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Acne

Acne is a skin condition that affects most teenagers and many adults. It is often viewed as a rite of passage and treated inadequately, resulting in permanent scarring. Good skin care is essential in the management of acne, and many treatment options exist to reduce the number and severity of acne outbreaks.

Acne is a condition affecting the "pilosebaceous unit". This fancy term refers to hair and the sebaceous gland which is attached to it. Sebaceous glands produce a sticky substance (sebum) to grease the hair and skin.

When these glands are over-active (caused by hormones), or if there is any blockage in the channel to the skin surface, the sebum accumulates to form a comedone (whitehead).

 If the comedone eventually opens to the skin surface, oxidation of the keratin plug turns it black in colour, producing a blackhead.

Bacterial infection can occur, causing redness and pain. This is known as a papule.

If pus forms inside, this becomes known as a pustule.

Sometimes the acne lesions are very large and deep. These are known as cysts. These are the ones that are highly likely to cause deep scarring that is permanent.


Importance of Treating Acne

Psychological: Whether adult or teenager, most people who suffer from acne feel very self conscious about their appearance. Many just don't know how to treat it, and feel very ashamed of their poor complexion. There is often magnification both in size and number, so it always feels even worse than it already is.

Hyperpigmentation: Even after the pimple is no longer inflamed, it can leave a dark spot in its place. The larger and deeper the pimple was originally, the larger and darker the discoloration. For people with post-inflammatory hyperpigmentation, this dark spot can last for months before finally fading away.

Permanent Scarring: Squeezing and picking at pimples can increase your risk of permanent scarring. Various types of scars can form, ranging from soft waves to deep ice picks. This legacy of teenage acne can haunt an adult for the rest of his life.

The treatment of acne is thus divided into:

  1. Control of Acute Acne

  2. Treatment of Hyperpigmentation

  3. Treatment of Acne Scars

       

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