Schweiger Dermatology Group

Prescription vs Over the Counter (OTC) Acne Treatments

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Anyone who has ever suffered from acne breakouts has probably wondered if it’s time to go on prescription acne medication. If you are even thinking about that question, the answer is that it’s most likely time for you to see a dermatologist to discuss prescription treatment options. Once you find that over the counter (OTC) treatments are not performing the way you would like them to, it’s time to book that appointment.

There are many more treatment options for prescription medications than OTC treatments. Prescription acne medications are available in these forms: oral, topical gel, topical cream. The most common oral medications are Tetracycline, Erythromycin, oral contraceptives, Solodyn. The most widely prescribed topical treatments for acne are Differen, Retin-A and Tazorac.

Finding the correct acne prescription treatment is a very personal matter. Only after a dermatologist takes a close look at your skin and medical history will they decide which prescription acne medication is right for you.

Even the mildest acne can be treated effectively with prescription medications and in-office treatments, such as Photodynamic Therapy and the Isolaz acne treatment.  Earlier treatment of acne is ideal, as these patients will avoid scarring that can occur with even mild breakouts.  Often patients with mild acne can see huge improvement with a simple at-home prescription regimen and maybe a few in-office treatments.

How Can I Get Rid Of Red Marks From Acne?

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Even mild acne flares can leave behind red marks after they clear.  This can be frustrating, as sometimes these marks look just as bad as the active acne.  In fact, many people confuse the flat red marks for pimples, even though they are just marks left behind from the inflammation of the pimple.  This phenomenon is called post-inflammatory erythema.

Dr. Schweiger explains that, “The reddish spots left behind after acne clears are caused by post-inflammatory erythema.  Post-inflammatory erythema can take up to a year to clear without treatment, and sometimes does not completely resolve in that time.  Luckily, there are laser treatments available to speed up the process.”  These laser treatments include red light therapy and the KTP laser.

Red light therapy is an in-office light treatment that can be performed on both active acne and post-inflammatory erythema.  It is anti-inflammatory and contributes to skin renewal.  Red light therapy is often used to treat acne acne and potentially decrease the chance of forming post-inflammatory erythema after the acne resolves.

The KTP laser is the best treatment for red marks from acne (post-inflammatory erythema.)  The KTP laser is a vascular laser, which targets the hemoglobin (red cells) in the skin.  It diminishes the appearance of redness on the skin after one to three treatments.  Many patients notice a huge improvement in the red marks from acne after only one treatment.  There is no downtime after the KTP laser.  Some patients experience mild redness lasting an hour or two, but no real downtime. 

Click here to read more about the KTP laser for the treatment of red marks from acne.

The Top At-Home Treatment for Adult Acne

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It’s teenagers who are usually associated with acne breakouts. But what about the adults? Increasingly, a large percentage of acne patients are above the age of 30. The cause is due to a mix of factors, including hormonal changes that take place at this age. One of the differences in appearance between adult acne and teenage acne is where on the face the breakouts occur. For teenagers, breakouts tend to pop up all over the face, often in tiny bumps. For adults, acne breakouts are most common around the mouth area–the chin, jowls and upper lip areas.

The placement of acne breakouts for adults is not the only difference between teens and older generation acne sufferers. It’s important to know how to treat acne as you get older. Adults need to be careful not to over-dry their skin, as the amount of oil in the skin decreases as we age and the last think you want to do is rob your skin of more oil in your 30s, 40s and 50s.

The most common over the counter (OTC) products for the treatment of acne contain either salicylic acid or benzoyl peroxide. These two ingredients, while very effective, can be extremely harsh on the skin. We recommend consulting a dermatologist for a prescription treatment tailor made for your skin type. Contrary to popular thinking, you do not need to have severe acne to go on prescription medication for it. There’s nothing wrong with seeking a treatment that will give you clear skin all the time.

 

Does Milk Cause Acne?

Posted in Adult Acne, Teenage Acne by Clear Clinic. | Leave a Comment

does milk cause acneOur patients always ask us, “Does what I eat cause acne?”  The truth is that we don’t know with certainty.  For years, it was thought was that diet did not contribute to the formation of acne.  However, recent research suggests that certain aspects of your diet may contribute to the formation of acne, particularly in teenage patients.  The most commonly seen acne triggers are milk and foods with a high glycemic index.

Several studies, published in peer-reviewed journals, suggest that there is a positive correlation between dairy intake and acne.  Certain dairy products, such as skim milk, may have a small correlation to acne.  This correlation is weak; not every person who drinks skim milk will develop acne.  Dairy consumption is one of the many factors that contributes to the formation of acne.

