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What treatments for acne?

Acne affects 70% of adolescents * but also many adults. Fortunately today, there are solutions to make it disappear completely.

Acne, what is it?

At puberty, the secretion of sebum increases, clogs the pores of the skin and causes inflammation and acne breakout which can persist for years. Sometimes pimples also appear in adulthood with pregnancy, periods, stress, lack of sleep, use of an unsuitable cream, etc. “You must always treat quickly to avoid permanent scars, explains Pr Pierre Wolkenstein, dermatologist and acne specialist. In addition, acne can have psychological repercussions on the daily life of people who have it. adolescents, school performance may drop. ”

What are the solutions to overcome it?

If you have retentional acne , that is to say blackheads and whiteheads, the dermatologist will suggest a treatment based on benzoyl peroxide, local retinoids or local antibiotics to be applied to the pimples, twice a day . “If at the end of 3 months, there is no improvement although we have respected the prescription, it is necessary to switch to a stronger treatment like that given for moderate acne .”

The i sotrétinoïne , active molecule Roaccutane , has revolutionized the treatment of acne in the 1980s In 2007, the laboratory Roche stopped marketing this retinoid for reasons of profitability. Today, three generics have replaced it: Curacné, Contracné and Procuta. The molecule has been suspected for several years of promoting depression and suicidefor young people. “Suicides are extremely rare, specifies Professor Pierre Wolkenstein. It is about 5 to 10 cases since the marketing of the molecule. In addition, it should be known that if isotretinoin can induce mood disorders, acne untreated can also lead to depressive syndrome. ” According to AFSSAPS, the rate of depressive symptoms is higher in people with acne than in non-acne patients.

This second form of acne is diagnosed if you also have a few red spots . “We then add oral antibiotics, cyclins.” One drawback, however: the risk of photosensitization and therefore sunburn.

The third form of acne is said to be severe. The buttons are red and have a diameter greater than 5 mm. ” Oral retinoids are then prescribed for approximately 6 months, explains Professor Pierre Wolkenstein. As there is a risk of fetal malformations, its prescription is strictly regulated. It is in particular essential to start oral contraception 1 month before the start. of the treatment and to continue it until 1 month after the treatment. It is obvious but I specify it: there is no risk for the fetus if it is the dad who is on oral retinoids! ”

Other side effects are possible such as dry skin but also mood disorders . For acne located only on the lower face, as happens in adults, the dermatologist combines oral retinoid and hormonal treatment.

Good hygiene practices to know

The more we irritate the skin, the more we increase the secretion of sebum and ultimately the number of pimples. We therefore focus on softness with a soap-free soap (Phys’ac, A Derma), a micellar solution ( Créaline H2O , Bioderma) and a non-comedogenic and hypoallergenic day cream (Keracnyl Repair, Ducray). Instead of aggressive scrubs, skin cleansings are done at the beautician or at the best skin clinic in south delhi. And we forget the fringe which greases the skin of the forehead!

Joelle Nonni, specialist in corrective makeup for Avène explains how to hide a pimple.  

“We apply a little foundation then we pass the beige concealer brush on the head of the pimple. And not the other way around! Its liquid formula does not accentuate the relief of the pimple. We blur the contours with a cotton swab. . Then, we cover with a little transparent powder from bottom to top to blur the whole. ” 

Could it be due to some internal illness?

Acnes that affect the trunk can be caused by the consumption of corticosteroids, or by endocrinological alterations such as certain diseases of the adrenal gland. In suspected cases, the dermatologist may order tests to study the hormonal system.

And to diet?

The role of diet in acne is controversial. It seems to be related to the consumption of high amounts of sugars and dairy, but not for all patients. In any case, it is a subject that should be discussed with an experienced dermatologist.

Does back acne have a different treatment?

The characteristics of the skin on the back, which is less delicate and more resistant than the skin on the face, means that acnes that affect this area can be treated with more powerful topical products, which would cause more irritation on the face. Thus, in the back it is common to use benzoyl peroxide at high concentrations, retinoic acid, and antibiotics. When the inflammation is greater and larger inflamed and suppurative lesions (nodules and cysts) occur, the treatment will probably have to be in pills (orally). In general, antibiotics such as tetracycline or sulfone are often used, as well as isotretinoin (a synthetic derivative of vitamin A), which is not as effective in acne on the trunk as on the face.
In many cases, back acne can form cysts that usually do not go away with medical treatment and need to be removed with surgery.
In people with skin types, this acne can cause keloids (exaggerated and unsightly scars) that can be treated with occlusive silicone patches or corticosteroid injections, but in general they are not usually operated due to the risk of increasing the scar.

What you should know…

  • This type of acne has different characteristics, is often more resistant to normal treatment, and requires a different approach to acne on the face.
  • Acne on the back tends to affect boys more than girls, and can lead to lesions with more inflammation and the creation of secondary scars.
  • The characteristics of the skin on the back, less delicate and more resistant than that of the face, make acnes in this area can be treated with more powerful topical products.


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