Why does acne flare up again when fall comes? Fall is coming, many friends and some small patients who go to the specialist clinic ask me: “Why does the acne flare up when fall comes, or the acne that had subsided for a period of time after treatment suddenly breaks out again?” Today, we will share with you how to save acne skin in the fall and winter season. Fall and winter weather is dry, dry climate is easy to take away the body’s moisture, the body, outside the body a lot of water loss, will make the keratin thickening, easy to block pores, pores clogged, inside the secretion is not easy to discharge, and then the epidermal bacteria acne bacillus take advantage of the opportunity to enter, it will aggravate the recurrence of acne. If not treated in time, it may leave acne marks and scars. Which kind of acne do you have? Many people say that acne will be good after puberty, you can not care about it, but in fact, the development of acne is unpredictable, you can not predict the future development in the direction of good or will be more and more heavy to leave acne pits and acne marks and scars, so acne is recommended to intervene in the treatment at an early stage, do not let it develop freely. All people with acne will think that acne is adolescence only “passer-by”, in fact, acne has long been not the patent of young people, more and more adults past puberty also did not get rid of the trouble of acne. Then why has passed puberty still long acne ah? This is called adult acne. Adult acne breaks out in the 30s, 40s, and even menopause, so acne is not exclusive to young people. Why do you have acne? 1, adolescent acne Adolescent acne has a certain relationship with the secretion level of hormones. Skin secretion of large amounts of androgens, caused by the face of a large “oil”, while the follicle mouth of the skin surface metabolism of the product of the stratum corneum is too thick accumulation, will block the pores, sebum secretion of the product of the formation of keratosis pilaris is not excreted, the densely dotted acne began to appear. Acne is divided into blackheads and whiteheads, whiteheads and the outside air contact blackheads will form blackheads, and the hair follicles in the “acne bacillus” in the food triglycerides enough to inevitably reproduce, further aggravate the inflammation, the formation of red “zits! “This type of pimple should not be handled with hands. This type of acne should not be scratched, squeeze, early intervention to avoid leaving permanent acne marks and scars. 2, adult acne Adolescent acne and hormone secretion levels have a certain relationship. Skin secretion of large amounts of androgens, caused by the face of a large “oil”, while the follicle mouth of the skin surface metabolism of the product of the stratum corneum is too thick accumulation, will block the pores, sebum secretion of the product of the formation of keratosis pilaris, the dense acne began to show up. Acne is divided into blackheads and whiteheads, whiteheads and the outside air contact blackheads will form blackheads, and the hair follicles in the “acne bacillus” in the food triglycerides enough to inevitably reproduce, further aggravate the inflammation, the formation of red “zits! “This type of pimple should not be handled with hands. This type of acne should not be scratched or squeezed, and should be treated with early intervention to avoid leaving permanent acne marks and scars. Is your acne serious (grading & treatment)? 1.I Degree Mild Acne is generally categorized into light to medium severity. Mild acne is dominated by blackheads and pimples with slight inflammation, redness, sensitivity and itchiness. This type of acne must control the diet, pay attention to rest, strengthen cleaning, can use some medical skin care products. First of all, start from washing your face, because there is more oil, it is recommended to use some oil-control facial cleanser, do not wash your face with water. The face wash milk in the hand to rub out the foam, in the face to wash 10-20 or half a minute, and then rinse with water more than 20 times, morning and evening each once, should not be more, after washing the face is best to apply moisturizing cream, to prevent the skin moisture loss. Localized acne is recommended to apply medication to dissolve keratin, sterilize, control oil and improve inflammation. Such as Banshee, clindamycin, erythromycin, chloramphenicol, Daphne, etc.; acne is more obvious can be combined with physical therapy, fruit acid, early with red and blue light irradiation. 2, II degree moderate In addition to acne there are some inflammatory papules, mainly in the face, such patients we have to use some antibiotics, oral antibiotics can be used (doxycycline, minocycline, beauty beauty) treatment. Cephalosporin ah, penicillin ah is not effective…You can also eat vitamin B6 oil control, retinoic acid such medicines can be eaten, but I do not advocate too much use, because it has more side effects. Many people just don’t understand, why physical therapy? Here to tell you, because the treatment course of acne is very important, that is, time is very important. In an article published in a foreign journal of medical dermatology, it talks about the importance of the duration of acne treatment, emphasizing a minimum of 3-6 months. If we use oral or topical medications for such a long period of time, it is bound to cause adverse reactions to our body and skin, especially if we take some antibiotics and retinoids orally. Therefore, in order to minimize these side effects and increase the effectiveness of treatment at the same time, we need to cooperate with physiotherapy, because physiotherapy does not harm the body. What does physiotherapy include? Many people know that fruit acids are commonly used, as well as red and blue light, microdermabrasion, photodynamic therapy, photon (IPL, DPL, BBL) and a variety of lasers and so on. So, if medication is combined with physical therapy, firstly, it can improve the effect of treatment, and secondly, it can reduce the harm and side effects of medication on us. Therefore, in the second degree, we may need to combine some physical therapy. 3, III degree severe In addition to acne and pimples, there are pustules, occurring on the face, neck and back, sebaceous glands secrete oil exuberant parts will appear. In this case, we have to emphasize the combination treatment, oral antibiotics is the basis, at the same time can also be retinoid such as wall body pine such drugs together with the combination treatment. In the topical treatment, the first thing we recommend is photodynamic, together with fruit acid and photon combined treatment. You can use some topical benzoyl peroxide, Daphne, and some medical skin care products will have better results. 