What Is Acne?

Acne is a disorder resulting from the action of hormones on the skin's oil glands (sebaceous glands), which leads to plugged pores and outbreaks of lesions commonly called pimples or zits. Acne lesions usually occur on the face, neck, back, chest, and shoulders. Nearly 17 million people in the United States have acne, making it the most common skin disease. Although acne is not a serious health threat, severe acne can lead to disfiguring, permanent scarring, which can be upsetting to people who are affected by the disorder.

How Does Acne Develop?

Doctors describe acne as a disease of the pilosebaceous units (PSUs). Found over most of the body, PSUs consist of a sebaceous gland connected to a canal, called a follicle, that contains a fine hair (see "Normal Pilosebaceous Unit" diagram, below). These units are most numerous on the face, upper back, and chest. The sebaceous glands make an oily substance called sebum that normally empties onto the skin surface through the opening of the follicle, commonly called a pore. Cells called keratinocytes line the follicle.

Normal Pilosebaceous Unit

The hair, sebum, and keratinocytes that fill the narrow follicle may produce a plug, which is an early sign of acne. The plug prevents sebum from reaching the surface of the skin through a pore. The mixture of oil and cells allows bacteria Propionibacterium acnes (P. acnes) that normally live on the skin to grow in the plugged follicles. These bacteria produce chemicals and enzymes and attract white blood cells that cause inflammation. (Inflammation is a characteristic reaction of tissues to disease or injury and is marked by four signs: swelling, redness, heat, and pain.) When the wall of the plugged follicle breaks down, it spills everything into the nearby skin--sebum, shed skin cells, and bacteria--leading to lesions or pimples.

People with acne frequently have a variety of lesions, some of which are shown in the diagrams below. The basic acne lesion, called the comedo (KOM-e-do), is simply an enlarged and plugged hair follicle. If the plugged follicle, or comedo, stays beneath the skin, it is called a closed comedo and produces a white bump called a whitehead. A comedo that reaches the surface of the skin and opens up is called a blackhead because it looks black on the skin's surface. This black discoloration is not due to dirt. Both whiteheads and blackheads may stay in the skin for a long time.

Types of Lesions

Other troublesome acne lesions can develop, including the following:

Papules--inflamed lesions that usually appear as small, pink bumps on the skin and can be tender to the touch
Pustules (pimples)--papules topped by pus-filled lesions that may be red at the base
Nodules--large, painful, solid lesions that are lodged deep within the skin
Cysts--deep, painful, pus-filled lesions that can cause scarring.
What Causes Acne?

The exact cause of acne is unknown, but doctors believe it results from several related factors. One important factor is an increase in hormones called androgens (male sex hormones). These increase in both boys and girls during puberty and cause the sebaceous glands to enlarge and make more sebum. Hormonal changes related to pregnancy or starting or stopping birth control pills can also cause acne.

Another factor is heredity or genetics. Researchers believe that the tendency to develop acne can be inherited from parents. For example, studies have shown that many school-age boys with acne have a family history of the disorder. Certain drugs, including androgens and lithium, are known to cause acne. Greasy cosmetics may alter the cells of the follicles and make them stick together, producing a plug.

Factors That Can Make Acne Worse

Factors that can cause an acne flare include:

Changing hormone levels in adolescent girls and adult women 2 to 7 days before their menstrual period starts
Friction caused by leaning on or rubbing the skin
Pressure from bike helmets, backpacks, or tight collars
Environmental irritants, such as pollution and high humidity
Squeezing or picking at blemishes
Hard scrubbing of the skin.
Myths About the Causes of Acne

There are many myths about what causes acne. Chocolate and greasy foods are often blamed, but foods seem to have little effect on the development and course of acne in most people. Another common myth is that dirty skin causes acne; however, blackheads and other acne lesions are not caused by dirt. Finally, stress does not cause acne.

Who Gets Acne?

People of all races and ages get acne. It is most common in adolescents and young adults. Nearly 85 percent of people between the ages of 12 and 24 develop the disorder. For most people, acne tends to go away by the time they reach their thirties; however, some people in their forties and fifties continue to have this skin problem.

How Is Acne Treated?

Acne is often treated by dermatologists (doctors who specialize in skin problems). These doctors treat all kinds of acne, particularly severe cases. Doctors who are general or family practitioners, pediatricians, or internists may treat patients with milder cases of acne.

The goals of treatment are to heal existing lesions, stop new lesions from forming, prevent scarring, and minimize the psychological stress and embarrassment caused by this disease. Drug treatment is aimed at reducing several problems that play a part in causing acne: abnormal clumping of cells in the follicles, increased oil production, bacteria, and inflammation. Depending on the extent of the person's acne, the doctor will recommend one of several over-the-counter (OTC) medicines or prescription medicines that are topical (applied to the skin) or systemic (taken by mouth). The doctor may suggest using more than one topical medicine or combining oral and topical medicines.

