Why am i getting pimples on my back: 11 Acne Treatments: How They Work and Where to Get Them
11 Acne Treatments: How They Work and Where to Get Them
If you thought breakouts were a thing of the past, think again. Thanks to hormones, acne can plague men and women of all ages — plus, it can be notoriously stubborn to get rid of.
The first step is to understand the definition of acne, which is the clogging of a pore with dead skin, oil, and bacteria, says Jessie Cheung, MD, a dermatologist based in Chicago. But because there’s no way to know for sure what’s behind a breakout, you’ll want to see a dermatologist about what treatments you should try. Here are popular medication options that can help clear up your skin once and for all.
1. Benzoyl Peroxide
This go-to ingredient is an effective pimple-erasing medication because it helps unclog pores and targets Cutibacterium acnes (C. acnes), the bacteria that causes breakouts. But it doesn’t work overnight. You might notice some improvements after about three weeks, though it can take four to eight weeks for blemishes to fade away, according to the American Academy of Dermatology (AAD). The downside? It can be drying and cause redness and peeling, especially if you have sensitive skin. In general, benzoyl peroxide is a good option for people with mild or moderate acne — for example, those who have some pimples and breakouts but don’t have nodular acne. Extra downside? It can stain towels and clothing. Be sure to let the product absorb fully.
Where to Get It Find it in over-the-counter preparations, such as gels, face washes, or spot cream.
2. Glycolic Acid
This alpha hydroxy acid exfoliates the top layer of skin, helping to keep your pores clear. Plus, the treatment also bolsters collagen production, smoothing out lines and wrinkles and lightening dark spots, Dr. Cheung says. Production of collagen slows as we age. In fact, according to Scientific American, after age 20, that production will begin declining by an estimated 1 percent annually.
Where to Get It Beauty stores and drugstores carry over-the-counter versions of cleansers, serums, peels, and moisturizers. If you need something stronger, see your dermatologist for an in-office peel.
RELATED: The Skin-Care Glossary Every Woman Needs to Have
3. Salicylic Acid
Otherwise known as o-hydroxybenzoic acid and beta hydroxy acid, salicylic acid revs up exfoliation, which helps bring pimples up to the skin’s surface. It also helps clear plugged-up pores that can cause pimples and reduces inflammation. But the downside of boosting skin cell turnover is that some people find this to be too drying and irritating, Cheung says. If you’re pregnant, your doctor may want you to choose a different treatment. An article published in the journal Canadian Family Physician suggests that only a tiny proportion of salicylic acid is absorbed through the skin, meaning it’s unlikely to pose a risk to your unborn baby. However, there haven’t been any studies examining if salicylic acid is safe for pregnant women to use topically. If you’re pregnant, consult your dermatologist and ob-gyn to figure out if this ingredient is right for you.
Where to Get It The drugstore shelves are packed with salicylic washes, creams, gels, and foams. Cheung also likes using salicylic acid for in-office peels.
4. Azelaic Acid
When smoothed onto the skin, this grain derivative (specifically a dicarboxylic acid) fights P. acnes bacteria, reduces oiliness, and lessens inflammation. That characteristic means it can also help calm redness and flushing, and potentially treat rosacea, per a review published in November 2014 in the Cochrane Library.
Where to Get It You’ll find it as a gel, foam, or cream in both over-the-counter and prescription products, according to MedlinePlus.
RELATED: 10 Things Your Skin Is Trying to Tell You (and How to Respond)
This form of niacin, a B vitamin, reduces inflammation and lessens oil production, according to a review protocol published in November 2014 in the Cochrane Review. Also, a study published in the Journal of Research in Medical Sciences found that a 5 percent niacin-based gel was effective at treating mild to moderate acne — that is, about 10 to 20 pimples — but not nodular acne.
Where to Get It You can find 2 to 4 percent gels over the counter. Your dermatologist can prescribe stronger formulations.
Typically found in volcanic areas, this chemical helps inhibit the growth of acne-causing bacteria. Many products also combine sulfur with another ingredient like sulfacetamide to reduce inflammation.
Where to Get It Sulfur can be found as a prescription from your dermatologist or in some over-the-counter products. Cheung recommends sticking to the face washes. It can be a bit smelly, but using a wash means the active ingredient can be delivered to your skin and rinsed off afterward.
7. Topical Retinoids
“These are the backbone to any good acne regimen,” Cheung says. Derived from vitamin A, retinoids slough off the top layer of skin to keep pores clear, and ultimately help prevent pimples from popping up. They’re especially good for women who’re grappling with acne along with fine lines and wrinkles. Because retinoids stimulate collagen production, they can smooth out the skin and help reverse signs of aging. The only downside is that they can be drying, so dermatologists recommend slowly easing into the regimen. For example, start by applying the product every two days, then every other day, and so on.
Where to Get It You can find adapalene, a retinoid gel designed to reduce acne, over the counter. Other skin formulas are available by prescription only or over the counter in doctor’s offices. There are also creams that contain a weaker version of retinoids, called retinol, available over the counter.
RELATED: Should You Add Apple Cider Vinegar to Your Skin-Care Routine?
8. Combination Hormonal Birth Control Pills
Per MedlinePlus, hormonal birth control pills contain a combination of a type of estrogen and progestin. These oral contraceptives target inflammatory acne (larger bumps) as well as blackheads and whiteheads, according to Informed Health Online, a health information source in Germany. Birth control works by inhibiting the production of a type of hormone called androgen, which is linked to acne, so this can be a good choice for people with hormonally driven acne — for example, women who tend to break out around the time of their menstrual periods.
Cheung adds that birth control pills may lead to weight gain in some women. Yet a review of 49 studies published in the Cochrane Review suggests that combination birth control (that is, birth control with progestin and estrogen) does not cause weight gain in women.
Where to Get It Either a dermatologist or gynecologist can issue you a prescription.
This diuretic medication, traditionally prescribed for conditions like high blood pressure, also blocks testosterone, and so reduces oil production and lessens the likelihood of a breakout occurring, says Cheung.
Where to Get It Ask your dermatologist for a prescription.
RELATED: 7 Natural Oils for Smooth and Radiant Skin
This oral form of vitamin A is “the only acne treatment that treats the three causes of acne: superficial bacteria, inflammation, and clogged pores,” Cheung says. “It’s great for people suffering from severe acne who’ve tried everything, including topicals and in-office treatments.” You’ll take this for four to five months, but the effects can linger — oftentimes, people feel that their skin is drier or more sensitive, she says. But, she points out, for many people, it’s worth it to have clearer skin for the long term.
