A. What exactly is the reason for not getting rid of acne?
1. Excessive secretion of sebaceous glands. If too much androgen (puberty, women before menstruation triggered by estrogen and progesterone withdrawal), excessive stress (such as tension, final exams, promotion), blazing stomach fire (over-eating fatty, thick and greasy, carbonated drinks, fried food, barbecue, spicy diet, milk), liver depression and blood stasis (brain trouble, main thing, worry), staying up late, will lead to excessive secretion of sebaceous glands, facial oil.
2, excessive keratinization of hair follicle sebaceous gland ducts, forming keratin plugs to block pores.
3, colonization of acne bacilli. Although P. acnes bacteria can be found in everyone’s hair follicles, the number of P. acnes bacteria in the hair follicles of acne patients is greatly increased. The favorite food of this bacterium is sebum, so the “oil field” is its favorite place.
4. Inflammatory reaction. P. acnes will break down triglycerides into fatty acids, which are highly irritating and trigger the release of inflammatory mediators, causing red pimples and even pus, forming cysts and abscesses.
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.
The problem of acne is never the exclusive preserve of young people, more and more adults have not got rid of acne even after puberty, and it even lasts until the age of 60. Some people do not have acne when they are young, but break out in their 30’s, 40’s, or even menopause. This is because any change in hormone levels in the body can cause acne to occur. And hormones are just a trigger for acne, not a necessary factor. Stress and late nights can trigger acne. Dermatologists refer to acne that has not cleared up after the age of 20 as persistent acne. This type of acne is more common in women and occurs in the lower part of the face, such as the perioral area and jaw. It often forms deeper scarring, inflammatory papules, and nodules.
3. Do I need to regulate my biological cycle?
When women are premenstruating, the estrogen and progesterone levels drop and the androgen levels rise, which, combined with premenstrual stress and insomnia, can cause acne to appear or worsen. There is usually no need to mediate the physiological cycle. However, for those patients with polycystic ovary syndrome (excessive sebum production, hirsutism, large pores), oral Dain 35 can be taken to regulate menstruation and treat acne.
4. Can acne be cleared with needles?
Needle clearing is not recommended. Both the needling and squeezing processes tend to damage the follicle wall inside the dermis, resulting in the release of inflammatory secretions into the surrounding tissue and triggering inflammation (inflammatory papules, cysts and abscesses). Moreover, and most importantly, needling does not change the hyperkeratosis and excessive oil production of the skin and does not cure acne at the “root”. Frequent needling can also lead to enlarged pores and scarring.
V. How to improve oily skin?
Causes of increased sebaceous secretion include
1. Genetic traits (cannot be changed).
2, abnormal hormone levels (elevated androgens during puberty, estrogen withdrawal before menstruation in women, relatively high androgen levels, polycystic ovary syndrome, etc.) can lead to excessive oil secretion, which can be mediated if necessary.
3, duck pear mountain, anxiety, tension, stay up late, sleep quality decline, etc. can lead to excessive oil secretion, so ensure sufficient sleep, reduce stress can change the state of seborrhea;.
4, fatty, sweet and greasy (all kinds of delicious), spicy diet, tobacco and alcohol can stimulate excessive secretion of oil, so a balanced diet can reduce the occurrence of acne. Suitable foods are: lean meat, vegetables, deep-sea fish, and moderate amounts of nuts. It is recommended to use strong cleansing cleansers, oil-controlling lotions and creams, such as Avène, Vyse, and Corexit. If it is stubborn and does not go away, oral vitamin, fruit acid resurfacing, and intense pulse light treatment can be used.
Sixth, what is a special medicine for acne?
The so-called effective medicine is actually the most suitable medicine for you. The choice of medication is still very laborious. It is necessary to choose according to the type of acne and its causes.
Acne based on pimples requires.
1. Thorough cleansing, lightly rubbing with facial cleanser for 1 minute and rinsing with water 20 times.
2. Apply topical tincture of chloramphenicol.
3.Apply facial cream (oil control and moisturizing) to the whole face.
4.Dotting ointment on lesions, not smearing (early: Bansai, on: Daphne). For stubborn closed pimples, fruit acid resurfacing is recommended, needle clearing is not recommended.
Inflammatory papules; topical application of compound tincture of chloramphenicol, eflornithine, topical application of fusidic acid. Cysts and abscesses/injections of gentamicin (rinse) + Depo-Provera in lesions. Oral doxycycline (1 capsule twice daily) and clearing acne capsules (4 capsules 3 times daily). Oral Tylenol is recommended for those who are persistent. Acne marks and hypertrophy of sebaceous glands, seborrhea, oily shine: Intense Pulse Light. Scars, enlarged pores: fractional laser.
7. Can I take Chinese medicine for internal regulation of endocrine disorders?
Emotional and mental disorders, such as: liver qi stagnation, violent anger hurting the liver, thoughts hurting the spleen, and fear hurting the kidneys, may cause Qi rebellion, Qi stagnation and blood stagnation, uncontrolled diet, strain hurting the spleen and earth, and invasion of external evil can lead to many problems including acne. The treatment of acne with Chinese herbal medicine is based on evidence-based treatment, and there is a lack of unified standards for the typing of acne. According to clinical observations, it can be broadly divided into the following types: wind-heat type of lung meridians, damp-heat type, and phlegm-damp condensation type. The seven types are: wind-heat in the lung, damp-heat in the spleen and stomach, liver depression and qi stagnation, blood stasis, phlegm and dampness, heat and toxicity, and dysregulation of the flush. It can be treated by oral Chinese medicine, massage and acupuncture.
What is fruit acid skin resurfacing?
Fruit acid is derived from hydroxyacetic acid in fruits. It can help exfoliate the skin, clean the pores and accelerate the renewal of the skin; promote the synthesis of dermal elastic fibers, collagen, mucopolysaccharides and hyaluronic acid, so it can improve acne pimples, inflammation, scars, acne marks, enlarged pores and seborrhea. The operation steps of fruit acid skin resurfacing: cleansing: applying acid; neutralization; cold compress; home treatment with fruit acid products.
IX. How to treat stubborn acne marks? Can photorejuvenation remove red marks and discoloration?
Try skin repair medications first, such as recombinant human epidermal growth factor gel, bFGF mask (Baeksei), etc. If it is still stubborn, then try intense light (photorejuvenation) treatment.
X. How should I treat it? What kind of laser should I choose?
Once acne scarring has formed, fractional lasers are needed to treat it. Fractional laser uses extremely small (one-twentieth of a hair) laser pulses to penetrate deep into the dermis in a matrix to vaporize and exfoliate the scar tissue. The normal skin between the fractions rapidly initiates the lateral repair of the scar. The thermal effect produced by the laser stimulates collagen renewal as well as collagen rearrangement. The thermal effect also kills the acne bacterium and causes the hypertrophic sebaceous glands to shrink, reducing the recurrence of acne. The full-face treatment takes about 20 minutes and has an approximate recovery period of 5-7 days. The treatment can be effective for up to 5-10 years.
XI. How helpful can medical skin care products be?
Don’t underestimate medical skin care products, they can play a very herbal role in the treatment of acne, and can even replace medicines. First of all, please choose a cleansing milk with strong cleansing power and little irritation. Sulfur soap, homemade salt and vinegar are not recommended for face washing. A lotion with astringent, oil-controlling effect can control the secretion of oil in the long run. It is recommended to use oil-controlling and moisturizing creams. UV rays can aggravate acne. Don’t forget sunscreen, a light chemical sunscreen is recommended.