Treatment for Blackheads, Whiteheads, and Mild Inflammatory Acne

Doctors usually recommend an OTC or prescription topical medication for people with mild signs of acne. Topical medicine is applied directly to the acne lesions or to the entire area of affected skin.

Benzoyl peroxide, resorcinol, salicylic acid, and sulfur are the most common topical OTC medicines used to treat acne. Each works a little differently. Benzoyl peroxide is best at killing P. acnes and may reduce oil production. Resorcinol, salicylic acid, and sulfur help break down blackheads and whiteheads. Salicylic acid also helps cut down the shedding of cells lining the follicles of the oil glands. Topical OTC medications are available in many forms, such as gel, lotion, cream, soap, or pad.

In some patients, OTC acne medicines may cause side effects such as skin irritation, burning, or redness. Some people find that the side effects lessen or go away with continued use of the medicine. Severe or prolonged side effects should be reported to the doctor.

OTC topical medicines are somewhat effective in treating acne when used regularly. Patients must keep in mind that it can take 8 weeks or more before they notice their skin looks and feels better.

Treatment for Moderate to Severe Inflammatory Acne

Patients with moderate to severe inflammatory acne may be treated with prescription topical or oral medicines, alone or in combination.

Prescription Topical Medicines

Several types of prescription topical medicines are used to treat acne, including antibiotics, benzoyl peroxide, tretinoin, adapalene, and azelaic acid. Antibiotics and azelaic acid help stop or slow the growth of bacteria and reduce inflammation. Tretinoin, a type of drug called a retinoid that contains an altered form of vitamin A, is an effective topical medicine for stopping the development of new comedones. It works by unplugging existing comedones, thereby allowing other topical medicines, such as antibiotics, to enter the follicles. The doctor may also prescribe newer retinoids or retinoid-like drugs, such as tazarotene or adapalene, that help decrease comedo formation.

Like OTC topical medicines, prescription topical medicines come as creams, lotions, solutions, or gels. The doctor will consider the patient's skin type when prescribing a product. Creams and lotions provide moisture and tend to be good for people with sensitive skin. Gels and solutions are generally alcohol based and tend to dry the skin. Therefore, patients with very oily skin or those who live in hot, humid climates may prefer them. The doctor will tell the patient how to apply the medicine and how often to use it.

Some people develop side effects from using prescription topical medicines. Initially, the skin may look worse before improving. Common side effects include stinging, burning, redness, peeling, scaling, or discoloration of the skin. With some medicines, like retinoids, these side effects usually decrease or go away after the medicine is used for a period of time. Patients should report prolonged or severe side effects to their doctor. Between 4 and 8 weeks will most likely pass before patients see their skin improve.

Prescription Oral Medicines

For patients with moderate to severe acne, the doctor often prescribes oral antibiotics (taken by mouth). Oral antibiotics are thought to help control acne by curbing the growth of bacteria and reducing inflammation. Prescription oral and topical medicines may be combined. For example, benzoyl peroxide may be combined with clindamycin, erythromycin, or sulfur. Other common antibiotics used to treat acne are tetracycline, minocycline, and doxycycline. Some people have side effects when taking these antibiotics, such as an increased tendency to sunburn, upset stomach, dizziness or lightheadedness, and changes in skin color. Tetracycline is not given to pregnant women, nor is it given to children under 8 years of age because it might discolor developing teeth. Tetracycline and minocycline may also decrease the effectiveness of birth control pills. Therefore, a backup or another form of birth control may be needed. Prolonged treatment with oral antibiotics may be necessary to achieve the desired results.

Treatment for Severe Nodular or Cystic Acne

People with nodules or cysts should be treated by a dermatologist. For patients with severe inflammatory acne that does not improve with medicines such as those described above, a doctor may prescribe isotretinoin (Accutane*), a retinoid. Isotretinoin is an oral drug that is usually taken once or twice a day with food for 15 to 20 weeks. It markedly reduces the size of the oil glands so that much less oil is produced. As a result, the growth of bacteria is decreased.

* Brand names included in this booklet are provided as examples only, and their inclusion does not mean that these products are endorsed by the National Institutes of Health or any other Government agency. Also, if a particular brand name is not mentioned, this does not mean or imply that the product is unsatisfactory.

Advantages of Isotretinoin (Accutane)

Isotretinoin is a very effective medicine that can help prevent scarring. After 15 to 20 weeks of treatment with isotretinoin, acne completely or almost completely goes away in up to 90 percent of patients. In those patients where acne recurs after a course of isotretinoin, the doctor may institute another course of the same treatment or prescribe other medicines.