Where to Get It You’ll need a prescription from your doctor. Isotretinoin comes with some serious risks. For example, a January 2018 review in the British Journal of Dermatology found that despite isotretinoin helping clear up participants’ acne, on average, men taking it were twice as likely to see negative side effects as men in a control group, such as those taking a placebo or an antibiotic. Side effects included headaches, depressive symptoms, chapped lips, dry skin, eye sensitivity to light, and a rare yet severe skin reaction called Stevens-Johnson syndrome, which causes flu-like symptoms and a reddish-purplish rash, according to the Mayo Clinic.
For pregnant women, isotretinoin may increase the risk for birth defects, so women going on it will need to follow the Food and Drug Administration’s iPLEDGE program. This entails taking two pregnancy tests before starting the medication, plus monthly pregnancy tests during the regimen, and committing to using two types of birth control one month before, during, and after stopping the drug.
By heating up the skin, lasers can kill off acne-causing bacteria — plus, the heat to skin cells prompts them to respond by rebuilding collagen, Cheung says. Still, keep your expectations in check. The AAD notes that lasers are often not 100 percent effective, and you may need an additional medication to help clear your skin. The AAD further says you’ll likely need multiple treatments over several weeks to see results.
Where to Get It There are many options available, but you should talk to your dermatologist about which laser treatment is right for you.
Additional reporting by Melinda Carstensen
Embarrassing Bacne? How to Prevent Common Back Acne Causes
Swimsuit season brings a new wave of embarrassment for those with bacne. No one wants back acne, but at least at other times of the year, you can hide it. But, in the heat of the summer, what do you do?
It’s time to treat it. And to treat it effectively, we need to first understand why it’s there.
How Back Acne Is Different
Back acne is more severe than acne in other areas. Usually, it has bigger inflammatory regions because there’s just more surface area on your back than in other places. And because back skin is so thick, breakouts go deep under the surface.
That means treatment for back acne demands a different approach. Because of the depth of inflammation, we treat back acne aggressively. Usually, the best back acne treatment requires oral antibiotics like Silvadene or Isotretinoin. With facial acne, we try less aggressive treatments first. But, since back acne can be difficult to treat and resolve, we recommend the oral antibiotics sooner.
What Causes Back Acne?
Although back acne looks more severe than acne on the face, it’s caused by the same factors. Adolescence, hormones, and skin imbalances trigger these breakouts.
If the breakouts seem to be triggered by workouts or haven’t improved with treatment, you may not be dealing with acne. Your bumps could be folliculitis. Infected hair follicles can masquerade as acne but require an entirely different treatment. That’s why it’s always good to visit your dermatologist to make sure you’re treating the right skin condition.
Hormone therapy also triggers back breakouts. People with bacne are often taking testosterone, which causes large cystic acne spots.
You also could be dealing with regular acne. If you’re not on hormones, and you notice back breakouts no matter the season or how much you work out, you probably have acne.
A dermatologist will help you find the real cause of your back acne. Then, with the right diagnosis, you can start an effective treatment.
Types of Back Acne
Several different types of acne can pop up on the back. Some are easy to treat and disappear quickly. Others can be deep, painful, and result in some long-lasting scars. These three types of acne can appear anywhere — including your back.
These are blackheads and whiteheads that show up when pores get clogged. Blackheads pop up when the clogged pore is open. It’s black because you can see the skin cells and dried oil in the pore. Comedones have a whitehead because the pore is closed.
Related: The Dermatologist’s Guide to Getting Rid of Blackheads
2. Inflammatory Lesions
These are your red bumps and pus bumps. The pimples with pus are called pustules. The red bumps without pus are called papules.
Cysts are deeper and larger than pustules, papules, and comedones. Plus, they’re much more difficult to treat. They’re usually around one centimeter (or bigger!) in diameter. And they pop up on the back more than any other area. Why? The skin is thicker.
These are the breakouts that cause scarring. Patients with cysts can even develop keloids, which can require steroid injections or radiation therapy to resolve.
How to Prevent Breakouts on Your Back
If you notice your breakouts get worse with the heat, you’re probably dealing with heat rash, not acne. So stay in a cool, dry environment. But if you work outside in the DFW heat, make sure to shower regularly and change shirts throughout the day to keep the yeast from multiplying.
The same rules apply to workouts. Change your clothes immediately after a high-sweat workout and shower as soon as you can to cleanse the skin.
If you think your hormone therapy is triggering the breakout, cut back on your medication. A lower dosage may make a big difference.
Acne Treatment for the Back and Shoulders
If you seem to have acne, a dermatologist can help get you on a routine and medication that will clear up your back. We usually recommend using a benzoyl peroxide wash on your back regularly.
Bacteria need to live in the pores without oxygen. They can’t grow in the presence of oxygen. Benzoyl peroxide puts oxygen into the air follicle to kill the bacteria. So, with regular washing, you reduce the bacteria that live in the pores.
Also, depending on the severity of your breakouts, we’ll prescribe both topical and oral antibiotics, and we may recommend using Retin-A to topically treat your back breakouts.
Oral antibiotics such as Silvadene or Isotretinoin provide the best solutions to these frustrating breakouts — especially if you need an effective cystic back acne treatment. Remember, it takes patience for the skin to heal and rejuvenate (about 3-4 months), but once the treatment takes effect, it provides long-lasting improvement.
But don’t wait too long to treat your back acne. Bacne can leave scars, and big cysts can leave large keloids (raised scars) long after the acne has cleared.
So, to avoid long-term consequences of a hopefully short-term problem, visit your dermatologist as soon as your back starts to break out. They’ll get you cleared up so you can put back acne behind you.
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.’
– Mario Badescu AHA Botanical Body Soap – £7.95 SHOP NOW
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
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.
– 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.
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.
– 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.
– 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.
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…
– 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.
– 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.
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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Put Bacne Behind You: How To Clear Up Body Breakouts – SLMD Skincare by Sandra Lee, M.D.
Although body acne is easier to conceal than facial acne – those bumps on your chest and back are still painful and not the most ideal… So what’s the best way to figure out why you’re getting bacne and how to get rid of it? First, determine what you’re working with by examining the possible causes of your body acne, because sometimes treatment can be as easy as making a small change to your routine. Breaking down the top body acne causes from our founder and board-certified dermatologist, Dr. Sandra Lee, below!
