1. Is acne a disease that needs to be treated?
Acne is one of the most common diseases in dermatology, especially in adolescence. If acne starts to grow on the face, it should be actively treated. Many people have the view that “acne is okay, it will get better after puberty”, but this is not true. Acne is a chronic inflammatory skin disease that recurs throughout adolescence. A small number of patients have milder conditions and will gradually improve without treatment, while the majority of patients will go through a long process from mild to severe, with repeated attacks and gradual aggravation, and the facial rash will gradually develop from acne to inflammatory papules, nodules and even cysts. This is undoubtedly a serious negative impact on young men and women who love beauty during their adolescence. What is more serious is that the chronic inflammatory rash of acne, if not actively treated, will leave atrophic and hyperplastic scarring and red marks, which are more troublesome to treat and not only expensive to treat later, but also Some scarring is irreversible. Active treatment of acne has two purposes: first, it can control and clear the rash in time to pass through the stage of puberty, and second, it can minimize and control the formation of scarring. Therefore, those who suffer from acne must establish the correct perspective and actively treat acne correctly to avoid leaving regrets.
2. Why do I have acne even though my hormone levels are normal? Is acne an endocrine disorder?
There is no doubt that the check is normal or acne is related to endocrine. We know that androgens play an important role in the occurrence of acne, which on the one hand increases sebum secretion and on the other hand causes excessive keratinization of the hair follicles to block the pores. The retained sebum is broken down by the action of Propionibacterium acnes to produce free fatty acids thus leading to the inflammation of acne. We also know that puberty is a period of endocrine activity. When the human body enters puberty, there is a significant increase in the level of sex hormones in the body, and women experience menstruation, while men experience voice changes and throat knots. In fact, both men and women have androgens and estrogens in their bodies, and when they are in balance, the body maintains normal physiological functions. However, because the level of sex hormones or the ratio of androgens to estrogen fluctuates periodically, acne also shows periodic changes in clinical practice. Acne arises when androgen levels increase or when the androgen to estrogen ratio increases. Therefore, for the vast majority of people, acne is closely related to endocrinology, but is not an endocrine disorder. However, it is also common to see acne that does not respond to conventional treatment in clinical practice, and then an endocrinological evaluation should be performed to see if there is an endocrine abnormality. In general, conditions in which endocrine abnormalities may be present include: sudden onset of severe acne, especially in individuals with initial acne; acne with hirsutism, irregular menstrual cycles, and other manifestations of hyperandrogenism, such as high libido, voice changes, insulin resistance, or the development of male pattern baldness. Common conditions that cause endocrine abnormalities include multiple ovarian cysts, adrenal tumors or adrenal hyperplasia. If endocrinologic evaluation is established, it can be determined that they have an endocrine disorder and that hormone therapy and surgery should be the treatment of choice. There is no doubt that acne is closely related to puberty. However, it does not exactly follow the passing of adolescence, because it is not the exclusive preserve of young people. As the modernization of society accelerates, the number of patients who still have acne after puberty (generally referred to as age >25) is gradually increasing, and the reasons for this are many. Most patients suffer from long-term mental tension, excessive stress, and lack of sleep, which stimulate the pituitary-hypothalamic-adrenal axis of the body and produce high levels of androgens, causing acne, which is more common in white-collar workers. In addition, a dusty living environment or high temperature and humidity will also increase the chances of pore blockage, which in turn will lead to exogenous acne. Acne is also increasing due to improper use of cosmetics, such as oily skin using skin creams and powders that contain more oil, or improper salon care. If your acne is still severe past the age of 25, in addition to the factors mentioned above, you should also consider whether you have endocrine disorders, such as polycystic ovary syndrome, adrenal hyperplasia, pituitary tumors, and so on. Although such cases are rare, their acne is very resistant to conventional treatment. Only when the root cause is eliminated can acne be cured.
3. Why do I have so much acne when others don’t?
Acne, commonly known as “pimples”, is a chronic inflammatory skin disease of adolescence. In the whole process, androgens play a decisive role. Some people have high levels of androgens or the sebaceous glands of the hair follicles are overly sensitive to normal levels of androgens, resulting in acne. These characteristics are genetically controlled, which means that each person’s genetic characteristics determine whether or not they will grow acne. Some people ask, “I’ve been very careful about my diet, but why do I keep getting acne?” A proper diet, a regular lifestyle, and a happy mood can help reduce acne, but they do not remove the root cause of the problem, so they cannot achieve the goal of fundamental treatment.
4.Squeezing will be good for acne
5.Why is my face very oily but feels very dry
Many people deliberately use cleansers with strong cleansing power or wash their faces frequently because they are oily. These habits developed during adolescence will eventually harm your skin. The sebum secreted by the sebaceous glands forms a lipid barrier on the surface of the stratum corneum, ensuring that moisturizing ingredients absorb water from deep within the epidermis and prevent it from evaporating via the stratum corneum, maintaining the skin’s permeable barrier function. So do not try to eliminate sebum, but rather control sebum production from sebaceous glands. The sebum film of the face is destroyed, so that the face feels tight and more oily scales appear on the face. So do not overuse oil-control exfoliating cleansers and do not wash your face with hot water. If there has been peeling and dryness because of excessive washing then you can choose a moisturizing moisturizer that does not contain oil. Once there is cracking and tingling, act quickly and use some moisturizing cream immediately after washing your face, which can seal the skin so that the moisture in the skin does not evaporate away and make your skin repair quickly.
