ACNE

ACNE

Adult Acne affects nearly 1.3M people in the UK. It is the most widespread skin condition.

In detail, what is Acne?

Acne is a skin condition that appears mainly on the face, chest and back. You'll recognise it by the "spots" it causes on your skin. Mild to moderate acne produces small blackheads or whiteheads, while severe acne has larger inflammations containing fluid, like pustules and cysts. These can be painful, and severe cases can lead to permanent scars.

Chronic acne can control your life. It not only makes you feel physically uncomfortable; it also creates a lot of social discomfort and self-consciousness. Most people try various treatments and settle on one that manages the symptoms best, but remain on the lookout for even more effective solutions.

Different grades of acne

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Acne usually develops on the face, back or chest. polygon polygon polygon

QUESTIONS WE OFTEN GET
What is Dermalex Acne?

Dermalex is an effective treatment [3] for mild and moderate . Its non-comedogenic (non-pore-clogging) formulation, enriched with the unique MEC4 complex, treats symptoms by creating a protective layer that restores the skin’s natural flora. As a consequence, it controls sebum production and reduces redness.

What triggers Acne?

Acne causes

The skin is naturally covered with a thin layer of acidic mantle, which acts as a barrier against pathologic micro-infections. So anything that disturbs this pH-balance can contribute towards acne forming.

Acne occurs when your skin's pores are clogged with a combination of an oil called sebum and dead skin cells, which creates an ideal environment for bacteria to multiply. The severity of the acne is related to the bacterial inflammation.

Acne triggers

Changes in hormonal levels often set off acne outbreaks, especially during puberty, pregnancy and the menstrual cycle.

Stress is another well-known trigger, as are certain medicines like some antibiotics. Some cosmetics can lead to acne outbreaks by clogging the pores. Soaps that are too rough, and scrubbing your skin excessively can contribute to acne through skin irritation and drying out your skin. Dry skin will produce even more sebum than before to protect against water loss. This can cause further worsening of acne symptoms.

Environmental factors can trigger outbreaks of acne too. Getting dirty or dusty, being exposed to air pollution and sweating, all have clogging effects on the pores in the skin if it is left unwashed.

QUESTIONS WE OFTEN GET
What triggers blackheads?

A pimple starts with an overproduction of oil in a hair follicle or pore. This clogs the pore with sticky impurities and dead skin cells that trap the oil and P. acnes bacteria inside. If there is no redness or swollen tissue under or on the surface it is non-inflammatory acne. Dermatologists call this a “comedo”.

If the pore is open and filled with oil and dead skin-cell debris it turns grey or black, giving it the name "blackhead." The dark colour is not due to trapped dirt (so you can’t wash it away) but to a build-up of melanin pigment in the pore that darkens when exposed to oxygen. If the pigment does not become oxidized in this way the blackhead can be yellowish.

Pimples and blackheads appear as one of the first signs of puberty from the overproduction of oil that occurs with the surge of hormones. Because blackheads are caused by oil trapped inside the pore, adults with oily skin are likely to have them as well.

Blackheads usually localize on the forehead, nose, and chin, but may also appear on the back, chest, arms and shoulders – wherever there is a great density of hair follicles with their attached oil glands.

Using certain topical face oils and make-up can cause blackheads to form. A product that won't clog your pores is called “non-comedogenic”. So look for this term on the label.

What is the link between acne and diet?
  • Diets high in fat and sugar may slow cell turnover, resulting in more pore-clogging that causes blackheads. Avoid eating too much fried food or sweets.
  • Foods high in vitamin A and beta-carotene, including fruits and vegetables such as raspberries and carrots, may increase cell turnover for healthier skin.
  • Food high in essential fatty acids, such as walnuts or olive oil, may help skin cells stay hydrated.
  • Unhealthy food also takes the place of food you could be eating that provides the necessary vitamins and antioxidants to promote healthy skin.
  • Aim to drink 8 cups of water every day to keep your body healthy. This may help your skin stay healthy too.
What is the link between acne and pregnancy?

