to an inflammatory response of the skin causing pustules and bumps,’ explains Dr Adwoa Danso, NHS GP Doctor.

If you do suffer from back acne, you’ll have likely noticed it starting around the time your hormones kick in. ‘Back acne onset predominantly starts from puberty and it tends to effect boys and men more. The main areas being upper back, lower back and shoulders,’ says Dr Vanita Rattan.

Because it’s linked to our hormones, some might be more prone to the condition than others. ‘Individuals with oily skin or suffer with hormonal disorders like polycystic ovarian syndrome are more prone to acne,’ believes Dr Danso.

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How do you get rid of back acne??

As debilitating as body acne can be (we feel you), you don’t have to swerve plans or cover up completely, because ELLE has enlisted one of the best dermatologists in the business to help banish the breakouts once and for all. Here’s how to get rid of back acne or body acne once and for all.

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How To Get Rid Of Back Acne

1. Swap Out Your Current Body Wash

That ultra-creamy, coconut-scented shower gel may feel seriously luxe, but if it doesn’t contain zit-zapping ingredients such as salicylic acid (a BHA that exfoliates the skin’s surface layer and unblocks pores of sebum and dead skin), glycolic acid (an AHA that dissolves the upper layer of dead skin cells to prevent spots and to blur red marks left behind by acne), and lactic acid (also an AHA with the same skin-smoothing, spot-preventing credentials as glycolic acid, just a little gentler on skin), then it might not be doing your body acne any good.

‘Acids like these prevent dead skin cells from building up and blocking your pores,’ explains London-based consultant dermatologist, Dr. Justine Kluk. ‘And remember, cleanse your skin thoroughly in the shower every day.’

ELLE Recommends…

– Mario Badescu AHA Botanical Body Soap – £7.95 SHOP NOW

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Alpha hydroxy acids in this foaming shower gel chip away at the mixture of dead skin cells and sebum responsible for spots. It’s absolutely brilliant at clearing up breakouts on the back, chest, shoulders and arms and doesn’t dry skin out.

For those with more sensitive skin, go for the anti-inflammatory Mario Badescu Azulene Body Soap which is formulated to soothe irritation.

– Mario Badescu Azulene Body Soap – £7.95 SHOP NOW

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2. Shower Immediately After A Workout

‘The bacteria responsible for causing acne thrive on sweaty skin,’ explains Dr. Kluk. ‘It’s important to remove your gym clothes and shower as soon as possible after a workout.’

Even if you haven’t had a hard core work out, cleaning off any sweat is key. ‘Shower immediately after sweating. Acne isn’t related to cleanliness but we certainly know that sweat can aggravate the skin. Hair shampoos and conditioners can leave residue on your back which can clog pores and cause bacne. Take extra care when rinsing hair and gently wash the back after hair washing ‘ says Dr Danso.

That means no sitting on the end of your bed, scrolling through Instagram, trying to muster up the energy to jump in. We’re talking ASAP, people.

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3. Use A Scrub Pre-Shower

‘If you get lots of under the skin spots or blackheads, using a scrub a couple of times a week in the shower may be effective,’ advises Dr. Kluk. ‘But, always be gentle and don’t rub your skin raw as this can increase inflammation.’ Not cute.

ELLE recommends…

– Ameliorate Skin Smoothing Body Polish – £18 SHOP NOW

This expert-approved scrub combines chemical exfoliators (such as lactic acid) with physical exfoliators (micro-dermabrasion granules) to deliver a double-pronged attack on the oil, dead skin and grime that can cause breakouts. Massage gently into damp skin before showering.

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4. Choose The Right Body Moisturiser

You don’t have to give up the moisturiser to keep breakouts at arms length – just make sure you choose the right one – that means ditching the thick creams.

‘Applying a moisturiser will soothe and repair your skin barrier, but make sure that any products you leave on your skin are labelled ‘non-comedogenic,’ advises Dr. Kluk. ‘This means that they won’t clog your pores.’

It’s also important to be aware of oils. ‘Some oil based products can cause acne, switching to ‘lighter’ creams is beneficial. Benzoyl peroxide, salicylic acid, glycolic acid containing products are recommended treatments,’ explains Dr Danso.

ELLE Recommends…

– CeraVe Moisturising Lotion – £9.50 SHOP NOW

Non-comedogenic (which means it won’t clog your pores) and hypoallergenic (making it perfect for those with sensitive skin), this silky, ultra-light, fragrance-free lotion absorbs in seconds and leaves skin feeling insanely smooth and hydrated, and it’s all down to a duo of cell-building ceramides and hydrating hyaluronic acid. We love.

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– Ameliorate Transforming Body Lotion – £24 SHOP NOW

A daily slathering of this dermatologist-approved lotion works wonders to banish spots on limbs, shoulders and chest thanks to the AHAs. It also blasts ingrown hairs and keratosis pilaris, AKA chicken skin – our arms have never felt smoother.

Ameliorate

5. Use A Topical Treatment Instead Of Picking

As tempting as it may be to pretend you’re Dr. Pimple Popper, try and avoid picking when it comes to body acne.

‘Whatever you do, don’t pick, squeeze or scratch your spots,’ says Dr. Kluk. ‘This can introduce infection and lead to scarring. Instead, apply a benzoyl peroxide or salicylic acid gel to juicy spots.’

Picking nearly always leads to pigmentation too, which is stubborn to get rid of. ‘For skin of colour the main long term issue is the pigmentation that’s left behind, this is why it’s essential for skin of colour to break the acne cycle early,’ advises Dr Rattan.

You can buy benzoyl peroxide creams, such as Acnecide and Duac, over the counter. They kill bacteria that leads to acne, but do have a tendency to dry the skin out. If that puts you off…

ELLE Recommends…

– Malin + Goetz Salicylic Acid Gel – £19 SHOP NOW

This gel cools raging spots and redness without making skin feel taut, uncomfortable or turning it flaky and chalky. A dab is all you need, just be sure to wait for it to dry before pulling your clothes on.

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– Mario Badescu Glycolic Acid Toner – £28 SHOP NOW

Formulated with 2% Glycolic Acid, Grapefruit Extract and Aloe Gel, this cooling toner gently exfoliates, turfing sebum and dead cells out of pores to leave skin brighter and clearer.

6. Carry Spare Clothing

We know that excessive sweat and bacteria can lead to blocked pores, especially bacne, so, Dr. Kluk suggests carrying a spare, clean top with you if you tend to perspire more in warmer weather.

‘It’s also best to wash underwear, like your bra, after every wear,’ she adds.

It’s also worth switching up tighter clothing for a larger size too. ‘Wear loose fitting clothes as you don’t want to irritate the sensitive and inflamed skin,’ says Dr Rattan.

Got it.

7. Visit A Dermatologist

‘If you’ve tried all of these things and are still struggling to get on top of your breakouts or are aware of developing scars, see a dermatologist who can advise you on prescription treatment,’ advises Dr. Kluk.

Oral prescriptions are a great option and include: Spironolactone, which has anti-androgen effects to block male hormone testosterone and excessive oil production in female acne sufferers and Isotretinoin AKA Roaccutane – a vitamin A-derived oral medication, which suppresses excess oil production, kills acne bacteria and helps shed dead skin cells, preventing blocked pores.

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How to Get Rid of Back Acne Once and for All | Get Rid of Bacne

The first thing to know about how to get rid of back acne is that it’s not like the pimples you get on your face. Yes, it’s similar in that the pores clog and bacteria is often to blame, and also you get incredibly confused and angry and emotional about it (especially if you’re on steroids). But it’s different in that it comes with its own rulebook for treating and preventing it.

Luckily bacne is very treatable and very preventable. And I didn’t know all the ways to keep it at bay until I sourced a bunch of board-certified dermatologists for the answers. We got the advice they often give their own patients in regards to back acne, and now they’ve got your back, too: Here’s how to get rid of back acne.