Most common causes of bacne:
1. You’re hanging out in sweat-soaked clothing.
Getting a good sweat working out is the best way to relieve stress, stay in shape, and rid the body of toxins. But… a sweat sesh can be counterproductive, if you don’t take care to clean your skin after you’ve worked out. Hanging around in your workout clothes might be tempting, especially if your workout wasn’t especially rigorous, but allowing tight, sweat-soaked fabrics to linger on your skin can result in breakouts known as acne mechanica, caused by friction when your skin isn’t exposed to air. It can also result in folliculitis, the result of pores that host sweat glands and hair follicles becoming clogged when they are blocked. If you don’t have time to rinse off, having a body spray on hand to spritz your skin, along with exfoliating swipes to keep your body clean and less susceptible to breakouts. We recommend SLMD’s Salicylic Acid Body Spray and Resurfacing Acne Swipes.
2. You need a better body wash.
You wash your face morning and night, and follow a strict skincare routine. The skin on your body deserves the same attention! Body acne develops when your pores get plugged up with dead skin and excess oil, known as sebum. Bacteria grows in these clogged pores and causes pimples. We can actually treat acne on our body with the same ingredients as our face, but you want to use products that are formulated for the body specifically because this skin is tougher, thicker and can generally handle more. If you’re dealing with those deep painful underground pimples, we recommend SLMD Skincare’s BP Body Wash, formulated with the powerhouse ingredient, Benzoyl Peroxide. It will improve acne and calm inflammation, by diving deep into pores to attack Propionibacterium acnes, the invaders that cause inflammatory breakouts on the body.
3. You’re using harsh, comedogenic products.
Most people with acne-prone skin know to steer clear of comedogenic ingredients and unnatural oils, but all too often, that stops below the neck. Because the chest and back are also covered in hair follicles, they also have pores that can become clogged and irritated.
Sometimes, the residue from our hair products or added fragrance can exacerbate skin irritation and acne, so if you noticed an increase in breakouts after using a certain product, take a break and look closer at the ingredients. If your symptoms subside, avoid that ingredient when making your next purchase.
4. Your pillowcases or towels need a run through the wash.
Sometimes, a breakout can be attributed to something as simple as not doing that load of laundry. When we sleep on the same pillowcase, use the same towel for too long, or don’t regularly wash sheets – oil, dead skin cells, skincare residue, sweat, dirt, bacteria collect over time, any of which can easily become transferred onto our skin, possibly clogging pores. Be sure you are washing all of the above at least once a week!
5. It’s in your genetics.
We’re not trying to point the finger at mom and dad, but acne and the size of your pores, is somewhat linked to genetics, so if either of your parents have or had acne-prone skin, chances are you might too — so you just need to be conscious of that and loyal to your skincare routine!
6. Your hormones are running rampant.
Simply put, the condition of acne is often attributed to a hormonal imbalance. When certain hormones are out of balance, our sebaceous glands, which work to create the oil our skin needs to stay healthy and protected, can go into overdrive, producing more than what’s needed to keep our complexions hydrated. This is why many women notice an increase in acne symptoms around their monthly period, during pregnancy, amid times of stress and of course, during puberty. As if those things aren’t stressful enough!
Now that you know about these potential culprits causing your acne, you can be extra careful and cautious if you believe any of these are attributing to yours and be on your way to clearer skin!
Adult acne: Understanding underlying causes and banishing breakouts
“I’m not a teenager anymore, why do I still have acne?!” This is a question we hear from patients on a daily basis. The truth is, it is quite common to see acne persist into adulthood. Although acne is commonly thought of as a problem of adolescence, it can occur in people of all ages.
Adult acne has many similarities to adolescent acne with regard to both causes and treatments. But there are some unique qualities to adult acne as well.
What causes adult acne?
Adult acne, or post-adolescent acne, is acne that occurs after age 25. For the most part, the same factors that cause acne in adolescents are at play in adult acne. The four factors that directly contribute to acne are: excess oil production, pores becoming clogged by “sticky” skin cells, bacteria, and inflammation.
There are also some indirect factors that influence the aforementioned direct factors, including
- hormones, stress, and the menstrual cycle in women, all of which can influence oil production
- hair products, skin care products, and makeup, which can clog pores
- diet, which can influence inflammation throughout the body.
Some medications, including corticosteroids, anabolic steroids, and lithium, can also cause acne.
Many skin disorders, including acne, can be a window into a systemic condition. For example, hair loss, excess hair growth, irregular menstrual cycles, or rapid weight gain or loss in addition to acne, or rapid onset of acne with no prior history of acne, can all be red flags of an underlying disease, such as polycystic ovarian syndrome, or other endocrine disorders. Tell your doctor if you are experiencing additional symptoms; he or she may recommend further evaluation.
How can I prevent breakouts?
Like most things in life, acne is not always completely in one’s control. There are, however, some key tips we offer to help prevent breakouts:
- Never go to bed with makeup on.
- Check labels: when purchasing cosmetic and skincare products, always look for the terms “non-comedogenic,” “oil-free,” or “won’t clog pores.”
- Avoid facial oils and hair products that contain oil.
- Some acne spots are not actually acne but are post-inflammatory pigment changes from previous acne lesions or from picking at acne or pimples. Wear sunscreen with SPF 30+ daily, rain or shine, to prevent darkening of these spots.
There is some evidence that specific dietary changes may help reduce the risk of acne. For example, one meta-analysis of 14 observational studies that included nearly 80,000 children, adolescents, and young adults showed a link between dairy products and increased risk of acne. And some studies have linked high-glycemic-index foods (those that cause blood sugar levels to rise more quickly) and acne.
With that said, it’s important to be wary of misinformation about nutrition and skin. As physicians, we seek scientifically sound and data-driven information; the evidence on the relationship between diet and acne is just starting to bloom. In the future, the effect of diet on acne may be better understood.
What are the most effective treatment options?
The arsenal of treatment options for acne treatment is robust and depends on the type and severity of acne. Topical tretinoin, which works by turning over skin cells faster to prevent clogged pores, is a mainstay in any acne treatment regimen, and has the added bonus of treating fine wrinkles and evening and brightening skin tone. Isotretinoin (Accutane, other brands), taken by mouth, is the closest thing to a “cure” for acne that exists and is used to treat severe acne. Women who can become pregnant need to take special precautions when taking isotretinoin, as it can cause significant harm to the fetus.