Acne is common during pregnancy. More than one out of two pregnant women can expect to develop acne. In some cases the acne may be severe. The primary cause of acne when you're pregnant is the increased hormone levels in the first trimester, which increases the skin's production of oil.

You have a higher risk if you have a history of acne or have acne flare-ups at the start of your menstrual cycle. If you do not develop acne during the first trimester, it's unlikely you'll have breakouts that are out of the ordinary during the second or third trimesters.

Managing acne when you're pregnant can be tricky. Your doctor or pharmacist will be able to provide the best advice for your case.

What is the link between acne and hormones?

Experts believe the primary cause of acne is a rise in levels of the hormone androgen during adolescence. This makes the oil glands under your skin grow and produce more oil.

When your body produces an excess amount of sebum and dead skin cells, the two can build up in the hair follicles. They form a soft plug, creating an environment where bacteria can thrive. If the clogged pore becomes infected with bacteria, inflammation results.

Hormonal changes related to pregnancy can also can affect sebum production and worsen acne.

What is the link between acne and stress?

Emotional stress won’t trigger a new case of acne, but it may worsen acne in someone who already has it. We don’t know exactly how stress worsens acne.

We do know that cells that produce sebum have receptors for stress hormones. Sebum is the oily substance that mixes with dead skin cells and bacteria to clog the hair follicles, leading to a pimple or acne cyst.

When a person with acne experiences a lot of stress, it can increase the activity of the sebum -producing cells. This means that more oil is produced to clog the hair follicles, allowing more acne to form.

Are antibiotics an effective treatment for acne?

In cases of severe acne with inflammation it might be necessary to use antibiotics. Antibiotics applied topically kills the bacteria on your skin. This will reduce inflammation and therefore might help prevent post-acne scarring.

However, it is important not to use antibiotics too often. It can create resistant strains of harmful bacteria resulting in more persistent and difficult-to-manage acne break-outs. Additionally, antibiotics also kill beneficial bacteria, making your skin more prone to, for example, yeast infections.

Are there natural remedies to treat acne?

Acne can be naturally treated with specific plant extracts, such as Tea tree oil or Krameria triandra, that contain anti-bacterial and anti-inflammatory properties.

Who has Acne?

While acne is most closely associated with puberty, it is the world's most common skin condition, not restricted to teenagers. Acne will affect 1.3M people aged 25+ years in the UK.

Acne typically starts in puberty, becoming worse during adolescence. Most acne outbreaks occur between puberty and the age of 30.

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QUESTIONS WE OFTEN GET
Can adults have acne?

Acne is a common skin condition that affects about 85% of the population at some point in their lives. It is often associated with puberty. However, it is not restricted to this age group. In fact, 20% of all adults suffer from outbreaks of acne.

Can babies have acne?

Baby acne is very common. It’s unclear why it develops, however, hormones during the pregnancy could be an influence.

Like acne in adolescents and adults, baby acne usually appears as red bumps or pimples. White pustules or whiteheads may also develop and reddish skin may surround the bumps. Babies can develop acne anywhere on their face, but it is most commonly seen on the cheeks. Some babies may also have acne on their back.

Baby acne may be present at birth. In most cases, however, it will develop within two to four weeks after birth. It may last for a few days or a few weeks, though some cases may stick around for several months.

Baby acne will usually disappear without treatment. Some babies may have acne that lingers for several months. To clear up this stubborn form of baby acne, your paediatrician may prescribe a medicated cream or ointment.

Do not use over-the-counter acne treatments, face washes, or lotions. Your baby’s skin is very sensitive at this young age. You might make the acne worse or cause additional skin irritation by using something that is too strong.

How do I prevent acne scars?

The best way to lessen your chances of acne scarring is to get your acne under control from the start. It is important to take time to find the best and safest products for your acne, taking in consideration your skin type.

How can I get rid of acne scars?

Acne scars can be treated by a dermatologist through laser treatment or high-concentration chemical peels. Additionally, there are specialized, commercially available products containing lower-concentration chemical peels, such as salicylic acid, that help renew the scarred skin and improve the production of collagen.

After such treatments the skin is sensitive and vulnerable to UVA and UVB exposure. So high-protection SPF creams must be used to prevent hypo- or hyperpigmentation.