Swap Out Your Shower Products

Start with a benzoyl peroxide (5-10%) body wash:

Nearly all of the dermatologists cited benzoyl peroxide body wash as their top suggestion for clearing bacne, since it aggressively kills the bacteria that cause you to break out back there. But be warned: It can stain your towels and clothing, so rinse thoroughly when done, and maybe wear a white t-shirt to bed afterwards.

Replenix benzoyl peroxide 10% body wash with aloe vera

As an alternative, use zinc-packed dandruff shampoos:

“I find that often ‘back acne’ is actually pityrosporum folliculitis, an overgrowth of a yeast normally found on our skin. Using antifungal shampoos and body washes, daily for 10 days, then weekly for maintenance, is helpful,” says Dr. Debbie Elder.

Dove+Men Care anti-dandruff shampoo with pyrithione zinc

Nizoral zinc anti-dandruff shampoo

Reach back there with a brush:

“Use a long handled cleansing sponge with your acne-fighting body wash, or even a body brush. These clean the back thoroughly in the shower,” says Dr. Nancy Samolitis.

Metene double-sided back brush

Do a back mask:
You can also leave your 10% benzoyl peroxide cleanser on like a mask for 5-10 minutes. I’d never do that on the face but the back can take it, and leaving it on longer helps,” says Dr. Papri Sarkar. 

In a pinch, try a peel:
“If it’s really bad and a person has big event coming up, I recommend a chemical peel. If there’s no time for an in-office one, I recommend doing an over the counter one or using peel pads,” says Dr. Papri Sarkar.

Dr. Dennis Gross salicylic acid peel pads (45 count)

Change Your Diet

Eat more anti-inflammatories: “Increasing foods that fight inflammation, such as green leafy veggies, fish, and tomatoes can be a great addition to your acne regimen,” says Dr. Mariana Atanasovski.

Omega 3s, good. Sugar, bad:
“Low glycemic index choices (meaning low in simple carbohydrates) have good results. So does increasing omega 3s which we can find in salmon, avocado, and walnuts,” says Dr. Sara Greer.

Mind Your Hygiene

Wash your towels and clothes frequently:
“It is important to wash your towels frequently or switch to an antimicrobial fabric so that bacteria doesn’t sit and then keep getting transferred back to the skin,” says Dr. Kavita Mariwalla. Ditto for your clothes, especially anything you’ve sweat in: It becomes a breeding ground for bacteria.

Never soak in your own sweat:
“I also remind athletes that getting in the shower and rinsing off soon after a workout can help minimize the effects of irritation from the sweat and occlusion of wet clothing,” says Dr. Hilary C. Reich.

If you can’t shower, wipe yourself off:
Sometimes you’re in a hurry, or prefer to delay the shower til home If so use a wipe, says Dr. Caroline Chang. This will keep pores clear and eliminate some of the urgency to shower (though you should still do so soon).

Anthony shower sheets (12 count)

Alter Your Workout Habits

Sweat wicking fabrics, always:
“Use wicking fabrics when you work out, since they provide maximum cooling and a dry fit. Yes, cotton is breathable, but it holds the moisture next to your skin creating a wonderfully hospitable environment,” says Dr. Brooke Jackson.

Lululemon men’s mesh workout shirt

Compress less: “I often see folliculitis in elite athletes. They will confuse the bumps on their legs, lower back, and groin with acne, when in fact they can be infected hair follicles. A recent trend that may be contributing to this phenomenon is compression. Tight yoga pants, compression shorts and sleeves can occlude and irritate hair follicles, and you can further increase the risk of hair follicle infection with reusing clothing without washing,” says Dr. John Trinidad.

Whey is way bad:
“Stop whey protein shakes and bars! Whey protein supplements have been linked to back acne. For some patients, the acne clears up after the supplements are discontinued,” says Dr. Allison Arthur. Consider switching to a non-whey protein.

Orgain vegan whey protein

This goes without saying, but say no to steroids:
“Eliminate anabolic steroids from your workout regimen. Not only do they cause ‘roid rage’, but they drive deep, scarring acne,” says Dr. Holly Hanson.

Visit a Dermatologist of Your Own

Our failsafe technique on how to get rid of back acne? Talk to a pro. “If your back acne is progressing despite these measures, seek a board certified dermatologist. Your dermatologist can offer more aggressive treatment including prescription creams, short term antibiotics, hormonal therapy, extractions, peels, laser treatments, and even isotretinoin for the most severe cases of nodule-cystic acne to halt acne before it scars. A board-certified dermatologist can also recognize acne-imposters such as steroid folliculitis, fungal folliculitis, and hidradenitis suppurativa,” says Dr. Laura Haygood.

How to Get Rid of Back and Shoulder Acne: Treatments and Causes

Acne can be frustrating to deal with in itself, but back and shoulder acne are particularly irritating. This type of acne caused by bra straps, tight-fitted clothing, and more can seem impossible to avoid.

“Tight clothing mixed with friction and excess moisture, such as sweat, can lead to the development of acne,” says Jeremy Fenton, MD, of Schweiger Dermatology Group in NYC. “The combination of friction, heat, and covered skin may result in the development of a form of acne called acne mechanica. The friction can irritate the skin and disrupt the surface, which can clog the pores with dead skin cells and lead to inflammation.” That said, there’s more than one cause in question, and as far as back and shoulder acne treatments go, it’s all about knowing the root cause of your breakouts. If you’re struggling with bacne, we’re here to fill you in on everything from causes to prevention to treatment.

Below, dermatologists share their best tips for back and shoulder acne.

Types of Back Acne

• Pustules: A layer of skin covering pus that lives under the skin caused by the buildup of oils, dirt, and impurities.
• Papules: Similar to pustules, papules are a raised area of skin that does not have pus.
• Cystic acne: Breakouts that occur deep underneath the skin and are often red, swollen, and painful.
• Whiteheads: Pores that are clogged with a buildup of dirt, oils, and dead skin cells but are covered by a thin layer of skin.
• Blackheads: Clogged pores that are dark in color due to dirt, oils, and buildup coming into contact with the air.

Causes and Prevention of Back Acne

• Hormones: A common cause is puberty or any hormonal change or a familial genetic predisposition.
• Perspiration: Pressure on the back combined with excessive sweating, poor hygiene, and closed coverage of the skin without “breathing,” can result in back acne.
• Bacteria: High growth levels of bacteria on the skin (cutibacterium acnes) can be a culprit, which can occur on the face or body.  
• Steroids: Another force at work could be steroid usage.  With increased androgen levels from steroids, the sebaceous glands on the skin secrete more oils.  This is most common on the back and shoulders or chest than the face.

Treatment

Cleanse and exfoliate regularly.

Aquis
Exfoliating Back Scrubber
$12

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Sure, you probably know that cleansing and exfoliating your skin is an important part of avoiding breakouts, but doing so for your back and shoulder is easier said than done. “Cleansing, exfoliating, treating, and hydrating the area is key, which is more difficult to do alone and reach all the areas unless you work for Cirque du Soleil,” says Ava Shamban, MD, cosmetic celebrity dermatologist and cofounder of Skin Five.

To help make cleansing your back easier, she recommends using a back cleansing tool, like a microfiber band or loofah with a long handle, so you can do your best to get to those areas and effectively cleanse and exfoliate regularly but gently. Her pick? Aquis’ Exfoliating Back Scrubber, which is two-sided for cleansing and exfoliating in one tool. “It reaches corner to corner and helps get the entire surface area of the back.”

Change your diet.

Enrique Díaz / 7cero / Getty Images

It’s no secret that what you eat can affect your body and your skin. Shamban explains that lifestyle changes like reducing stress and improving your nutrition can help with shoulder and back acne, along with getting a proper night’s rest. “Cutting out sugar and highly processed foods and eating a more plant-based diet are all good preventative measures,” she says. Try eliminating overly processed snacks from your normal routine. Instead, check the ingredient label and try to find options with five ingredients or fewer. Or, even better, stick with whole foods, like a piece of fruit or nuts when you feel like munching.

