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Acne / Pimples

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Acne / Pimples

Acne (pimples/zits) is a skin condition that occurs when your hair follicles become plugged with oil and dead skin cells. Clogged pores lead to comedones (blackhead/ whitehead), pa-pules, pustules and cysts on face, chest, upper back and shoulders. Acne is most common among teenagers, though it affects people of all ages. There are some treatments available to treat acne or pimple.

Comedone Extraction

A small metal tool ‘Comedone extractor’ is used to remove both blackheads and whiteheads.

Chemical Peel

Chemical peel is a skin-resurfacing procedure in which a solution is applied to the skin to exfoliate the superficial layers of skin. The new skin is usually smoother, flawless, glowing & hydrated.

  •  Acne Control peel

During this treatment skin is exfoliated using an alpha (Glycolic acid)  or beta hydroxy acid (salicylic acid). These peels can improve mild to moderately severe cases of acne. It can be performed over the another body area along with face where acne is a problem.

  • Black peel

Black Peel is natural organic peel containing black Acetic acid, black vinegar, salicylic acid, jasmonic acid and potassium iodide. These ingredients work perfectly for skin with oily texture and active acne. It also takes care of residual acne pigmentation with whitening advantage.

  • Yellow peel

Yellow Peel is a progressive peel, whose effect depends on the number of applied layers. Within a few hours after the treatment, microcirculation increases, oxygen supply to the skin improves and supply of nourishing substances takes place. This treatment results in firmness and tightness of the skin and, in consequence, makes wrinkles more shallow.

Acne Scars

Acne scars are stubborn. They are usually the result of inflammation      caused by skin pores engorged with excess oil, dead skin cells and bacteria. The pore swells, causing a break in the follicle wall. Shallow lesions are usually minor and heal quickly. The skin attempts to repair these lesions by forming new collagen fibers. Deeper scars need intense treatment. There are different types of acne scars such as –

  • Rolling scars (with gently sloping edges)
  • Box scars (with sharp edges)
  • Ice-pick scars (deep pits which appear like large open pores)

Various method to improve acne scar are :

  • TCA Cross

TCA CROSS is ‘chemical reconstruction of skin scars’ using trichloroacetic acid (TCA). It is used to treat atrophic acne scars (Ice pick scars). This procedure involves depositing small amounts of TCA at high concentration (70–100%) onto the surface of the atrophic scar. The aim is to improve the appearance of the scar by increasing collagen reflectance.

  • Subscision

Subscision is a minor surgical procedure for the treatment of valley (rolling & boxcar) scar. Subscision is performed using a special hypodermic needle which is inserted through a puncture in the skin surface. The sharp edge of the needle is used to break fibrotic strands that are tethering the scar to the underlying tissue.

  • CO2 Fraction Laser

The fractional CO2 laser works by stabbing microscopic holes into the deep layers of the skin, which regenerates collagen growth and evens out pitted acne scars. The fractional CO2 laser treats only a fraction of the skin’s surface at a time, while leaving the adjacent skin untouched.

  • Micro needling radio frequency (MNRF) [Fraxis Duo]

RF Micro-needling is another recent technique which improves scarring with no downtime. It helps in treating all kinds of acne scars, open pores & is also helpful in improving fine lines & wrinkles with added benefits of skin tightening. It works by stimulating new collagen and elastin in the deep layers of the skin. Low voltage radio frequency waves (electrical energy) are used to remodel the skin by stimulating newer collagen production. The heat generated here, causes the stimulation of cells in connective tissues under the skin, also destroying the scar tissues while leaving the surrounding skin unaffected. This treatment is extremely effective in deep scars.

  • Fillers

Facial fillers are products such as collagen, hyaluronic acid and calcium hydroxyl apatite that reduce the appearance of certain types of scars while improving the texture of your skin. Fillers also rejuvenate facial skin by reducing or eliminating wrinkles, enhancing lips and replacing soft-tissue volume loss through facial injections.

Acne can be triggered by a number of reasons. However, the main causes behind their occurrence are listed as under –

Bacterial infection – P. acnes bacteria live in our hair follicles and is not usually known to be the troublemaker unless pores become clogged.

The bacteria multiply and lead to acne.

1. Oily skin

2. Hormonal Imbalance – Hormonal fluctuations result in the excess production of a hormone called androgen, which results in enlarged pores and excess sebum production. This, in turn, results in acne. It most commonly affects teenagers in puberty and triggered in women during menstrual periods, pregnancy and stress.

3. Skin type – The sensitive skin type people are more prone to getting acne than others.

4. Cosmetics – Sometimes greasy or oily cosmetic, hair products or those which do not suit your skin type can also lead to acne or pimples.

5. Certain drugs – Acne can occur as a result of an allergic reaction to certain drugs.
Early treatment is extremely important for managing acne effectively, if ignored, acne can leave behind permanent scars, marks and hyper-pigmentation on the skin.
Acne scar is permanent skin damage caused by acne or pimples that brings a change in the texture of the skin.
Some acne dark or red colored spots while others may leave indentations or raised spots due to damage that occurs deep inside the skin layers.
Scar healing for common acne scars causing temporarily discolorations may take 5-6 months while severe acne scars require dedicated skin treatment from professionals.
There are mainly three types of acne scars-

Ice pick scars - Ice pick scars- narrow (<2mm), deep, well-marginated rocket shaped scar where the base of the scar is on the skin surface and the tip lies at a depth

Rolling scars- Rolling scars-4-5mm wide scars occurring as a result of tethering of the dermis to the subcutis leading to a rolling or undulating appearance.

Boxcar scars- round to oval depressed scars with well demarcated vertical edges. They may be shallow or deep.

Acne can also cause hypertrophic scars, keloidal scars, sinus tracts and non-specific scars of different shapes and variable depths.
Local anesthesia (numbing cream) is applied before the procedure for 30-45 minutes which makes the session comfortable.
There are no major side effects after acne scar treatment except for the minor ones that include redness, mild swelling or itching. These symptoms are temporary which subside within 24 hours to few days after treatment.
The number of sessions depends upon the depth of the scar and severity of scarring.
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