Acne vulgaris - medical advice for successful treatment

Acne is afrecventmultifactorial disease, partially genetically determined, observed especially during pubertal and adult. It is a polymorphic condition, in which lesions coexist: comedones, cysts and inflammatory lesions; often seborrhea, oily skin. Acne is not an infectious disease and is not related to the sex life of the individual, contrary to popular belief. Involved in causing acne causes are multiple: hormonal changes ( during puberty , during the menstrual cycle , the presence of ovarian cysts , disturbances in the secretion of androgens - testosterone ), excessive secretion of sebum ; Inflammation is also involved in : bacteria Propionibacterium acnes and  parasite Demodexfolliculorum . Lesions commonly affect areas rich in sebaceous glands: the face, anterior and posterior thorax. Acne vulgaris can be considered a chronic condition, considering that usually begins at puberty and can evolve with periods of relapse and remission up to adulthood. Therefore treatment should be customized consistently, long and adapted each stage. Permanent and sincere cooperation between patient and dermatologist, during treatment are essential, for obtaining favorable results. Acne is a complex condition that does not appear in one day and will not just disappear; it cause significant psychological and aesthetic changes.  Inflammatory lesions or acne scars can induce behavioral disorders, inferiority complex and low self-esteem. It is essential that the patient is directed to a dermatologist as early in the disease,for  an appropriate treatment and avoid the appearance of scars.

The dermatologist must treat disease, but also detecting any behavioral changes and give the patient psychological support. Dermatologist establishes the severity of the disease and therapeutic strategy. Therefore, the patient will have to understand that changing the frequency of treatment and the physician, hoping to find quick and miraculous solutions will not benefit, on the contrary. The doctor will have to team up with the patient, to answer his questions and concerns, to explain the stages of treatment but also the possible side effects.
Acne treatment can be local, systemic or combined, must take into account the type of acne, the intensity and severity, potential triggers or association with other disorders. After starting any acne treatment, the first step is cleaning and can take between 2-6 weeks. During this time, dry skin can occur and local irritation; all these phenomena are somewhat normal. After 2-4 months, if treatment is continued consistently, benefits appear after the removal of impurities and regenerate the skin, then will go on a maintenance treatment.
There are some rules applied to treat acne, for better results.

 - The use of cosmetic dermatology products (frompharmacy) non- comedogenic, acne skin adapted to daily maintenance (cleansing gel  and mortifying , with a role in reducing seborrhea) . This range may be associated with dermatologic treatment local / systemic.
 - Treatments tailored to each patient's medical needs; may be local, systemic or combined.  Although acne is not an infectious disease, certain antibiotics are administered in small daily dose over a period of several months, for their anti-inflammatory effect and only upon the recommendation and under medical supervision.
 - It can be used (both for protection, as well for correction) fluid foundation, specially created for skin with imperfections, in derma-cosmetics ranges.
 - You can combine medicaltreatments with: chemical peels, microdermabrasion, laser or radiofrequency treatment, for improving scars (not in the summer time).
 -In case of skin irritation and dryness after acne treatment, can be used thermal water sprays and moisturizers repair creams.
– It will consume more fruits and vegetables, nuts and so on, you can use vitamin supplements rich in antioxidants - vitamin E, C, selenium and zinc , which can have benefits in reducing seborrhea and skin regeneration .
 To avoid: - Inflammatory lesions trauma, self-medication, changing or stopping the treatment
 - Degreasing the skin with antibacterial soaps and alcohol solutions, using aftershaves that contain alcohol or fragrances.
- Excessive use of makeup, compact powders and even acne treatment creams (can cause local irritation and dryness)
- The use of oily cosmetic creams, cortisone creams, which can aggravate acne and can induce the appearance of new lesions.
 - Restrictive diets; they will still avoid fast foods, concentrated sweets.
- Local antibiotic preparations, other than erythromycin or clindamycin, because bacteria can develop resistance.
 - Exposure to the sun without sunscreen adapted acne skin, especially when using certain antibiotics or retinoid and post- peel / microdermabrasion; there is a risk of burn / local pigmentation. Sun may worsen acne flares.