Some conditions for the dignity of torpedo skin like acne. It turned out that the face was full of painful wounds, not to mention deaf advice and relatives of relatives and strangers, having ways to encourage people to hide. Include unverified anecdotes from around the Internet about how to get rid of zits forever and have a recipe for disaster.
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Treating acne is annoying. Even if your buds are controlled, you may have dark spots, red spots, dents and / or holes, past ghosts. The super saturated skin care market currently offers thousands of products that claim that acne scars are gone, but frankly, very few of them work. Before moistening your face with retinol and acid to reduce your acne scars, you should find out what caused it, and whether it was a scar.
What are acne scars?
Scarring forms when an injury or disease damages your skin's ability to produce collagen, a protein that gives structure to the skin. As explained by Dr. Meghan Feely, a certified dermatologist in New York and New Jersey to me via email, the same process causes acne scars. Inflammation (redness, pain and / or swelling) because deep roots can damage surrounding skin cells and change the collagen they produce to repair injured skin. According to the amount of collagen produced by damaged cells, he explained, patients were left with atrophic or hypertrophic scars.
Atrophic scars occur when skin cells are damaged because acne does not produce enough collagen to fill the injured area, leaving marks on the skin. Any texture with dimples or dents you notice after healing is due to atrophic scars. In general, these scars occur in one of three patterns: ice breakers (deep and narrow, like holes), vans (wide and square) and rolled (wide and round). The shape and size of atrophic scars depends on the level of tissue damage, and how the skin usually heals from injury.
When skin cells are damaged by zits excessively produce collagen, they leave hypertrophic scars, which are high and often bright. Hypertrophic scars are more common in severe wounds that do not close earlier in the healing process: the surgical incision is less likely to leave a raised scar than, say, a large cyst that repeatedly scratches its head. However, whether it has hypertrophic scars or not, it's mainly genetic. If your family member tends to develop a high and wavy scar, chances are you will also experience it.
In general, only very severe zits leave marks. Age and family history affect their development to a certain extent, but according to a certified dermatologist, Dr. Diane Madfes, the most important predictor of scar tissue is the depth and duration of acne. The deeper the acne and the longer they are left untreated, the more likely they are to cause permanent damage, unfortunately acne scars.
If you are not sure what you are facing, move your finger gently past the points in question. If they bleed or increase, you have acne scars; If they are soft, but change color, you have something else.
If my black spots don't have acne scars, what is that?
Not all buds leave marks. Mild lesions may not be deep enough to damage the cells that produce collagen, and some deep-rooted zits do not stay long enough to cause permanent structural damage. However, inflammation of the outbreak can cause cells to cuddle closer to the surface of the skin, causing them to function abnormally for a while. This process causes some zits to leave dark or red spots when they heal.
The color of the post-acne sign depends on the damaged cells. Dark spots are caused by damaged melanocytes, which produce melanin, the pigment that gives color to our skin. These spots are usually brown, but may be purplish or bluish depending on your skin color. This type of discoloration is called hyperpigmentation.
Some shoots leave red spots when they heal, which are damaged or irritated surface level capillary signs. Your body's first response to illness or injury is usually to increase blood flow to the affected area, causing temporary redness and inflammation known as erythema. Erythema usually disappears as soon as the wound heals, but sometimes the capillaries around the healing site are too damaged to immediately return to normal conditions before injury.
Both conditions are caused by inflammation and persist after cleaning, so the full name is hyperpigmentation or postinflammatory erythema, because the acronym is in English, PIH or PIE. Superficial cellular damage behind PIH and PIE is transient, although signs may take months or years to disappear.
If your acne scars are not brown or red, you can find out whether it is PIE or PIH by gently pressing it with your fingertips. PIE temporarily disappears when pressed because by doing so the blood flow to the affected capillary is cut off. Unlike blood, melanin is static, so the PIH sign will look the same no matter how much you touch it.
What can I do to prevent scarring and pigmentation?
The possibility of scarring, PIH and / or PIE is mainly caused by genetics, but as explained by Dr. Madfes, causing additional trauma to the inflamed skin worsens the situation:
"Some people tend to stab a pimple scar, or a pimple bump, because they feel a raised surface. [...] Mild trauma should not cause a sign, but if someone will take it, try pushing or manipulating the area, [they will increases the incidence of scarring and hyperpigmentation. "
On the other hand, whatever you can do to encourage true healing is good. In addition to holding back the desire to extort, Dr. Madfes recommends keeping open lesions "moist and closed" until healed (specifically, Vaseline is a great wound protector) and uses moisturizers with ceramide. However, he stressed that the best way to prevent puncture and, by extension, PIH / PIE or scars, is to treat the acne that causes it.
How do I get rid of them?
