The Therapy is a lengthy process. The Treatment of acne is a lengthy process. Often, many doctor visits and necessary The treatment requires patience and perseverance. The options for treating acne, are varied. They range from simple applications to external regulation powerful drugs. Not every treatment works for every person the same. For this It is therefore necessary to find the appropriate action in individual cases only once.
Cornification remove
Inhibit inflammation
Hormones regulate. The Treatment is guided by basic objectives:
* The keratinization in the ducts of the sebaceous glands must be eliminated.
* Harmful bacteria in the inflamed and sores on the surface of the Skin must be killed.
* The hormonal regulation mechanisms have be normalized.
Skin cleansing in acne
Gentle Skin cleansing is the basis of therapy. Basis the treatment is the proper cleaning of the skin. Most people who suffer from acne suffering, a tendency to overly oily skin (seborrhea) have. Proper cleaning can therefore support in most cases the healing process. It is best to to synthetic detergents or alcoholic solutions are used.
It syndets should only be used for skin cleansing. A Syndet (= synthetic detergent) is a synthetic detergent that makes the skin strong degreased and intense purifying effect. Therefore it should only people with oily Skin are used. In people who have a rather dry skin, the syndet additionally provided with substances that affect the lipid content. These are, for example paraffin, Soybean oil, or olive oil. The syndet must be coordinated with the right skin type. Syndets have the advantage of being at the right pH value at the Skin surface can be adjusted. They also act slightly antiseptic.
Peel Substances
Peeling ensures an unimpeded flow from the sebaceous glands. Peel the end Means that today many are also "scrub" referred to, the pathological Calluses, which lead to blackheads removed. Thus, the ducts of the Sebaceous glands exposed and the sebum from reaching the skin surface. It is important here well preventive effect.
Often substances used to fight the inflammation. To the most important substances include vitamin A acid, isotretinoin. Benzoyl peroxide (BPO) and azelaic acid have a strong antibacterial effect. That applies to some bacterial pathogens important to combat the inflammation. The second consequence is a reduction of Blackheads.
Only by the treatment "everything worse." Very important for this treatment is that those affected be advised how it works. First, most agents cause a "bloom" of acne. The skin becomes red and burning may also stretch and scale. Also, the pustular may intensify over the first few weeks. These operations are normal and can be not be avoided because the skin is irritated by the medication. You do not mean that the person concerned is Drug not tolerate. Should contribute to strong irritation but but the doctor will ask for advice.
Then The skin is smooth and free of inflammation. After this period of flowering stems, the acne and the skin becomes smooth and free of inflammation. This process can sometimes take weeks. As in a plane have sloughed the skin peeling agents and cleaned.
Antibacterial therapy
Local Antibiotics are used for prevention of resistance are often combined with BPO. Externally acting antibiotic creams and tinctures are mostly used with the light moderate forms of acne are used. They contain mostly substances such as Erythromycin, tetracycline and clindamycin in different bases. These locally applied antibiotics have the goal of the bacteria on the skin surface and in the Follicles kill. To prevent resistance developing, these local Antibiotics often with benzoyl peroxide (BPO) combined.
Oral Antibiotics only in severe forms of acne. At heavy inflammatory Forms of acne is applied to an oral antibiotic therapy. The most important is the antibiotic tetracycline, or its offspring, the minocycline. The Drug enters the bloodstream into the inflamed follicles, where they are enriched. They act directly on the scene.
Caution in light sensitivity. At Some people bring tetracyclines increased light sensitivity of the skin. At These parties may, therefore, the drug therapy or during a light be used only with caution in the summer.
13-cis-retinoic acid
This Severe forms of acne medication is only for application. A potent drug that can also be taken is that 13-cis-retinoic acid. It is a vitamin-A-Säureabkömmling that only in very severe Forms of acne, such as Acne conglobata, For use comes. 13-cis-retinoic acid reduced the production of sebum and shrinks the sebaceous glands. It has a inflammatory Effectively normalizes the keratinization. The first visible results can be seen after 2 weeks. After three to four months and does a considerable long-lasting improvement is apparent, even after the discontinuation of the medication for a long time persists.
Ongoing Laboratory controls during treatment are necessary. The Application of 13-cis-retinoic acid may be accompanied by side effects. It can be Dryness of skin and mucous membranes come. In rare cases also arise Joint and muscle complaints. Before, during and after treatment with 13-cis-retinoic acid in the blood laboratory tests should be regularly carried out.
Women must not become pregnant. Special Caution is needed in women. During therapy and after four weeks of Therapy is recommended a safe contraception. 13-cis-retinoic acid acts to May cause concern, why should not women get pregnant. Pregnant woman Women should not be treated with 13-cis-retinoic acid.
Hormone therapy
Therapy is possible only with sex hormones in women. A Hormone therapy with female sex hormones in women is only used. Contraceptives with an increased Proportion of estrogens block the action of endogenous androgens, which for a increased sebum production are responsible. This therapy should only be used in consultation with the gynecologists and internists performed.
The "Pill" for treating acne. The preparations used are Birth control pills with cyproterone acetate or chlormadinone. You are in the treatment of acne highly effective and at the same time an effective contraceptive.
Within from weeks to months, the acne comes back. Under taking this medication improves after days of seborrhea of the face and head. The acne is formed but only after several weeks to months back. Will the pill discontinued, it can cause a recurrence of acne within a few weeks to come. The side effects associated with oral contraceptives can, in these pills are often particularly pronounced. It can lead to weight gain, Emphasis on the female form, headaches and a worsening of varicose veins . come Therefore, a woman who has no acne, usually a "pill" recommended with other hormonal composition.
Acne Diet
Certain Foods do not affect generally negative. Generally there are no influences of food on the development of acne. At least, proved this beyond doubt. There are even many scientific works that a deteriorating influence of, for example, chocolate, meat, nuts, cheese and other fat foods are not occupy the acne.
Who can not, will and should do without. Though by those affected and over again "aknefördernde" Effects of certain foods observed. These observations should be taken quite seriously be. The individual should avoid these foods. He will then ensure better . feel A diet needs but generally can not be met.
Manual therapy and surgical
Also at the opening concurrent therapy is necessary. In certain situations, the opening and emptying of blackheads and pustules be useful. This need not necessarily be carried out by a specialist. Even experiments should be avoided in any case. Same time, a local or systemic therapy may be used.
Scar Healing after resolution of acne can be performed.
Comprehensive information about Scars and scars find They here. By Small stitches may be melted nodes and abscesses are surgically opened, if an evacuation is necessary. After the disappearance of acne, a correction of Grain be made, eg by Tissue reconstruction, Razing or Syringes under certain substances.
