Acne / Cystic Acne

What Is Acne

Acne is a common skin condition that mostly affects teenagers and younger adults and it can have psychological effects if not treated or managed. Although acne can’t be cured it can be controlled with treatment. Acne vulgaris or simply acne is a common skin disease, characterized by areas of skin with seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), nodules(large papules), pimples and possibly scarring. Acne affects mostly skin with densest population of sebaceous follicles. These areas include the face, upper part of the chest and the back. Severe acne is inflammatory but acne can also manifest in non-inflammatory forms. The lesions are caused by changes in pilosebaceous units, skin structures consisting of a hair follicle and its associated sebaceous gland, changes that require androgen stimulation. Acne develops as a result of blockages in the follicles. Hyper keratinization and formation of a plug of keratin and sebum- a microcomedo is the earliest change. The micromedo may enlarge to form an open comedo- blackhead, or closed comedo. Even mild cases of acne can cause distress and managing it from an early stage prevents scars and hyperpigmentation and enables the control of active acne to worsen.


How Fotona Laser Works

There are different types of Acne depending on its severity and presentation. There are multiple scales for grading acne. Acne can be treated but not cured. Acne can be treated both with topical and oral medications that may fall into either the prescription or over the counter ( OTC) categories. Examples are benzoyl peroxide creams( for moderate acne), antibiotics ( severe cases), topical retinoids, oral retinoids ( very severe acne), antiseborrheic medications, anti-androgen medications, hormonal treatments, comedo extraction. All these options work at least in 4 different ways, some by normalizing shedding and sebum production into the pore preventing blockage, killing bacteria, anti-inflammatory effects another’s by hormonal manipulation. With increased resistance of bacteria, antibiotics are becoming less effective. Topical applications are time consuming, sensitize the skin, and may increase hyperpigmentation. Oral retinoids treat severe acne but have a lot of unwanted side effects such as being hepatoxic . Fotona offers a laser acne treatment protocol that provides a truly comprehensive solution for active acne treatment. Fotonas precisely controlled Nd:Yag laser light safely penetrates in to the skin effectively target overactive sebaceous glands and reduces the risk of developing new acne inflammation. For active acne, Fotonas laser reduces inflammation trough photoselective absorption and controlled heating effects and also accelerates the healing process stimulating collagen remodeling, an important step in the long term treatment. At Laze away we are able to treat all skin types and all types of Acne.


What To Expect

Fotona is a gentle and virtually painless light therapy, is a lot faster than other lasers. During the treatment you will feel a slight warming sensation. There is no need for anesthesia. We recommend a course of 5 treatments every two weeks for optimum results . After the first treatment skin can appear worse, this out break can occur because the impurities are being expelled and flushed out. It is a sign that the treatment is working, considerable improvement after the second and thisd treatment. Others may notice an immediate improvement, the overall reaction is dependent on skin type and type of acne.


Other Recommended Treatments

Fotona Laser is the number one treatment recommended for active acne However, .after the course of treatments we recommend on-going maintenance.

Microdermabrasion – light cosmetic procedure that uses a mechanical medium for exfoliation to gently remove the outermost layer of dead skin cells from the epidermis. Clears the skin from excessive oiliness and maintatins a youthful clear skin. It also improves the appearance of light scarring and light pigmentation caused by acne. Ideal after the course of laser treatments.

Clarifying Medi- Facia– A very mild skin peel with salycilic acid. Great to mildly resurface the skin and control oiliness without being too aggressive. Ideal for maintenance before or after the laser course of treatments. Suitable for all skin types.

Salycilic acid Peel-is the ideal option of acne treatments, it is an oil soluble active able to penetrate into the sebum of the pore and loosen the comedonal plug and may exert some low level anti-inflammatory effects. Different percentages of the acid allow different depths of resurfacing, depending on type of acne, pigmentation and scarring. Suitable before and after the laser treatments. Suitable for all skin types.

Glycolic Acid Peel– an alpha hydroxy is used similarly to salicylic acid peels, however it is a water soluble that is not quite as potent comedolytic but ideal for sensitive skins and can function as a humectant preventing barrier damage from acne medications. Suitable before and after the laser treatments. Suitable for all skin types.

