Most pimples and acne resolves spontaneously after puberty, but there are still people (usually women) who have acne as adults. Many adults do develop very mild and isolated outbreak of pimples but are not permanent in nature.
Why do you need professional treatment?
Non-inflammatory and mild inflammatory acne usually heal without scarring but moderate to severe inflammatory acne often leave scars, pigmentation or pitting lesions. The sooner you see your skin doctor, the less chance you will have of getting these complications.
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- Keep your face clean by maintaining a regular face cleaning regime. Stick with a mild and non-perfumed brand of cleanser. Don’t scrub your face too hard because that might make it worse! (read Pimple and Acne: What are they?)
- Tie up your hair to prevent it from touching your face
- Avoid heavy make-up which can clog up your skin pores. If you do use make up, remove thoroughly at night or look for ‘non-comedogenic’ make up to reduce clogging
- Try not to pick your whiteheads or pimples as this can cause infection and pustule formation
- Stop smoking or avoid smoky and dusty areas
- Do regular exercise as sweating helps to clear the pores on a regular basis
- Swimming is also good as chlorine in the water helps to dry up the skin
- Avoid unhealthy diet high in sugar, oily greasy foods and refined carbohydrates
Treatment of pimples and inflammatory acne
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Treatment of acne involves a combination of topical and oral medication directed at reducing sebum production, inflammation and bacterial counts. The patient must also be prepared to have lifestyle & diet modifications as well as perform regular cleansing regime. Adherence to the treatment plan and regular maintenance follow-up with the doctor is important for success. Remember that acne cannot be completely cured so it is important to have regular follow-up.
The oral medication is strong and has side-effects. You need to see your doctor to plan your treatment and maintenance regime for the best outcome for moderate to severe acne. The earlier you seek treatment, the less risk of getting acne scarring and skin pigmentation or pitting associated with acne.
1) Mild inflammatory acne
Use topical antibiotic or benzoyl peroxide cream for isolated lesions (see below)
2) Moderate acne
One course of oral antibiotic (such as Tetracycline, Minocycline, Doxycycline and Erythromycin) plus topical therapy
3) Severe acne
Oral isotretinoin plus topical therapy
4) Cystic acne
Intra-lesional triamcinolone injection
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