Updated on January 15, 2021


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.

Factors which worsen acne

  • Hormones produced during puberty in teenagers cause the sebaceous glands to enlarge and produce lots more oil
  • Hormonal changes during pregnancy, menopause or while taking oral contraceptive pills
  • Medications such as steroids and testosterone
  • Unhealthy diet rich in refined sugars or fat, carbohydrate-rich foods and milk can aggravate acne in some people. Fried or greasy foods, shellfish or nuts not proven but try to avoid them
  • Stress can cause acne because of the stress hormones released in the body
  • Not removing make up from your face results in blocked pores

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.

Click HowCast video on Acne Treatment

Treatment of pimples and inflammatory acne

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

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. Acne scars

  • Intra-lesional triamcinolone injection
  • Platelet-Rich Plasma (PRP)
  • Laser treatment

See a skin doctor to get the correct diagnosis and treatment to prevent irreversible scarring on your face

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Disclaimer. TELEME blog posts contains general information about health conditions and treatments. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. The information is not advice and should not be treated as such. 

If you think you may be suffering from any medical condition, you should seek immediate medical attention from your doctor or other professional healthcare providers. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

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