For women with hormonally driven acne that flares with the menstrual cycle, a medication called spironolactone, which keeps testosterone in check, can be prescribed. Oral birth control pills can also help regulate hormones that contribute to acne.
In-office light-based treatments, such as photodynamic therapy, can sometimes help. Chemical peels, also done in-office, may help to treat acne and fade post-inflammatory pigment changes.
Simple, non-irritating skin care products are important for anyone with acne. Choose products that are gentle and safe for skin with acne, and eliminate products that are harsh and can make matters worse. It’s also important not to squeeze or pick at acne lesions, as that can worsen discoloration and scarring.
With proper evaluation by a board-certified dermatologist and commitment to a treatment regimen, almost all cases of acne can be successfully treated. After all, adulthood is stressful enough without breakouts!
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Body Acne: What Causes It and How to Treat It
We’ve all experienced some radical changes to our bodies, and our skin especially, during this time in quarantine, and we’re here to tell you: It’s fine. It’s totally normal to have some unexpected dullness or breakouts, even if you usually only have one or two a month. There is an unprecedented amount of stress at the moment, and we already know that stress is merciless when it comes to our skin. That’s why we’ve added a few new calming routines to our days to remedy that lingering anxiety, such as relaxing baths, aromatherapy oils, perfumes that are reminiscent of the outdoors, and clarifying masks. The latter might take care of those pesky pimples on our faces, but many of us are experiencing acne elsewhere, too, like on our backs, arms, and chests.
So how do we remedy full-body breakouts through and beyond all this craziness? We asked two experts for the intel: Dr. Joshua Zeichner, the director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City, and Dr. Tiffany Libby, a cosmetic dermatologist in New York City and a Mohs surgeon and assistant professor of dermatology at Brown Medical School.
The Causes of Body Acne
Like the acne on our faces, there are many different stressors that can give rise to acne on the body. Dr. Libby states, “Acne can happen anywhere on the body that you have hair follicles. In general, the main contributing factors to acne are clogged pores, increased oil or sebum production, inflammation, and presence of bacteria. Stress, pollution, poor cleansing habits, diet (specifically high-glycemic-index foods and dairy), and hormonal changes can also contribute to acne breakouts. On the body specifically, there are increased factors that can specifically contribute to body acne, such as sweat, dirt, oil, and friction in those areas.” This means that wherever we grow hair (which is virtually everywhere on our bodies), we can expect to eventually see breakouts, even if we have never experienced body acne before.
Now, one can wonder why breakouts occur on specific body parts, while others seem absolutely poreless. Does this mean that there are different causes of acne on different parts of our bodies, the same way different zones of our faces are triggered by different stressors? “Not really,” says Dr. Libby. “They are all due to the same pathophysiology of first starting out with a clogged pore and excess oil, which then becomes inflamed, leading to acne.” In other words, acne is acne, regardless of whether it has attacked the chest or arms.
Hormones & Body Acne
Hormones are essentially the little soldiers in our bodies that ensure everything is running as smoothly as possible. Typically, when there is a hormonal imbalance in our bodies, we can see it on our faces. If you’ve ever had a hormonal zit, you understand that they are both painful and stubborn. Some of us, unfortunately, also experience painful and stubborn breakouts on our backs and chests. So does this mean that they are also backed by hormones? Dr. Zeichner explains, “Hormonal sensitivities often [lead] to acne breakouts in the lower one-third of the face, including the jawline, neck, and chin,” meaning that acne on the arms or back is most likely birthed from overactive pores or environmental stressors. “In severe cases, [hormonal] breakouts can occur on the whole face, as well as the chest, back, and arms.” If you believe that the acne on your body may be caused by something like hormones and that cannot be cleared with a simple wash, contact your medical professional.
Is This Even a Breakout?
To determine whether a body irritation is a breakout, or possibly an allergic reaction to something touching the skin, Dr. Zeichner recommends studying the texture. “Acne breakouts look like red, angry bumps that often have pus inside them. Allergies tend to be red, itchy, and scaly patches. When they are caused by an allergy from an outside source, it usually has a distinct pattern on the skin that mimics whatever came in contact with the skin.”
Dr. Libby adds, “Allergic contact dermatitis…can usually present as an itchy rash, sometimes with water blisters or redness and scaling. This looks different than acne, which can be painful but typically not itchy.” If there is a breakout on your chest that seems extremely itchy, and reminiscent of the shape of that one necklace you’d prefer to never take off, you probably should.
Allergic reactions are not the only things that can be reminiscent of acne. “Red bumps that occur in the triceps area may not be acne at all,” says Dr. Zeichner. “We commonly see a rash called keratosis pilaris. Here, dead skin cells get trapped within the pores, giving an appearance similar to acne. The arms are studded with firm bumps within the follicles.” These bumps can unfortunately stick around for a long time, but with proper exfoliation (especially chemical), you can remove the dead skin and help your arms return to normal.
What Should We Do?
Although many of us have multi-step routines for our faces, we rarely see someone who gives the same due diligence to her body-care products. When was the last time you saw an influencer flaunt the essence she uses on her legs? Dr. Zeichner states, “It is important to take care of your body just as you take care of your face. The wrong products can lead to dryness and irritation and aggravate conditions like acne.” Luckily, using a light, non-greasy lotion after you shower or bathe can help prevent unnecessary dryness that can lead to breakouts.
So what else can we do to prevent body acne before it starts? “I often recommend using the same benzoyl peroxide or salicylic acid wash that you use on your face also on your body, chest, arms, where you may also experience breakouts,” says Dr. Libby. “I also like chemical exfoliants like AHAs and BHAs on body areas, as well. The skin on the body is thicker and a bit more resilient than that on our faces, so it typically tolerates any face treatments very well.” This means that if there is a product that works extremely well for the breakouts on your face, it will likely work on those areas of your body that are prone to breakouts as well. Additionally, both Dr. Libby and Dr. Zeichner prefer chemical exfoliants or acids such as AHAs and BHAs to gently dissolve the acne-causing dead skin cells from the skin and to eliminate bacteria.
