Acne

How nice it is to have clean, smooth, velvety skin.

But then an alarming signal sounded – out of nowhere and why pimples appeared on the face.

At first, slightly noticeable, then more, more … What to do, how to deal with the misfortune?

Let’s try to highlight accents.
Glands located deep in the skin secrete a film of fat, or sebum, which usually protects the skin from external influences.

This sebum can reach the surface of the skin along the excretory canals extending from the glands.

When the sebaceous glands secrete too much sebum, the skin becomes oily and shiny.

And this is already a disease – seborrhea.

It happens that the withdrawal of sebum outside is difficult due to hardening of the walls of the ducts from the glands, sebum and dead cells accumulate in the clogged duct and so-called comedones, or acne, form under the skin.

The sebum accumulating in the canal oxidizes and darkens in contact with air, hence the name “black point”, or open acne.
If there is a thin layer of skin on top of the comedone, it is called a closed comedone, or “white point”. These eels are the most convenient place for certain types of bacteria to grow. These bacteria cause local inflammation, from which more or less large cysts can form in the skin.

Where are acne most common?

Acne is a disease of the sebaceous glands, and they appear only in areas where there are sebaceous glands, that is, on the face and upper back, to a lesser extent on the upper chest. The palms or soles of the feet do not know such a misfortune, because they are devoid of sebaceous glands.

Are acne contagious?

No and no again! So kissing can be fearless. The only danger, and this is rather a form of self-infection (or auto-contamination), is the infection from your own wounds, if you squeeze out the eels too vigorously with dirty objects or fingers.

Why do acne appear?

The only known cause of this skin disease, besides attributed to external factors, is heredity, that is, a person can be programmed to develop acne. Hormones also play a role.

Radical hormonal changes during puberty lead to the fact that the body of both boys and girls begins to produce male hormones called androgens.

When measuring androgen levels in the blood of boys with acne, it is mostly normal. Here the problem lies in the area of ​​hormonal receptors in the skin. The receptors of some skin cells are too sensitive to hormones circulating in the blood.

This individual change in sensitivity leads to the fact that some adolescents develop acne, while others do not.

Exacerbation of acne can also be caused by medications taken for diseases such as epilepsy and tuberculosis, as well as cortisone.

There is a danger of acne with excessive use of certain vitamins (especially B6 and B12). This partly explains why some adolescents who take complex vitamins intensively, for example, during the examination period, develop acne.

Stress alone does not contribute to or aggravate acne, but during exams it can lead to increased manipulation of wounds, and there is no better way to exacerbate the disease. Finally, premenstrual acne may worsen in girls.

Does nutrition play a role in acne?

No scientific study has shown that there is any connection between the occurrence of acne and the consumption of certain foods.

Acne sufferers can eat absolutely everything – chocolate, fried potatoes, eggs …

Obese people do not have acne more often than thin people, rather the opposite.

In short, fats absorbed by humans do not show up as acne on the skin. However, if someone is convinced that certain foods are causing them acne, then avoid them.

How to treat cosmetics?

Cosmetics are mostly very oily and usually aggravate acne, especially those made with lanolin and petroleum jelly.

Greasy creams clog pores, thus contributing to the appearance of blackheads (acne). Oils are part of all so-called moisturizers.

For oily skin care, alcohol-based dry creams or simple formulations are desirable. Some cosmetics are also used as makeup.

Many so-called acne control agents therefore do not have an effect, but only mask the wounds to some extent with a composition that is close in color to the natural skin color.

At what age does acne appear?

In girls, it usually begins at 10-11 years old, in boys a year or two later, and disappears by 20-25 years. However, there are unlucky people whom acne does not leave until old age. The incidence of the disease in both sexes is almost the same.

Recently, there has been an increasing number of cases of late acne, which is caused mainly by the use of cosmetics.

This type of acne is observed in women aged 25-30, mainly around the chin, because they have been using oily cosmetics for too long or are genetically predisposed to it. Acne is almost always deep, and you have to fight with it, taking medications by mouth, because local treatment is not enough.