Avoid sitting in gym clothes.

Boris Jovanovic / Getty Images

While it may be tempting to leave your workout gear on for the day (especially if you’re working from home), it’s good to take your gym clothes off immediately.

“The most important treatment is to avoid leaving moist clothing pressed against the skin for long periods of time and to promptly remove clothing and shower immediately after exercise,” says Jessica Weiser, MD, of Weiser Skin MD.

Shamban agrees, adding that wearing natural fibers that breathe, like cotton and silk, and eliminating tight-fitting lycra and spandex on the area until it is clear helps too.

If you don’t think you’ll have the opportunity to change right away, you can help prevent the buildup of sweat by applying a baby powder, like Johnson’s Baby Powder ($2), prior to working out. This will help absorb sweat as you produce it, rather than letting the moisture sit on your skin. You should also keep a no-rinse cleansing option with you to help remove sweat when you’re in a pinch. Try ShowerPill’s The Body Wipe ($10).

Don’t overdo it.

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Cleansing is important, but it’s equally important to avoid over-cleansing, which can strip or dry the area. “This can exacerbate the sebaceous glands into overdrive and the cycle continues,” Shamban explains. “Over-treating the area can cause irritation and inflammation.”

While you should cleanse daily with a gentle cleansing option (Murad’s Acne Body Wash, $44, is perfect since it’s specifically formulated to treat body breakouts without over-drying your skin), exfoliation should be done less frequently. “Gently exfoliating the skin two to three times a week can help encourage skin turnover and decrease comedone [blemish] formation,” says Weiser.

Use salicylic acid.

Ava MD
Eminence Acne Advanced Cleansing Foam
$44

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To effectively cleanse the area, Shamban recommends looking for options that are formulated with salicylic acid or benzoyl peroxide, which are both key ingredients for keeping acne at bay. Give her Acne Cleansing Foam a try, which contains time-released encapsulated salicylic acid and a natural herb blend. It works to both prevent acne and unclog pores. It’s also easy to use: Simply squeeze the cleanser onto the actual scrubber to get your entire back. “I created this to be used as a body (or face) wash but specifically with this exact condition of bacne in mind. It is a common occurrence for my patients,” Shamban explains. For a thorough cleanse, you can also use an exfoliating scrub formulated with either ingredient, like Peter Thomas Roth’s Acne Face & Body Scrub ($24), which contains salicylic acid and a glycolic acid complex to help clear and prevent breakouts.

Turn to manuka honey.

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Raw Manuka Honey
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You don’t necessarily have to use a skincare product to treat your back and shoulder acne—there are natural, at-home alternatives that can work wonders as well, according to Shamban. Specifically, manuka honey. “Manuka honey is a bacne buddy. It has an antibacterial effect that can assist in cleaning and healing. It helps to balance the pH of the skin as it gently clarifies,” she explains. What makes manuka honey different from traditional honey is those antibacterial properties. It also has anti-inflammatory and antioxidant benefits. “It has properties to gently and naturally exfoliate and slough off dead skin cells, which will keep skin and pores clean and clear.” And if you are partial to skincare products, you can use one formulated with manuka honey to reap the benefits, like Shea Moisture’s Manuka Honey & Mafura Oil Intensive Hydration Body Wash ($10).

Try treating breakouts with retinol.

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Retinol Skin-Smoothing Body Treatment
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We recommend this over-the-counter retinol treatment to hydrate your skin.

Retinol, a form of vitamin A, is a popular ingredient in the skincare world that’s commonly known for its anti-aging abilities, but according to Shamban, it can also be a great treatment for back acne (not to mention acne in general). “You can get an over-the-counter retinol product, but I usually recommend having a tele-derm or in-office visit. Altreno’s Retinoid Lotion for body is highly effective to treat the area,” she says. Retinol encourages cell turnover, getting rid of dead skin cells so that younger skin cells can make their way to the surface. Oh, and that removal of dead skin cells? It prevents buildup that can result in clogged pores, which is why it’s a great treatment option for acne. It also helps to improve skin texture and tone. That said, if you can’t get to the dermatologist, we’re fans of this option from Paula’s Choice.

Why Body Acne Is on the Rise

And just because you get facial breakouts doesn’t necessarily mean you’ll also see bumps elsewhere on the body, and vice versa. “Body acne can be completely separate from acne on the face,” explains Engelman. 

Why are you breaking out all of a sudden?

From the emotional to the physical, pandemic-related issues are contributing to the rise in acne. 

For one, there’s the lifestyle change. “You’re sitting, and there’s more friction on your butt, which can lead to butt breakouts,” Mona Gohara, an associate clinical professor of dermatology at Yale School of Medicine, previously told Allure. All that rubbing of butt on couch can irritate the skin and lead to breakouts. 

The rise of at-home workouts isn’t helping, either. More time spent in sweaty clothes (because who’s changing right after a workout anymore?), and then sitting in those sweaty clothes on the couch, can cause clogged pores.

There’s also the fact that many of us, for various reasons, aren’t taking as much care of our skin as we used to. “People are exhausted, mentally and physically,” says Gohara. “I’ve been in athleisure since March, and I think the same [thinking applies to] skin care. People aren’t taking care of their skin, because they’re like ‘I can’t deal.'” Forget bells and whistles like sheet masks (or butt masks), people are also showering less, which can lead to oil buildup on the body. Others are showering more, which can lead to irritated skin. 

Diet is also contributing to newfound body breakouts. “If you are like me, while sitting at home, you may be grabbing for those donuts, ice cream, and wine. Pandemic-related poor diet may be exacerbating your acne,” says Chang. “Studies show that high glycemic diets (high sugar and carb foods) and dairy may worsen acne.”

Lastly, there’s the emotional toll that this year has taken. “Pandemic-related stress may contribute to acne flares,” Chang continues. “Stress induces the activation of the hypothalamic-pituitary-adrenal axis and elevates cortisol levels in the body. Stress has been shown to promote oil production and increase inflammation in the skin, in turn, causing acne flares.”

How to treat body acne

What we have here is a perfect storm of acne-causing factors, and absolutely zero of them — from the stress-inducing global pandemic to the fact that it’s exceedingly difficult not to spend many hours per day on the couch — are your fault. This isn’t so simple as “I slept in my makeup and now I have a zit.” It’s a compounding of the communal experience right now, and it’s showing up on backs, chests, and butts. As always, but especially right now, try to be gentle with yourself and your choices.

How to Get Rid of Back Acne — Best Back Acne Treatments

Photo: George Marks/Getty Images

Most people have relatively well-formed opinions about how to handle the average face pimple. Whether you’re devoted to retinols, double-cleanse like your life depends on it, or resort to popping, you likely have a game plan or two developed back when puberty first made your hormones go haywire. Less talked about however, is body acne, especially when it sets up shop on your back.

Bacne happens in part because acne can happen anywhere on your body where sweat glands are present. But how do you treat it, especially if it crops up in hard-to-reach places? And how much does working out actually contribute to your skin woes? We tapped four pros for their tips.

“Acne tends to develop in areas where we have a high concentration of oil glands,” Joshua Zeichner, a Manhattan-based dermatologist, explains. That’s why your face, chest, and back can be prime targets for pus-filled mounds and the red bumps that mark inflamed hair follicles (otherwise called folliculitis). “High levels of oil production get trapped within the pores, promoting an overgrowth of acne-causing bacteria and inflammation,” he explains. While he sees blackheads and whiteheads on patients from time to time, he notes they’re less common on your chest and back than they can be on your face.

com/_components/clay-paragraph/instances/cjs0mklof003p3g64i5d218w4@published” data-word-count=”24″>Contrary to what you may have learned in your middle-school locker room, working out has less to do with your bacne than you think.