Dr. Schweiger explains that, “Some of our patients find that their acne worsens as their dairy intake increases.  Not all patients find that dairy causes their acne to flare, but we recommend that patients who do notice the correlation avoid excess dairy consumption.”

The relationship between diet and acne is one that is currently being researched.  In the near future, we may have more information on what foods to avoid and even what foods might help acne.  Foods with a high glycemic index have also been shown in studies to have an influence on acne.  Studies have suggested that avoiding foods with a high glycemic index can help to lessen acne flares for some patients.

Click here to read more about the correlation between diet and acne.

Tips on Fighting Acne in the Summertime

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The last thing you want to deal with in the hot summer months is acne. Summer is a time when you want to let your skin show and not worry about any skin issues. The hot temperatures can trigger an acne breakout, but maybe not in the way that you might thing. Here, the top truths, myths and tips about acne in the summertime:



Sweating and Acne: While sweat itself does not cause acne breakouts, wearing tight clothing that then gets mixed with sweat can contribute to a condition called acne mechanica. If you’ve ever broken out on your forehead after wearing a baseball cap or headband, it’s probably acne mechanica. The cause of acne mechanica is a combination of heat, friction ad covered skin. The best way to avoid this type of acne is by wearing loose, breathable fabrics, such as cotton and washing and cleansing your body directly after any physical activities.




The Sun and Acne: Contrary to popular belief, the sun does not clear up acne breakouts. In fact, UV exposure will only make acne worse. Not only will sun exposure potentially cause wrinkles and cancer, it can irritate inflame your acne. What’s more, if you’re on prescription medication for acne–topical or oral–your skin is more sensitive to the sun. It’s very important to use a SPF of at least 30 when venturing outside, regardless if it’s cloudy or sunny. Look for a sunscreen that is made with mostly mineral sunscreens, as these are less irritating to your skin.



Acne and Swimming: Swimming can be a very beneficial activity for those who suffer from acne breakouts. In fact, any type of exercise will always promote healthy skin since it’s boosting your blood flow and thus cleansing your skin from the inside out. But be careful of the drying effect chlorine can have on your skin. After a dip in the pool, it’s best to wash your face and slather on a moisturizer.

Does Green Tea Fight Acne?

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The proven over the counter (OTC) acne-fighting ingredients on the market are salicylic acid and benzoyl peroxide. Salicylic acid works by aiding skin to peel and thus peel off the acne lesion. Salicylic Acid also helps the cells to shed, which prevents clogging of the pores. Benzoyl Peroxide works by introducing oxygen into the pores, which kills the acne-causing bacteria P. Acnes.

But what about the more alternative ingredients on the market that are thought to treat acne lesions? A recent study done in the United Kingdom showed that thyme may be a force in the fight against acne. Another alternative ingredient that has ties to acne treatment is green tea. Acne breakouts are brought on by surges in hormones. Green tea is packed with antioxidants that are thought to help regulate hormonal activity. Some patients say their acne clears up after drinking green tea, while others use green tea topically for acne treatment.

Other less traditional ingredients that help fight acne are tea tree oil, lactic acid and sulfur. Our recipe for clear skin combines the traditional with the alternative. We recommend using salicylic acid in conjunction with one of these alternative acne-fighting ingredients for the best results.

Smartphone App as Effective as Blue LED Light Therapy?

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Over the past few years, there has been significant buzz about two new smartphone apps that claimed to treat acne through the phone.  The concept was patterned after Red and Blue LED Light devices; the apps claimed that the light emitted from the phone could provide similar results to Blue and Red LED light therapy.  After investigation by the Federal Trade Commission, it was determined that these apps did not help reduce acne.  The FTC ordered the apps to stop marketing to consumers as effective acne treatments.

Dr. Schweiger explains that, “There are absolutely options for at-home Red and Blue LED light therapy, but the answer is not in your iPhone.  I recommend the Tria Skin Perfecting Blue Light for our acne patients to use at home.  Five minutes of Tria Blue Light treatment every day can have a significant antibacterial effect on p. acnes bacteria.”

Red and Blue LED light therapy is also available as an in-office acne treatment.  Red light provides an anti-inflammatory effect, while improving the appearance of the skin, and Blue light fights the p. acnes bacteria that leads to acne.  There is no downtime after Red and Blue LED light therapy.

Blue LED light is often used to activate a medication called Levulan, during a treatment called Photodynamic Therapy.  Levulan is applied to the skin’s surface for a set amount of time; Blue light is then placed over the skin to activite the Levulan.  The result is a decrease in sebum production and a reduction in p. acnes bacteria that causes acne.