Clinical complications of acne

Clinical complications consist primarily in the formation of boils, which have to be opened, because they can cause irreparable scars. This is not such a serious complication when it comes to exceptional cases of exacerbation of acne.

Can you predict who is most at risk of scarring?

In this regard, it can be based in part on whether the parents had acne. If the father or mother has had a severe acne, then it is clear that the child may develop acne. Therefore, at the first sign of acne, a teenager should immediately begin to be treated. The risk of scarring for different people is different and does not depend on hereditary factors.

What hygiene advice can you give to people with acne?

Acne sufferers should wash regularly morning and evening with soap that should not irritate the skin, especially if seborrhea is present. If a girl prefers cosmetic milk, she needs to use an appropriate tonic to remove the milk, otherwise the pores will become clogged. It is equally necessary to rinse the skin after washing with soap. The skin should not be rubbed too vigorously in order to remove blackheads in this way.

The fight against acne must be started in a timely manner to prevent scarring. Delay in treatment is fraught with the formation of scars that can no longer be removed. Even if you only notice two or three pimples, take action! However, this is the success of all local treatments. In refutation of popular opinion, the onset of sexual activity does not contribute to solving the problem.

Is it possible to be in the sun with acne?

Unfortunately, there can be nothing worse than the sun. The skin becomes thicker under the influence of rays, blackheads dry out and become less noticeable. But as soon as the tan comes off, pour it out again. Therefore, people with acne should not get involved in sunbathing, and the skin should be protected with the help of special products (milk or liquid cream).

First, it is advisable to apply a full protective layer to prevent sunburn if possible. Then you can use a less intense product, but still in the form of a non-greasy cream.

Treatment methods

There are two treatments for acne: products that are applied directly to the skin as an ointment, gel or lotion, and medications that are taken by mouth. A dermatologist prescribes a drug that is appropriate for the type of acne and the severity of the condition. It also happens that the patient has to combine both methods of treatment at the same time. But whatever method is used, the result will only become noticeable after a few weeks. Therefore, you should not be surprised if acne gets worse or recurs after stopping treatment. When the acne disappears, it is better to continue the treatment at longer intervals than to stop it altogether.

How to deal with scars?

Collagens can be injected under small, light scars to make the skin smooth and healthy again. However, the duration of action of collagen is only 6-9 months. Chemical or physical peeling can be used, in which the skin is completely removed using a chemical agent or some kind of cutter (under anesthesia). In both cases, the patient must avoid the sun for several months.

Skin and its problems

Deep in the skin are glands that secrete a fatty film called sebum. It usually protects the skin from external influences. If the sebaceous glands secrete too much secretion, the skin becomes oily and shiny. Due to the hardening of the ducts of the glands, the withdrawal of sebum to the outside becomes difficult. The secretion and dead cells accumulate in the duct of the gland and comedones (acne) form under the skin.

Acne is of two types: open – “blackheads”, when in contact with air, fat oxidizes and darkens, and closed – “whiteheads”, when a thin layer of skin is on top of the comedone. Such acne is the most convenient place for the development of bacteria that cause local inflammation.

The causes of acne

Hormones play a role in acne. Radical hormonal changes during puberty lead to the fact that the male hormone, androgen, begins to be produced in the body of boys and girls. Some people’s skin cell receptors are too sensitive to it, causing them to develop acne. The disease can be aggravated by taking certain medications (for the treatment of epilepsy and tuberculosis), as well as by excessive use of certain vitamins (especially B6 and B12).

The use of oily cosmetics based on oils, as well as the use of certain foods, sometimes contribute to acne.

Finally, girls experience premenstrual acne.

Why fight acne?

A complication of acne is scarring that can only be removed by surgery. In more serious cases, furuncles are formed, which must be opened.

Zenerit is a reliable remedy for the treatment of problem skin.

Zinerit is an exclusively local drug and is safe even for pregnant women. Zenerite quickly kills bacteria and relieves inflammation thanks to its effective composition. Zinerita lotion is colorless, after use you can apply makeup.
Zenerit is easy to use thanks to the built-in applicator.
Acne is a disease that can and should be treated!

event_note August 11, 2020

account_box Dr. Peter B Milburn

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