Disadvantages of Isotretinoin (Accutane)

Isotretinoin can cause birth defects in the developing fetus of a pregnant woman. It is important that women of childbearing age are not pregnant and do not get pregnant while taking this medicine. Women must use two separate effective forms of birth control at the same time for 1 month before treatment begins, during the entire course of treatment, and for 1 full month after stopping the drug. They should ask their doctor when it is safe to get pregnant after they have stopped taking Accutane.

Some people with acne become depressed by the changes in the appearance of their skin. Changes in mental health may be intensified during treatment or soon after completing a course of medicines like Accutane. A doctor should be consulted if a person feels unusually sad or has other symptoms of depression, such as loss of appetite or trouble concentrating.

Other possible side effects include dry eyes, mouth, lips, nose, or skin; itching; nosebleeds; muscle aches; sensitivity to the sun; and, sometimes, poor night vision. More serious side effects include changes in the blood, such as an increase in triglycerides and cholesterol, or a change in liver function. To make sure Accutane is stopped if side effects occur, the doctor monitors blood studies that are done before treatment is started and periodically during treatment. Side effects usually go away after the medicine is stopped.

Treatments for Hormonally Influenced Acne in Women

Clues that help the doctor determine whether acne in an adult woman is due to an excess of androgen hormones are hirsutism (excessive growth of hair in unusual places), premenstrual acne flares, irregular menstrual cycles, and elevated blood levels of certain androgens. The doctor may prescribe one of several drugs to treat women with this type of acne. Low-dose estrogen birth control pills help suppress the androgen produced by the ovaries. Low-dose corticosteroid drugs, such as prednisone or dexamethasone, may suppress the androgen produced by the adrenal glands. Finally, the doctor may prescribe an antiandrogen drug, such as spironolactone (Aldactone). This medicine reduces excessive oil production. Side effects of antiandrogen drugs may include irregular menstruation, tender breasts, headache, and fatigue.

Other Treatments for Acne

Doctors may use other types of procedures in addition to drug therapy to treat patients with acne. For example, the doctor may remove the patient's comedones during office visits. Sometimes the doctor will inject cortisone directly into lesions to help reduce the size and pain of inflamed cysts and nodules.

Early treatment is the best way to prevent acne scars. Once scarring has occurred, the doctor may suggest a medical or surgical procedure to help reduce the scars. A superficial laser may be used to treat irregular scars. Another kind of laser allows energy to go deeper into the skin and tighten the underlying tissue and plump out depressed scars. Dermabrasion (or microdermabrasion), which is a form of "sanding down" scars, is sometimes combined with the subsurface laser treatment. Another treatment option for deep scars caused by cystic acne is the transfer of fat from one part of the body to the face.

How Should People With Acne Care for Their Skin?

Clean Skin Gently

Most doctors recommend that people with acne gently wash their skin with a mild cleanser, once in the morning and once in the evening and after heavy exercise. Some people with acne may try to stop outbreaks and oil production by scrubbing their skin and using strong detergent soaps and rough scrub pads. However, scrubbing will not improve acne; in fact, it can make the problem worse. Patients should ask their doctor or another health professional for advice on the best type of cleanser to use. Patients should wash their face from under the jaw to the hairline. It is important that patients thoroughly rinse their skin after washing it. Astringents are not recommended unless the skin is very oily, and then they should be used only on oily spots. Doctors also recommend that patients regularly shampoo their hair. Those with oily hair may want to shampoo it every day.

Avoid Frequent Handling of the Skin

People who squeeze, pinch, or pick their blemishes risk developing scars or dark blotches. People should avoid rubbing and touching their skin lesions.

Shave Carefully

Men who shave and who have acne can test both electric and safety razors to see which is more comfortable. Men who use a safety razor should use a sharp blade and soften their beard thoroughly with soap and water before applying shaving cream. Nicking blemishes can be avoided by shaving lightly and only when necessary.

Avoid a Sunburn or Suntan

Many of the medicines used to treat acne can make a person more prone to sunburn. A sunburn that reddens the skin or suntan that darkens the skin may make blemishes less visible and make the skin feel drier. However, these benefits are only temporary, and there are known risks of excessive sun exposure, such as more rapid skin aging and a risk of developing skin cancer.

Choose Cosmetics Carefully

People being treated for acne often need to change some of the cosmetics they use. All cosmetics, such as foundation, blush, eye shadow, and moisturizers, should be oil free. Patients may find it difficult to apply foundation evenly during the first few weeks of treatment because the skin may be red or scaly, particularly with the use of topical tretinoin or benzoyl peroxide. Oily hair products may eventually spread over the forehead, causing closed comedones. Products that are labeled as noncomedogenic (do not promote the formation of closed pores) should be used; in some people, however, even these products may cause acne.

What Research Is Being Done on Acne?

