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Back whiteheads: How to get rid of back acne: 15 treatments, washes and sprays for bacne

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How to get rid of back acne: 15 treatments, washes and sprays for bacne

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Back acne is frustrating. It’s stubborn, hard to reach and even its shortened name (bacne) is unappealing. Whether it be whiteheads, blackheads or pustules (red bumps) on the back, treating the area can be quite the challenge.

With exfoliants, cleansers, patches, sprays and more, there are plenty of targeted solutions and products to treat bacne, however. And when they’re combined with a regular cleansing and exfoliating routine, the problem can be addressed in no time.

“Bacne happens when sweat, oil, dead skin cells and bacteria get trapped in your skin’s pores,” explains Dr. Angela Lamb, lead dermatologist and advisor to Veracity. “Certain ingredients that are known hormone disruptors, environmental pollutants and toxic for your health may irritate the skin and cause pore buildup.”

While it can be challenging to pinpoint the direct cause of bacne without the opinion of an expert, it is most often due to hormonal imbalances (caused by menstruation, pregnancy or menopause), certain medications and clogged pores from a buildup of sweat. These factors, and even choices like wearing dark colors or non-wicking garments, cause the back’s skin glands to produce an excess amount of oil, which in turn produces pesky breakouts.

Similar to facial acne, the key to combating bacne is a regular routine that combines cleansing, exfoliation and quality active ingredients like benzoyl peroxide, sulfur and salicylic acid. “It is important to have a regular body wash regimen [and] to keep the back as dry as possible, [especially] if someone sweats or has a lot of natural oil production,” notes board-certified dermatologist Dr. Raja Sivamani. “One mistake I see is that people over-cleanse their back. It’s important to keep the regimen simple or it can lead to irritation and drying of the skin.”

Dermatologists recommend gently exfoliating the back one to two times a week and cleansing daily. Topical products like sprays, spot treatments and cleansing pads are also great intermittent additions to one’s routine and can be used after exfoliation or in the morning and evening.

In addition to acne-fighting products, it is equally as important to shower after working out (in order to rid the back of sweat and oil), wear breathable clothing especially when sweating and to regularly wash bedding and sheets.

Pacifica Beauty Bacne Warrior Acne-Fighting Body Spray

Pacifica

When combined with exfoliating washes, medicated sprays that can be used throughout the day — like Pacifica’s Acne Fighting Spray, which features 2% salicylic acid — are the perfect combination to fight bacne.

“This is great for all skin types, especially acne-prone and oily skin,” Dr. Lamb says. “The non-aerosol spray delivers an acne-fighting formula to easily treat body acne. It also does not contain parabens.”

$16 at Ulta

$20 at Target

PanOxyl Acne Foaming Wash

Amazon

Panoxyl’s cost-effective foaming wash includes the acne-fighting ingredient benzoyl peroxide, and with over 30,000 5-star ratings, the formula is no joke.

“Benzoyl-peroxide-based cleansers like Panoxyl are effective in controlling bacterial overgrowth,” notes Dr. Rivamani. “[However,] benzoyl peroxide cleansers can be harsh and too drying for many people and need to be used with care.” For those with sensitive skin, dermatologists recommend conducting a small patch test before applying on the rest of the body.

$10 at Amazon

The Body Shop Tea Tree Targeted Gel

The Body Shop

Formulated with a high concentration of anti-inflammatory and antimicrobial tea tree oil, this gel from The Body Shop is the perfect option for those with acne-prone and oily backs. The wand makes it ideal for back application and its quick-drying formula is great for those looking for an all-day or overnight treatment.

$10 at The Body Shop

Maëlys Get-Back Targeted Body Acne Spray

Maëlys

Part of Maëlys’ just-launched body acne collection, this 2% salicylic acid spray can be used twice a day to tame breakouts. Unlike many other acne-fighting products, it doesn’t smell medicinal at all, and instead has a refreshing, fruity scent.

$39 at Maëlys

Codex Labs Shaant Foaming Cleanser

Amazon

Codex Labs’ oil-free foaming cleanser features tulsi and patchouli to calm irritated skin as well as the brand’s unique ShaantComplex formula that controls oil buildup.

“This product has a nice balance of botanicals and knowledge from medical systems like Ayurveda that round out the cleanser in a thoughtful and clinically proven way,” Rivamani says. 

