{"id":18137,"date":"2018-08-22T15:31:45","date_gmt":"2018-08-22T21:31:45","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=18137"},"modified":"2023-06-23T10:55:55","modified_gmt":"2023-06-23T16:55:55","slug":"a-doctors-guide-to-acne","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/a-doctors-guide-to-acne\/","title":{"rendered":"A doctor&#8217;s guide to acne"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-18138\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/08\/22152809\/Acne-article_washing-face.webp\" alt=\"A young woman is show washing her face.\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/08\/22152809\/Acne-article_washing-face.webp 1500w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/08\/22152809\/Acne-article_washing-face-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/08\/22152809\/Acne-article_washing-face-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/08\/22152809\/Acne-article_washing-face-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/08\/22152809\/Acne-article_washing-face-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/08\/22152809\/Acne-article_washing-face-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>From annoying and inconvenient, to painful and scarring, acne is a challenge for many teens and adults.<\/p>\n<p>\u201cAcne can really lower someone\u2019s self-esteem,\u201d said <a href=\"https:\/\/www.uchealth.org\/provider\/barbara-novotny-md\/\">Dr. Barbara Novotny<\/a>, a family medicine physician in Steamboat Springs and a member of the medical staff at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-yampa-valley-medical-center\/\">UCHealth Yampa Valley Medical Center<\/a>. \u201cI encourage anyone who has acne to seek treatment.\u201d<\/p>\n<p>Below, Novotny explains what acne is, why some people are more prone to get it and how to treat it.<\/p>\n<h3><strong>What is acne?<\/strong><\/h3>\n<p>Acne starts with skin pores (also known as follicles), some of which make sebum, an oily substance that lubricates the hair and skin.<\/p>\n<p>The skin is also covered with bacteria, and one type in particular likes to eat sebum. When bacteria enters a pore, a whitehead forms. Next the immune system attacks, causing the pore to burst and become a blackhead.<\/p>\n<p>\u201cWhen it bursts, the bacteria and pus in that pore seeps into the other pores around it,\u201d Novotny said. \u201cThat\u2019s why acne spreads so easily.\u201d<\/p>\n<p>An added challenge for teens is that in puberty, hormones stimulate pores to make more oil and cause hardening of skin follicles, causing pores to close off at the top and trapping bacteria.<\/p>\n<h3><strong>Why is acne worse for some people?<\/strong><\/h3>\n<p>About 85 percent of teens deal with acne, but for some, it\u2019s much more than just an annoyance. Scientists believe that genetics play a role in the severity of acne.<\/p>\n<p>\u201cWe know that if your parents had acne, you have a three times higher risk of getting acne,\u201d Novotny said.<\/p>\n<p>That may be in part due to a person\u2019s unique immune system. \u201cFor people with severe acne, it could be the immune system is having a big response to the bacteria,\u201d Novotny said.<\/p>\n<p>Hormone levels, which can be higher or lower for each individual, also play a role.<\/p>\n<h3><strong>Managing acne<\/strong><\/h3>\n<p>The first rule of managing acne is to avoid scrubbing your face hard and picking or popping pimples. \u201cAny type of repetitive trauma, even microtrauma, to the skin where you have acne can cause pores to open and let the bacteria spread,\u201d Novotny said.<\/p>\n<p>Be aware that turtlenecks, bra straps and sports helmets and equipment can rub on the skin and block pores, worsening acne.<\/p>\n<p>Certain foods can have an impact: sugary foods along with the natural hormones in milk may increase severity of acne. However, there isn\u2019t reliable evidence that chocolate is a culprit. Stress doesn\u2019t help, as stress hormones can increase sebum production: one study showed teens\u2019 acne was worse during exams versus summer.<\/p>\n<h3><strong>Over-the-counter treatments<\/strong><\/h3>\n<p>Start with a gentle, non-soap facial cleanser, such as Cetaphil or Dove\u2019s sensitive skin bar.<\/p>\n<p>\u201cThose are the best as they\u2019re not super harsh, so they\u2019re not going to cause microtrauma to the skin,\u201d Novotny said.<\/p>\n<p>Products containing benzoyl peroxide work like an antibiotic to reduce bacteria on the skin, while salicylic acids help soften skin and keep pores open so bacteria can\u2019t build up as easily. If using several treatments, Novotny recommends applying one in the morning and the other at night.<\/p>\n<p>Other options include tea tree oil and alpha hydroxy acids, while recent studies suggest there may be benefits of taking vitamin A and D, trying chemical peels and using light or laser therapy.<\/p>\n<h3><strong>Prescription medications<\/strong><\/h3>\n<p>\u201cA mainstay of treatment is a topical retinoid, which helps brings down inflammation in the skin and thins the skin to combat hardening,\u201d Novotny said.<\/p>\n<p>Next, topical antibiotics or oral antibiotics can be prescribed. And finally, Accutane may be recommended for the most severe cases.<\/p>\n<p>Don\u2019t hesitate to reach out to your health provider if you or your child is dealing with acne.<\/p>\n<p>\u201cThere are a lot of treatment options and we can really help improve things,\u201d Novotny said. \u201cWe want our teens to have the best self esteem they can have, and we don\u2019t want acne to lower it.\u201d<\/p>\n<p><em>This article first appeared in the Steamboat Pilot &amp; Today on Aug. 6, 2018.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; From annoying and inconvenient, to painful and scarring, acne is a challenge for many teens and adults. \u201cAcne can really lower someone\u2019s self-esteem,\u201d said Dr. Barbara Novotny, a family medicine physician in Steamboat Springs and a member of the medical staff at UCHealth Yampa Valley Medical Center. \u201cI encourage anyone who has acne to [&hellip;]<\/p>\n","protected":false},"author":2163,"featured_media":18138,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[749,4097,9187,2518],"class_list":["post-18137","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-dermatology","tag-preventive-care","tag-readysetco","tag-uchealth-yampa-valley-medical-center"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>A doctor&#039;s guide to acne - UCHealth Today<\/title>\n<meta name=\"description\" content=\"From annoying and inconvenient, to painful and scarring, acne is a challenge for many teens and adults. 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