Acne
MORE ABOUT THE PROCEDURE
Description
Acne (acne vulgaris) is a common skin disease that mainly affects the face, back and chest. It manifests as comedones, papules, pustules, nodules and sometimes cysts and scars. It most often begins during puberty, but can also occur in adulthood. Acne has a significant impact on self-esteem and quality of life.
Causes and pathogenesis
The development of acne is a multifactorial process, including:
Increased sebum production by the sebaceous glands
Follicular hyperkeratosis (hair follicle blockage)
Growth of Cutibacterium acnes (the bacteria associated with acne)
Inflammatory reaction in the skin
Hormonal changes (androgens)
Genetic predisposition, stress, medications, cosmetics
Clinical forms
- Comedone acne – open (blackheads) and closed (whiteheads) comedones
- Papulopustular acne – inflammatory red pimples and pustules
- Nodular-cystic acne – deep, painful nodules and cysts
- Acne conglobata – severe form with fistulas and scars
- Adult acne (acne tarda) – often on the lower face and jawline
Diagnosis
- Clinically applied by a dermatologist
- If hormonal imbalance is suspected (especially in women) – tests for androgens, TSH, prolactin
- Differential diagnosis: rosacea, folliculitis, oral dermatosis
Topical retinoids (adapalen, tretinoin)
Benzoyl peroxide
Topical antibiotics (clindamycin, erythromycin)
Azelaic acid
Systemic antibiotics (doxycycline, minocycline)
Combined preparations
Hormone therapy in women (antiandrogens – spironolactone, combined oral contraceptives)
Isotretinoin (oral retinoid – for severe acne or failure of other therapy)
Chemical peels, laser therapy, microdermabrasion
Professional facial cleansing (comedone extraction)
ATTENTION: The pharmacy market is full of cosmetics that claim to treat acne, but there is no convincing and independent data on their effectiveness. Acne treatment is performed only by a dermatologist.
Skin care
- Use of non-comedogenic cosmetics
- Gentle cleansing gel for oily/acne prone skin
- Avoiding aggressive rubbing or squeezing of pimples
- Regular photoprotection (SPF 30+), especially with retinoid therapy
Prognosis and symptoms
Most forms of acne respond well to treatment, but with delayed therapy or manipulations, they may remain:
- Atrophic scars (pits)
- Hyperpigmentation or redness
- Early and adequate therapy reduces the risk of permanent skin changes.
When to see a dermatologist?
✔️ For persistent or worsening acne
✔️ In the presence of painful or nodular lesions
✔️ In the presence of scars or hyperpigmentation
✔️ For acne that affects self-esteem and quality of life
Acne is a treatable skin disease. An individual therapeutic approach and proper skin care lead to excellent results and prevent long-term consequences.
You can contact us via the contact form, phone or direct message on social networks.
Yes – every therapy begins with a mandatory individual consultation and assessment of the condition.
We work both in the field of clinical dermatology and with aesthetic therapies.