$25 at Amazon

La Roche-Posay Effaclar Duo Dual-Action Acne Spot Treatment

Amazon

La Roche-Posay’s Effaclar products have become a favorite amongst skincare enthusiasts due to the inclusion of micronized benzoyl peroxide and hydrating glycerin. In addition to on the face, the spot treatment can be used on the back to quickly target, treat and eliminate blemishes.

From $23 at Amazon

From $23 at Ulta

From $23 at La Roche-Posay

Paula’s Choice Clear Acne Body Spray

Amazon

Formulated with 2% salicylic acid and SPF 30+ (which makes it ideal for the warmer months), Paula’s Choice’s body spray exfoliates dead skin cells and is clinically proven to reduce pore size and oil buildup.

$28 at Amazon

$28 at Dermstore

Neutrogena Stubborn Acne Pimple Patches

Amazon

Hydrocolloid patches can be applied to the back and worn throughout the day or overnight. These triangle-shaped clear patches from Neutrogena are designed for large breakout areas like the back and are proven to flatten and reduce irritation caused by acne.

$10 at Amazon

Murad Acne Control Clarifying Body Spray

“Murad’s easy-to-use spray helps clear up body breakouts as glycolic acid [eliminates] pore-clogging debris,” explains Lamb. “Allantoin and blue lotus extract soothe irritation for healthier-looking skin.”

$48 at Ulta

$48 at Amazon

$48 at Murad

Dr. Dennis Gross Skincare Alpha Beta Exfoliating Body Treatment Peel

Sephora

While cleansers and sprays are the most common products in a bacne regimen, dermatologists also recommend incorporating the occasional peel into your routine. Dr. Dennis Gross’ all-over towel exfoliator strips away dead skin cells while also providing moisture to the skin through the inclusion of squalene and aloe.

$60 at Amazon

Replenix Benzoyl Peroxide 5% Acne Wash

Replenix

Replenix’s foaming cleanser is packed with benzoyl peroxide, making it a master of fighting and reducing breakouts and balancing excess oil production. The everyday formula is soap-free, non-drying and soothing.

$27 at Amazon

$27 at Replenix

Versed Back-Up Plan Acne Control Body Mist

Versed

Versed’s Acne Control Mist includes tea tree oil and witch hazel to prevent breakouts on the back, shoulders and other areas. The non-aerosol mist is crafted to reach hard-to-target areas and is fast-drying (a feature that is ideal for use in the summer or by athletes and those on the go). It pairs perfectly as a maintenance treatment with the brand’s Gentle Retinol Body Lotion, which also helps with body breakouts.

$15 at Amazon

$15 at Versed

$15 at Target

Curology Emergency Spot Patches

Target

These budget-friendly patches from Curology are meant to both treat and prevent blemishes. They are also waterproof and sweat-resistant, making them perfect to sport throughout the day or during a workout.

“Curology’s hydrocolloid bandages provide fast-acting healing support for sudden blemishes by concealing spots while absorbing fluid and excess oil,” Lamb states. “They are discreet and waterproof and can be worn during a workout or under makeup. ”

$10 at Target

Topicals Slather Exfoliating Body Serum

Sephora

Featuring blemish-fighting retinol and exfoliating alpha hydroxy acids, this body serum helps tame breakouts, lightens the appearance of hyperpigmentation and acne scarring and keeps the skin smooth and bump-free.

$30 at Sephora

Naturium The Perfector Salicylic Acid Skin-Smoothing Body Wash

Target

This fragrance-free, sensitive-skin-friendly body wash is suitable for all skin types and will help deal with back acne by exfoliating with salicylic acid and keep the skin from drying out with glycerin and nourishing oils.

$14 at Target

Note: The prices above reflect the retailers’ listed price at the time of publication.

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How to get rid of back acne, according to dermatologists

Whether you’re going on vacation or just find yourself dreaming of the warmer weather days ahead, you might find yourself already starting to swap your coats for swimsuits. Most people probably look forward to breaking out their favorite trendy pieces, but if you struggle with back acne, the experience doesn’t come without a side of apprehension.

We asked dermatologists for their tips about managing and treating back acne (also commonly referred to as “bacne”), so you can feel confident and be ready to rock any style from the beach to the street.

Causes | Solutions | Back acne treatments | FAQs | Meet our experts

What causes back acne?

