I am 13 years old, and have little acne scars, but many, so you know all remedies that can make them disappear? Thank you!

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Acne scars are ugly, and it is unfortunate if the person has it on their face. Some acne does leave miserable scars on the face and body, but luckily there is treatment for these types of scars. It is essential that a person being treated for the acne scars does not have active acne anywhere else on the face. Acne scars might occur if you keep pinching the acne on your face and try to break it or squeeze it out.

Even persistent acne is capable of leaving a scar on the face. There are different kinds of scars which occur on different people. The kind of treatment for the scar totally depends on the kind of scar. One type of treatment cannot be applied to all the scars. Sometimes cosmetology is recommended for severe scarring, or if the scars are too big. Cosmatic surgery is not usually recommended for small scars or single marks, but it is left at the discretion of the person who has the scar. Getting rid of acne and the scars it causes is a complex process and a lot of treatments are adapted to cure it. These kinds of treatments include punch techniques, laser acne treatments, and injections or augmentations are also used. Until recently, the reason why acne leaves scars was not very clear. Sometimes acne just dries up on the skin and ends up scarring the face.

Scars are not very pleasant to have, and they spoil the looks of a person. If it is on the face, then it is far worse. Women especially face a lot of problems due to acne as they are more susceptible to getting it and they are more likely to have acne scars. For women it is more important to look good as a lot of confidence comes from the way they look. Because of the acne scars they don’t mind getting a surgical remedy even for the tiniest blemish.

Acne

This factsheet is for people who have acne.

Acne is a skin condition that causes spots. Most people affected by acne are aged between 12 and 25. 1 However, men and women in their 30s and 40s can also suffer. There are many treatments available to help deal with the condition.
What is acne?

Acne is a skin condition that typically causes one or more of the following:

* blackheads (comedones)
* whiteheads
* red or yellow spots
* greasy skin
* scars

Acne typically affects the skin of the face, back, neck, chest and arms and the severity of the condition can vary.

Acne affects people of all skin colours. The processes that cause acne are exactly the same in people with black or brown skin but the impact is altered by the skin pigmentation.

Acne is very common and affects about 80 in 100 people aged 11-30 at some time.

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Acne

This factsheet is for people who have acne.

Acne is a skin condition that causes spots. Most people affected by acne are aged between 12 and 25. 1 However, men and women in their 30s and 40s can also suffer. There are many treatments available to help deal with the condition.
What is acne?

Acne is a skin condition that typically causes one or more of the following:

* blackheads (comedones) 2,3
* whiteheads2,3
* red or yellow spots2,3
* greasy skin2,3
* scars2,3

Acne typically affects the skin of the face, back, neck, chest and arms and the severity of the condition can vary. 1,4

Acne affects people of all skin colours. The processes that cause acne are exactly the same in people with black or brown skin but the impact is altered by the skin pigmentation.

Acne is very common and affects about 80 in 100 people aged 11-30 at some time. 4
The skin

The surface of the skin has lots of small sebaceous glands just below the surface. These glands make an oily substance called sebum that keeps the skin smooth and supple.

Tiny pores (holes in the skin) allow the sebum to come to the skin surface. Hairs also grow through these pores.

IIllustration showing the structure of skin
Illustration showing the structure of skin
What causes acne?

Acne is caused by the overactivity of the sebaceous glands that secrete oily substances onto the skin.

The sebaceous glands of people with acne are especially sensitive to normal blood levels of a hormone called testosterone, found naturally in both men and women.

Testosterone in people prone to acne triggers the sebaceous glands to produce an excess of sebum. At the same time, the dead skin cells lining the openings of the hair follicles (the tubes that hold the hair) are not shed properly and clog up the follicles.

These two effects combined cause a build-up of oil in the hair follicles. This causes blackheads and whiteheads to form.

For some people, their acne does not progress beyond this stage.

However in other people, the build-up of oil in the hair follicles creates an ideal environment for a bacterium called Propionibacterium acnes to grow.

These bacteria normally live harmlessly on your skin but when this ideal environment is created, they grow. They feed off the sebum and produce substances that cause a response from your body’s immune system. This inflames the skin and creates the redness associated with spots.

In more severe ‘inflammatory acne’, cysts develop beneath the skin’s surface. These acne cysts can rupture, spreading the infection into nearby skin tissue. This can result in scarring.

What makes acne worse?

There are a number of things that can make your acne worse. These include the following:

* picking and squeezing the spots may cause further inflammation and scarring1
* stress can make acne worse in some people, although it is not clear why1,
* in women, outbreaks may be affected by the hormonal changes that occur during the menstrual cycle1,
* excessive production of male hormones such as testosterone from conditions such as polycystic ovary syndrome may be another cause. 5 For more information, please see the separate BUPA factsheet Polycystic ovary syndrome
* some contraceptive pills may make acne worse. This is due to the type of progestogen hormone in some pills whereas some other types of contraceptive pills can improve acne – see Treatments section below. Your GP will advise you which contraceptive pill to take
* some medicines can make acne worse. For example, some medicines taken for epilepsy, and steroid creams and ointments that are used for eczema. Do not stop a prescribed medicine if you suspect it is making your acne worse, but tell your GP. An alternative may be an option
* steroids can cause acne as a side-effect

Treatment

Acne may cause you considerable emotional distress but there is a range of treatment options to help you tackle the problem. No treatment will completely ‘cure’ your acne. The aims of treatment are to prevent new spots forming, to improve those already present, and to prevent scarring. 3
Home treatment

It is important to keep spot-prone areas clean, so wash the affected area twice a day with an unperfumed cleanser. 1,6 The skin needs a certain amount of oil to maintain its natural condition, so avoid aggressive washing with strong soaps.

