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Acne Treatments Part 3 -- Physical Treatments
Mild acne conditions are usually best treated by topical ointments. More severe
cases may be treated in a variety of ways including oral antibiotics, ointments,
and physical treatments such as chemical peels and drainage.
Physical treatments must be conducted by a dermatologist. Although popping
pimples is a form of physical treatment, it is ill-advised. It can cause
acne-causing bacteria to spread and may lead to scarring. Physical treatments
done under controlled conditions (i.e. in a doctor's office) minimize risk while
providing the best outcome.
Exfoliation
The top layer of skin can be removed either chemically or with abrasion.
Chemical peels are usually done with salicylic acid or glycolic acid. These work
by destroying a microscopic layer of skin cells to unclog pores and remove the
build-up of dead cells. The same effect can be achieved by using an abrasive
cloth or liquid scrub. Glycolic acid treatments can be done every two to four
weeks over a period of about six months, but salicylic acid treatments are
milder and are often included in over-the-counter medications. They can be used
on a daily basis.
Comedo Extraction
Comedones (blackheads and whiteheads) can be removed by a dermatologist using
sterile instruments. An anesthetic cream is used in the immediate area and then
the comedones are extracted using a pen-like instrument which opens the top to
allow removal of the plugged skin cells and sebum. The procedure is usually
followed by an application of antibiotic cream. It is important not to try this
at home -- squeezing or picking at pimples can lead to infection and permanent
scarring.
Drainage
Severe acne can sometimes cause cysts to form under the skin. These cysts can be
painful and disfiguring. Smaller cysts can be treated with cortisone injections
which flatten the lesion in a day or two. Larger cysts may need to be drained
and surgically removed. Drainage can help relieve the pain associated with cysts
and also reduce the chance of scarring. It is performed in the dermatologist's
office with sterile instruments. It is important not to try to drain cysts by
yourself because of the risk of infection which could lead to permanent
scarring.
Light Therapy
Light therapy is sometimes used to combat the acnes bacteria that cause acne. It
is particularly useful in treating hard-to-reach areas but may have a short-term
effect because it does not do anything about the production of sebum or the
accumulation of dead skin cells.
Laser therapy is useful for treating the scars caused by acne. It can be used
for both surface-level scarring as well as deep tissue scarring caused by
serious acne conditions. Research is currently being conducted on the use of
lasers for acne treatment. Several approaches are being examined – burning away
the follicle sac which produces the hair; burning away the gland which produces
sebum; and forming oxygen in the bacteria to kill them. It is not yet known if
laser acne treatment can cause permanent damage to the skin.
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