Differin (Adapalene)

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ACNE IN ADOLESCENCE: BEAUTY THERAPIES, ACNE SCARRING AND OPEN PORES
Beauty therapies
There are many beauty therapies available for acne, most of which have no scientific rationale. While there is definitely a place for blackhead and whitehead extraction by beauticians because this unblocks the oily glands, it does not remove pusy sores. Other treatments such as cold lasers, acne creams, facial scrubs and masks have no proven benefit.
Acne scarring
Hopefully, in the twenty-first century, people will no longer have to live with acne scarring. Prevention of scarring is most important, as the treatments available for acne scarring are not entirely satisfactory.
With time many acne scars do improve without treatment. For more severe scarring there are several treatment options. Lumpy acne scars may be injected with cortisone to make them flatter. More commonly, however, acne scars are depressions in the skin which may be valley type or very sharp pits. Valley-type scars may be injected with collagen or silicone. This is generally done by dermatologists. Although collagen is very popular, it needs to be injected every one to two years. Allergies to collagen may also develop, although they are rare. Silicone, on the other hand, is permanent. It must, however, be injected very carefully in minute quantities; the correction is permanent so there is no room for error. Although silicone has received a lot of bad press recently, it has been used for over thirty years to improve facial deformities and causes few problems if used in expert hands.
Pitted acne scars are best treated with dermabrasion or laser abrasion, which is done by dermatologists and plastic surgeons. During this procedure the skin is ‘sandpapered’ to make it smoother. Although dermabrasion is an effective procedure for acne scarring it does have limitations, in that it can never make the skin entirely perfect, especially if scarring is deep. Dermabrasion is not without risk and can produce scarring and changes in the skin’s pigment. Chemical peeling is often advocated for acne scarring but is not as effective as dermabrasion.
It is best to wait at least twelve months after acne clears before having any acne scarring treatment. Much of the scarring will resolve in this time, during which cover-up cosmetics can be applied.
Open pores
Open pores are often evident on the nose in people with oily skin. This is a hereditary condition which cannot be altered by any cream or cosmetic. Oily secretions may accumulate in open pores, causing blackheads, which can be removed by manual extraction or with the use of Retin-A cream.
Although there are products whose manufacturers claim can open and close open pores, this is medically impossible. Regular use of Retin-A cream will, however, minimize the appearance of open pores. Oil-absorbing lotions such as Almay oil absorbing lotion or Nutrasorb will also make them appear less shiny and so less conspicuous. Likewise, facial powder absorbs oil, giving the skin a matt appearance and making open pores less obvious.
It is important to realize that acne is of considerable consequence and should never be lightly dismissed as ‘just a stage’. The physical and psychological effects of chronic acne and acne scarring are often underestimated. Now that effective therapies are available treatment for acne should be viewed more positively.
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