TCA Medical Strenght Peels– TCA peels are strong skin resurfacers, applied by a doctor. These peels are recommended only for severe cases of acne scarring, sun damaged skin and mild to deep wrinkles. Not suitable for active acne, and only suitable for lighter skin types. Ideal after the course of laser treatments.

Derma roller– Done by a Dermatologist, ideal for acne scarring. Also known as micro needling, uses a small roller with hundreds of very fine needles that cause a controlled trauma, the recovery of the causes trauma stimulates the production of collagen and elastin fibers. The treatment encourages cell renewal and growth of new capillaries which improve blood supply to the skin, repairing the scars caused by acne. Resulting in a younger, firmer and smoother skin. Not suitable for active acne, and only suitable for lighter skin types. Ideal after the course of laser treatments.


Healthy Tips:

Avoid over cleansing, treating or excessively exfoliating the skin. This can cause irritation and stripping of the skins natural oils, it can increase oil production as a response and increase break out. Avoid over the counter products that claim control acne that in fact but in fact cause dehydration and poor healing.

Avoid picking and touching break outs, this can cause scarring and spread active bacterial infections. Always wash your hands before touching your skin to reduce bacteria proliferation.

Always use SPF30, protect compromised skin from UV rays especially between eleven and four in the afternoon the UVA incidence is at its highest, this can aggravate the condition and cause hyperpigmentation. Reapply every 30 min ,avoid tanning beds.

Avoid using make up, and if so always use Mineral Make-up, it is skin friendly and less clogging to the pores. Always remove make and cleanse in the evenings with an antibacterial cleanser. Skin should be free of dirt and pollution from the environment. Wipe your skin with a disposable paper towel and change your pillow cases regularly.

Have a balanced diet rich in white meats, leafy green vegetables, fruits, drink plenty of water. A good diet is important to reduce inflammation internally, to help the ability to heal, detoxify, and maintain skins barrier. Avoid smoking, it decreases the healing processes and increases the body’s toxicity. Avoid eating oily and processed foods, caffeine. Exercise to increase circulation, skins oxygenation and reduce free radicals and toxic products of chronic inflammation.

Always cleanse your skin with an antibacterial cleanser, followed by a moisturizes that reduces break outs, control oiliness and enlarged pores. Day time always use a ZINCSPF30, protects vulnerable acne skin from hyperpigmentation.


Read More: Acne Data

Acne data Comedones are the direct result of sebaceous glands becoming clogged with sebum, naturally occurring oil and dead skin cells. The occurring commensal bacterium can cause inflammation leading to inflammatory lesions in the dermis around the comedone, which results in redness, scarring and hyperpigmentation. Understanding how acne occurs and develops is important but its causes and triggers are several and equally important. Genetic, the predisposition to develop acne is likely explained by a genetic component; hormonal activity such as menstrual cycles and puberty may contribute in the formation of acne. During puberty an increase in sex hormones called androgens cause the follicular glands to grow larger and produce more sebum; true acne vulgaris in adult women may be a feature of an underlying condition such as pregnancy, disorders such as polycystic ovary syndrome, hisutism, or Cushing’s syndrome. Menopause- associated acne, known as Acne climacterica occurs as production of natural anti-acne ovarian hormones estradiol and progesterone fail, permitting the acnegenic hormone testosterone to exert its effects. Stress can cause an acne flare, a high glycemic load diet can worsen acne, although diet has not be proven to have a direct effect on active acne. For most people acne diminishes over time and tends to disappear by age 25. There is, however no way to predict how long it will take to disappear entirely, and some individuals will carry this condition into their thirties, forties and beyond. Severe cases of inflammatory acne is present with large nodules or cysts, the term is nodulocystic acne, the cysts or boils can appear on the buttocks, groin, armpit area and anys type of acne where where sweat glands collects in hair follicles and perspiration ducts. This type of acne affects deeper skin tissue and is prone to leave scars. Aside from scarring, its main effects are psychological, reduced self-esteem and in severe cases, depression. Acne appears during adolescence , when people already tend to be the most socially insecure. Early and aggressive treatment is therefore advocated by some to lessen the overall long-term impact to individuals.

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