“Exercise itself is great for you and does not cause acne,” Iris Rubin, dermatologist and founder of SEEN, explains. However, she notes, “sweat can mix with bacteria on the skin and dead skin cells, which clogs pores.” It’s that recipe that causes body acne, not the sweat itself.

Every dermatologist told the Cut that it’s crucial to work out in clean clothes, and to at least change your clothes as quickly as possible after your workout, if a full-on shower isn’t possible. (Yes, your yoga pants can be giving you butt acne). Rubin also recommends using a clean towel to wipe sweat away as you work out, and if you’re working out indoors, wipe down equipment before and after using it, if you can.

Yes and no! Because acne forms the same way, no matter where it crops up, your favorite skin-care products can pull double-duty on pimples that appear south of your neck. But unless you’re particularly flexible, it can be tough to reach a zit right in the middle of your back.

Luckily, they make sprays for that, dermatologist Dandy Engleman points out. She recommends looking for products that contain one of the two big acne-fighters: benzoyl peroxide or salicylic acid. The latter, she says, is especially effective because it dissolves your skin’s keratin. “It actually can penetrate into the pore to dissolve dead skin-cell buildup,” she explains. Both ingredients also help your skin shed its top layer, which helps keeps your pores clear and free from future breakouts.

Dr. Lamees Hamdan recommends investing in a wash cloth or scrubber with an arm long enough to reach your back, and replacing it every month if you can. And Zeichner points out that it’s crucial to let whatever product you’re using have enough time to penetrate your skin.

“You should apply your cleanser, let it sit, lather it up while you sing the alphabet, then rinse off,” he says. He particularly likes products with benzoyl peroxide, which kills acne-causing bacteria and reduces inflammation around the infected pore. And if you’re applying a topical product after you shower, let it dry before getting dressed; salicylic acid and benzoyl peroxide can both bleach clothing.

And just like pimples on your face, you should try to avoid picking at bacne if you can. Save the back bends and twists for yoga, and just be sure to hit the showers after your last “namaste.”

Zeichner’s pick for keeping your skin clear on days when you don’t have a flare-up. Exfoliation helps slough away the buildup of dead skin cells, which can exacerbate acne.

Zit stickers with a wider surface area so you can slap a few on your back.

This one will require the assistance of a friend or some real dexterity. But it will work.

This retinoid, which is great at fighting off pimples, used to be prescription but is now available over the counter.

The zingy grapefruit scent will wake you up, while the salicylic acid (at a 2 percent concentration) will help keep pimples at bay. Don’t forget to sing the alphabet as you lather up.

With a 10 percent benzoyl-peroxide formulation, this is for the toughest of acne clusters.

A spray for those hard-to-reach places.

Work your cleanser of choice into a lather with one of two scrub brushes.

This article was originally published February 13, 2019. It has been updated throughout. If you buy something through our links, New York may earn an affiliate commission.

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Causes, Symptoms, Treatments, & More

If there’s one thing you can count on as a teen, it’s acne. More than 85% of teenagers have this common skin problem, which is marked by clogged pores (whiteheads, blackheads), painful pimples, and, sometimes, hard, deep lumps on the face, neck, shoulders, chest, back, and upper arms.

If your mom and dad had acne, chances are good that you will, too. But there are many ways to prevent (and treat) acne today to keep the condition minimal, prevent scarring, and leave your skin glowing.

What Causes Acne?

To understand acne, you need to know how your skin works. The pores in your skin contain oil glands. When you hit puberty, there’s an increase in sex hormones called androgens. The excess hormones cause your oil glands to become overactive, enlarge, and produce too much oil, or sebum. When there’s too much sebum, the pores or hair follicles become blocked with skin cells. The increase in oil also results in an overgrowth of bacteria called Cutibacteriumacnes.

Continued

If blocked pores become infected or inflamed, a pimple — a raised red spot with a white center — forms. If the pore clogs, closes, and then bulges, you have a whitehead. A blackhead occurs when the pore clogs, stays open, and the top has a blackish appearance due to oxidation or exposure to air. (This has nothing to do with skin being “dirty”).

When bacteria grow in the blocked pore, a pustule may appear, meaning the pimple becomes red and inflamed. Cysts form when the blockage and inflammation deep inside pores produce large, painful lumps beneath the skin’s surface.

Hormonal changes related to birth control pills, menstrual periods, and pregnancy can trigger acne. Other external acne triggers include heavy face creams and cosmetics, hair dyes, and greasy hair ointment — all of which can increase blockage of pores.

Clothing that rubs your skin may also worsen acne, especially on the back and chest. So can heavy sweating during exercise, and hot, humid climates. Stress is known to trigger increased oil production, which is why many teens have a new crop of pimples on the first day of school or just before that big date.

What Are the Symptoms of Acne?

While the symptoms of acne vary in severity, you’ll notice these signs on areas of your body with the most oil glands (the face, neck, chest, back, shoulders, and upper arms):

• Clogged pores (pimples, blackheads, and whiteheads)
• Papules (raised lesions)
• Pustules (raised lesions with pus)
• Cysts (nodules filled with pus or fluid)

The least severe type of acne lesion is the whitehead or blackhead. This type is also the most easily treated. With more extensive acne, you may need prescription medications to ease inflammation, bacterial infection, redness, and pus.

What Is the Treatment for Acne?

The treatment usually depends on how serious the problem is. For instance, if you have an occasional inflamed pimple, you may use skin compounds containing:

Benzoyl peroxide reduces oil production and has antibacterial properties. But use it carefully, as it might leave your skin dry and flaky. (It can also bleach out clothing, towels and bedsheets.) Try to use it just before bedtime.

Continued

Resorcinol and sulfur, as well as prescription retinoids and prescription antibiotics applied to skin, can reduce blackheads, whiteheads, and inflamed pustules.

When many pustules or cysts appear on the face and upper body, you’ll need an oral antibiotic. Your doctor also can inject cysts with anti-inflammatory steroid solutions to help decrease their size.

For persistent acne, antibiotics (taken by mouth or applied to the skin) are generally used. Some antibiotics have both antibacterial and anti-inflammatory properties. These are often prescribed for short-term use (usually a few months).

Because acne is linked to hormones, some oral contraceptives (birth control pills) may help. But not all birth control pills stop acne, and some make it worse.

Spironolactone, (Aldactone) a hormone blocker, can be used for teenage girls who have acne.

Isotretinoin (Absorica, Absorica LD, Accutane, Amnesteem, Claravis, Sotret), a prescription medication you take orally, may help control severe acne, which is characterized by many large cysts on the face, neck, and upper trunk and scarring.

Continued

Clascoterone (Winlevi) is a new twice daily topical cream that blocks androgen hormones locally and is anti-inflammatory. It is FDA approved in both boys and girls ages 12 and up.

Pregnant women or women who might become pregnant can’t use this medication, as it’s linked to birth defects. Isotretinoin can give people very dry skin, eye dryness, and irritation and requires blood tests to monitor for liver inflammation, high blood fat content, and bone marrow suppression. It can also be very expensive. So its use is restricted to the most severe cases for which other treatments haven’t worked.

Can I Prevent Acne?

There are some steps you can take to prevent acne. To prevent oily skin that can contribute to acne, keep your skin clean. Wash your face and neck twice daily with mild soap and warm water. But never scrub your face! That can irritate your skin and worsen acne.

When Should I Call My Doctor About Acne?

Whether you have a few pimples or more serious acne, talk to your primary health care provider about treatments. Treating acne early is the key to avoiding permanent scarring.

