The science behind acne continues to be studied:
“Several factors are involved in the development of acne. The first step is when keratin plugs block the body’s hair follicles. The skin cells lining the follicles should shed off one by one and be carried to the surface by the thin film of oil produced by the sebaceous glands. But in acne, due to the influence of hormones (among other reasons), these skin cells become sticky and form plugs. The oil released by the sebaceous glands builds up behind the plug, causing swelling. The normal bacteria of the follicle (known as P. acnes) is no longer removed with the oil, leading to one of several reactions:
· If the keratin plug is close to the surface of the pore, it will oxidize and darken, creating blackheads
· If the plug is lodged deeper, the lesion will be present as a small, whitish bump or papule
· If the reaction is inflammatory, it will cause a pustule or cyst
The next step is where acne increases in severity. The dilated follicle, swollen with keratin debris, oil, and bacteria, finally bursts, releasing its contents into the deeper portion of the skin. The immune system then gets involved, causing the pimple to become red, swollen, and painful.”
Many things can precipitate acne: hormone imbalances, stress, the use of certain skin or hair products, medical conditions — even medication — can all play a role. It’s best if the main cause of the acne can be isolated, but in general its treatments are similar.
Whether it’s fixing a sudden breakout or treating more persistent acne, we’ll work with you to create a custom treatment program. Collaboration is key, since every patient has a unique set of challenges. “Changing your skin is about finding the right combination of products, rather than one miracle cream, and the ideal mix isn’t always obvious,” From diet to prescriptions, in-office procedures to product recommendations, we’ll help you make clear skin a reality.
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Dr. Patricia Wexler
Dr. Eugene Wexler