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Acne Facts: a few important facts about the
treatment of acne.
What are the main causes of acne?
The causes of acne are linked to the changes
that take place as young people mature from
childhood to adolescence (puberty). The hormones
that cause physical maturation also cause
the sebaceous (oil) glands of the skin to
produce more sebum (oil). The hormones with
the greatest effect on sebaceous glands are
androgens (male hormones), which are present
in females as well as males, but in higher
amounts in males.
Sebaceous glands are found
together with a hair shaft in a unit called
a sebaceous follicle. During puberty, the
cells of the skin that line the follicle
begin to shed more rapidly. In people who
develop acne, cells shed and stick together
more so than in people who do not develop
acne. When cells mix with the increased amount
of sebum being produced, they can plug the
opening of the follicle. Meanwhile, the sebaceous
glands continue to produce sebum, and the
follicle swells up with sebum.
In addition,
a normal skin bacteria called P. acnes, begins
to multiply rapidly in the clogged hair follicle.
In the process, these bacteria produce irritating
substances that can cause inflammation. Sometimes,
the wall of the follicle bursts, spreading
inflammation to the surrounding skin. This
is the process by which acne lesions, from
blackheads to pimples to nodules, are formed.
How does diet affect
my acne?
Acne is not caused by food and specific
foods have not been proven to affect acne.
However it is important to note that good
nutrition helps the body maintain healthy
skin. There have been some scientists suggesting
that caffeine products and excessively salty
foods aggravate acne in certain individuals.
If you notice that certain foods aggravate
your acne then the best advice is to limit
or avoid them in your diet.
So what foods
should you look into? Well, examine foods
high in iodine. Watch out for multi-vitamins(some
contain iodine). Be aware of some junk
foods such as potato chips, corn chips,
etc. Keep your diet low in fat and sugar.
Eating a properly balanced diet ensures
that your body gets the proper nutrients
and therefore promotes healthy skin.
Eat plenty
of fruits and vegetables. A high fiber, low-fat
diet is excellent in promoting overall general
health.
Does stress cause
acne?
Stress is commonly blamed for the development
of acne. Stress can have many physiologic
effects on the body, including changes in
hormones that may theoretically lead to acne.
In some cases the stress may actually be
caused by the acne lesions, not the other
way around! If the acne is being treated
effectively, stress is not likely to have
much impact on the majority of people.
Is it harmful to
squeeze my blemishes?
Yes. In general, acne lesions should not
be picked or squeezed by the patient. In
particular, inflammatory acne lesions should
never be squeezed. Squeezing forces infected
material deeper into the skin, causing additional
inflammation and possible scarring. Extraction
should only be done at your physician's office
by a certified medical esthetician who has
the training to extract and inject (if needed)
acne lesions.
Can anything be
done about acne scars?
Scarring is best prevented by getting rid
of the acne. Dermatologists can use various
methods to improve the scarring caused by
acne. The treatment must always be individualized
for the specific patient. Chemical peels
may be used in some patients, while dermabrasion
or laser abrasion may benefit others. It
is important that your acne condition be
well controlled before any procedure is used
to alleviate scarring.
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