6.How to take care of oily skin
7.Why does acne come and go? It gets better and grows again
Acne is a chronic condition. During puberty, human gonads begin to develop, and the adrenal glands, ovaries (female) and testes (male) secrete high levels of sex hormones, which enter the bloodstream. If there is too much sebum and it is not discharged properly, it will lead to acne. Because the maturation of the ovaries (female) and testes (male) is a long process, for most patients, the high level of androgen metabolism in their bodies is a phased process. Therefore, acne can be a recurring process. The second thing is to get enough sleep and relax. If you don’t sleep well, you will secrete more oil, and your acne will grow more. The actual fact is that you will be able to get a lot more than just a couple of days to get a lot more than just a couple of days. The actual fact is that you’ll be able to get a lot more than just a couple of days to get a lot more than just a couple of days. The same is true for stress and irritability, which can increase oil secretion. So unhappy mood is like falling down a well, will make acne grow more.
8.Can you use birth control pills to treat acne?
Clinically, many people asked, and saw such a message on the Internet, saying what a youth icon in Hong Kong to not grow acne to play contraceptive injection, and also said that many Hong Kong and Taiwan actresses to treat acne to eat contraceptive pills. The pathogenesis of acne is the overproduction of androgens in the human body, so the estrogen contained in the pill can indeed play a role in inhibiting the secretion of androgens and suppressing the growth of acne. However, this effect is temporary and acne will return as soon as the pill is discontinued. This means that people who attempt to treat acne with birth control pills must take the pills for a long time. However, the pill is supposed to inhibit ovulation in women, and girls in their adolescence have not yet fully developed their physiological functions. Long-term use of the pill will disrupt the physiological cycle, leading to menstrual irregularities, prolonged menstrual cycles, and in serious cases, infertility in the future, so it is not recommended to use the pill to treat acne, especially for girls in their adolescence. Estrogen can cause breast swelling, edema, high blood pressure, high blood sugar, and also has a tendency to increase breast cancer, and the higher its estrogen content, the greater the side effects. So the current trend is to use low to medium doses of birth control pills, i.e. drugs with < 50ug of estrogen< span="">. Acne during puberty is actually a normal physiological phenomenon because the hormones in the human body are at their peak during this period. Remind teenage girls to never abuse birth control pills and lead to lifelong regrets.
9.Is there a special medicine for acne treatment? Is it possible to buy topical medication on your own? Are commercially available acne treatment drugs and cosmetics effective?
First of all, I would like to tell my acne friends that there is no specific medicine for acne and there is no one-time cure. Because the root cause of acne is high levels of androgen metabolism, it is impossible to reverse this physiological process. Most of the treatments target the sebaceous glands of the hair follicles as the final target organ, to inhibit and antagonize the effect of androgens on the sebaceous glands of the hair follicles. Acne is a dermatological disease, and there are a series of medications and methods for its treatment. The medication for different conditions, different types of skin, and different rashes are completely different, and even for the same patient, there are subtle differences in the medication in different seasons because of differences in sebum secretion. Only experienced dermatologists can master these. Therefore, acne patients are cautioned to use medication under the guidance of a doctor for scientific treatment. Some of them even contain corticosteroids. Short-term use can reduce the rash, but long-term use will aggravate the condition and cause side effects such as facial erythema, capillary dilation, and hyperpigmentation, which are even worse for acne patients. We have met many such patients in our clinical work. It is even more impossible to claim that acne can be cured once and never come back. If you want to achieve the most ideal treatment effect in the shortest time, please go to a professional hospital and let the doctor prescribe your condition.
10.Can acne be cured by breaking the root
Timely: When the first acne pops up, it is time to treat it with medication. Correct: Use medication under the treatment of a professional doctor, not blindly. Adherence: Continuous medication at the age of good occurrence. When the condition is severe, internal medication, external medication and physical therapy can be chosen according to the situation. After the rash is relieved, external medication, especially retinoids, and appropriate oral medication and physical therapy should be adhered to. If these three points can be achieved, acne can be completely controlled.
11.What about the red marks and scars left after acne is well
Some acne patients who are not treated in a timely manner, or have a heavy inflammatory response, will be left with some atrophic and hyperplastic scarring and dark red spots after the rash subsides. Generally, the cheeks are prone to atrophic scarring, and the jaw joints and upper chest and back are prone to hyperplastic scarring and even keloids. With the development of science and technology, new means and methods are constantly being applied in the clinic, and there are many treatments for these symptoms that were previously thought to be poorly treated, with good results.
12.When is the best time to stop taking medication after acne is cured?
13.What to pay attention to in normal life
First of all, it should be clear how this “cure” is determined. If it is a recent cure, it only means that the current course of treatment is successful and the “first battle is won”. However, it is still necessary to do a good job of regulating and “building up” to prevent acne from returning, and at this time, of course, medication should not be stopped completely. Especially for exogenous acne, it is still necessary to abandon unsuitable cosmetics, unscientific skin care, and avoid strong sun exposure. You should always take preventive and curative measures under the guidance of your doctor to maintain satisfactory results, so that you can pass through puberty peacefully and send your acne out of the country. If you have endogenous acne and have undergone standard treatment, even if you have achieved satisfactory results, you still need to receive maintenance treatment because the metabolic conditions that produce acne and inflammatory rashes in the body still exist, and once the time is ripe, it will “reappear”. Therefore, it is important to take oral vitamins that affect lipid metabolism, such as vitamin B6, and to use topical urea creams, sulfur creams (for oil), and retinoids, such as Daphne gel, Dewey cream or tazarotene, which are often recommended by doctors to prevent and remove microcomedema and to prevent and control recurrence. It goes without saying that a proper diet, scientific washing, adequate sleep, and good lifestyle habits should always be taken into account in the whole process of acne prevention and treatment, and they should be classified as “treatment”. These are still so important that they cannot be “stopped”.