Adult Acne Treatment What You Should Take Care Of Acne Scar Treatments Adult Acne Treatment What You Should Take Care Of How New Acne Drugs Are Developed

Just when you thought you’d finally got through all the skin problems related to puberty, you wake up one day and find acne. If you ask a dermatologist, you will find out acne is not just a problem for teens. Fortunately, there are some treatments that will help you fight adult acne successfully.

Adult Acne Facts

Doctors say adult acne is a common problem, but unfortunately an under-recognized one. Most people think acne it just for kids, but it can happen in later years too. It is more common in women than in men. Statistics show that acne affects about 25% of all adult men and 50% of all adult women at some point during their adult life.

At the bottom of acne lies the pimple, which doctors call comedo. A pimple is a plug of fat, skin debris and keratin stuck in a hair duct. When it is open, we call it a blackhead and when it’s closed over, a whitehead. Whiteheads can cause the walls of the hair duct to rupture, leading to redness, infection and cysts of acne.

Many people think that acne is a result of poor hygiene, but this is not true. Both adult and teen acne are caused by a combination of many factors, such as excess oil production, faulty closing of the hair duct or infection. Washing your face gently only twice a day is actually much better than washing it more often.

Adult Acne Treatment

You can choose between an adult acne treatment in a dermatologist’s office or at home. However, squeezing pimples at home often leads to infection and scars. Squeezing pimples is also a very effective way to get your acne to spread. Doctors, on the other hands, use special sterile instruments to prevent infection, scarring and acne spread.

Another solution is to check your local drug store for adult acne treatments. If you’ve ever tried this, you know it’s loaded with such products. With so many options available, choosing the right adult acne treatment can be quite difficult.

A great progress in adult acne treatment has been the producing of the topical retinoid acid, a modified form of vitamin A. Improved versions of this medicine greatly reduce the irritation it can cause. Other acne treatments fight against different causes of acne. They are sometimes used in combination. Such acne treatments include:

* Azelaic acid cream

* Benzoyl peroxide

* Alpha-hydroxy acids (such as lactic acid, glycolic acid and gluconic acid)

* Antibiotic pills (of used unwisely, they can lead to antibiotic resistance)

* Topical antibiotics (gels, lotions and solutions)

* Contraceptive pills for women

* Sotret or Accutane for severe acne

Accutane and Sotret have several side effects, including birth defects. Women with severe acne problems that choose these treatments should use alternative birth control. Despite the side effects they have, these treatments are probably the best choice for sever acne.

There are many ways to treat acne scars. Determining your treatment depends on the type of scar and quantity of scarring. Before you consider a scar treatment you should have an in depth conversation with your doctor. It is very important you only use this information as an introduction to scar treatments and not a final guide. Your dermatologist and you can discuss the proper treatment after you have basic knowledge.

For very mild acne, a chemical peel might be all that you need. Different types of acid are used in this procedure. It is recommended that you choose another method of treatment, if you have very noticeable or deep scarring. The chemical peel procedure takes about fifteen minutes. The resultant facial redness may last up to a few weeks.

There are a few choices available to treat moderate acne scarring. The most popular are dermabrasion and laser resurfacing. Dermabrasion is a scar treatment in which a diamond plated wheel is used to “sand” your face. This technique has been around for a long time and sandpaper was once used instead of the new machines that utilize the diamond plated tool. Generally, this procedure takes around an hour to perform. You should expect some scabbing and redness for a few weeks. This method is most effective for individual with very pale or very dark complexions.

The other treatment for mild acne scars is laser resurfacing. This treatment involves removing old skin with a carbon dioxide (CO2) or erbium laser. Depending on the size and frequency of the scars, the treatment may last only several minutes or in excess of an hour. This treatment is not advised for people with darker skin pigment, because it may result in uneven skin color. After treatment, redness should be expected for a few weeks and a mild pinkish tone may be evident even longer.

For very deep, pitted scars, physicians utilize a “punch technique.” There are several “punch” treatments available depending on your doctor, type of acne and other factors. The first type is a punch replacement in which a tool is used to remove the scar. Then a skin graft from another part of your body is transplanted over the site. Another technique is the punch excision where the scar is surgically removed and the area allowed to recover. Finally, there is a technique where the physician removes the scar at the bottom. The skin at the treated area is allowed to rise and fills the cratered area. Usually a punch technique is combined with dermabrasion or laser resurfacing for optimal results. Healing may take up to several weeks.

Another type of acne scar treatment is subcision. With subcision the scar is detached from the lower tissue, which allows a blood clot to form under the skin. The clot forces the scar up to the surface of the skin. Similar to the punch techniques, combining subcision with dermabrasion or laser resurfacing yields the best results. This type of treatment can be effective for all types of scarring, but is best for deeper and more prominent scars.

The last type of treatment is augmentation. Augmentation uses a material similar to collagen which is injected under the skin to bring the scar to the surface. Recovery is immediate and no time off work is necessary. The drawback, however, is that results are temporary and only last up to six months.

Whatever acne scar treatment you decide upon, keep in mind that some may require more than one session with a doctor. Always consult your dermatologist to decide which treatment is best for you. There is a wide variation with the costs associated with the various treatments. Make sure you consider the financial ramifications with your treatment plan before you proceed. Remember, more than one treatment plan may be effective in your particular situation. Each plan has benefits and drawbacks so make sure you discuss all your concerns with your doctor.

Just when you thought you’d finally got through all the skin problems related to puberty, you wake up one day and find acne. If you ask a dermatologist, you will find out acne is not just a problem for teens. Fortunately, there are some treatments that will help you fight adult acne successfully.

