Author: Dr. A Mahto A Mahto, MBBCh BSc MRCP (Derm)
Acne vulgaris is one of the most common skin disorders in the UK and accounts for more than 3.5 million visits to the GP every year. It affects 80% of people at some point in their lives and is most prevalent in adolescents and young adults between the ages 11-30 years.
There is also evidence to suggest that the spectrum of onset of acne is changing, with cases emerging both earlier and later than what has been noted in the past. Acne can affect adults and may also develop for the first time after the age of 25 years. Late onset disease occurs in about 20% of women and 8% of men.
Acne can result in physical scarring of the skin and is also associated with a large number of psychological complications including low self-esteem, altered body image, social withdrawal, and depression. The team of consultant dermatologists at the Cadogan Clinic are determined to prevent the development of these problems, improve public education and encourage people to seek help.
The Cadogan Clinic offers the most comprehensive treatment options and therapies for acne which are tailored to the individual patient's condition and individual circumstances to ensure optimum results are achieved. The clinic team consists of industry-leading aestheticians, laser technicians, and consultant dermatologists working together to create bespoke treatment plans.
Acne can be successfully treated and there are many options including steam extraction, blue light, photodynamic therapy, chemical peels, and prescription medications (both topical and oral).
Dr Anjali Mahto, consultant dermatologist at the Cadogan Clinic knows all too well the battles of living with acne, having suffered from the condition herself as a teenager and most of her adult life. She is passionate about educating people about acne and prescribing the best treatments and therapy combinations to improve the conditions of her patients as well as their wellbeing.
To follow are Dr Mahto's top tips for dealing with acne:
Seek medical advice A dermatologist will be able to diagnose the condition as well as creating a treatment plan to manage and help improve the symptoms.
Keep a diary Recording lifestyle factors such as frequency of breakouts, menstrual cycles, diet (sugar, dairy and GI foods) stress levels etc may help you and your medical professional identify triggers.
Double cleanse the skin in the morning and evening with a cleanser that is specially formulated for acne.
Moisturise the skin with a light gel-based moisturiser that is “non-comedogenic” i.e. prevents the formation of blackheads. Even oily skin needs moisturising as oils do not equate to hydration. Moisturising the skin will maintain the integrity of the barrier function of the skin and is vital for good skin health.
Using a retinoid product on the skin before bed will help unclog pores, reduce the formation of blackheads or whiteheads, and calm inflammation.
Gently exfoliate the skin once a week if you have oily or acne prone skin. This will immediately remove dead skin cells from the skin surface resulting in a brighter appearance. Longer term, it will reduce the development of blackheads. It is important not to overdo this otherwise you will end up irritating the skin and making things worse not better.
Steam extractions can help to reduce the number of future inflamed acne spots and immediately creates a sense of "decongestion" or unblocking of the skin. However, it carries a risk of damage to the skin and can make cystic spots worse. It, really, therefore needs to be done by a trained professional.
Use a facemask once a week to help unclog the pores and calm the skin.
Don’t pick, scratch or squeeze your spots. All of these lead to skin damage and can potentially result in permanent pigmentation marks or scarring of the skin. It is better to use a spot-directed treatment directly onto the area such as salicylic acid, which can dry it up and help settle inflammation.
Check your diet - Diet has a small part to play in certain individuals suffering with acne. Not everyone’s acne is driven by diet and usually the problem comes down to genetic and hormonal factors, however, the following methods can be considered:
Make sure you are getting plenty of nicotinamide, zinc, and vitamin A in your diet
Avoid eating food rich in refined sugars or processed foods