Dermatologists agree that acne in general is a multifactorial issue, meaning that it stems from several different factors. While it can be caused by hormones and skin types, external factors can also contribute to the development of acne.

One of the most prevalent causes of acne, especially on your back, is an overproduction of sebum or oil, explains Dr. Erin Boh, MD, and Dr. Katherine Lee, MD. Lee also identifies buildup of dead skin cells as another common cause of back acne.

Aside from genetics, Dr. Aaron Secrest, MD, mentions breakouts could often be classified as “mechanical acne” (also known as acne mechanica), which stems from external factors like wearing tight, compressive clothes that causes pores to become clogged. “I see it a lot with patients where, a tighter sports bra or tighter clothing and athletic wear, can compress that skin on the back and [make] it easier for acne to erupt right there,” he says.

Dr. Neelam Vashi, MD, director of the Cosmetic and Laser Center at Boston University, notes stress and diet as other factors that contribute to back acne.

How to treat back acne

Treating back acne at home comes down to two star ingredients: benzoyl peroxide and salicylic acid. “[Those ingredients] will help desquamate those top dead layers, keeping the pores open so the oils can get out onto the skin and not be collected under the skin,” says Boh.

There are plenty of body washes on the market with benzoyl peroxide and salicylic acid. No matter which one you choose, Secrest recommends leaving it on for a bit instead of immediately washing it off, so the product has time to soak into the skin a bit. Another option would be choosing a leave-on product with one or both of these ingredients to provide a more targeted treatment to certain areas.

Products containing benzoyl peroxide often specifically state the percentage of the ingredient it contains. Percentages can vary, but Secrest recommends looking for products that use between 2 percent and 5 percent benzoyl peroxide. You can choose a product with 10 percent benzoyl peroxide, but just be wary that it’s not any more effective than a 5 percent product and it’s likely to dry out your skin more, he notes.

Before you incorporate a benzoyl peroxide wash into your shower routine, here’s a bit of advice: Make sure you dry off completely before getting dressed. Secrest says the acne-fighting ingredient is known to bleach fabrics, so be sure to wash it off completely and towel off thoroughly before putting on your clothes to avoid any staining.

Finally, make sure you moisturize and use sunscreen! “Using sunscreen is essential to prevent acne and keep the skin healthy,” Vashi says.

While these treatments may suffice for mild acne, if you’re dealing with moderate to severe acne or cystic acne on the back, you should visit a dermatologist for the optimal treatment. They can provide effective prescription treatments for results you wouldn’t see from typical over-the-counter products.

Best back acne treatments, according to dermatologist tips

CeraVe Acne Foaming Cream Cleanser

Benzoyl peroxide works with CeraVe’s classic formula of ceramides, hyaluronic acid and niacinamide to fight acne without drying out your skin. This cleanser boasts the ability to clear your skin of blackheads, whiteheads, cysts, pustules and pimples with daily use.

Aveeno Clear Complexion Daily Moisturizer

Designed specifically for breakout-prone skin, this moisturizer uses salicylic acid as its key ingredient to remove and prevent acne from occurring. It’s a hit amongst Target and Walmart shoppers with a strong average from more than 2,700 shoppers across both sites.

Cosrx Salicylic Acid Daily Gentle Cleanser

Salicylic acid joins forces with tea tree leaf oil to create an acne cleanser that will also help manage inflammation. One reviewer wrote that they’ve been using this cleanser for the past six years and “nothing else works better” for their acne-prone skin.

PanOxyl Acne Foaming Wash

This acne wash is made to clear acne and prevent new breakouts on the face and body with 10 percent benzoyl peroxide. According to the brand, it is the highest percentage over-the-counter benzoyl peroxide wash available.

Paula’s Choice Clear Extra Strength Daily Skin Clearing Treatment

Apply this oil-free, lotion-like treatment to problem areas after cleansing, followed by a sunscreen during the daytime. It touts benefits like controlling excess oil, soothing skin and visibly calming redness.

CeraVe Renewing SA Cleanser

If salicylic acid is your acne-fighting ingredient of choice, this cleanser from CeraVe is worth trying. It combines salicylic acid, lactic acid, hyaluronic acid — all the acids — with ceramides and niacinamide to give you a penetrating clean that isn’t harsh on the skin.