4, IV severe – clustered Acne, inflammatory papules and pustules in addition to nodules, cysts or scarring. The scarring referred to here is not only the common depressed scarring, but also keloid hyperplasia and keloids. So it is important to intervene early to treat it and wait for it to develop freely, which can be very difficult to treat when it reaches the IV degree. Fourth degree is more to aggravate the oral treatment of drugs, in addition to anti-inflammatory drugs but also systemic treatment, at the same time with physical therapy, photodynamic, fruit acid, this time the concentration of fruit acid will be higher, for the cysts and keloid will be done some local closure, so that the scar will become softer and smaller, and then with fractional laser combined with injectable drugs combined treatment. How do you do the care? Life, use less makeup, but avoid thick foundation; use oil-control cleanser, be sure to use moisturizing skincare products, if the T-zone oil cheeks dry, it is recommended that the T-zone oil control, cheeks with moisturizing skincare products; eat less spicy, sweet and fragrant should be eaten sparingly; do not squeeze, needle clearing pimples, both the process of needling and extrusion are prone to damage the dermis inside the wall of the hair follicle, resulting in the release of inflammatory secretions into the surrounding tissues, causing inflammation, and often needle clearing. Inflammation is triggered, and frequent needle clearing will also lead to enlarged pores and induced scarring. Q: I have acne pits on my face, do I have to do fractional laser, I heard that it hurts the skin, and not only not good but the pits become bigger, what should I do? A: Acne pits are depressed scars, you can do fractional laser, fractional laser is not only scars, but also can do facial rejuvenation, I personally do erbium laser fractional, erbium laser fractional can promote collagen proliferation, to achieve the effect of facial rejuvenation. If the acne pits are deeper, after the treatment, you can combine with micro-exfoliation, after the edge of the acne pits are abraded, you may feel that they have become bigger, but in fact, they are shallower, so the best way for acne pits patients is still to use fractional laser, which can be combined with radiofrequency and gold micro-needling and so on can all be done. Q: Can acne pits be filled with growth factor injections? A: Absolutely not. Because there is no product that can be injected with growth factor, there is no growth factor that can be used as filler in the country, and there is no approval from the state. Absolutely unsafe, not only acne pits, including the use of growth factors nose job have a lot of problems, we must be careful. Q: brown acne marks and a small number of red acne marks What is effective in addition to medical beauty? A: If you don’t use laser, you can use medical skin care products, but the treatment effect will be smaller. Q: 17 years old, very large giant pustular acne, pimple marks are pitted all over, repeated growth for three years, oily skin, in the hair, behind the ears will grow, especially painful. I’ve been to the dermatologist before, and it grows again after I stop taking the medicine, what should I do? A: It is recommended that you go to the hospital to do a technical level of examination, these are related to the individual physique. So the treatment must be systematic. Popular science: 1, physical therapy Many people may not be very understanding of the main role of physical therapy, the following I mentioned above for physical therapy to introduce to you ~ ~ 2, red and blue light red and blue light with more, mainly anti-inflammatory and repair role. Blue light has an antibacterial, antiseptic and anti-inflammatory effect; red light on the sebum has a restorative effect, the two combined effect is better. 3, fruit acid Fruit acid will make the skin become transparent, more uniform skin color, and promote the normal excretion of metabolic products; at the same time, there is also the role of removing acne marks. Photon or photodynamic, especially photodynamic will be colored sediments after doing, fruit acid can improve the color of sediments, so it, fruit acid can be combined with other physical therapy. 4, photodynamic photodynamic to deep in the inflammatory papules or cysts have the main therapeutic effect. We have to apply a kind of medicine called photodynamic on the face, 2-3 hours later, it will be specifically combined in our sebaceous glands, and then we make light to it, play a bactericidal effect, but also can make the overdeveloped sebaceous glands become atrophic, from the root to achieve a therapeutic effect. 5, photon a composite light, there are many wavelengths, can solve a lot of problems, but not as thorough as the laser solution, when the face has a lot of problems when it is recommended to do photon, photon has IPL, DPL, IPL wavelengths are more extensive for the face of the red black acne marks, inflammatory acne with the IPL is better; DPL wavelength is more centralized, 500, 550, 420 wavelengths mainly have an Anti-inflammatory effect, for a single inflammatory papule with 420, facial red-based acne marks with DPL500 effect is better. 6, fractional laser (CO2, Er laser, gold micro-needle, fractional radio frequency) Fractional is just a mode of work, previously in the treatment of scarring this piece is to use grinding means, there are mechanical grinding and laser grinding. It is the feeling of grinding a layer of the whole skin, that side effects are very big, it takes a long time to recover, and Asians are very easy to leave color deposits, so now basically don’t use it, replaced by fractional laser, fractional laser is mainly between the point and the point of the normal skin, so that the recovery of the treatment up is relatively fast, the patient is easy to accept, and there are fewer side effects. Medical skin care products are not drugs, nor general skin care products, is produced through the pharmaceutical company, there is a certain degree of efficacy, the production process is in accordance with the level of drug requirements, very strict absolutely different from the general skin care products, so there is a certain degree of efficacy, but also a large number of clinical observations, if the drug combined with physical therapy on the skin to have a better protective effect, but also to increase the efficacy of treatment.