Acne Fighting Secrets

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Acne breakouts can seem like a mystery, always popping up at the exact wrong time. The cause of acne is multifactorial, Hormones play a big role in the formation of acne. When the hormone androgen increases, so does sebum production, leading to breakouts. You see, the P. Acnes bacteria lives on everyone skin–along with a whole host of other organisms–but when the skin becomes overrun with sebum, the acne bacteria then gets trapped inside the follicle along with dead skin cells, causing an acne lesion (aka acne vulgaris).

At Clear Clinic, we recommend our patients use proven acne bacteria fighting ingredients such as salicylic acid and benzoyl peroxide, to stop breakouts. But what about those lesser known tricks to fighting acne? Here, some secrets we’ve heard from patients who swear by them:

  • Change your pillow cases on a regular basis. Our pillow cases collect bacteria and dead skin cells, which can clog the pores and contribute to further acne breakouts.
  • Wash your hands before you touch your face. The bacteria and oils on your fingers could exacerbate your acne lesions.
  • Use an alcohol swab to rub down your cell phone and cleanse it of any oils and bacteria. The same idea as with your fingers.
  • Eat a healthy, low-sugar, low carbohydrate diet. Some studies have shown that carbohydrates can contribute to acne breakouts.
  • Don’t stress! Stress can release hormones in the body and cause acne breakouts.
  • Drink a lot of water — about three liters a day. Water will help moisturize the skin from the inside out and will help your body flush out any toxins.

You Popped a Pimple–Now What?

Posted in Acne Scars, Uncategorized by Clear Clinic.

You’ve heard the warnings countless times about how damaging it is to pop a pimple. But that whitehead was calling your name and…you popped it. So now what? First of all, we hope you used a warm compress to soften the area beforehand. And don’t even think about touching the area with your bare fingers, which can lead to further infection thanks to the bacteria on your hands. Here’s what you need to do to safely clean up the popped pimple:

  • Clean up the popped pimple with an antibacterial solution, such as alcohol or benzoyl peroxide. If it’s bleeding, keep a warm compress on it to stop the bleeding.
  • Dab some salicylic acid on the area. This will help treat and heal the area and any remaining bacteria left inside the pimple.
  • If the pimple begins to scab, apply an ointment, such as Neosporin onto the area to help with healing and to keep it moist. By all means, do not pick at the scab. If it looks that bad, then put a band-aid over the area. This will also help prevent you from picking.
  • If you are concerned about a scar forming, call your dermatologist.
  • If a scar does form, there are many different treatment options to consider. Focal Acne Scar Treatment (F.A.S.T.), Dr. Schweiger’s proprietary laser technique treats acne scars that has faster healing results than previous treatments.

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New Acne Cream

Posted in Adult Acne by Clear Clinic. | Leave a Comment

A study published in February, 2012, evaluated the efficacy of a commonly used oral acne medication for topical use.  This medication, Spironolactone, has been used off-label for many years to treat acne by taking advantage of its androgen receptor blocking effect.  Dr. Schweiger explains that, “Spironolactone is a type of medication called an androgen antagonist.  It works by selectively binding to the androgen receptors, so that the androgenic influence is not as strong.  Spironolactone is FDA-approved for management of hypertension, or high blood pressure, but is commonly used at lower doses to control hormonally influenced acne in women.”

Androgen hormones can over-stimulate the sebaceous glands to produce sebum.  This excess sebum can clog the pore, which results in an ideal environment for the p. acnes bacteria that causes acne.  By blocking some of the androgen hormones from binding, Spironolactone stops the excess sebum production that would otherwise occur.  Spironolactone is an oral medication, meaning that it is taken by mouth.  Most acne patients being treated with Spironolactone take a very low dose, but there are still potential side effects associated with this systemic medication.  Spironolactone has a diuretic effect, meaning that it causes increased urination.  Some patients notice that they feel dehydrated, dizzy or weak while taking Spironolactone.

The Journal of Dermatological Treatment published a study evaluating the efficacy of using Spironolactone in a topical formulation.  This new acne cream was a 5% Spironolactone gel.  Patients with mild to moderate acne saw a statistically significant decrease in total lesion count when compared to patients who used a placebo (the non-medicated cream.)

The possibility of a new acne cream is exciting and promising.  Topical acne creams have long consisted of benzoyl peroxide, topical antibiotics such as Clindamycin, topical retinoids such as Tazorac and Retin-A, and salicylic acid.  Topical dapsone, in the form of a medication called Aczone, was introduced recently; however, Aczone was the first new active ingredient for the treatment of acne in many years.  Topical 5% Spironolactone could fill a void in the treatment of acne in women, allowing the treatment of hormonal acne without taking an oral medication.

Click here to read more about the treatment of hormonal acne.

Click here to read the study on the use of topical Spironolactone for mild to moderate acne.

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