CeraVe SA Cream for Rough & Bumpy Skin

Pair the above CeraVe cleaning with the matching moisturizing cream from the same line. It has over 18,300 verified five-star ratings on Amazon. One shopper who suffered from back acne said this cream is part of the routine that has her back looking smooth and feeling summer ready.

Tula Breakout Star Acne Moisturizer

Made with two percent salicylic acid, this moisturizer is formulated to prevent and treat breakouts while also brightening the skin. According to a clinical study conducted by the brand, 93 percent of users saw “clearer, healthier, smoother & more radiant skin” within one week of using it.

Differin Daily Deep Cleanser

From the brand that created the first over-the-counter, prescription-grade retinoid comes this acne-fighting cleanser. Designed to be gentle on sensitive skin, the formula contains 5 percent benzoyl peroxide.

Murad Acne Control Clarifying Cleanser

Salicylic acid is the key ingredient in this cleanser. It contains a small percentage, which can be helpful for people who have sensitive skin. One Sephora reviewer called it their “holy grail for acne face cleanser.”

Touch KP Exfoliating Lotion

While this lotion was created with the intention of targeting keratosis pilaris, the combination of salicylic acid and glycolic acid can also be beneficial for acne treatment. One Amazon reviewer said it cleared their “bacne” quickly and kept it clear for several months.

Paula’s Choice Clear Pore Normalizing Cleanser

Formulated to cleanse skin without drying you out, this cleanser features salicylic acid to help prevent acne breakouts. Even though it’s marketed as a face wash, you can also use it on your back. One reviewer said they stopped seeing new bumps develop after using it on their chest and back.

La Roche-Posay Effaclar Dermatological Acne System

This three-step system from La Roche-Posay has everything you need to successfully manage acne. The cleanser and clarifying solution contain salicylic acid, while the targeted acne spot treatment contains benzoyl peroxide.

Frequently asked questions about back acne

How is back acne different from face acne?

It’s tempting to hear the word “acne” and assume it’s all the same, no matter where it occurs on the body. While each dermatologist admits that the treatments can be similar, back acne tends to be more difficult to treat due to the thickness of skin and how difficult it can be to reach this area.

“The skin on the back is very thick and blemishes on the back are often deep and stubborn, so it’s more difficult for topical treatments to absorb deep enough and may require prolonged treatment,” Vashi explains.

The type of acne that appears in each area can also differ, which can impact the way treatment is approached. There are typically two different types of acne: comedones and pustules. Comedones are the blackheads and whiteheads you’re probably most familiar with that occur on the face most often. Pustules, meanwhile, are an inflammatory type of acne that you are more likely to find on your back, explains Boh and Secrest.

These differences can also play a role in the treatment options that are available. “We have more options on our face to treat acne because we get more types of acne on the face,” Secrest tells us.

What should you avoid when treating back acne?

Everybody is different and there is no one-size-fits-all treatment for curing acne, but there are a few things to avoid which can potentially hinder the process.

  • Scrubs or physical exfoliation: Boh says exfoliating scrubs are “not useful” and can irritate the skin, which makes acne worse. Secrest agrees, adding that scrubs and physical exfoliators aren’t going to get rid of your acne any faster, so just be gentle and wait until your acne clears before exfoliating.
  • Picking your acne: A lot of the hyperpigmentation and discoloration people deal with comes from acne scarring, so do your best to not pick at, squeeze or pop pimples.
  • Tight-fitting clothing: If you’re working out often, do your best to avoid tight-fitting clothing that add additional friction to your back.
  • Staying in athletic wear post-workout: Allowing the sweat to build up inside your clothes after a workout is another no-no. Lee and Vashi both recommend showering as soon as possible after working out.
  • Carrying heavy bags. Toting around heavy handbags or backpacks is another source of friction that can lead to or irritate acne. Vashi recommends avoiding this, if possible.
  • Using the same sheets and pillowcases for too long. Vashi recommends changing and washing your bedding regularly to manage back acne and avoid developing any new breakouts.

How long should you wait to see results?

Like any other skin issue, when treating back acne, dermatologists urge you to be patient when it comes to seeing results. Timelines range from six weeks to three months, but the consensus is you should wait longer before declaring a product doesn’t work and giving up on it or moving on to the next one.