Acne – causes, symptoms, diagnosis and treatment in Astrakhan | Diseases

Reasons

• Inflammation of hair follicles as a result of the interaction of hormones, sebum and bacteria

Provoking factors

• Puberty
• Pregnancy or menstrual cycle
• Polycystic ovary syndrome
• Certain drugs
• Certain products applied to the skin
• High humidity and increased perspiration

Symptoms

• Blackheads (open comedones)
• Whiteheads (closed comedones)
• Acne (inflamed closed comedones)
• Hard bumps that rise above the level of the skin (papules)
• Superficial bumps containing pus (pustules)
• Pus-containing dense bumps in the depths of the skin (nodules)
• Large pockets containing pus (cysts)
• Large, deep pockets containing pus (abscesses)

People with mild acne develop only a small amount (less than 20) of non-inflamed blackheads or whiteheads, or a moderate amount of small pimples with mild irritation.In addition, pustules resembling pimples with yellowish heads may occur.

Acne appears as small flesh-colored bumps with a black head. Whiteheads have a similar appearance, but without a black head. Acne is mildly uncomfortable and has a white head with mild redness around it.

Patients with moderate acne have more blackheads, whiteheads, pimples and pustules.

Patients with severe acne either develop very large numbers of blackheads, whiteheads, pimples and pustules, or develop a cystic (deep) form of acne.In cystic acne, patients have 5 or more cysts, which are large, painful, pus-filled red nodules that can coalesce under the skin to form large abscesses with discharge.

In severe acne, cysts and abscesses often rupture, leaving scars after they heal.

Acne nodules (conglobata) are the most severe form of acne that leads to severe scarring and other complications caused by abscesses.Severe acne can occur on the hands, abdomen, buttocks, and even the scalp.

Acne fulminant and facial pyoderma (rosacea fulminant) are two possibly related and rare types of severe acne that occur suddenly.

Diagnostics

Doctors diagnose acne by examining the skin. After confirming the diagnosis, doctors determine the severity of acne depending on the number and nature of the lesions.

Treatment

Treatment for acne includes a range of topical and systemic medications to reduce sebaceous gland production, comedones, inflammation, bacteria, and normalize healing. Treatment depends on the cause and symptoms of the disease, the severity of the course, as well as the presence of concomitant diseases and drug therapy received for concomitant pathology. Taking this into account, the doctor can prescribe:

• the use of water-based cosmetics;
• hypoglycemic diet and moderate milk intake for adolescents;
• external medications;
• oral medications;
• intralesional administration of drugs;
• oral contraceptives for women.

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Acne on the back, chest and shoulders: why and how to treat it

Acne on the body appears in both adolescents and adults.

Acne and blackheads (comedones) are not limited to the face. The chest, neck and shoulders are quite common sites for inflammation of the sebaceous glands. Back acne even has its own name – bakne. So, if this problem touched you, you should know, not only you! Pimples on the body appear in both adolescents and adults.

Excessive sebum production, dead skin cells and bacteria

Acne on the body is caused by the same factors as acne on the face, namely hypertrophied sebaceous glands, an excess of dead skin cells and bacteria.

When sebum or dead cells accumulate inside the follicle, which we sometimes call, a blockage can occur. The pores turn black, and when bacteria enter, an inflamed pimple is formed.

Like the face, back, shoulders, forearms have more sebaceous glands, so the follicles are clogged with sebum and dead skin cells.

Heat, friction and sweat can cause certain types of acne

Friction or pressure on the skin combined with heat or sweat can irritate and inflame the follicles, causing mechanical acne. The reason is tight-fitting clothing, tight collars, backpacks, bag straps, and sportswear or equipment.

Sweat can also trigger acne. To minimize irritation, shower immediately after exercise or work. Do not use aggressive hygiene products: gels, perfumed shower soap, mineral oil, synthetic ingredients.Cleanse your skin gently and use cosmetics with salicylic acid or benzoyl peroxide.

Confusion is normal

The feeling of discomfort makes people choose clothes that hide problem areas as much as possible. Girls prefer T-shirts and shirts with a shallow neckline to hide the rash on the chest, men are embarrassed to show the torso.

Some people refuse to play sports or participate in certain activities due to skin problems.Of course, it is difficult to enjoy swimming in the pool if you are embarrassed to show yourself in a swimsuit.

Acne on the body can be a serious psychological trauma for adolescents. Lack of self-confidence makes it difficult to change clothes in the locker room and make a choice in favor of a beautiful dress with an open back for prom, makes it difficult to live, in the end.

All of these feelings are completely normal. Accept the situation and focus on treating your acne to get the problem resolved as soon as possible.

Body acne treatment

Mild acne treatment

Mild acne – individual pimples very often disappear as soon as you establish daily skin care and do not require prescription treatments.

– Try over-the-counter salicylic acid or benzoyl peroxide products. If you are used to using soap, buy soap that contains benzoyl peroxide.

– Use your chosen remedy daily. Try showering or bathing immediately after exercising or sweating to minimize clogged pores.

– If detergents don’t work, start using a medicated lotion or spray with salicylic acid or benzoyl peroxide.Apply them once or twice a day, depending on the composition of the product. Sprays are great for hard-to-reach areas on your back.

– An alpha hydroxy acid such as glycolic acid or lactic acid found in personal care products will add value. Alpha hydroxy acids help speed up cellular metabolism, effectively exfoliate the skin and reduce clogged pores.

– You can use several acne treatment products at the same time. For example, shower with salicylic acid and use benzoyl peroxide lotion.The skin on the back, chest, and shoulders is tougher than the skin on the face, so it can tolerate more powerful treatments.

– However, use the medications carefully in the neck area, the skin there is quite sensitive. If you notice irritation, dryness, or flaking on any part of your body, see your doctor.

Treatment of moderate to severe acne

Moderate to severe acne cannot be treated with any of the above. You will need complex procedures and a dermatologist’s control.

Do not hesitate to see a doctor, especially if the acne is very inflamed. In addition, removing acne on your own can leave deep scars. The more intense the inflammation, the higher the likelihood of scarring.

Depending on your situation, a dermatologist may prescribe topical treatments, oral medications, or both. Standard treatments include:

– Topical retinoids such as tretinoin

– Antibiotics

– Isotretinoin

Isotretinoin is used for very severe acne or after other treatment options have failed because it has significant potential side effects.

It will take time to get your skin in order. You may have to try several treatments and medications before finding the one that works best for you.

Acne is treated in 99%. The main thing is to observe three conditions: time, patience and the right treatment.

Good daily skin care is the key to a successful acne treatment. But in order to permanently get rid of the problem, relieve inflammation and unclog pores, you will need to visit a dermatologist.This will help save time and money that you wasted on ineffective funds.

Face Map: What Does Acne Want to Say? – Beauty from within – Beauty and Health – Beauty EDIT

LOB

Face mapping enthusiasts claim that the forehead reflects the state of the nervous system and digestive organs. Forehead rashes are usually a result of stress, which means yoga or meditation can help you cope with them. In order to help your digestive system, remember to drink enough water and include grains, fruits and vegetables in your diet.

BETWEEN THE EYEBROWS
If you constantly have problems with the area of ​​the skin between the eyebrows, it may be due to the condition of the kidneys, liver or digestive organs. Give up alcohol, fatty foods and smoking – bad habits that affect the state of these organs. Also, the reason may be in your individual intolerance to dairy products and wheat products.

NOSE
Adepts of traditional medicine believe that the nose is connected with the entire respiratory system, mainly with the lungs, and also with the heart.If you are plagued by a rash on your nose, it makes sense to check your blood pressure and switch to foods with a lower glycemic index. It may also be worth considering eliminating meat, coffee, alcohol and spicy foods from the diet.

RIGHT CHEEK
In Chinese medicine, the difference between the right and left sides of the body is very important. If you notice a rash on your right cheek, your lungs may need special attention. Regular cardio training, breathing exercises and smoking cessation will help you.The right one also serves as a blood sugar indicator, so don’t lean on cookies.

LEFT CHEEK
The left cheek is associated with the liver, therefore, if something is wrong with it, give up alcohol and fatty foods – a healthy lifestyle and the right diet will help correct the situation.

AREA AROUND THE WINGS OF THE NOSE
Skin problems in this area are often associated with the condition of the small intestine. Avoid drinks that are too cold and keep a food diary to pinpoint exactly what caused the rash.