Lastly, make sure to change the clothes you wear daily. In quarantine, it’s very simple to wear the same shirt a few days in a row or go straight from a living-room workout to your Zoom meeting. However, Dr. Libby states that “standing around in tight, sweaty workout clothes will certainly exacerbate acne breakouts on the body,” as it keeps close to the skin all the bacteria and sebum it has absorbed into its fibers. Compare it to the way you use a towel to clean up a spill: If the towel absorbs the entirety of the spill, yet remains on the ground, everything will stay there until you remove it. So get naked. And if that’s not your thing, wear light, breathable fabrics that don’t cause much friction. Your skin will thank you for it.
Shop our favorite products for treating body acne:
Acne | Office on Women’s Health
Can more serious forms of acne be treated?
<p>Yes. Work with your doctor to find the best treatment for you.</p>
<p><strong>Moderate to moderately severe acne.</strong> This type of acne consists of several whiteheads, blackheads, papules and pustules that cover from ¼ to ¾ of the face and/or other parts of the body. It can be treated with antibiotic lotions or gels, as well as retinoic acid. Retinoic acid is an altered form of vitamin A. It helps prevent whiteheads and blackheads. Your doctor may also prescribe an antibiotic pill, such as erythromycin. If you take birth control pills to prevent pregnancy, antibiotics can affect how well they work. Be sure to use a second method of birth control with the pill, such as a condom. Retinoic acid and antibiotic pills can make the skin sensitive to the sun. So, wear sunscreen and stay in the shade while using them.</p>
<p><strong>Severe acne.</strong> Severe acne consists of deep cysts, redness, swelling, extreme damage to the skin and scarring. You should see a dermatologist to care for this type of acne. Scarring can be prevented with appropriate treatments. Your dermatologist can prescribe oral antibiotics and oral contraceptives. Large inflamed cysts can be treated with an injection of a drug that lessens the redness, swelling, and irritation, and promotes healing.</p>
<p>Your dermatologist may prescribe Accutane®, if other treatments have not worked. This is a strong medicine that can help prevent scarring and treat active disease. But, Accutane also can cause birth defects. It is important that you are not pregnant and do not plan to get pregnant while taking this medicine. You must use two methods of birth control at the same time. This is done for one month before treatment begins, during treatment, and for a full month after stopping the drug. Talk with your dermatologist about when it’s safe to get pregnant. Other side effects of this drug may include dry eyes, itching, mood changes, and changes in the blood and liver. You and your dermatologist can decide whether this medicine is right for you based on the pros and cons. Use any prescribed medicine exactly as you are advised. Taking more medicine than you are supposed to take may make acne or your general health worse. Ask your doctor what to do if you miss a dose.</p>
<p>Some large cysts do not respond to medication and may need to be drained or removed. Your dermatologist is the only person who should drain or remove these. You should never try to drain or remove your acne by squeezing or picking. This can lead to infection, worsen your acne, and cause scarring.</p>
<p>Overall, if you don’t see a change in your skin in six to eight weeks, talk with your doctor about your treatment plan.</p>
90,000 reasons for the appearance and ways of dealing with
What foods can cause back acne, which doctor should you see for it, and why will cotton clothing and sunscreen be your best friends this summer? BeautyHack learned from dermatologist Svetlana Yakubovskaya (@sovetydermatologa) how to get rid of back acne once and for all.
Svetlana Yakubovskaya (@sovetydermatologa)
It would seem that acne on the back is not as scary as on the face, because they are not in plain sight.In the cold season, it is possible, but with the advent of the season of open clothing and beach holidays, this problem becomes extremely urgent. Often, acne on the back is combined with rashes on the face, but there are also cases when the skin suffers from acne in only one area. The situation can be aggravated by tight clothing and more intense sweating – after all, the back sweats more than the face. That is why the treatment process can be greatly slowed down due to these important features.
Causes of acne on the back
Genetics and hormonal disruptions
The main reason for the appearance of acne on the back is considered to be overly active work of the sebaceous glands.And this problem may appear against the background of genetic factors – when, for example, there is an increased sensitivity of the sebaceous glands to secreted, even in normal amounts, sex hormones. Hormonal disruptions can also lead to this, as a result of which the level of sex hormones actually increases, which also stimulates the production of sebum.
Incorrect power supply
Doctors have shown that two categories of foods can cause acne on both the face and back: high-carb foods such as sweets, fries, hamburgers, soda and other fast foods, as well as milk and dairy products.But there is research that the Mediterranean type of diet, that is, a high content of fish and greens in the diet, improves skin condition and can reduce the number of acne.
It should be remembered that the skin on the back often suffers from friction (clothes, backpacks, etc.), and in some cases from improper care, as a result of which microbes multiply faster. Pores can be clogged by shampoo or conditioner running down your back (if you wash your hair back), or too oily body cream.And nobody canceled the banal rules of hygiene either.
If you have such a problem, you should first contact a dermatologist. You do not need to immediately look for the reasons in the intestines, stomach and other internal organs. The cause of acne is much simpler in its pathogenesis and etiology – yes, external factors and improper skin care can have an effect, but it is unlikely that your gastritis or digestive problems will be the real cause.
Of course, acne causes aesthetic discomfort – pustular eruptions, scars and blemishes are especially troublesome in summer, when you want to wear an open outfit or just go to the beach.Therefore, it is better to start treatment at the initial stage, and not when the whole back is “blooming”.
Ignoring the problem can lead to the spread of rashes – the formation of nodes, large subcutaneous elements. This is also the result of neglect of treatment, when there are serious disorders in the work of the sebaceous glands. Young people and adolescents often blame hormones for everything. But waiting for everything to go away on its own is not an option.
Methods for dealing with acne on the back
To the question – is it possible to get rid of acne on your own – the answer is one: yes, you can, if you are a specialist with medical education and, preferably, a dermatologist or cosmetologist.You do not need to be treated on forums on the Internet, consult a neighbor on the staircase or ask for help from close friends – what suits one person will not necessarily “heal” you either. And the independent use of medicines is fraught with failure for you and additional difficulties for the doctor who will deal with you in one way or another.
At home, special means for cleansing will go to help – after all, we use special means to cleanse problem skin of the face, so this also applies to the back.I recommend paying special attention to cleansing gels with salicylic acid, tea tree oil, and benzoyl peroxide.
If the clinical picture requires it, the doctor may prescribe external retinoids. They are used in the form of ointments, creams and gels – and they must be used once in the evening for at least three months. With a significant number of rashes, it is recommended to use point remedies with an antibiotic in the composition – for example, with Clarithromycin or Erythromycin.