Medical researchers are working on new drugs to treat acne, particularly topical antibiotics to replace some of those in current use. As with many other types of bacterial infections, doctors are finding that, over time, the bacteria that are associated with acne are becoming resistant to treatment with certain antibiotics. Research is also being conducted by industry on the potential side effects of isotretinoin and the long-term use of medicines used for treating acne.

Scientists are working on other means of treating acne. For example, researchers are studying the biology of sebaceous cells and testing a laser in laboratory animals to treat acne by disrupting sebaceous glands. Scientists are also studying the treatment of androgenic disorders, including acne, in men by inhibiting an enzyme that changes testosterone to a more potent androgen.

Where Can People Find More Information on Acne?

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Institutes of Health
1 AMS Circle
Bethesda, MD 20892-3675
Phone: 301-495-4484 or 877-22-NIAMS (226-4267) (free of charge)
TTY: 301-565-2966
Fax: 301-718-6366

NIAMS provides information about various forms of arthritis and rheumatic disease and bone, muscle, joint, and skin diseases. It distributes patient and professional education materials and refers people to other sources of information. Additional information and updates can also be found on the NIAMS Web site.

American Academy of Dermatology
P.O. Box 4014
Schaumburg, IL 60168-4014
Phone: 847-330-0230 or 888-462-3376 (free of charge)
Fax: 847-330-0050
Did you find this post helpful?
First Helper clawed
Users who thank lewis for this post: markopetrovcina  DrVenuKumari 

replied November 6th, 2004
Roaccutan Lowers Brain Metabolism (study Publ 2004)
Hi! Please read this important study before considering roaccutane. The study recently published (2004) and shows that roaccutane works through lowering brain metabolism, (which influences among other things the endocrine and dopaminergic system).

Is it worth the risk?

Functional brain imaging alterations in acne patients treated with isotretinoin

program no. 114.2. 2004 abstract viewer/itinerary planner. Washington, dc:
society for neuroscience, 2004. Online.

J.D. Bremner, n. Fani, n. Ashraf, j. Votaw, m. Brummer, v. Vaccarino, m.
Goodman, l. Reed, c.B. Nemeroff.

Although there have been case reports suggesting a relationship between
treatment with the acne medication isotretinoin (accutane) and the development
of depression and suicide, this topic remains controversial. In order for
isotretinoin to cause depression it must have an effect on the brain; however
no studies to date have examined the effects of isotretinoin on brain function
in acne patients. The purpose of this study was to assess the effects of
isotretinoin on brain function in acne patients. Brain function was measured
with [f-18]-2-fluoro-2-deoxyglucose (fdg) positron emission tomography (pet)
before and after four months of treatment with isotretinoin (n=13) and
antibiotic (n=15). Isotretinoin (but not antibiotic) treatment was associated
with decreased brain metabolism in the orbitofrontal cortex (-21% change versus
a +2% change for antibiotic) (p<0.05), a brain area known to mediate symptoms
depression. There were no differences in severity of depressive symptoms
the isotretinoin and antibiotic treatment groups before or after treatment.
study suggests that isotretinoin treatment is associated with changes in brain

Did you find this post helpful?

replied June 2nd, 2012
Acne occurs most commonly during adolescence, and often continues into adulthood. In adolescence, acne is usually caused by an increase in testosterone, which people of both genders accrue during puberty.For most people, acne diminishes over time and tends to disappear — or at the very least decrease — by age 25.
Mostly it can cause by the pollution, So take of the skin is very important.
Did you find this post helpful?

This post is being reviewed to be sure that it adheres to our Community Guidelines.
Thanks for your patience!

replied October 15th, 2015
today, there are many adults also get acne
Did you find this post helpful?

replied January 13th, 2005
Information About Rosacea
rosacea (ro-zay-shah) is a chronic disorder that develops gradually and is characterized by flushing, blushing, redness, pimples, red gritty eyes, burning or stinging and, in some advanced cases, a bulbous nose (called rhinophyma). The disorder can be confused with and co-exist with acne vulgaris and/or seborrhoeic dermatitis. Men and women of all ages can be affected but middle-aged women are more susceptible because of hot flashes caused by menopause. Anyone that is fair-skinned of european or celtic ancestry are more likely to be affected.

patients have one or more of the following symptoms:
  • flushing and blushing easily with the redness persisting
  • small red bumps (papules), some pus-filled (pustules)
  • redness and inflammation
  • small blood vessels visible on the face
  • red eyes and eyelids
  • sensitive skin
rosacea can cause low self esteem which can lead to clinical depression.

triggers: rosacea can easily progress to more advanced stages by irritating topical products and other triggers causing flare ups. People with rosacea should try to minimise triggers such as alcohol, spicy foods and stress. Gentle skincare products should be used that are designed for sensitive skin and a sunblock containing zinc oxide or titanium dioxide used while in the sun.

