Acne vulgaris is a very common condition, which affects almost 85% of adolescents
27 August 2018| Last updated on 25 July 2019
Many cases of acne are transient in nature, however, some cases persist for a very long time.
Proper treatment of acne is very important to avoid permanent scars, which occur in some cases, and to avoid the psychological impact of unsightly pimples on the face.
Apart from the very mild cases, which can be controlled by over the counter topical preparations, treatment of acne requires medical supervision.
Many adults complain of failure to control acne despite the use of several treatments. The following are the most common causes of failure to treat acne:
1. Incorrect Diagnosis
Although the diagnosis of acne is straightforward in most cases, there are other skin problems, which look like acne, but they require different treatment.
2. Inadequate Duration of Treatment
The control of acne is an ongoing process. All acne treatments work by preventing new acne breakouts and existing blemishes resolve on their own. On average, six to eight weeks are needed to see initial results. Early cessation of treatment will lead to recurrence of acne.
3. Improper Treatment
Treatment of acne depends on many factors such as the extent and severity of the problem. Several treatment options are available. For mild cases, topical preparations are usually sufficient.
Oral antibiotics, hormonal therapy or light therapy are required for moderate cases. Severe resistant cases are usually prescribed oral isotretinoin (vitamin A derivative). Use of topical preparations will not control moderate cases and oral antibiotics will not control severe cystic cases.
4. Real Resistance to Treatment
None of the medicine works in 100% of patients. True resistance to one treatment does not mean that other treatments will fail. If treatment is not effective after two to three months of use, a change of medication is indicated.
Marks of acne such as pigmentation and scars do not respond to anti-acne treatment. They require a different treatment such as chemical peeling or laser, usually started after the control of acne.
6. Other Factors
Although food is not the cause of acne, some patients have their acne worsened by certain food items. It is common sense to avoid these foods to prevent acne exacerbation.
Excessive use of cosmetics usually leads to increase in acne spots. Minimum use of oil-free cosmetics is advisable in acne patients.
Fore more information or to book an appointment, please visit Mediclinic Welcare Hospital.