What Active Acne?
Acne vulgaris is so named because of its profound effect. This is not just a benign disease affecting adolescents. Extensive active acne can involve pustules and keloid scars which can eventually lead to permanent scarring and pigment alternation.
Disfiguring acne poses a major social barrier, affecting self esteem and mood. Active acne provides the opportunity to intervene and prevent acne scarring and pigment. Active acne involves three distinct mechanisms: These include thickened sebum, bacterial infection with p. acnes and excessive keratin production.
This all helps to block glands and produce inflammation. Ideal treatment targets multiple aspects of this cascade. Acne may be adolescent or adult and may be found on the face, chest (chestne) or back (backne).
What can be done?
- Anti-aging skin care products such as SkinCeutical Blemish+AGE line of cleanser, toner, and Defense combines dioic acid with alpha and beta hydroxy acids. SkinMedica’s GlyPro Renewal Cream and the acne kit from SkinTx are highly recommended.
- Prescription creams with retinoids (Retin-A Micro, Tazorac, and Tactuo) as well as antibiotics and benzoyl peroxide (Clindoxyl gel or BenzaClin) all help treat different aspects of active acne.
- Prescription oral medications include antibiotics, birth control pills, spironolactone, and Accutane for more severe cases.
- Inflamed acne cysts can be injected with corticosteroid solution to provide accelerated anti-inflammatory effect.
The Venus Viva can also be used when acne is active to help kill bacteria and smooth the skin.