CHIN
Skin around the chin can be affected by problems with the spleen, digestive system or kidneys. A healthy diet and an active lifestyle will help solve them. In addition, pimples on the chin may indicate a hormonal imbalance, so they often appear before menstruation – in this case, you should seek advice from a dermatologist.

LOWER JAW LINE
Rashes along the jaw line can indicate problems with the large intestine and, in particular, with the rectum, so try to include more fiber-rich foods in your diet, and also drink plenty of water.In addition, it can be an indication of dental problems and a signal to visit the dentist. Hormonal imbalances can also affect the condition of the skin in this area.

How to Get Rid of Back Pimples

Acne on the back is a fairly common problem that affects people of almost any age.

Most often, the reasons for their formation do not differ significantly from those that cause eczema on the face.

Acne on the back is not only an aesthetic problem, first of all, it should be noted that most often they cause severe pain. Back pimples can indeed become inflamed, and often appear in large numbers at once. They mainly occur in the upper back and shoulders. It is in these places that there are many sebaceous glands.

Acne on the back occurs for almost the same reasons as on other parts of the body. The most common causes of their occurrence:

1. The most common cause of back skin lesions is hormonal acne.Thus, the problem lies in the disturbed hormonal balance and in the blocked sebaceous glands, accumulated sebum at their high activity at the same time;
2. Genetic predisposition, the most common cause of acne;
3. Poorly selected cosmetics is an equally common cause of acne;
4. Hygienic negligence. Unfortunately, back acne is often caused by poor hygiene. The sebaceous glands on the back become clogged with sweat, so acne is just a matter of time.
5. Stress and increased sweating. Back acne is very common in people who have previously noticed a problem with increased sweating. It is also a medical condition that requires treatment, so it should never be ignored, especially if it causes additional problems. Stress is an equally important factor. Skin lesions on the back are aggravated when cortisol levels rise steadily and the patient does not get enough sleep.
6. Menstrual cycle. Changes in the skin of the back and neck in women very often appear on certain days of the cycle.Pimples “pop up” right before menstruation – then the already existing changes are clearly intensified. So this is the time to pay special attention to hygiene.

To know exactly which cosmetics will suit your skin, it is best to consult a beautician. A visit to a dermatologist will help you figure out both the cause and the type of problem. As a result of visiting a specialist, appropriate treatment can be prescribed. A very important step in the fight against back acne is also a visit to an endocrinologist or gynecologist.It is worth finding out exactly what the main problem is – whether hormonal disorders are caused by a more serious disease that poses a real threat to health.

There are some very simple rules that reduce the risk of spreading and prevent future acne from developing. The main thing is to maintain proper hygiene. Thanks to daily washing, excess sebum and corpus callosum, blocking the work of the sebaceous glands, are removed. When pimples appear on the back, it is good to use special cosmetics designed for problem skin.Adequate hydration and soothing creams or toners are also important to improve the condition of irritated skin. You should also avoid oil products and cosmetics that contain alcohol. Additional support is also a bath with the addition of infusion of pansies, chamomile or sage.

Home remedies for back acne are not always effective. When careful hygiene does not help, it is likely that medication will be required – a visit to a dermatologist is necessary. Treatment most often involves the use of topical medications such as ointments, creams, or lotions.Pharmacological treatments most often include oral antibiotics, including tetracycline, doxycycline, erythromycin, or retinoids (vitamin A derivatives). In women, hormonal contraception is also sometimes used, which suppresses the production of androgens and thus reduces the production of sebum in the sebaceous glands. Preparations for pimples on the back are also vitamins that have an antiseborrheic effect. First of all, it is the commonly used vitamin C, as well as vitamins PP, B2 and B5.Supplements can also help treat skin lesions on the back. They will not replace medications prescribed by a dermatologist, but they will provide additional support to the body affected by inflammation. You need to choose only those solutions that differ in their natural composition.

What to do and how to treat?

You are in the section: Home »Articles» Acne: acne, pimples or acne vulgaris?

Acne , in common people – acne, also known as acne vulgaris, acne, pimples, etc.etc., in fact, is a skin pathology in which hair follicles and sebaceous glands are clogged with fatty secretions and dead cells of the epidermis. As a result, acne appears on the surface of the skin, and, as a rule, they are localized on the face, forehead, chest, upper back and shoulders. Acne is most common among adolescents, although it is not uncommon among people of other ages.

Although effective treatments already exist, unfortunately acne is very persistent.Acne disappears slowly, and often new ones appear in their place.

Regardless of the severity of the course, acne causes both emotional (or even psychological) disorders, and leaves quite physical marks for itself – scars on the skin.

Remember: the earlier you start treatment, the lower the risk of such problems!

SYMPTOMS

Symptoms and signs of acne vary according to the severity of the course.Acne can manifest as:

• White heads (closed pores)
• Blackheads with black heads (open pores)
• Small red bumps (papules)
• Pimples (pustules), which are papules with pus at the top
• Large, hard, painful lumps on the surface of the skin (nodules)
• Painful, pus-filled lumps on the surface of the skin (cystic lesions)

WHEN TO CONTACT A DOCTOR?

If skin care products do not help, acne does not disappear, but, on the contrary, acquires signs of a prolonged or severe course, consult a dermatologist.He will find adequate therapy.

Many women have had acne for decades, which appears regularly in the week before their period. This type of acne usually goes away spontaneously after you start taking hormonal contraceptives.

In older people, the sudden onset of severe acne can signal the appearance of another serious medical condition that requires qualified medical attention.

Dermatologists of Dr. Filatov’s Clinic warn that some popular lotions for cleansing the skin from acne can cause a serious inflammatory-allergic skin reaction that requires urgent medical attention.Such help will be needed if, after using these funds, you feel:

• weakness
• shortness of breath
• swelling of eyes, face, lips or tongue
• tightness or sore throat, itchy ears

REASONS

There are four major contributing factors to acne vulgaris:

• Excessive formation of fat secretion by the sebaceous glands
• blockage of hair follicles by fat and dead skin cells
• local growth of microorganisms
• excessive activity of one of the types of hormones (androgens)

As mentioned above, acne usually occurs on the face, forehead, chest, upper back and shoulders, because the skin of these areas contains the most sebaceous glands per unit area.Hair follicles are associated with sebaceous glands.

The wall of the follicle can protrude and form the so-called white head. After opening, the surface of the follicle darkens and it turns into what we call eel. It looks like dirt stuck in the pores of the skin. In fact, the pores are overloaded with their own bacteria and oil, which darken when exposed to air.

We call pimples raised red spots with a whitish center, which grow in size when blocked hair follicles become inflamed or become infected with bacteria.The blockage leads to inflammation that develops deep within the hair follicles and contributes to the formation of cyst-like lumps on the surface of the skin. Interestingly, the pores of the sweat glands are usually not involved in the formation of acne.

FACTORS INFLUENCING ACNE RASH

Hormones . Androgens (male sex hormones), which increase in both boys and girls during puberty, cause the sebaceous glands to produce more sebum.Hormonal changes associated with pregnancy and oral contraceptive use can also affect sebum production. At the same time, the low amount of androgens circulating in the woman’s blood can also contribute to the formation of acne. In addition, changes in the hormonal background can be associated with such dangerous diseases as polycystic ovary disease, congenital adrenal hyperplasia, etc. Therefore, one of the mandatory diagnostic techniques is a laboratory study of the hormonal background of a patient with acne.

Medicines . For example, containing corticosteroids, testosterone, or lithium.

Diet . Research shows that certain foods, including skim milk and carbohydrate-rich foods such as bread, bagels, and chips, can worsen acne. This also includes many beloved chocolate.

Stress . Stress can exacerbate acne and worsen overall skin condition.

