Acne

The acne is an affection of the skin in which obstructed pores (black points and white points), inflamed granites (pustules) and deeper bulks appear (nodules). The acne is pronounced mainly in the face, but also it takes place in the neck, the chest, the back, shoulders and the part superior of the arms. Although the majority of the adolescents suffers some form of acne, the adults among 20 and 40 years, and even more, they can also suffer it.
Often, the acne disappears after some years, even without treatment. The acne can disfigure and disturb the patient. The acne without trying can leave scars permanent, although the same could later be treated by their dermatologist. In order to avoid the scars, it is fundamental to try to the acne.

How the acne forms
Hormones that are present in men and women, increase their activity during the adolescence (puberty). These hormones cause that the sebaceous glands of the skin enlarge and produce more tallow (grasitud). The sebaceous glands are in the face, the part superior of the back and in the chest. The acne is not caused by the dirt. The dark part of the black point (shinbone) consists of dry tallow and epithelial cells that have turned upside down to the openings of the pilar follicles.

Cleaning
The acne does not appear as a result of not washing its face. Nevertheless, he is recommendable that daily washes with lukewarm water and a smooth soap to it. Washing itself quite often or in too vigorous form can get to make worse its acne.

Diet
The acne is not caused by foods. Nevertheless, if some foods seem to make worse their acne, it tries to avoid them.

Cosmetics
It uses the smaller possible amount of cosmetics. It would have to use maquillaje and humectantes with water, nongreasy. It chooses products that are " not comedogenic" (that they do not bring about white points or black points) or " not acnegenic" (that they do not cause acne). Every night, clears its make up with water and a soap or smooth cleaner. A lotion that contains medication against the acne and is of a color similar to the one of the skin can alleviate and disguise the symptoms. A little dust of make up combined with a nongreasy base, also turns out a good solution to disguise the effects of the acne.

Treatment
The control of the acne is a continuous process. All the treatments against the acne are based on preventing new appearances with the same. The existing spots and imperfections must heal by themselves, therefore, the improvement has been time. If its acne has not improved in a lapse of two to three months, will need to change of treatment. The treatment that will recommend its dermatologist to him will vary according to the type of its acne. Sometimes, an eruption similar to the one of the acne can be due to another cause: a reaction to the maquillaje, a lotion, or an oral medication. It is important to help to his dermatologist, offering an up-to-date detail than it is using on his skin, or ingesting. slight vulgar acne Many of the lotions and creams of free sale are used for the slight cases of acne. Nevertheless, many also will dry out their skin. It follows the instructions carefully.

Topics
- Its dermatologist can prescribe topical creams, gel, or acidulous lotions with vitamin To, drugs to him, peroxide of benzoyl, or antibiotics, to help to unblock pores and to reduce the bacteria. These products could cause to dryness or moulting of the skin. His dermatologist will advise to him on the correct use and how handling the indirect effect.
- Before beginning to use any medication, still the topics, report to its doctor if she is pregnant or in period of lactancia, or if it is trying to be pregnant.
Special treatments
- His dermatologist can appeal to the surgery to remove the black points and the white points. He does not tweak, scratch or he tightens granites same you. When they tighten themselves the granites, can appear a greater reddening, swelling, inflammation and scars.
- The microdermoabration can be used to clear the layers superiors of the skin, to correct the irregularities in its surface and contours, and to generate new layers of skin.
- " peelings" smooth chemicals, with salicylic or glycolic acid, help to unblock pores, abrir to the black points or the white points, and to stimulate the growth of new skin.
- The injections of corticoesteroids can be used to treat the great reddened bulks (nodules). these can help to that they disappear quickly.

Oral
Often antibiotics of by oral route are prescribed, such as the tetracycline, the doxiciclina, the minociclina or the eritromicina.

Contraceptive pills
The contraceptive pills can improve the acne significantly, and can be used specifically for the treatment of the same. Also it is important to know that the oral antibiotics can diminish the effectiveness of contraceptive pills. This is not the common thing, but it is possible, especially if it notices important bleedings. Like precaution measurement, it uses a second method of birth control.

Other treatments
- In cases that the acne does not respond to the mentioned treatments, other medecines are due to use. Isotretinoin is used for the severe cases of acne. The patients who use isotretinoin must understand the indirect effect that she causes. In order to control them, they are necessary frequent visits of pursuit. The prevention of the pregnancy is necessary, since it brings about birth defects.
- In order to fight the acne, the women also will be able to use feminine hormones or medecines that reduce the effects of masculine hormones.
- Also, I could be tried to the acne by means of a fotodinamic therapy that uses the blue wavelength of the light. Treatment of the scars caused by the acne The dermatologist can deal with the scars the acne by means of a series of methods. The depressed scars can be flattened by means of the restoration with laser, the skin abrasion, peelings chemical, or electrosurgery. The elevation of the soft weave by means of the application of colagen or greasy products of filling, can lift the scars. The revision of the scars by means of a microexcisión and the technique of application of grafts can correct the pricked scars, and the combinations of these dermatological surgical treatments can obtain appreciable differences in the appearance.

A suitable attention is necessary
- It does not matter what special treatment uses its dermatologist, remembers that you must continue offering to his skin a suitable attention. The acne is not curable, but it is possible to be controlled; a suitable treatment him aid to feel and to see themselves better, and will be able to prevent the scars.