Acne is a common skin condition that occurs when sebaceous glands and hair follicles become clogged with oil and dead skin cells. It often results in the formation of pimples, blackheads, or whiteheads, typically appearing on the face, forehead, chest, upper back, and shoulders. Acne can range from mild to severe and can cause physical discomfort as well as emotional distress due to its impact on appearance. Hormonal changes, genetics, certain medications, and lifestyle factors such as diet and stress can contribute to the development of acne. Treatment options include over-the-counter products, prescription medications, and in-office procedures.
non-inflamed blackheads and whiteheads
papules and cysts
widespread papules, nodules or cysts, often with pain and scarring
A whitehead forms when excess oil and dead skin cells build up and plug the opening of a pore. Over time, as the buildup accumulates and oxidises, it turns into a blackhead. When bacteria become trapped within a pore that is blocked by an accumulation of excess oil and dead skin cells, it can multiply, leading to inflammation and the formation of a pimple. In cases where the inflammation penetrates deeper into the skin, it can give rise to a tender or painful nodule or cyst. Cysts are characterised by their softer texture and the presence of pus, while nodules feel harder to the touch.
Acne breakouts can lead to permanent scars when treated poorly for an extended period of time. More commonly, acne may leave dark marks seen as red posts called post-inflammatory erythema (PIE) or brown spots called post-inflammatory hyperpigmentation (PIH).
Depending on how dark the spot is, it can take more than a year to fade naturally. In order to speed up to recovery, there are treatments and chemical peels available to help your skin look fresh.
Over-the-counter or pharmacy-sold skincare products can help to manage acne through ingredients such as salicylic acid that help to unclog pores.
At VIDASKIN, we have formulated our own anti-acne skincare products to complement our clinic treatments as we believe that a good basic regimen is essential to help your treatments go further.
Sometimes, prescription medications are recommended to help manage acne. The following are some examples of medications your doctor may recommend:
While it is used sparingly, steroid injections may be recommended for a large, extremely painful and deep nodule. This can rapidly relieve the pain and size of the breakout within 3 days.
Through a blue and red light combination, LED phototherapy is an effective and safe treatment for mild to moderately severe acne vulgaris.
The Hydrafacial is a specialised device that extracts, hydrates and infuses customised serums to suit your skin concerns. During acne, a common issue is skin congestion, which would benefit from a regular deep cleansing facial. Common facials utilise manual extractions to keep the pores clear, however, this can be uncomfortable and can even damage the pore when done incorrectly. We are able to bypass this by using the Hydrafacial device to gently and effectively cleanse out the poor without causing any trauma to the skin. The Hydrafacial’s fusion tip delivers acids to break up oil and debris and hydro-pressure to effectively suction out any impurities.
Laser therapies are a useful treatment modality and can enhance treatment response when used in conjunction with topical and oral treatments. Specifically, the picosecond laser is highly recommended for people unable to follow an oral or topical medication regimen. Patients typically require multiple treatment sessions to achieve the desired results, with future maintenance.
Yes, you may continue to use makeup but make sure to remove all makeup before going to bed with an oil-free makeup remover and a gentle cleanser. For optimal hygiene, clean your makeup brushes every week to prevent breakouts.
Findings from a few studies suggest that following a low-glycaemic diet (low sugar level) may reduce the severity of acne. Low-glycaemic foods include most fresh vegetables, some fresh fruits, beans and oats. An American study of 2,258 patients found that a low-glycaemic diet reduced acne, with 87% of patients saying they had less acne, and 91% saying they needed less acne medication.11
In another study, 47,355 adult women were surveyed about their dietary habits. It found that women who drank 2 or more glasses of skimmed milk a day were 44% more likely to have acne than others.12
More research is needed to confirm ongoing scientific theories regarding food-related worsening of acne. In our medical experience, food intolerances or specific dietary restrictions are also highly specific to each individual. Do note that what works for you may not work for someone else.
This depends on your type of acne. The best treatment usually targets multiple aspects of the acne pathway which include oil production, inflammation, bacteria and build up of dead skin cells.
A good maintenance routine is important to keep the skin barrier healthy and clear of blemishes. This includes a good base skincare routine as well as knowing which topicals and actives to incorporate. Some people will also benefit from regular laser treatments.
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