Can I cover acne with makeup?

Choose makeup carefully. Look for the word “non-comedogenic” on the label. This means the makeup will not clog your pores.

How do I apply Dermalex Acne?

Before treatment gently clean your face With a cleanser suitable for acne-prone skin.

Apply the cream twice a day on the entire face (excluding the eye area) in the morning and evening. No rinsing is needed. After 15 minutes feel free to apply your daily moisturizer or makeup if desired.

Please read the full instruction for use before using the product.

Where on the body does acne appear?

Acne typically appears on your face, neck, chest, back and shoulders. These areas of skin have the most oil-producing glands. Forehead acne might be specifically caused by food and digestive problems, while acne on your jaw area could be caused by hormonal changes.

How to treat Acne?

There are many different kinds of acne treatment. The choice of treatment depends on the severity of the condition. Mild and moderate cases can be treated with over-the-counter products, while more serious cases require advice from a healthcare professional.

Treatments include:

  • Cosmetic cleansers and creams that lower sebum production and reduce skin oiliness
  • Topical over-the-counter creams and gels that kill the acne bacteria
  • Antibiotics
  • Birth control pills and other medicines that regulate the hormones
  • Drainage and extraction of large acne cysts by a dermatologist

Prevention

Tips and advice

There is not yet a way to completely prevent acne, but following these tips can help reduce the number and severity of outbreaks:

Cleansing

Wash your skin regularly, especially after exercising, as sweat clogs your pores. Don’t overdo it, however. Too much washing can dry out the skin and worsen existing acne. As a general rule, wash your face gently twice a day, using a low-pH cleanser designed for acne-prone skin. Remember that all these actions should not be overdone as too harsh cleansing can affect your skin's protective layer, making it vulnerable to an acne outbreak.

Make-up and lotions

If you use these products, choose ones that won't block the pores. Look for non-comedogenic products. Clogging of the pores is a major contributor to acne.

Things to avoid

  • Popping or squeezing pimples can push pus deeper into the skin, leading to more swelling, inflammation and even permanent scars.
  • Many hairsprays and gels contain oil. Oily substances aggravate acne, so it’s better to use hair products that are water-based.
  • Tight clothes can chafe and irritate acne on the back and chest.

Dermalex Acne treats acne by restoring the skin's balance.

Effectively, it acts in four ways:

  • It inhibits P.acne (acne causing bacteria) growth.
  • It controls sebum production, thus reducing the oiliness of the skin.
  • It moisturises the skin.
  • It creates a protective barrier to protect  from external irritants with an invisible acidic film.

Dermalex Acne works on some of the causes and the symptoms of acne in a way that is both effective and gentle.

Dermalex first helps to unclog pores, allowing its other ingredients to enter the hair follicle and creates an unfavourable environment for acne-causing bacteria to grow. It then balances the pH of the skin and prevents overproduction of sebum. All of this reduces both the severity and number of mild to moderate acne symptoms.

The Dermalex Acne Skin Treatment Cream contains ingredients with hydrating, soothing, calming, clarifying and anti-shine properties. It treats the external causes of acne, as well as relieving symptoms like reddening, itching, burning and peeling.

It is suitable for long-term use, has no known side effects and is clinically proven [3]. It also won't make your skin overly sensitive to the sun.

Clinical research

Dermalex has been successful in clinical testing [3].

During clinical research Dermalex Acne was found to reduce the number of pustules, as well as symptoms such as itching, redness and scaling. It produced an overall decrease acne symptoms in 76% users.

It was also shown to be as effective as benzoyl peroxide 5% in reducing P. acnes bacteria - without drying out the skin.

1. Cunliffe, W.J. and D.J. Gould, Prevalence of facial acne vulgaris in late adolescence and in adults. Br Med J, 1979. 1(6171): p. 1109-10.

2. Cordain, L., et al., Acne vulgaris: a disease of Western civilization. Arch Dermatol, 2002. 138(12): p. 1584-90.

3. Sparavigna, A., et al., An innovative approach to the topical treatment of acne. Clin Cosmet Investig Dermatol, 2015. 8: p. 179-85.

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