Many anti-acne and anti-wrinkle treatments are too harsh for rosacea skin and will progress the disease. Treatments like microdermabrasion, chemical peels, high dosages of isotretinoin (accutane®) and ingredients such as benzoyl peroxide, alcohols and retinoids should be avoided by anyone who is at risk of developing rosacea.

Topical and nasal steroids are sometimes prescribed, but over time they worsen rosacea symptoms—this is called steroid induced rosacea. Dosage should be slowly decreased and not immediately stopped to avoid flare ups.

for more information including treatments visit the rosacea website link directory

this article is licensed under the gnu free documentation license. It uses material from the rosacea wiki article "rosacea"

Did you find this post helpful?

replied August 20th, 2014
There are a lot of myths about acne and how it is developed. There are many factors that can cause acne including skin type, hormones, stress levels, and life-style. For me it was hormones and my stress level and I found an article that helped me
Did you find this post helpful?

This post is being reviewed to be sure that it adheres to our Community Guidelines.
Thanks for your patience!

replied May 20th, 2005
I used to have severe acne some time back and accutane helped me lot. You people may also try it.
Did you find this post helpful?

User Profile
replied March 23rd, 2015
All acne patients should carefully consider the several disadvantages of isotretinoin. Because, Isotretinoin (Accutane) is not suitable for everybody, especially for women on their child bearing years. Research show that the tertogenic in accutane can cause birth defects. That is the reason why women should avoid it. You may try going natural. The cheapest and the safest form of acne treatment. This may not sound interesting, but I am too an acne sufferer. I tried all cosmetics and drugs too. But, the best result I got is from increasing my vitamin C and E intake. although, I also use some natural base cosmetic, which eventually lighten the dark spots and lessen scarring.
Did you find this post helpful?

replied May 22nd, 2005
I suffer from acne too. I tried to get accutane but coulodn't find it in my local drug store. Can you tell me where can I find it?
Did you find this post helpful?

replied May 28th, 2005
Please do not buy accutane from that website!!!. This sounds like they want your credit card number. A website that sells prescription drugs without prescription is most likely a fraud.

Go to your dermatogolist and get a prescription. This people are just trying to advertise their website. If you check their messages (tina, nancy and dutchman) they're always recommending that website or pretending they need product recommendation (how stupid)

how pathetic!!! Making money out of people's miseries!!!

Ps do these forums have an a moderaror that can erase their messages?
Did you find this post helpful?

replied May 29th, 2005
Pacaperez Attack
:lol: well whether or not to buy accutane from anywhere is really upto an individual, I checked that site and they do have prescription medicines as well. There will be 100s of sites like this one selling medicines, leave the poor fellows alone, I just checked all your posts and you are simply attacking these guys instead of posting something informational.

Did you find this post helpful?

replied June 3rd, 2005
Well if they do ask for prescription (which they should tell people before telling them to buy straight from their website) they still definetely have shady advertising methods.

If they want to advertise their website, go ahead, if this board allows so, but please don't come to the boards asking for recommendations and then replying to themselves (dutchman, nancy1, tina2). They've done the same thing in different forums with different medicines. That's just plain dumb and unethical.

They are using deceitful advertisement methods. I would not trust them. If I have different options to buy my medicine I would definetely not give my credit card number to a liar.

Ps for mistnee, since you you work for them too (funny how you registered to this board only to reply to my mesages) let me give you a piece of advise, since obviously being ethical is out of the question. If you want to advertise your website with your shady methods, just don't be so stupid to use the same user's names. Most people are not as dumb as you are. I hope you learn from this and work more on giving your company a better reputation. That's the marketing lesson of the day.
Did you find this post helpful?

replied June 3rd, 2005
Pacaperez Attack Continues.... Lol..
Well we should both understand who's being stupid here and not.. I guess only pacaperez has all the time in the world to continue with his attack. Normal people usually have work you know.. Lol.. And would only come to a forum either looking or for giving information.

Funny how you registered to this board only to reply to these threads :) why dont you pm me and we take this further?

I received mail notifications to my threads only to let me know that pacaperez attack continues.. Must be giving you an "unethical sense of satisfaction"....

Sorry guys, hands up with pacaperez.. I wont respond to him at threads anymore, hope this board stays informational
Did you find this post helpful?

replied June 11th, 2005
For your information, I will not respond to any of your private messages(which of course, i've been deleting without reading them). That is definetely childish and a waste of time.

I came here to expose unethical advertising methods. That's it. You can say all you want about me(i'm a grown up, and I don't take internet popularity very seriously).

