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Battling Acne: Understanding Types, Challenges, and Treatment Options

Acne, a common skin condition that affects millions of people worldwide, can be a source of frustration and self-consciousness for many individuals. Whether you're a teenager or an adult, dealing with acne can have a significant impact on your self-esteem and overall well-being. In this blog post, we'll dive into what acne is, explore its various types, discuss treatment options, and address the hurdles that patients often face while dealing with this skin concern. What is Acne? Acne is a skin condition that occurs when hair follicles become clogged with oil and dead skin cells. These clogged follicles can lead to the development of pimples, blackheads, whiteheads, and more severe forms, such as cystic lesions. The overproduction of sebum (skin oil) and an inflammatory response to bacteria contribute to the formation of these lesions.

Different types of acne

Common Types of Acne:

  1. Blackheads: Blackheads, also known as open comedones, are similar to whiteheads but have an open pore. The dark appearance is due to the oxidation of melanin in the trapped debris.

  2. Whiteheads: These are closed comedones that appear as small, flesh-colored bumps on the skin's surface. They are caused by clogged hair follicles that are not exposed to air.

  3. Papules and pustules: Papules are small, red, inflamed bumps, while pustules are similar but contain pus at their tips. These lesions occur when the follicular wall ruptures due to inflammation.

  4. Nodules: Nodules are large, painful, solid lesions that develop deep within the skin. They can be particularly stubborn and may leave behind scars.

  5. Cysts: Cysts are deep, pus-filled lesions that can be painful and may lead to scarring. They require special attention to prevent complications.

Common Acne Myths:

  1. Greasy foods, chocolate, and/or poor diet can cause acne. While diet can play a role in overall skin health, there's no direct link between consuming greasy foods and developing acne. Acne is primarily influenced by factors such as genetics, hormones, and skincare habits.

  2. Scrubbing the skin aggressively clears acne Scrubbing or exfoliating the skin aggressively can actually worsen acne by causing irritation and inflammation. A gentle cleansing routine with non-comedogenic products is more effective in maintaining healthy skin.

  3. Popping pimples is a quick fix Popping pimples can lead to further inflammation, scarring, and even bacterial spread, making the situation worse. It's best to leave extractions to professionals and avoid touching your face excessively.

  4. Makeup and other skincare products always aggravates acne Not all makeup products contribute to acne. Non-comedogenic and oil-free makeup options are available, which won't clog pores and can be safe for acne-prone skin. Remember to remove makeup before bedtime.

  5. Acne will clear faster with multiple washes daily Over-washing your face can strip away natural oils and disrupt the skin's moisture barrier, leading to increased oil production and potential irritation. Cleansing twice a day with a gentle cleanser is sufficient.

  6. Only oily skin types get acne Acne can affect all skin types, including dry and sensitive skin. Different skin types require tailored skincare routines to address specific needs while managing acne effectively.

Challenges Faced by Patients with Acne Dealing with acne goes beyond physical discomfort. It can take a toll on emotional well-being and self-esteem. Some of the biggest hurdles for patients with acne include:

  1. Self-Esteem and Confidence: Acne can negatively impact self-confidence, leading to social anxiety and a reduced quality of life.

  2. Psychological Stress: The emotional distress caused by acne can lead to increased stress levels, potentially exacerbating the condition.

  3. Scarring* (see below for more info on scars): Severe acne lesions, if not properly managed, can lead to permanent scarring, affecting skin texture and appearance.

  4. Treatment Persistence: Some treatments require consistent use over time, and patients may become discouraged if they don't see immediate results.

  5. Social Isolation: Fear of judgment or embarrassment can lead to avoidance of social situations, affecting personal relationships and opportunities.


* Regarding scarring, there are two main types of acne scars that can develop from severe acne:

Different types of acne scars
  • Atrophic scars (loss of tissue):

    1. Ice pick scars. These are small and narrow, but deep holes in the surface of your skin that look like your skin have been pierced with a sharp object, like for example ice pick.

    2. Boxcar scars. These are oval or round craters or depressions in the skin with steep vertical sides that are wider than ice pick scars. Due to boxcar scars, your skin may look uneven, or pitted.

    3. Rolling scars. This type of scarring that forms under your skin causes wave-like or rolling craters or depressions across the skin that otherwise looks normal, making it look craggy and uneven. Rolling scars aren’t as sharply defined as boxcar scars.

  • Hypertrophic scars (excess tissue):

    1. Hypertrophic scars. These raised, firm scars that evolve above the surface of the skin are more frequent after a deep wound or trauma. Hypertrophic scars mostly develop on the torso (particularly in men) but can occur everywhere on the body.

    2. Keloid scars. These are a more serious type of raised scar, because in opposite to hypertonic scars – keloid scars grow larger than the original size of the wound. Even more, keloid scars may keep on growing long after the original wound itself has healed.

Common Treatment Options Over the years, various treatments have been developed to help manage and reduce the impact of acne on individuals. These include:

  1. Topical Treatments: These include creams, gels, or lotions containing ingredients like benzoyl peroxide, salicylic acid, or retinoids. They help to unclog pores, reduce inflammation, and prevent new breakouts.

  2. Oral Medications: In more severe cases, dermatologists may prescribe oral antibiotics, hormonal medications, or isotretinoin to target bacteria, regulate hormone levels, or control sebum production.

  3. Professional Procedures: Dermatological procedures such as chemical peels, microdermabrasion, and laser therapy can help exfoliate the skin, reduce scarring, and promote skin renewal.

  4. Lifestyle Modifications: A balanced diet, proper skincare routine, and regular exercise can contribute to overall skin health and help manage acne.

AviClear machine

A new treatment option arises!

By now, you have likely seen our many posts on Instagram about acne and AviClear™. AviClear is a revolutionary acne treatment service that utilizes the power of 1726 nm wavelength laser (safe for all skin types) to selectively target and suppress sebaceous glands, eliminating acne at the source without the need for prescription medications. AviClear provides a comprehensive solution for individuals seeking to achieve clear and healthy skin. (Read more about it in our blog post here: AviClear™)




Conclusion: While acne can present significant challenges, it's important to remember that effective treatments are available, and seeking the advice of a dermatologist or medical spa is essential for developing a personalized treatment plan. By understanding the types of acne, exploring treatment options, and addressing the emotional aspects of the condition, individuals can work towards healthier skin and improved well-being. Remember, you're not alone in your journey to conquer acne, and seeking professional guidance can make all the difference.

If you have any further questions, or simply want even more information about AviClear treatment or acne scar treatments in our office, please do not hesitate to contact our office via phone or email. We are here to help and would love the opportunity to help you in your aesthetic journey!


- Refresh MedSpa


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