ACNE MYTHS

Factors that have little effect on acne:

Fatty foods .Consuming fatty foods has little or no effect on acne. But working in the kitchen with cooking utensils – maybe because the oil aerosol in the air sticks to the skin and blocks hair follicles, which irritates the skin and contributes to the appearance of acne.

Hygiene . Acne is not associated with dirty skin. Conversely, too harsh cleaning of the skin with caustic soap or active chemicals irritates the epidermis and can aggravate acne.

Cosmetics .Makeup doesn’t necessarily make acne worse, especially if you’re using oil-free makeup that doesn’t clog your pores. Such cosmetics also do not interfere with the effectiveness of drugs for acne rash

RISK FACTORS

Age . People of all ages can be affected by acne, but it is most common during adolescence.

Hormonal changes . Such changes are characteristic of adolescents of both sexes and adult women, as well as people taking certain medications (including those containing corticosteroids, androgens or lithium).

Family history . Genetics play a role in the formation of acne. If both parents had acne, then the children are more likely to get it.

Fatty or oily substances . Acne can appear where the skin comes in contact with oil-based lotions or creams, grease (a thick grease used in locksmiths) or grease aerosols (in the kitchen, where they fry in oil).

Mechanical effect on the skin .May be caused by items such as cell phones, helmets, heavy collars, scarves or balaclavas, and backpacks.

Stress . Stress itself does not cause acne, but it can worsen the course of acne.

TREATMENT

If over the course of a few weeks, over-the-counter acne medications have failed, see your dermatologist for stronger medications.

Dermatologist will help you:

• control acne
• avoid scarring or other damage to the skin
• to make existing scars and scars less visible

Acne medicines work by reducing fat secretion, speeding up the sloughing of dead epidermal cells, fighting bacterial infection or suppressing inflammation to help prevent scarring.Most acne medications are unlikely to show positive results after a month or two, and the skin may even look worse at first before there is visible improvement. Unfortunately, acne treatment is a slow process and it can take several months or even years to completely clear the skin of acne. But it’s worth it!

The treatment regimen that the doctor chooses will depend on the age of the patient, the type of acne, the severity of the process, as well as the patient’s persistence and willingness to carefully follow the doctor’s prescriptions for a long time.For example, you may need to rinse and apply medication to the affected skin twice a day for several weeks. For pregnant women, some oral prescription acne medications will be eliminated altogether.

Discuss the risks and benefits of the drugs and other treatments you are considering with your doctor.

LOCAL MEDICINES

Retinoids and retinoid-like drugs .Known as creams, gels and lotions. Retinoid drugs are derived from vitamin A and include tretinoin, adapalene, and tazarotene. These drugs are used in the evenings, starting three times a week, and then daily, as the skin becomes accustomed. Retinoids prevent blockage of hair follicles.

Antibiotics . Destroy the excess population of skin bacteria, reduce its redness. During the first few months of treatment, retinoids can be combined with antibiotics, with antibiotics given in the morning and retinoids in the evening.Antibiotics are often combined with benzoyl peroxide to reduce the chance of developing antibiotic resistance. For example, combined preparations of clindamycin with benzoyl peroxide or erythromycin with benzoyl peroxide are used. It’s just that local antibiotics by themselves are not recommended.

Salicylic acid and azelaic acid . Azelaic acid is a naturally occurring acid found in whole grains and animal products. Possesses antibacterial properties.Azelaic Acid 20% Cream appears to be as effective as many conventional acne treatments when used twice a day for at least four weeks. It is even more effective when used in combination with erythromycin. Azelaic acid preparations are an option for use during pregnancy or while breastfeeding. Possible side effects: discoloration and minor skin irritation. Salicylic acid can help prevent blockages in hair follicles.However, the effectiveness of this drug is limited.

Dapsone . Applying Dapsone 5% gel twice daily is recommended for inflammatory acne, especially in adult women. Side effects: redness and dryness of the skin.

Other topical preparations based on zinc, sulfur, nicotinamide, resorcinol, sodium sulfacetamide or aluminum chloride have not been proven to be effective.

MEDICINAL PREPARATIONS FOR INSIDE

Antibiotics .For moderate to severe acne, oral antibiotics may be needed. As a rule, tetracycline derivatives or macrolides are the first choice for acne treatment. Oral antibiotics should be used for as short a time as possible to prevent the development of antibiotic resistance. And it is best to use them in combination with the use of retinoids and benzoyl peroxide. Studies have shown that topical application of benzoyl peroxide with oral antibiotics reduces the risk of developing antibiotic resistance.Antibiotics can cause side effects such as upset stomach and dizziness. These drugs also increase the sensitivity of the skin to the sun (photosensitivity).

Combined oral contraceptives . Some combination oral contraceptives are also useful for treating acne in women. But only those that combine estrogen and progestin. However, they may not show their effectiveness in the first few months. The most common side effects of these drugs are weight gain, breast tenderness, and nausea.A slightly increased risk of blood clots is a serious potential complication. Therefore, the decisive vote for or against the use of these drugs should have the results of a coagulogram and, perhaps, genetic analysis for some genes relevant for increased thrombus formation.

Antiandrogenic drugs . Spironolactone may be considered for women and adolescent girls if oral antibiotics do not help. It blocks the effect of androgens on the sebaceous glands.Possible side effects include breast changes and painful periods.

Isotretinoin . Isotretinoin is a potent drug for people with severe acne that does not respond to other treatments. Oral isotretinoin is very effective. But because of its potential side effects, it requires special careful use and tight control during treatment with this drug. Potential side effects include ulcerative colitis, an increased risk of depression and suicide, and severe birth defects.In fact, the use of isotretinoin is limited precisely by the high risk of serious side effects.

THERAPEUTIC PROCEDURES

These treatments are used either alone or in combination with drugs.

Laser and photodynamic therapy . Various light treatments have been shown to be effective. The method is based on the fact that different types of bacteria that cause acne can be killed by exposure to light of different wavelengths and intensities.Before the procedure begins, a medication that increases the skin’s sensitivity to light (photosensitizer) may be applied. Blue light, red light, or a combination of both can be used for the procedure. However, further research is needed to debug the method, select the wavelength of the light source and dose. Acne-causing bacteria can also be killed with pulsed light and heat energy. These procedures also allow you to shrink the sebaceous (sebaceous) glands, thus reducing the overall production of sebum.

Chemical peeling . This procedure uses repeated applications of a cleaning chemical solution such as salicylic acid, glycolic acid, or retinoic acid. Unfortunately, the improvement is usually short-lived, so re-treatments of the skin are required. Chemical peels improve the appearance of the skin. This treatment helps unclog pores and remove dead cells, pustules and acne. Chemical peels can also help revitalize the skin. Possible side effects include redness, flaking, crusting, scarring, infection, and abnormal skin coloration.

Chemical peeling is not recommended if:

• Your skin tends to develop more scar tissue (keloid).
• You have used isotretinoin for therapy in the last six months

Drainage and cleaning. The doctor can use special instruments to remove cysts, whiteheads and blackheads. This will improve the appearance of your skin, albeit temporarily. The danger of this procedure lies in the possible formation of scars or generalization of the infection.

Steroid Injection . Steroid injections are most often used for types of acne that are characterized by the formation of painful nodules or cysts in the surface layer of the skin. By themselves, these formations do not quickly disappear, therefore, an injection of a steroid drug directly into the affected area is used for treatment. After such injections, the nodes dissolve within 2 to 4 days against the background of a significant decrease in the level of pain.

This method is very effective, but it can also cause side effects, including:

• skin thinning
• the appearance of small blood vessels in the treated area
• noticeable lightening of the skin at the injection site

In conclusion, we want to say that with the outward ease and availability of the fight against “acne”, acne is a rather complex and persistent disease, signaling probable serious problems and changes in the body.Therefore, the treatment of this disease must be taken very seriously and not experiment with your body, in order to avoid the development of serious complications.

The best treatment is the one that is appropriate for your health and the cause of the acne. And only a specialist – a dermatologist – can pick it up.