Weather you like it or not, my posts are here. If I were you, instead of trying me to get me upset (which is pointless, because I won't), I would try advertising somewhere else, with more effective methods. :d
Did you find this post helpful?

replied September 25th, 2005
There are many non-surgical methods that claim to get rid of acne scars but the results are mostly of insignificant improvement. The only way to smooth irregular skin surfaces is to remove the outer surface of the involved area thoroughly and wait for new skin. Usually the end result is 60-90% improvement
Did you find this post helpful?

replied November 4th, 2005
Thanks walter for a good piece of advice. I use balm 911 against acne, and as a sun protection. Perfect! I bought 10 tubes.
Did you find this post helpful?

replied December 3rd, 2005
Easy way to get rid of acne go on the low carb diet well there's a few differences. Acne is a warning signal something wrong with your body!
Did you find this post helpful?

replied January 12th, 2006
To stop acne break outs use only soap that is french milled or english, these are usually made form vegatable/plant fat never use anything that contains animal fat. I find the best, cheapest and easy to find are the "yardley" brand. Find one scent you like and stick to it for your entire body especially for your face. Regular soap should never touch your face and most of the acne products in the store is formulated to keep you coming back for more so although you see some improvement you still experience breakouts. After using the same soap for about two weeks your body will get used to it and your skin will clear up. For those who have other problems like dry skin please remember to use the vitamin e capsules only (not the stuff in the bottles) 400 iu which is also great for any flaky skin conditiion because the soap, although wonderful is going to leave you kind of dry. Also take the vitamin e caps as directed once a day but be careful because it can cause internal bleeding if too much, but you will need too replinish the oil in your face from the inside out. Be careful with other topical treatments once your skin gets used to this regimen it won't really want anything else but after you clear up you can experiment with moisturizers and sun blocks. Try learning more about vitamins and amino acids to see what you really need. A good skin care regimen is individual and personal but allow your skin time to get aquainted with a vegatable soap and don't switch out. Change your pillowcase often. When you don't have soap use only water for your face never bath soap even the suds will break you out. I had terrible acne growing up and I learned this by accident. I am now in my 40s and people remark on my skin where ever I go. My teenage children have smooth blemish free skin because of this, only a rare unavoidable monthly "period" bump for my daughter. I have reccomended this to many that I know and seen it work. You can have nice skin without spending a fortune. Good luck
Did you find this post helpful?

replied February 2nd, 2006
Beta hydroxyacid peels also are effective for acne care.

Accutane is a drug taken by mouth which is reserved for severe acne. Accutane has many side effects and if taken during pregnancy will cause birth defects. Patients taking accutane must have periodic blood tests and checkups.

There are many different treatments for acne. Not all people respond to the same treatments. If the first medications do not work, chances are the second ones will.

More information on skindiseases.Tk
Did you find this post helpful?

replied February 15th, 2006
I"read this information..Hope this can help..
Acne is the sign that the bowels and kidneys are overloaded with toxins, waste products or hormones.

When the body contains more toxics than the kidney and bowels can remove, acne occurs. Kidneys and bowels are the two primary channels of elimination of the bodies toxic and waste products. These toxics can be the accumulation of fat stored chemicals the liver can not wash out or there may be a problem with fat digestion, fat accumulation, food allergy, or even the accumulation of hormones that your body produces.

Once these toxics build up, the kidney and bowel will get overload and clogged up, that could lead to malfunction. When this happened the liver will be the one to get and be dumped by the load of the kidney and the bowel. The liver will be the doing some of the kidney’s work, because of that, it will cause the liver to overload likewise malfunction. Wherein one of the liver's main roles is to metabolize pile up fat into usable energy for your body.

When the bowels, kidneys and liver get overloaded, the body will eject the toxins through the lungs and skin and that causes the acne, and the skins starts to breakout.

If you think your acne is your main problem, better think twice because it’s your liver, bowels and kidney that are most affected with. It is only a sign that your liver is getting weaker in its detoxification abilities and it will continue to get weak if you do any action to stop and eliminate that acne in the surface of your skin.

Natural acne treatment

most people in the united states became acne sufferer once. Teens and young adults are mostly the sufferers of acne. It causes the skin to have blackheads or whiteheads, pimples or zits, cysts and lesions. It can be seen in their face, neck back and chest.

Although there are lots of medicines and treatments available in the market, home remedy is still the best cure for acne. Home made acne treatment is the peoples’ choice for treating acne depending on how severe it is.

The need for home made acne treatment arises to reduce or eliminate the outbreak of acne and to prevent scarring in the skin due to severe acne. Here are some home remedies that can help reduce or eliminate acne outbreak:

· eating lots of fruits and vegetables.

· drinking water at least 1 liter daily.

· using benzoyl peroxide lotions for new acne outbreak.

· oral medicines for severe acne.

· orange paste applied on the affected area helps to cure pimple.

· paste of fenugreek helps to cure pimples.

· some make use of orange, garlic, and cucumber.