Adult Acne Facts

Doctors say adult acne is a common problem, but unfortunately an under-recognized one. Most people think acne it just for kids, but it can happen in later years too. It is more common in women than in men. Statistics show that acne affects about 25% of all adult men and 50% of all adult women at some point during their adult life.

At the bottom of acne lies the pimple, which doctors call comedo. A pimple is a plug of fat, skin debris and keratin stuck in a hair duct. When it is open, we call it a blackhead and when it’s closed over, a whitehead. Whiteheads can cause the walls of the hair duct to rupture, leading to redness, infection and cysts of acne.

Many people think that acne is a result of poor hygiene, but this is not true. Both adult and teen acne are caused by a combination of many factors, such as excess oil production, faulty closing of the hair duct or infection. Washing your face gently only twice a day is actually much better than washing it more often.

Adult Acne Treatment

You can choose between an adult acne treatment in a dermatologist’s office or at home. However, squeezing pimples at home often leads to infection and scars. Squeezing pimples is also a very effective way to get your acne to spread. Doctors, on the other hands, use special sterile instruments to prevent infection, scarring and acne spread.

Another solution is to check your local drug store for adult acne treatments. If you’ve ever tried this, you know it’s loaded with such products. With so many options available, choosing the right adult acne treatment can be quite difficult.

A great progress in adult acne treatment has been the producing of the topical retinoid acid, a modified form of vitamin A. Improved versions of this medicine greatly reduce the irritation it can cause. Other acne treatments fight against different causes of acne. They are sometimes used in combination. Such acne treatments include:

* Azelaic acid cream

* Benzoyl peroxide

* Alpha-hydroxy acids (such as lactic acid, glycolic acid and gluconic acid)

* Antibiotic pills (of used unwisely, they can lead to antibiotic resistance)

* Topical antibiotics (gels, lotions and solutions)

* Contraceptive pills for women

* Sotret or Accutane for severe acne

Accutane and Sotret have several side effects, including birth defects. Women with severe acne problems that choose these treatments should use alternative birth control. Despite the side effects they have, these treatments are probably the best choice for sever acne.

The U.S. Food and Drug Administration (FDA) states its purpose in the following mission statement:

“The FDA is responsible for protecting the public health by assuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our nation’s food supply, cosmetics, and products that emit radiation. The FDA is also responsible for advancing the public health by helping to speed innovations that make medicines and foods more effective, safer, and more affordable; and helping the public get the accurate, science-based information they need to use medicines and foods to improve their health.”

In 2005 the FDA provided a public draft guidance document to the pharmaceutical industry on the development of drugs to treat acne vulgaris, or acne. The draft guidance document contains the FDA’s current thinking on the development of acne drugs and the methods that should be used.

Some of the guidance document information is summarized below. At the time of this writing the FDA document had not been finalized.

Types of Acne Lesions

The two major types of acne lesions are classified as non-inflammatory and inflammatory. Non-inflammatory acne lesions are more commonly known as whiteheads and blackheads. Inflammatory acne lesions include papules and pustules and are more deeply seated in the skin than the non-inflammatory lesions.

How Acne Severity Is Rated

Currently there is no standardized method for rating the severity of acne outbreaks. Several methods have been proposed, but each has its difficulties. A sample scale for rating acne severity is summarized below, from least to most severe:

0 Clear skin with no inflammatory or non-inflammatory lesions

1 Almost clear; rare non-inflammatory lesions with no more than one small inflammatory lesion

2 Mild severity; greater than Grade 1; some non-inflammatory lesions with no more than a few inflammatory lesions (papules/pustules only, no nodular lesions)

3 Moderate severity; greater than Grade 2; up to many non-inflammatory lesions and may have some inflammatory lesions, but no more than one small nodular lesion

4* Severe; greater than Grade 3; up to many non-inflammatory and inflammatory lesions, but no more than a few nodular lesions

(* worsening beyond Grade 4 is possible).

Acne Drug Treatment Study Groups

Acne drug test groups should be large enough to be statistically significant so that any claims of success and safety can be supported. Test patients are usually recruited during their most severe acne breakouts.

Acne drug trials are recommended to be randomized, blinded, multicenter trials, and other requirements will also apply. A control or placebo group should be utilized.

Furthermore, those doing testing should recruit test populations that are representative of the age, race, gender, and geographic location of acne patients in the United States.

Determining The Success Of Acne Drug Treatments

Acne severity is rated at the beginning and end of every test. Photographic evidence and/or lesion counts may also be taken. It is proposed to measure the success of acne medications as either a success or a failure, based on one of these two methods of measuring success:

1. Success meaning a rating of clear skin or almost clear (severity rating 0 or 1) within the test period; or

2. Success meaning an improvement of 2 severity grades within the test period. Under this definition, a successful test subject would have a severity improvement from 4 to 2 within the test period, as an example.

The Final Decision On New Acne Drugs

Several phases of testing are recommended for proposed acne drugs. Studies must be designed to account for effects such as test dropouts. Rigorous data analysis must be performed in conformance with FDA regulations. Only acne drug test data that has been validated and undergone quality assurance testing should be submitted to the FDA for approval.

Only through a rigorous and tightly-controlled testing and analysis procedure, followed by FDA approval, can new acne drugs be made available to the public.

The resource link below contains free information on the best ways to utilize FDA-approved prescription and over the counter acne drugs and treatments.

Source: Guidance for Industry, Acne Vulgaris: Developing Drugs for Treatment, DRAFT GUIDANCE, U.S. Department of Health and Human Services, Food and Drug Administration Center for Drug Evaluation and Research (CDER), September 2005, Clinical/Medical.

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