You can make an appointment with such a specialist by calling our clinic:

(812) 312-65-65 and 716-26-86

YON-KA.RU »How to treat pimples on the chest

During adolescence, many had acne in places like their nose, forehead and chin. If you are particularly unlucky, you also develop pimples on your chest or back. Many teenagers have had this curse, but chest pimples are still fairly common even after you graduate from high school and enter adulthood.

It can appear in different areas, all pimples are the same. It develops when your pores become clogged with sebum, bacteria, dead skin cells, and other pollutants that cause inflammation.Hormones are the main contributor to acne, but there are other factors to consider.

In this article, we’ll take a closer look at the topic of acne to help you know what it is, what causes acne, and how to treat it. We’ll also provide home skin care guidelines that you can use to reduce or even prevent breast acne.

What is acne and how is it formed?

Your skin is the largest organ in your body and is covered with pores.Pores are tiny holes in the skin that release natural oils and sweat. The pores of hair follicles cover your entire body except for the skin on your lips, palms, and the soles of your feet – they are connected to the sebaceous glands below the skin’s surface. You also have pores of sweat, but they are so small that you hardly notice them.

Your pores play an important role in protecting the health and well-being of your skin. Each hair follicle is connected to a sebaceous gland (oil gland) and the hair allows the sebum to reach the surface of the skin.This oil, known as sebum, lubricates the skin while keeping it smooth and supple. The problem occurs when your pores become clogged and most of this oil gets trapped under the skin’s surface.

Every pimple starts with blocked pores. Pores can become clogged with excess oil, dirt, cosmetics, dead skin cells and bacteria, leading to inflammation and various types of blemishes such as acne and papules.

What causes chest acne?

90,050 Acne is the most common skin disease in the world, affecting up to 50 million people every year.Although most common in adolescents, acne can also appear in adults (especially women) between the ages of 30 and 50. Acne can appear anywhere on the body, but breast acne is associated with several specific causes:

• Hormonal fluctuations
• Dehydration
• Dry skin or sun damage
• Excessive use of comedogenic moisturizers
• Skin allergy
• Too much sugar in the diet

Changing hormones can change the condition of your skin, leading to an increase in acne.If your skin is dry or damaged, or if you are sensitive to certain fabrics, perfumes, or dyes, you may also have acne.

Simple Tips to Reduce Acne

If you experience severe and / or painful acne, you should see your dermatologist. In the meantime, there are some simple lifestyle changes you can make to help your skin fight acne.

Here are some simple tips for reducing acne:

• Shower every day , especially after training.You don’t need to wash your hair every day, but a daily shower is essential to remove sweat, excess oil, and other impurities that can clog your pores and cause breast acne.
• Take a close look at your diet. They say, “You are what you eat,” and it is definitely true, certain foods can affect your skin. Try to limit your intake of sugar and dairy products, because they can cause inflammation and spoil your hormones.
• Exfoliate your skin regularly. Exfoliating once or twice a week will help remove dead skin cells from the surface so they don’t clog your pores. Just remember to choose an exfoliant that’s right for your skin type, because the wrong exfoliant can damage your skin and worsen acne.
• Spot treatment at the first sign. When you feel like a pimple is forming or erupting, use spot treatment.You cannot completely prevent a breakout, but you can minimize it.
• Change your body lotion. Using heavy or oily skin care products can clog pores. Switch to a lotion that’s right for your skin type and search for the word “non-comedogenic” to make sure it doesn’t clog your pores.
• Switch to hypoallergenic foods. If you suspect your acne problems are related to sensitive skin or skin allergies, switch to hypoallergenic products for things like laundry detergent.
• Stop popping and picking pimples. As tempting as it is to pop a pimple, it can cause the patch to heal poorly and leave a scar. Try covering the pimple with a dab of foundation instead.
• Drink plenty of water. Keeping the skin hydrated is very important for health and helps the body eliminate toxins. Drink at least 8 glasses of water a day to get the most benefit.

Following these tips will help you keep your skin clean and healthy. As long as you are following a healthy diet and taking care of your skin, you should see your acne begin to fade all over your body, not just your chest. If you need more help, consider spa treatments or talk to a professional about choosing the right home skin care products for your skin type and your specific skin care concerns.

Recommended remedies

Yon-Ka Paris for the treatment of acne on the chest

Spot treatments can help with rare blemishes, but if you have severe rashes, you need professional help.In addition to a variety of salon and spa treatments, Yon-Ka Paris also offers a large collection of home skincare products to exfoliate and cleanse your skin and reduce breast acne.

Here are some home acne treatments

Yon-Ka Paris :

has to offer

• Provence Gommage Doux Body Cream – This scrub cream uses the exfoliating action of bamboo and apricot seed powder to remove dirt, debris and dead skin cells to unclog your pores.It also contains moisturizing and revitalizing properties of Mango Oil and Sesame Oil to make your skin smooth and hydrated. Apply once a week, massaging for a few minutes before rinsing.
• Juvenil Concentrate is a cleansing and soothing solution for all skin types. It gently cleanses the skin and reduces inflammation. Contains Ichthyol to clear acne and calendula to soothe inflammation and reduce redness.Apply twice daily for best results.
• Emulsion Pure is a versatile skin care product. This medication can be used as a spot therapy for everything from blemishes to insect bites. It is non-greasy, non-comedogenic and absorbs quickly to cleanse the skin, reduce blemishes and tighten, apply twice a day with a cotton pad for 10-15 minutes.

Treating acne of any kind is a constant struggle.Developing and implementing a regular skin care routine, along with a healthy diet, is the best way to reduce or prevent acne.

B Yon-Ka Paris We provide customized professional products to solve your skin care problems and help you achieve your goals.

90,000 Acne (acne) – ERA ESTHETIC

Acne (acne vulgaris).Diagnostics and treatment

Acne is one of the most common skin diseases, most often seen among adolescents, but occurs at any age. There are many forms of common acne, and a dermatologist will prescribe individual treatment after assessing the condition.

What are the causes of acne?

There are many causes of acne. The 4 main contributing factors to common acne are:

• Increased secretion of the sebaceous glands.
• Blockage of the sebaceous gland and the upper part of the hair follicle.
• Infection with acne bacteria (Propionibacterium acnes).
• Skin inflammation.

Where on the body do acne appear?

The location of common acne is determined by the localization of the sebaceous glands. Most often, the rash occurs where the sebaceous glands are most densely located: in the neck, cheeks, chin, chest and upper back.

Treatment of common acne

Early treatment of common acne is essential to prevent scarring.The method of treatment depends on the form of acne. Most often, antibiotic treatment is given during acne flare-ups.

However, antibiotics should not be taken for long periods of time, as this will develop drug resistance in bacteria. Therefore, for supportive treatment, various ointments are prescribed, which dilute the plugs of the sebaceous glands and dry the skin.
Sometimes, in the presence of severe acne vulgaris, the synthetic retinoids Roaccutane are prescribed orally (by mouth) to reduce the secretion of the sebaceous glands.Such treatment requires constant monitoring by a dermatologist due to possible severe side effects.

Light Emitting Diode (LED) Acne Treatment

Acne is successfully treated with LEDs. This method of treatment is an alternative to drug treatment, as remission of the disease can be achieved through the use of various forms of light on bacteria, sebaceous glands and inflammation.

The light emitted by blue and red LED sources is used to treat acne vulgaris and has an effect of killing acne bacteria (Propionibacterium acnes) and reducing inflammation.

During the combined treatment with blue and red light, optimal healing of the acne rash is achieved. Unlike drug treatment, long-term remission of the disease is ensured, i.e. after the completion of the course of light treatments, no other drugs are required, and the rash does not appear for a long time.

For more information on the treatment with LEDs read Treating acne with light.

Article is the intellectual property of Era Esthetic Laser Dermatology Clinic; copying and / or distribution is prohibited.

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