· turmeric, an anti bacterial herb.

Home remedies to cure acne are so easy, besides it has no side affects except only if you’re not having any allergic to certain fruits and vegetables.

Rooibos tea which was found by a japanese scientist is one of the home remedies that cure acne.

Also, natural treatment and allopathic treatment are both available for acne treatment. Allopathic treatment includes across-the-counter products which are prescribed to use for 4to 6 weeks. There are also oral antibiotics that should be taken with an empty stomach like tetracycline. While natural treatment includes cleansers, facial scrubs and masks. Facial steam treatment and clay mask treatment are also available as natural treatment for acne.

For more info please visit http://www.Acne-remedy.Org/

check it out..
Did you find this post helpful?

replied April 1st, 2006
I have had acne most of my life. Then I went to regis in new york and one of the girls there gave me this lady's number in new york who treats skin disorders using herbal products. She's an indian lady and gets all her stuff from india. She answered all my questions.

She asked me for my pic.( 3 times). She's a little exoensive. But, I could feel the difference in one application of her product.

i have been using her products for 8 months now.

I am now taking some treatment from her for skin lightning. She has some herbal grains and a gold mask for that.
Did you find this post helpful?

replied April 19th, 2006
I would like to add this analysis of acne:

toxemia and vicarious elimination

toxemia means blood poisoning. Way back in 1926, a famous colorado healer, jh tilden md, wrote a book which was the culmination of a lifetime of clinical experience, toxemia explained. Dr. Tilden was radical. He didn't believe drugs cured disease. He had one simple thesis:

"... Every so-called disease is a crisis of toxemia, which means that toxin has accumulated in the blood above the toleration point. ... The crisis, the so-called disease - call it cold, flu, pneumonia, headache, or typhoid fever - is a vicarious elimination. Nature is endeavoring to rid the body of toxin."
toxemia explained p. 49

a disease is named for where the toxins accumulate so much that that body part starts failing.

This concept of disease, known as vicarious elimination, has never been disproven. What happens is, the normal avenues for expelling waste - liver, kidneys, colon - are overwhelmed by the amount of poisons being accumulated. As a survival instinct, various other organs of the body which were not designed for elimination of toxins become enlisted to help get rid of wastes. They try desperate measures to expel the indigestible, rotting poisons, often becoming inflamed or diseased themselves in the attempt.

one obvious example of this idea is acne. Acne is not a skin problem. it is a vicarious elimination: the blood and the colon are so backed up with poisons that are accumulating faster than they can escape that the body tries an extreme solution: expel the poisons through the body's largest organ: the skin. An alternative escape route. As the poisons leave, they irritate the normal skin and cause rash, redness, or pustulated eruptions, like pimples or boils. This is why skin creams and lotions don't work in such a scenario. It's not a skin problem. It's a problem of chronic blood poisoning by means of an indigestible diet. Third world people rarely get acne. Acne is a disease of excess, a consequence of the fast food lifestyle.

chronic "incurable" eczema and psoriasis often fall into the same category. people suffer needlessly for years with these diseases, under the direction of their well-intentioned but clueless dermatologist who has convinced them that their only hope is to find the right medication for their "skin disease."

i also suffered from cystic pimples in my teenage years due to bad diet, but the derma never pointed this out to me. I suffered eczema last year and the above definition proves acne and eczema to be related.

i want people to have hope and methodically scientifically try to cure themselves by knowing fully well first what the core problem really is.
Did you find this post helpful?

replied June 24th, 2006
Great Info - Here's Some More
There is some great information being shared here. I'm living proof of the effects of sun tanning and sun burning...And having had acne as a kid, i've gotten to know a lot of skin doctors.

If you've still got your looks and the damaged skin and aged spots haven't begun to appear, take it from me. The sun is nice and warm, but bad for the skin...

I tell this to my grandchildren...Some listen..Some will learn. I also found a great portal with pre-searched info from many healthsites Healthsiteguide.Com go to the health concerns drop down menu and find acne near the top. Great info, plus you can find video, drug info. Be smart. Be informed. Take care of yourself.
Did you find this post helpful?

User Profile
replied September 18th, 2006
This Is “ance"
If you are suffering from some skin problem and those symptoms you are telling then I say this is “ance”, and you are asking about the reason of this disease then I want to say that, there is several factor causes acne. We describe here one of theme, acne happens when oil (sebaceous) glands come to life around puberty, when these glands are stimulated by male hormones that are produced in the adrenal glands of both boys and girls. The oil glands, which are located just beneath the skin, continuously produce and secrete oil through openings in the skin. The oil lubricates and protects the skin. Under certain situation, cells that are close to the openings of the oil glands block the openings. This causes a buildup of oil underneath the skin. Bacteria, which live in everyone’s skin but generally mind their own business, feast on this oil, multiply, and cause the surrounding tissues to become inflamed, and known as “acne” and for detail information about the “acne” you can visit this one Rolling Eyes edit, Idea but for a permanent treatment of the acne you must be care full about the food and dust, your food is the big cause of the “ance” while the combination of the sweat and dust happened on your body then this condition also occur so you have to care full about diet means chocolate, burger, pizza and other oily food take in a limit. And wash your body with a medicated soap after a journey and daily up and down that will much helpful for your better skin.
Did you find this post helpful?

replied March 20th, 2013
What is acne? What are the different types of acne.