It is very important to understand that the acne treatment process can be lengthy, especially if you have been walking around with acne for years. No doctor is able to work magic and relieve you of rashes once and for all in a couple of weeks. It is possible to improve the picture, but it will take a long time to completely clear the back. You need to be prepared for this.
Instead of squeezing out the rash, go for a hygienic cleaning to a beautician – yes, it is also carried out in the back area.And on this part of the body, you can also apply drying masks and peelings – for example, with acids. Another option is phototherapy, during which the bacteria that cause acne are killed by special radiation. It also helps the skin to recover faster after treatment. Of course, it is more convenient and more correct to do this under the strict guidance of a professional.
What mistakes should be avoided?
Do not squeeze or dry pimples
Everyone loves to dry pustules on the back, as well as on the face, but it is important to remember that if you do this constantly, you simply destroy the protective lipid barrier of the skin, as a result of which it weakens and becomes more susceptible to the influence of pathogenic microflora.In addition, our sebaceous glands begin to actively produce sebum in response to “dryness”. It turns out a vicious circle – the skin dries up, and the face shines more and more.
Don’t get carried away with scrubs
If there are pustules on the skin, the abrasive particles will only further damage the skin and carry the infection further down the back. If acne is early on, use a gentle scrub before the shower gel to get rid of dead skin cells and open pores.But in any case, you need to use such funds no more than once a week.
Wear cotton clothing
Especially during sports training and on hot days. Clothing should be made of 100% cotton – simple and comfortable, not tight to the skin. And be sure to wash your clothes more often so that the remains of sweat and bacteria do not settle on the skin and do not start the inflammatory process again. Make it a rule to change your shirt right after your workout or if you sweat a lot.
If you are familiar with the problem of acne on your back, do not wear backpacks and bags on your back – this way they will not irritate the skin, make you sweat and aggravate the condition. The same goes for hair – in the heat it is better to make a high bun to avoid friction.
Don’t forget about sun protection
Many people think that the sun heals acne. To be honest, it just masks your rashes and spots, but then acne reappears and often with double strength.Remember that the sun is not your friend and wear sunscreen. Those that work for the face will work for the back, but not vice versa. And, of course, give preference to products for oily skin.
Remember that any disease is easier and faster to stop at the initial stage, and not when it is started.
Protect the beauty and health of your skin!Text: Anastasia Speranskaya
90,000 Acne on the back. Explicit Causes
Back acne: why do they occur?
Acne on the back, separate from the face – are quite rare.
Very often, classic acne is accompanied by rashes on the cheeks, chin, chest, shoulders, back and, of course, this is an indicator of the severity.
This tells the doctor what drugs should be prescribed. As a rule, serious drugs are prescribed, and this is necessary in order to cure all this.
Of course, I would be glad to write to you in this article that I know some super magic remedy for such acne. But, in fact, the help of a doctor is needed here.
Question: Why can rashes occur? These are the classic causes of acne, when it is genetics (heredity) + nutrition + hormones. But there are several more reasons.
Such rashes are very common on the back of young guys and girls who work out in the gym, who consume protein shakes, protein bars.
Because whey protein can trigger acne. Very often, men who are engaged in strength training and bodybuilding take steroids, most often they give themselves injections and this is also the reason for the occurrence of such rashes.
Some medications prescribed by a doctor can also cause such rashes.
And if you go for a massage and you have never had rashes before, but suddenly they have appeared. And you understand that you are being massaged with oil or some kind of fatty cream. You have a clear connection that the massage has begun two or three procedures and the rash has begun – you definitely need to think about what the cause may be the massage. It is necessary to stop it for a while, or change the massage agent.
Patients with back rashes very often come to me, including other doctors referring them to solve this problem.
We conduct an examination, examination of the patient, find the cause and prescribe treatment.
I can tell you for sure that if you have a desire, then we will definitely solve this problem.
The most effective methods for eliminating back acne.
Back and shoulder acne is a serious problem for many people. It is especially annoying in the summer, when there is an opportunity to go to the beach and sunbathe, and the appearance of the back leaves much to be desired.
Attention! In winter, acne on the back is constantly in contact with clothing and is easily injured under its mechanical influence.
Causes of acne formation
There are many sebaceous glands on the back which quickly become clogged from constant clothing. There are other causes of acne, which can be classified as internal or external.
Attention! Identifying the factor that triggered the problem will help you get rid of it quickly and easily at home.
External reasons include:
- poor nutrition;
- the presence of bad habits;
- vitamin deficiency;
- overly tight or unnatural clothing;
- stressful situations;
- poor personal hygiene.
Internal factors that provoke a rash on the back:
- pregnancy, breastfeeding;
- problems in the genitourinary or digestive system;
Preventing gastritis and dysbiosis, as well as keeping the intestinal microflora healthy are important tasks! The complex of probiotics Elbifid – Essential Probiotics helps to solve them, which maintains the balance of the natural intestinal microflora, which is responsible for the quality of the immune response and the harmonization of the digestive system.
The appearance of acne can be associated with a change in diet, especially if fatty and smoked foods are added to the diet.
Skin problems need to be addressed as soon as they appear. At home, first of all, all risk factors should be excluded:
- clothing should be made from natural materials, without hard parts;
- after taking a bath, do not rub yourself too intensively with a towel;
- avoid intense, frequent exposure to ultraviolet radiation;
- massage oils clog the pores of the skin, so it is better to limit the use of oils;
- it is recommended to take vitamin complexes, as well as brewer’s yeast.
First of all, it is important to balance your diet. To do this, it is necessary to exclude all junk food: fried, sweet, fast food. You should eat often, in small portions and varied. It is better to give preference to vegetables and fruits, nuts and seeds, dietary meat, poultry and seafood, fish and seafood, cottage cheese and dairy products.
3D Clear Skin Cube, a beauty complex with valuable vegetable oils, vitamins E and D, will help speed up the processes of recovery and healing of inflamed skin, reduce the severity of redness.Borago and amaranth oils, as well as evening primrose oil, which are part of the vitamin complex, strengthen the local immunity of the skin, beta-carotene and vitamin E protect against UV radiation and reduce pigmentation, and vitamin D ensures the normal functioning of the sebaceous glands.
As an additional source of vitamins, amino acids and healthy fats, you can use Vanilla Delight Nutritional Cocktail – Yoo Go. Each serving provides a healthy array of dietary fiber, omega-3 PUFAs, protein, and L-carnitine.The balanced composition provides the body with vital nutrients and helps to keep you feeling full for a long time.
