Diane-35 gets rid of acne fast.
Women should consider the fact that one of the most effective treatments available for acne is Diane-35, and it's sold everywhere in the world except for the United States. Hint: Try Canada.
I'm going to tell you something about treating acne: patience is the key. We live in a society where instant gratification is taken for granted. You want a computer tomorrow? Sure, no problem. It'll be in your mailbox tonight! Acne doesn't work like that. Acne is a genetic problem, a medical dilemma, a social nightmare (it seems) and a windfall for cosmetic companies that are willing to prey on your suffering for the almighty dollar.
In a nutshell, Acne is a disease of the hair follicles and sebaceous glands found on your face, neck, back and shoulders. It's considered a disease because the bacteria and genetic predispositions that cause Acne are, by definition, pathogenic in nature.
Women should consider the fact that one of the most effective treatments available for acne is Diane-35, and it's sold everywhere in the world except for the United States. Hint: Try Canada.
This is a whitehead or a closed comedone. Whiteheads develop when sebum is overproduced beneath a microcomedo, which is basically a clogged pore (or hair follicle). Sebum is important because it keeps your skin and hair moisturized in dry climates, but it's also full of fats and proteins, those things upon which most living things feed; it's an Old Country Buffet for bacteria. Whiteheads, by definition, are not infected, which is why it's important not to touch them, pop them, or molest them in any way.
This is a blackhead or an open comedone. Blackheads develop when a whitehead or a clogged pore finally opens and releases most of that sebaceous garbage onto your skin. I say "most" because what's left in your pore is dead skin cells, expired fats, and melanin (the stuff that makes your skin look good when you tan). Now, this isn't necessarily a bad thing. One of two things can happen here: either your body naturally flushes out the leftovers, or bacteria show up for a free lunch--causing an infection.
This is a papule. Some people mistake these for whiteheads. You see, whiteheads aren't technically infections--they're just white and bloated, with nothing left to do but burst. Papules are what happens when a whitehead or a blackhead finally does become infected. They're slightly larger, sometimes pink, and painful to the touch. This can happen either because your immune system isn't strong enough to fight off the bacteria or because you've been poking and prodding that whitehead and you've ruptured the pore (or hair follicle) beneath the surface of your skin. Once this happens, it's considered an acne lesion.
This is a nodule. At this point, your acne lesions are so infected that you risk the chance of acne scarring. Nodular or cystic acne is one of the more serious types of acne. Once your dermatologist sees nodules, they're going to start bringing in some of the topical antibiotics and more aggressive retinoids to do the heavy lifting because your body isn't doing its job. If you think you might be suffering from nodular acne, you should consult a dermatologist immediately. If you'd like more information about cystic acne treatment strategies, you should read our article about cystic acne. It will help you and your dermatologist generate a treatment plan together.
So, if home remedies for acne aren't working for you, then it might be time to escalate your treatment plan. The following section discusses the use of topical retinoids, topical antimicrobials, azelaid acid, and oral antibiotics. For the sake of brevity, we won't get into too much detail in this article. I'm just going to outline the basics of treatment plans that most dermatologists are using today, and I'll discuss the mechanisms behind the most common medical treatments.
Topical retinoids are usually the first choice of medications to get rid of acne. Retinoids like tretinoin, Adapalene, and tazarotene are derived from Vitamin A. They are used to accelerate your skin's natural ability to slough dead skin cells, decreasing the chance of occlusion (medical fancy-talk for clogging) of your pores. This is done at a cellular level by affecting the DNA of the cells on the surface of your skin, "tricking" them into shedding and regenerating themselves more quickly. On top of that, they have properties that also inhibit the inflammation associated with acne lesions. They're available in both gel and ointment form. People with oily skin are usually given the gels because they tend to dry the skin.
Topical antimicrobials are usually the second choice of medications used to get rid of acne. Antimicrobials are exactly what you think they are: they kill microbes (i.e. bacteria, P. acnes). Turns out I already suggested a very common antimicrobial, benzoyl peroxide. There are so many topical antimicrobial ointments and gels out there that it's hard to keep track of them all. The mechanism of action is simple: kill the P. acnes bacteria that are causing the inflammation (a result of infection) to reduce the number of acne lesions. More examples of common antimicrobial ointments are clindamycin, dapsone, and erythromycin.
The third and least prescribed choice of acne treatments are oral antibiotics. This form of treatment is generally reserved for very serious cases of nodular (cystic) acne, acne conglobata, and acne fulminans. Like topical antimicrobials, oral antibiotics work by targeting the P. acnes bacteria, and examples of these medications include azithromycin, doxycycline, and tetracycline. Except in serious cases of acne where topical antimicrobials are ineffective, oral antibiotics are losing favor among dermatologists because of increased instances of antibiotic resistance.
Note: many of the newer topical medications are a combination of both retinoids and antimicrobials, and it has been suggested by recent studies that formulas containing both benzoyl peroxide and adapalene are the most tolerated combinations on the market.