Acne vulgaris (commonly called acne) is a common human skin disease, characterized by areas of skin with multiple noninflammatory follicular papules or comedones and by inflammatory papules, pustules, and nodules in its more severe forms.

Acne vulgaris mostly affects the areas of skin with the densest population of sebaceous follicles; these areas include the face, the upper part of the chest, and the back. Severe acne is inflammatory, but acne can also manifest in noninflammatory forms
Acne (acne vulgaris, common acne) is not just a problem for teenagers; it can affect people from ages 10 through 40. It is not unusual for women, in particular, to develop acne in their mid- to late-20s, even if they have not had breakouts in years (or ever). On the positive side, those few individuals who have acne into their 40s may well grow out of it. Acne can appear on the skin as any of the following:

congested pores ("comedones"),
pimples ("zits"),
pustules, or
Cysts (deep pimples, boils). The pus in pustules and cysts is sterile and does not actually contain infectious bacteria.

These blemishes occur wherever there are many oil (sebaceous) glands, mainly on the face, chest, and back. You can do a lot to treat your acne using products available at a drugstore or cosmetic counter that do not require a prescription. However, for tougher cases of acne, you should consult a physician for treatment options.
Did you find this post helpful?

replied January 7th, 2014
What is Acne?
Acne is a common skin condition which most often begins in adolescence. The term is used to describe clogged pores and outbreaks of lesions commonly called pimples or zits. They are typically found on the face, neck, back, chest and shoulders.

What Causes Acne?
Acne is most commonly caused by the changes that occur in adolescence. Specifically, the hormones which prompt physical maturation also cause the sebaceous, or oil-producing glands of the skin, to produce more sebum (oil). When skin cells mix with an increase in sebum, pores are clogged and acne can result. Male hormones (androgens), present in both males and females, are the primary culprit in acne. Hormone fluctuations and cosmetics can also produce acne, notably in adult women.

Another cause of acne is heredity or genetics. Researchers believe that the tendency to develop acne can be inherited from parents. For example, studies have shown that many school-age boys with acne have a family history of the disorder. Certain drugs, including androgens and lithium, are known to cause acne. Greasy cosmetics may alter the cells of the follicles and make them stick together, producing a plug. Although you may hear that acne is not caused by greasy skin, greasy sking can still cause a problem.

Who Gets Acne?

Teen Girls

79-82 percent of girls have acne.
Girls tend to be more motivated to visit their dermatologists on their own to seek treatment.

Teen Boys

Acne in boys is typically more severe and longer-lasting than in girls.
81-95 percent of boys have acne.
Chest and back acne is more prevalent in males.
Boys are generally less likely to seek treatment.
Parents can motivate and assist boys in visiting a dermatologist and obtaining an effective, appropriate treatment.


Acne is more prevalent in women than men.
Acne prevalence in women appears to be increasing.
Factors that may contribute to acne in women include: Hormonal fluctuations of menstrual cycles, and cosmetic use.
When women develop acne, it can persist into mid-life.

What makes acne flare up?

Changing hormone levels in adolescent girls and adult women 2 to 7 days before their menstrual period starts
Oil from skin products (moisturizers or cosmetics) or grease encountered in the work environment (for example, a kitchen with fry vats)
Pressure from sports helmets or equipment, backpacks, tight collars, or tight sports uniforms
Environmental irritants, such as pollution and high humidity
Squeezing or picking
Hard scrubbing of the skin
Did you find this post helpful?

User Profile
replied December 10th, 2014
Experienced User
Simple way to get rid of acne is to apply lemon honey mask regularly on face for one week for fast & quick results.
Did you find this post helpful?
Quick Reply
Answers to Similar Questions
User Profile
Dr. Madhumita Avinash Paul
User Profile
Harpreet Singh
User Profile
Dr. Nikola Gjuzelov
User Profile
Deepak Anvekar
User Profile
Dr. Madhumita Avinash Paul
Must Read
Acne is a common skin condition - but what types of acne can a person have? Start learning about acne here....
Does chocolate or greasy food cause acne? Learn the difference between fact and myth...plus who is at risk for getting acne?...
Severity of acne and symptoms vary by individual. Learn the difference between mild and sever acne here...and when you should seek medical help for acne....