Acne is a condition in which the oil glands are unusually sensitive to the normal complement of hormones. Although acne can occur at any age, it is frequently associated with the teenage years when the skin tends to be hypersensitive to normal hormone levels.

Pimples develop when oil glands attempt to push the thick, buttery oil through tiny pore openings. The oil contains irritating substances that backfire into the surrounding tissue creating a mosaic of papules (red bumps), pustules, cysts, and blackheads. Subsequent scarring may ensue from damage to the skin’s underlying architectural framework. Damage from severe acne to the architectural building blocks of the skin may actually make the skin susceptible to premature biological aging. For example, deep creases may appear between the nose and the corner of the mouth in the early twenties rather than in the forties.

Active acne can be devastating. In its aftermath, the acne prone person may be left physically and psychologically scarred. The key is prevention and early intervention through the help of a skin specialist. A variety of topical medications, which are applied directly to the skin, may suffice for mild acne. More aggressive acne, however, may require systemic medications such as Doxycycline, a potent yet low risk antibiotic. This is taken by mouth in the form of a capsule once a day under medical supervision. Such medications may be combined with regular treatments of ultraviolet light therapy, cortisone injections, and liquid nitrogen sprays. When acne is resistant to all other forms of treatment, a medication known as Isotertinoin may be required. This derivative of vitamin A is a very potent medication which has some side effects, so the decision to use it is weighed carefully by the doctor in consultation with the patient.

Once acne scarring has occurred, a variety of resurfacing techniques, as well as collagen implant therapy; can be used to improve the appearance of the damage skin. Alternatively your doctor can suggest resurfacing with Laser or Dermabrasion.