acne

Dr. Silvers' brother suffered from severe acne during his teens and twenties. Dr. Silvers truly copies the feelings of patients who have acne, and sympathizes with them. He realizes the social toll acne takes on people. Although most people develop acne in their teenage years, many develop it in their twenties or later. Development of acne is a multi-factorial cascade.The distribution of acne sometimes provides clues about its main cause.

At Brentwood Dermatology we address dietary, hormonal, and skin care factors behind acne, and tailor a regimen that fits each individual patient’s needs and expectations. Our goal is to help the patient have dependably clear skin with the least prescribed medications. Patients are usually started off on dietary recommendations, and a few prescribed medication. The goal is to taper off the prescribed meds.

Causes of acne

Factors that contribute to acne formation are as follows:

  • Genetic predisposition
  • Diet
  • Stress
  • Immune system response to the trapped sebum (skin oil) and bacteria
  • Skin care products

Types of Acne

Depending on where the oil glad duct is blocked, acne can have different presentations:

  • Whiteheads:Clogged pores that have no easily visible opening,
  • Blackheads:Clogged pores with a small opening, viscous oxidized sebum has turned black,
  • Papules:Red dome-shaped, tender, small bumps,
  • Pustules:Papules with pus-filled core and center,
  • Nodulocystic:large, painful, fluid-filled, deep-seated bumps

Treatment Options

The first question is if the patient would be open to take an oral medicine, or would like to use products that can be applied on the skin only, so-called topicals. Oral or topical products can be effective overnight, or take a few weeks to see their benefit. Dr. Silvers can treat pustular or nodulocystic acne with a cortisone injection, or lance the lesion open with the tip of a blade to drain the pus, and allow rapid recovery, and prevent scarring. At our office, we offer light chemical peels, photofacials, and microdermbrasion as adjust treatments for acne as well. Considering the patient's preference, and the severity and the type of acne present, Dr. Silvers offers a suitable treatment regimen, and goes over the mechanism of action, side effects, and how to use the medications and products without causing too much irritation or other side effects.

Oral Prescription Medications

Oral acne medication include antibiotics and Accutane for men and women, and hormonal remedies, such as birth control pills or a diuretic that is called spironolactone for women in addition to those. Oral antibiotics control acne primarily through their anti-inflammatory property, and secondarily through killing the Bactria that are trapped behind the inflamed clogged pore. Unfortunately, antibiotics kill off some of the friendly bacteria in the body of the patient as well. Oral antibiotics do not reduce sebum production; therefore, in order to reduce the likelihood of flare up after cessation of the antibiotic course, it is advised that the patient combine the oral medicine with topical regimens that help to unclog the congested pores, what is called comedones.





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