Mild PIH and PIE, without active zits accompanying them, will heal on their own within one year. If you wait too long, sunscreen is the surest way to speed up the fading process. When your skin darkens from exposure to the sun, your PIH also does it; The use of a high-spectrum formula and high SPF every day protects your skin from further damage and helps it heal well.
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However, most people who seek treatment for PIH / PIE and scars also have active acne, and all the specialists I spoke to for this story agree that resolving chronic acne is the first step in treating postinflammatory scars. Mild acne can be effectively treated with free products; Madfes recommends starting with a product that contains benzoyl peroxide which is synchronized as an Acne.org treatment or this Differin cleanser. Non-micronic particles are too large to penetrate the pores, and their irregular size and shape make them tend to clump together, which makes this drug less effective and more irritating. Adapalene retinoids, now available as a prescription as Differin, effectively treat acne and PIH, as do ingredients such as niacinamide and azelaic acid, even at a lower level. (I use and I like Melazepam, which is 20% azelaic acid cream). Whatever treatment you choose, be patient: topical medication requires at least three months to show results.
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The benefits of moderate to severe acne from professional intervention, and the faster, the better. If your insurance covers it, consult a dermatologist as soon as possible. If you don't have insurance or have sewage insurance, look for a beautician, licensed professional who specializes in skin care techniques. The licensing requirements of these beauticians vary by state, and their areas of expertise range from waxing to laser rejuvenation, so do your research: visit their website, critically review Yelp's reviews, and get recommendations from friends and family. (By the way, this also applies to dermatologists). When asking for an appointment, ask specifically to see an acne specialist. If you wait a long time, enter your name on the cancellation list and register every few weeks. At your appointment, give a dermatologist or aesthetist with a detailed history of your acne, including drugs that you have tried in the past, drugs that you use now and your tendency to develop PIH, PIE or scars, so you can decide how best for treating your pimples. treat him
Both dermatologists and beauticians try to deal with acne before treating pigmentation or scarring, but many drugs and procedures do both at the same time. Topical retinoids (tretinoin, tazarotene, and adapalene) have been shown to be multitasker and dermatologists often prescribe them to treat zits and hyperpigmentation. (Insurance companies are known to save on topical prescription coverage, so if your tretinoin catheter is worth two hundred dollars, it's not excessive, look for coupons from discount manufacturers and pharmacies to reduce the price).
For patients with active acne and pigmentation, aesthetics prefer chemical skin. Licensed aesthetic and acne expert Mary Freihofner told me that she used peels with glycolic acid, mandelic acid and salicylic acid for her acne-prone clients with hyperpigmentation, but once the lesions healed, she thought that microdermabrasion worked faster. Erythema may not respond to hyperpigmentation treatment and, in such cases, Freihofner considers that exfoliation with vitamin C is quite effective. Professional facial care with skin usually costs between eighty and two hundred dollars, depending on your location and the specific care you choose
f acne scars are permanent, what can I do about the scars I have?
There are effective ways to treat acne scars, but not cheap. Because scarring is caused by damaged tissue in the dermis, the middle layer of skin, treatment requires a certain penetration level. Many dermatologists, including Dr. Feely and Dr. Madfes, treat acne scarring through skin renewal techniques, which mostly involve lasers. Some types of lasers can penetrate the epidermis, the outermost layer of the skin, to stimulate collagen-producing cells in the dermis, reducing the appearance of scars over time. Lasers are less invasive than traditional surgical techniques, but all dermal penetration carries risks: You don't want to damage nerves or blood vessels when you tear apart. This is the reason why laser rejuvenation is only done by professionals with training and licensing, and is therefore often expensive. Laser rejuvenation sessions can cost from a hundred dollars to more than a thousand, depending on how long you need a laser. These procedures are optional and not technically necessary, so that insurance will not cover them; always get offers before scheduling a session.
However, you don't need to visit a dermatologist for laser therapy; Many skin care clinics offer the same services. Raelle Levicke, a licensed beautician and laser technician at About Face Skincare in Philadelphia, swore by fractional lasers and treatments for intense pulsed light (IPL). He explained that surface treatments (chemical peels, microponepilation and microdermabrasion) are rather effective in thinning hyperpigmentation, but they are literally not deep enough to treat scar tissue. Fractional lasers are your favorite weapon for acne scars and severe hyperpigmentation, but prefer IPL treatment to treat erythema. Depending on the case, your patient sees the results after two to four sessions.
I know from experience how terrible it would be if you were cursed to move from one cycle to another between painful cuts and scars, so if there is something I want to emphasize, this is this: look for an official who specializes in acne treatment. A dermatologist who is usually at the peak of their melanoma, or a beautician who mostly provides relaxing facials, may treat it differently from someone with years of experience in acne treatment. There is someone out there who can help you, don't give up until you find it.