Folk Ways to Fight Acne
There are several effective folk remedies for acne. Each recipe is effective in its own way and has its own advantages. Recipes:
- Baking soda gel for problem skin. It is necessary to mix in a ratio of 1: 2 baking soda and gel for problem skin. Apply to problem areas in a circular motion, let dry.
- Frozen daisy infusion. You will need to prepare an infusion from a tablespoon of herbs and a glass of boiling water. Then chill it and freeze it in ice cube trays. Wipe the skin daily with the resulting cubes.
Attention! Another way is to dilute the calendula tincture with water in the ratio: 1 teaspoon to a glass of water. Wipe problem areas.
Women often use psyllium baths.To do this, the roots of the plant need to be cooked over low heat for 20 minutes after the water boils. Strain the resulting broth and pour into the bath. The course of such treatment is at least two weeks.
It is even better to use an infusion of the sequence for the preparation of baths: 1 glass of infusion per bath. The infusion is prepared by brewing 2 tablespoons of the chopped string with one glass of boiling water for 15 minutes and cooling for 45 minutes, and then filtering. It should be borne in mind that some people may have an individual allergy to the string or plantain.
Attention! With the appearance of large, purulent acne, aloe vera works great. The leaf of the plant must be cleaned of the film, and then fixed on the pimple.
The legendary “Root” broad-spectrum balm based on fir oil and thirteen extracts of wild Siberian herbs will help to activate the skin regeneration process. It actively heats up, awakens the internal resources of the body and quickly returns a feeling of comfort.The sea buckthorn oil in the composition helps to renew and restore the skin.
Help from the pharmacy
In addition to folk methods, there are effective pharmaceutical preparations. Many of them are sold without a doctor’s prescription, but consultation with a specialist still does not hurt.
90,000 Acne on the body: where do acne breakouts come from and how to deal with them
Most often, when we talk about caring for problem skin, we pay attention to the face. But the truth is, the body also has acne and breakouts.What are the reasons? As with the face, the prerequisites can be very different. How to treat? One of the main recommendations is not to try to get rid of them yourself. Elena Ramos – Pharmacist, Dermatocosmetics Expert and Co-Director of The Secret Lab – and Dr. Pedro Rodriguez from Clínica Dermatológica Internacional talk about the main causes of inflammation on the body and how they can be treated.
Why do acne appear on the body
“There are sebaceous glands on the skin of both the face and the body.If fatty secretion is excessive and bacterial overgrowth is provoked, pimples may appear (regardless of age), ”explains Elena Ramos.
- Hormonal activity and genetics (the most common factor)
- Lack of hygiene and bacterial accumulation
- Excessive fat on the skin
- Using inappropriate cosmetics
Pimples on the neck and in the décolleté area can be caused by skin. This is why it is important that the grooming extends to the neck and not to the chin.
Dr. Rodriguez also points out that too tight clothing and sweat can cause breakouts. In order to avoid this, it is necessary to wear breathable clothing and avoid synthetic materials.
Most common areas
Décolleté and chest. “Pimples similar to those on the face are quite common in the décolleté and chest areas, since anatomically there are also many sebaceous glands in these areas,” notes Dr. Rodriguez.
Back. The specialist notes that more dirt can accumulate on the back, as this is a more difficult area to clean. It’s important to shower with non-comedogenic soap – especially after exercise.
Be careful with products that are applied to the skin
Cleansing. Both experts confirm that the soaps and creams we use for body care can cause acne. If you would like to get rid of acne on your body, try replacing your shower gel.The rule is especially true for those who use fatty and oily products.
Humidification. The same goes for moisturizing lotions: the lighter the formula, the better. “We must avoid products that contain comedogenic products: paraffin, petroleum jelly, silicones, coconut and cocoa butter,” says Elena Ramos. Finally, the expert adds that laundry detergents can also affect the skin, “because we come into contact with the substances in their composition every day.” A good rule of thumb is to analyze ingredients and prioritize natural products.
What about the fragrances? In fact, spraying the composition onto the skin should not cause any rashes. Therefore, in the event of an allergic reaction, it is necessary to consult a specialist.
Do’s and don’ts when treating acne on the body
Cleansing. Experts say that pimples should not be squeezed – both on the face and on the body. Elena Ramos notes that cleaning the pores is good, but “ideally, you need to contact a qualified specialist for this, who will be able to assess whether it is time to cleanse or wait for the development of inflammation.”
Skin regeneration. “Salicylic acid sprays are most commonly used for this,” says Dr. Rodriguez. Elena Ramos suggests the following daily routine: “Wash with a mild cleansing gel; in the morning you need moisturizing and sun protection, and at night – retinol. It will help control sebum production and rejuvenate the skin to help prevent acne marks. Retinol can be alternated with AHA acids such as lactic or glycolic.
Exfoliating Pros and Cons
Dr. Rodriguez notes that “our skin is refreshed every three weeks – it’s enough to just shower and sometimes use a scrub,” so it’s important to remember that it shouldn’t be over-exfoliated.If the pimples are inflamed, it is best to avoid using scouring brushes or sponges. It is recommended to use chemical or enzyme peels. If you have very severe rashes, it is best not to touch the area of inflammation until it has healed.
Ana Gándara / vogue.es
Acne on the face after 30 years
Trichologist, dermatovenerologist, cosmetologist, physiotherapist
Time to read: 5 minutes
Date of publication: 13.09.20
Many people think that acne on the face is the fate of unfortunate teenagers.But there are rashes on the face and older people. Let’s figure out what it can be and how to deal with it.
What problems occur in adults
- Acne Tarda – the so-called late acne, which most often occurs in women after 30 years of age and is localized on the lower face, less often on the chest and back. Usually, their appearance is associated with hormonal disorders – in this case, it is necessary to consult a gynecologist-endocrinologist, take a smear for oncocytology and ultrasound of the small pelvis.But while you understand, you can also contact a dermatologist to start external therapy to eliminate rashes and prevent post-inflammatory hyperpigmentation and scars.