“When dealing with back acne, it is important to be patient and remember that it can take time to see improvement from treatment. Sometimes the acne can get worse before it gets better. You may start to see results from treatment approximately in six to eight weeks, but complete clearing can take several months,” Vashi advises.

Misconceptions about back acne

Like most skin care issues, there are plenty of misconceptions about back acne floating around that dermatologists have heard their fair share of.

  • Specific foods make you break out. Vashi and Secrest both mention your diet playing a role in your acne, but Secrest explains that it’s not always specific food. “It’s not near as comfortable as saying ‘It was pizza’ or ‘It was chocolate,’” he says. What it really comes down to is the glycemic index, a scale used to determine how much certain foods increase blood sugar levels. Secrest breaks the scale down simply: “If it’s a high glycemic index food, your body has to do nothing. It can just take the sugar out of your stomach and turn it straight into energy. If it’s a low glycemic index food, it means that your body has to do a lot of processing in the gut to make it useful for your body. High glycemic index is really not good for acne and the easiest way to remember that is if it brings you happiness or joy, it’s probably a high glycemic index food,” he laughs.
  • Stress isn’t a factor. You might notice that you start to break out around high-stress events or disruptions in your normal routine. Before you go pointing figures at the sugary soda or candy you indulged in, Secrest and Vashi emphasize stress as a factor in developing acne. It’s not to say that the sweets can’t be to blame because stress and diet often go hand-in-hand, Secrest adds. “We live in a very stressful society and I don’t think we’ve acknowledged that enough,” he says, before recommending visiting The American Institute of Stress for stress-relief techniques.
  • You don’t need to moisturize. Not moisturizing can have the opposite effect of what’s intended. “Your body will compensate and start over producing its natural oils and so…making sure your skin is hydrated and moisturized is helpful,” Lee tells us. She and Vashi recommend looking for oil-free and non-comedogenic products.
  • Using scrubs and exfoliators will help. This is also the opposite of what you should be doing. Lee and Vashi both say exfoliating can irritate the skin and make your acne worse.
  • Acne only happens during puberty. Given the varying factors that can cause acne, adults can also have breakouts well beyond puberty, Vashi notes.
  • Popping acne is helpful. Spoiler: Popping your pimples doesn’t help. “Doing this can lead to infection, inflammation and possible scarring,” shares Vashi.
  • Sunlight and tanning can heal acne. Both Vashi and Lee specifically mention this myth. They agree that sun exposure can actually worsen acne and make it last longer, leading to further scarring, dark marks and post-inflammatory hyperpigmentation.

Meet our experts

  • Dr. Erin Boh, MD, PhD, FAAD, is a professor and chairman of the dermatology department at Tulane University School of Medicine.
  • Dr. Katherine Lee, MD, is a board-certified dermatologist who specializes in dermatology and dermatologic surgery at the Medical University of South Carolina.
  • Dr. Aaron Secret, MD, PhD, MBA, is currently on a two-year sabbatical working as a senior medical officer in dermatology at Christchurch Hospital in New Zealand. When stateside, he is an adjunct assistant professor at the University of Utah in the dermatology and population health sciences departments.
  • Dr. Neelam Vashi, MD, is an associate professor of dermatology and the director of the Cosmetic and Laser Center at the Boston University School of Medicine. She is also the founder and director of the Center for Ethnic Skin at the university.

Milium – a dictionary of terms and definitions.

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Milium (milium – lat. “millet grain”), or white acne – appearing on the skin of white nodules. Most often, milia appear on the skin of the face, on the cheekbones or in the eye area, and are tiny keratin cysts, no more than 4-5 mm in diameter, formed under the epidermis of the skin due to the retention of fat in the lobule of the sebaceous gland. They can be single or located in groups, be small or larger. Whiteheads do not cause pain or any other unpleasant sensations, and are only a cosmetic defect.

Milia may be primary or secondary. Primary whiteheads appear spontaneously on the skin, while secondary ones are the result of traumatic or inflammatory changes in the skin.
The cause of milia is the blockage of the duct of the sebaceous gland or hair follicle with horny masses. Usually, whiteheads affect the skin during puberty, but it can also occur at a more mature age. In women, milia occurs on average more often than in men. Most often, improper skin care – improper or poor-quality cleansing, the use of comedogenic cosmetics, excessive dryness or oiliness of the skin, caused or uncorrected by cosmetics, directly leads to the appearance of milia. All these factors prevent the sebum from being released to the outside, resulting in clogged pores and the formation of milia.