There are a number of over-the-counter remedies available from pharmacies to treat mild acne. These usually contain antibacterial agents such as benzoyl peroxide (eg Oxy and Clearasil Max).

As well as its antibacterial effects, benzoyl peroxide can dry out the skin and encourage it to shed the surface layer of dead skin. Together, these effects make it harder for pores to become blocked and for infection to develop.

Benzoyl peroxide can cause redness and peeling, especially to start with. This tends to settle down if you reduce the number of times you use it. You can then build up your use gradually.

No home treatments for acne will work immediately. It can take weeks, if not months, for significant effects to be noticeable. If home treatments have not worked after two months, or you have severe acne, you should visit your GP.
Prescription medicines

Your GP may start your treatment by prescribing a preparation containing benzoyl peroxide. If this does not work, or if you have more severe acne, there are a range of other treatment options that you can either rub onto your skin (topical) or take in tablet form (oral).
Topical treatments

There are several topical treatments you may be prescribed including those listed below:

* azelaic acid (Skinoren) is an alternative to benzoyl peroxide and may not make your skin as sore as benzoyl peroxide
* topical retinoids (eg Adapalene) are medicines based on vitamin A, which are rubbed into the skin once or twice a day. 7 They work by encouraging the outer layer of skin to flake off
* a topical antibiotic lotion applied to the skin can be used to control the P. acnes bacteria (eg Dalacin T). Treatment needs to continue for at least six months. Preparations that combine an antibiotic with other acne medication are available (eg Benzamycin which combines an antibiotic with benzoyl peroxide)

Oral treatments

There are several oral treatments you may be prescribed including those listed below:

* oral antibiotics (tablets), such as tetracycline, can be prescribed for inflammatory acne. They should be taken daily for around three months, although it might take four to six months for the benefits to be seen. 7 The success of this treatment can be limited because the strains of bacteria are often resistant to the common antibiotics. Antibiotics do not prevent pores from becoming blocked so treatment to prevent blackheads, such as benzoyl peroxide, is often also prescribed at the same time
* some types of oral contraceptive tablets help women who have acne. A combination of the usual pill hormone called ethinylestradiol with cyproterone acetate (eg Dianette) suppresses male hormone activity so is often used in women with acne
* isotretinoin (eg Roaccutane) is a medicine known as an oral retinoid, which also exists in a topical form (see above). Isotretinoin works by drying up oily secretions. It tends to be prescribed to people with severe forms of acne that have proved resistant to other treatments. There a number of serious side-effects of this drug, such as liver disorders and depresssion. You should not take isotretinoin if you are pregnant, as it is very dangerous to an unborn baby. For safety reasons, isotretinoin is only prescribed under the supervision of dermatology specialists.

I have like 30-50 blackheads on my nose and one or two on my chin and cheeks. Do you know any way that I could get rid of them before school starts(12 days)?

PS- I’ve tried that toothpaste thing and it hasn’t worked. I’ve also tried to open my pores by leaning over a boiling pot of water, then applying a facial wash, and that hasn’t been effective.

I have serious blackheads on my nose. And I’ve tried everything pruct-wise to rid of them. All of them have mademy skin flare up. So i’ve decided that I need to do something natural. So if you have any suggestions that you know work they are welcome!

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Does anyone know of any acne treatment that actually works and help get rid of acne fast? and somethign that doesn’t cost a fortune.

Every talk about acne includes terms such as whiteheads and black heads. What are they and why are they called so? Let us find out.

Acne develops on the hair follicles that have sebaceous glands attached to them. These glands produce an oil called sebum. Because of certain reasons the sebum changes in quality and quantity giving rise to scales on the hair follicle. This blocks the skin pore causing acne. This blockage is the beginning of acne.

The first stage of this blockage shows as blackheads and whiteheads. These are also called as comedones. A comedone is a sebaceous follicle that is plugged and filled with sebum, dead cells etc. An open comedone is called a blackhead because of its blackish appearance. A blocked comedone is referred as white head, which is a small bump in the skin with skin like color. A whitehead has closed mouth and the blackhead has an open mouth.

What to do if you have blackheads or whiteheads- do not squeeze them yourself. That may leave permanent scars and also infection. Best is to approach a dermatologist who will pick them open if required under sterile conditions. Please note that acne scars can permanently disfigure you.

As far as basic care is concerned, wash your face gently with slightly warm water and mild soap to remove excess sebum and dead skin. Do not be harsh on the skin. Please note that acne takes time to clear. Apply any topical cream that may be prescribed by your dermatologist. Acne treatment requires patience. Many of us hurry to get rid of acne and create further inflammation.

This article is only for informative purposes. This article is not intended to be a medical advise and it is not a substitute for professional medical advice. Please consult your doctor for your medical concerns. Please follow any tip given in this article only after consulting your doctor. The author is not liable for any outcome or damage resulting from information obtained from this article

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