We all know something about acne – usually through bitter experience. Very few of us will have been able to completely avoid those facial spots.
For some of us acne will persist long beyond our teenage years, and it may affect areas of the skin more likely to be visible only in the summer months – the chest, the shoulder and the upper back.
At the very least acne is annoying and unpleasant. At the other end of the acne scale, it can leave sufferers with both physical and psychological scars.
Fortunately even the most severe cases of acne respond pretty well to modern therapy; but despite this fact, there are still many myths and misconceptions about acne.
In treating acne, it helps to understand how acne occurs. About the age of puberty there is a hormone related surge in the production of sebum – an oily substance whose function is to lubricate and soften the skin. Males are generally more likely to suffer with acne than females, although hormone changes during pregnancy or when taking the oral contraceptive can also cause acne.
This increase in sebum combined with dead skin cells causes a blockage in the hair follicle which encourages the overgrowth of normally well behaved bacteria known as propionibacterium acnes. It’s the reaction between the bacteria and the sebum/dead skin cell “plugs” that results in the inflammation described as acne, pimples or zits.
The treatment of acne, even mild acne, should never be delayed. Early attention can reduce the potential for the social, psychological and physical adverse effects of the condition. The aim of acne treatment is to unblock that plug (sometimes called comedone) in the hair follicle, and to reduce the production of sebum, the number of bacteria on the skin and the inflammation. Salicylic acid 2% in alcohol is a useful peeling lotion for the face. Slightly stronger concentrations can be used for other parts of the body.
Non-prescription topical treatments can be used for all types of acne. However, if the condition is unresponsive after 6 weeks or so, it’s best to see your GP. A course of antibiotics or combination peeling agent and topical antibiotic may be needed.
Severe acne will almost always require prescription therapy – specially formulated oral contraceptive pills work well for women. And dermatologists can prescribe specific medicines for severe cystic acne.
The gentle, non-soapy cleansers and fragrance-free, non-oily moisturisers and sunscreens are recommended to counteract the dry skin and sun sensitivity that most acne treatments will cause.
For more up-to-date advice about acne, pick up one of the Acne fact cards at pharmacies providing the Pharmaceutical Society’s Self Care information. Phone 1300 369 772 for the nearest location.