Rosacea is the second most common problem. It is also more common in women, but men are not uncommon, especially in leadership positions. The rashes in this case are located in the center of the face and on the cheeks, on the nose and on the central part of the forehead. Presented in the form of small pink nodules or even pustules against the background of general redness of the face, there may also be vascular networks.In this case, trigger factors must be excluded – these are hot drinks, alcohol (especially cognac and red wine), spicy foods with spices, sun exposure, baths, saunas, intense training. Those. anything that increases the blood flow to the face. It is necessary to use sunscreen, especially in the summer (and if you are a fan of ski resorts). It is also worth contacting a cosmetologist-dermatologist for the appointment of external drug therapy and the selection of medical cosmetics that will support the achieved result.A very good effect is given by such apparatus methods as microcurrent therapy in combination with lymphatic drainage and IPL-therapy with broadband light, for example, on the M22 apparatus.
In prolonged and severe cases of acne and rosacea, the use of systemic retinoids is recommended, but only as directed by a dermatologist who has experience in the selection and calculation of the dosage of this drug.
- Perioral dermatitis – this type of dermatosis is also called “flight attendant’s disease”, but it also occurs in men and even in children.The rashes are located in isolation, around the natural openings of the mouth and nose, less often around the eyes. This is often due to the prolonged use of hormonal creams and ointments, improper selection of cosmetics, incl. in men after shaving, as well as the use of fluoridated toothpastes. Therefore, it is recommended to change the paste, exclude all external agents and contact a dermatologist, because this pathology will not just go away on its own.
- Folliculitis – May be associated with the inappropriate selection of comedogenic cosmetics for already oily skin, or may be caused by bacteria such as Malassezia, Staphylococcus aureus or Demodex.Therefore, you can try to change cosmetics to lighter ones, and if the rash does not go away, then consult a doctor.
- Discoid lupus erythematosus – “relatively” rare disease, can first appear after exposure to the sun in the form of persistent redness and rashes. It is very similar to rosacea, so you should definitely contact a dermatologist when signs appear. A skin biopsy will be required to clarify the diagnosis.
I have presented the most common cases, but there are other rare dermatoses.But that is why they are rare, which are not found in everyone. Remember that after 30 years, serious diseases can be disguised as ordinary acne, so do not neglect a visit to the doctor.
Take care of yourself and your skin!
90,000 where they come from and how to deal with them
Sweating is a problem that is not always easy to deal with.Some people prefer to partially solve it with astringents and talcum powder or powder, but in the case of problem skin, this can backfire. Experts advise to give up wearing synthetic clothes, switch to things made from natural fabrics: cotton, cotton, linen and so on.
Alternatively, in the morning after showering, you can sprinkle lightly on the skin with an alcohol-free antibacterial lotion, which can also be used as chlorhexidine. The main thing is that this measure should not be permanent, but temporary – for a period of a special rampage of inflammation.
As in the case of the face, the skin of the body must be exfoliated regularly – this helps to get rid of dead horny cells, which, mixed with sweat, sebum and impurities, become fertile soil for bacteria.
Acids – salicylic, glycolic, lactic, almond, are best suited for the back and shoulders. The last two are also the lightest – they are even called “summer” because they do not cause photosensitivity, and therefore they can be used during the period of active sun.
You can use standard acid peels at home – masks, lotions, acid-impregnated discs – and even those intended for the face. In the case of lotion, you don’t even need help – you can pour it into a spray bottle and water it yourself. But it is better to refuse a hard washcloth or scrubs, this can only provoke even more inflammation.
Finally, unbalanced diet, bad habits, stress and hectic day, sleep and rest, as well as lack or lack of physical activity all contribute to the condition of the skin – acne on the body is no exception.
In order to minimize the likelihood of their occurrence, to strengthen the defenses of the skin, its local immunity and improve the condition, it will be necessary to put things in order in these areas of life. The good news is that not only the skin will be much better from this, but also the whole body and its owner. Checked!
90,000 Acne in men
The first acne in men occurs during puberty – at the age of 14-18 years. These unpleasant manifestations are noted by 30-40% of young men.By the age of 25, their number is reduced to 5%. However, even at the age of forty, some of the stronger sex suffer from skin rashes.
Why do men get acne?
The mechanism of acne is simple: the function of the sebaceous glands is impaired. Too much sebum is produced, so it clogs the ducts, resulting in favorable conditions for the multiplication of pathogenic microorganisms.
Sebaceous glands malfunction are caused by one or more factors.Among them:
- heavy sweating;
- poor skin air exchange;
- genetic predisposition;
- diseases of internal organs;
- passion for fast food, fatty, sweet, spicy food;
- physical and emotional stress.
Poor ecology, the use of poor-quality hygiene products, medication – antibiotics and other drugs may be the reason.
In addition, acne in men appears due to excessive testosterone production. An excess of this hormone can indicate diabetes mellitus, anemia, diseases of the kidneys, blood vessels, thyroid gland, and so on.
Types and localization of acne
Purulent eruptions on the skin are divided into several varieties.
- Papules – a small rash on the back, face, chest, abdomen.
- Pustules – pimples with purulent contents.
- Nodules are an advanced form of acne that occurs when the inflammatory process spreads deep into the skin.
- Cyst – subcutaneous abscesses, collected in a large group. Such education is very painful.
An experienced dermatologist can determine the problem by the localization of acne. Pustules on the nose indicate a malfunction of the endocrine, cardiovascular and digestive systems, as well as a weakened immune system. If acne in men is located on the forehead, this is an indicator of hormonal changes or diseases of the intestines, gallbladder, pancreas.Chin rashes are most common in people over the age of 30. They are caused by excessive consumption of alcohol, fatty and spicy foods.
Acne on the back is caused by wearing synthetic clothes, increased sweating, frequent intoxication of the body, poor hygiene, chronic stress. A rash on the chest can be associated with diseases of the prostate gland, an imbalance of the intestinal microflora, a disorder of the nervous system, infectious diseases, prickly heat.
Although men do not tend to pay special attention to their appearance, there comes a time when the number of acne becomes critical.In this case, home remedies are used – moxibustion, rubbing the skin with decoctions of herbs, applying ointments.
However, in many cases, self-medication has no effect, and sometimes only aggravates the condition. It is especially dangerous to squeeze out acne: as a result, new foci of inflammation arise, and the infection can spread throughout the body. Therefore, the most reasonable way out of the situation is to visit a dermatologist who will establish the cause of the rash and prescribe adequate treatment. After that, the problem will be solved at the root, and the patient will get rid of acne forever.
How is acne treated in men
Dermatologists from the private practice clinic carefully examine the patient, give directions for blood tests – general clinical, biochemical, allergy tests, hormone tests.