When whiteheads appear, it is highly recommended to seek professional help from a cosmetologist in a beauty salon or office, since attempts to remove milia on your own can lead to various complications and infection with the development of a purulent inflammatory process. Spontaneously, milia are extremely rare, and can worsen the appearance of the skin of the face for several years, and it is impossible to get rid of them with the help of cosmetics alone.

The main methods of getting rid of milia are mechanical and chemical. The most common way to remove milia remains the mechanical method, which is carried out in a cosmetology room by a cosmetologist. The procedure consists of a thorough cleansing of the skin, its disinfection and the actual removal of the milia, which is carried out by piercing it with a sterile needle and then removing the contents.

Usually, no more than 10 of them are removed per session, otherwise it is possible to unnecessarily injure the skin and cause disturbances in the functioning of the sebaceous glands. The cost of one whitehead removal procedure depends on the number of removed formations.
To avoid the reappearance of milia, you should properly care for your skin, using high-quality and suitable cosmetics for your skin type, which normalize the activity of the sebaceous glands and do not clog their ducts. It is also recommended to reconsider nutrition, as many cosmetologists associate the appearance of whiteheads with excessive fat content in food, the abuse of fried, smoked foods, and spices.

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Milium (milium – lat. “millet grain”), or white acne – appearing on the skin of white nodules. Most often, milia appear on the skin of the face, on the cheekbones or in the eye area, and are tiny keratin cysts, no more than 4-5 mm in diameter, formed under the epidermis of the skin due to the retention of fat in the lobule of the sebaceous gland. They can be single or located in groups, be small or larger. Whiteheads do not cause pain or any other unpleasant sensations, and are only a cosmetic defect.

Milia may be primary or secondary. Primary whiteheads appear spontaneously on the skin, while secondary ones are the result of traumatic or inflammatory changes in the skin.
The cause of milia is the blockage of the duct of the sebaceous gland or hair follicle with horny masses. Usually, whiteheads affect the skin during puberty, but it can also occur at a more mature age. In women, milia occurs on average more often than in men. Most often, improper skin care – improper or poor-quality cleansing, the use of comedogenic cosmetics, excessive dryness or oiliness of the skin, caused or uncorrected by cosmetics, directly leads to the appearance of milia. All these factors prevent the sebum from being released to the outside, resulting in clogged pores and the formation of milia.

When whiteheads appear, it is highly recommended to seek professional help from a cosmetologist in a beauty salon or office, since attempts to remove milia on your own can lead to various complications and infection with the development of a purulent inflammatory process. Spontaneously, milia are extremely rare, and can worsen the appearance of the skin of the face for several years, and it is impossible to get rid of them with the help of cosmetics alone.

The main methods of getting rid of milia are mechanical and chemical. The most common way to remove milia remains the mechanical method, which is carried out in a cosmetology room by a cosmetologist. The procedure consists of a thorough cleansing of the skin, its disinfection and the actual removal of the milia, which is carried out by piercing it with a sterile needle and then removing the contents.

Usually, no more than 10 of them are removed per session, otherwise it is possible to unnecessarily injure the skin and cause disturbances in the functioning of the sebaceous glands. The cost of one whitehead removal procedure depends on the number of removed formations.
To avoid the reappearance of milia, you should properly care for your skin, using high-quality and suitable cosmetics for your skin type, which normalize the activity of the sebaceous glands and do not clog their ducts. It is also recommended to reconsider nutrition, as many cosmetologists associate the appearance of whiteheads with excessive fat content in food, the abuse of fried, smoked foods, and spices.

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Acne on the face is the most annoying problem for teenagers and young adults. Acne strikes up to 90% of the population is 12-25 years old, and some have single rashes that quickly pass, while others have acne that spreads all over the face, hurts a lot and makes them feel ashamed of their appearance.
Acne vulgaris (acne vulgaris) is a common form of acne. It is very difficult to treat, but under the guidance of a competent dermatologist, it is possible to return clean and beautiful skin without acne.

Why acne appears

The frequent appearance of acne in adolescence is associated with natural hormonal changes and an excess of androgens that disrupt the sebaceous glands. This creates conditions for the reproduction of pathogenic bacteria and Demodex mites.
Among the provoking factors of the disease are:
● hereditary predisposition to seborrhea
● application of cosmetics with comedogenic components
● excess UV exposure
● diseases of the digestive system

What habits contribute to acne

In addition to genetic, hormonal and environmental factors, the appearance of acne is provoked by the patient’s routine activities:
● the habit of “picking” and squeezing out blackheads – permanent injury to the skin and the risk of infection
● use of cloth face towels – bacteria thrive on damp cloth
● the habit of touching the face with hands, leaving a lot of bacteria on the skin
● infrequent change of pillowcases, where bacteria and sebum accumulate

The mechanism of formation of juvenile acne

In the pathogenesis of acne, there are 4 key factors that develop almost simultaneously:
1. Follicular hyperkeratosis – blockage of the mouths of hair follicles with the formation of closed comedones.
2. Seborrhea – pathologically increased work of the sebaceous glands of the skin.
3. Chronic inflammatory process in the dermis and epidermis.
4. Reproduction on the surface of the skin bacteria Propionibacterium acne, epidermal and Staphylococcus aureus.

Types of acne

Acne juveniles are elements of a rash that are heterogeneous in appearance and mechanism of development and can appear on the skin at the same time or pass into each other. They are mainly localized in the T-zone: forehead, wings of the nose, chin.
Typical acne patterns in young patients:
● open comedones (black dots)
● closed comedones (whiteheads)
● red nodules (papules)
● small pustules (pustules)

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Physician’s consultation

Acne juvenileis causes a lot of trouble for the patient and can appear without treatment for many years. Attempts at self-treatment and the use of folk remedies only worsen the situation, therefore, to effectively get rid of the problem, consultation with a dermatologist is required.
The task of the ID-Clinic doctor is to determine the form of acne, identify the main development mechanisms and provoking factors, select a comprehensive treatment program and a home skin care regimen.

What tests are prescribed for acne

● extended biochemical blood test
● analysis for glucose and glycated hemoglobin
● glucose tolerance test
● hormonal profile – estrogens, androgens, steroid hormones and adrenal hormones
● Ultrasound of the abdominal cavity and small pelvis
● gynecological consultation for women

Acne juvenile principles

Skin care
Patients are selected dermatocosmetics for each stage of daily care: cleansing, toning, moisturizing and nutrition. Also recommended are preparations with acids for skin exfoliation, which are prescribed by a dermatologist in the absence of contraindications. To prevent exacerbations, it is worth introducing paper disposable face towels.
External treatment
The most important components of topical therapy are retinoids and benzoyl peroxide. They are included in the first line of therapy for various forms of acne and show good results with the right choice of treatment regimen and patient compliance. With a proven bacterial etiology of the process, antibiotic ointments are prescribed.
Systemic therapy
In moderate and severe forms of juvenile acne, systemic retinoids, antibiotics, and hormonal drugs are considered. Treatment approaches are differentiated, taking into account the form of acne, the age and state of health of the patient, and his readiness for long-term treatment.

Correction of post-acne traces

After the exacerbation is eliminated and a stable clinical remission is achieved, they proceed to the second stage of treatment. To eliminate spots and scars that remain after large elements of the rash, cosmetic procedures are indicated. The most effective are chemical superficial and medium peels, laser resurfacing, microdermabrasion. They promote skin renewal and remove almost all unaesthetic traces of rashes.

Can acne be completely cured?

Acne is a chronic disease, so exacerbations can occur again under the action of provoking factors. It is important for patients to understand that acne treatment does not stop with a course of pills or topical treatments.
After achieving a lasting result and cleansing the skin of the rash, you need to continue to use the right cosmetics, monitor hygiene and regularly undergo check-ups to rule out internal health problems.

Make an appointment

ID-Clinic dermatologist sees patients by appointment. For your convenience, in addition to the face-to-face appointment at the clinic, an online video consultation service is available. To choose a convenient format and time for a consultation, leave a request in the form on this page and wait for a call from our administrator.

Cost of clinic services

Inspection

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Skin scraping

500 ₽

B01.008.001

Primary appointment (examination, consultation) with a dermatovenereologist

3000 ₽

Other clinic services

Dermatologist

  • Kozminsky Evgeny Borisovich

    Dermatovenereologist,
    Syphilidologist,
    Doctor of the highest category