ACNE TREATMENTAcne is a skin condition that develops when the follicular canals become clogged. Though it is mostly seen in adolescence, it may appear at any time from infancy to old age. It is most commonly seen in the face, especially the forehead and cheeks. However, it may also be seen in the back and chest area.

• Genetic predisposition
• Hormonal fluctuations
• Extremely oily skin texture
• Stress
• Certain medications
• Facial concealer and creams
• Hormonal disorder known as polycystic ovarian syndrome that leads to acne as well as hair loss or excessive hair growth in women
• Other internal and external factors

Treatment of Acne
It has not been scientifically proven that some nutrients, such as dried nuts, fatty food and fizzy drinks, increase the formation of acne. However, it should be avoided from such nutrients, if eating such nutrient provokes acne in a certain person.

The face should be cleansed regularly and properly. However, oil-based products should not be used more than twice a day.

Dark spots on the face should not be personally manipulated. If they are squeezed improperly, the dark spots can convert into erupted acne. The skin care should be made by a professional dermatologist.

Excessive use of make-up, dense concealers and oil-based make up products should be avoided.

Acne treatment is a long-term process, and it lasts for three to six months in average. Skin care should be made regularly even after the full recovery of acne.

1-Local Treatments

-Cream Therapy
Cream products prescribed for the treatment should be applied not only on the acnes but also on the whole face. Many therapeutic creams dry out and irritate the skin. Therefore, the cream should be kept on the skin for a short time in the first days of the treatment, and this duration should be gradually extended.

2-Systemic Treatments

-Antibiotic Treatment
It is not an effective method for the treatment of dark and white spots on the skin. Though it is not recommended for severely swollen lesions, it is preferred as the first choice in the treatment of red rashes as well as yellow and inflammatory acnes.

-Hormonal Therapy
It is used especially in the acne treatment of the patients with a hormonal disorder, known as polycystic ovarian syndrome.

-Oral Isotretinoin Treatment
Oral isotretinoin treatment is employed for the patients with severe or refractory acnes. There are some side effects. For instance, this treatment must not be used in the pregnancy. Furthermore, it causes excessive dryness on the eyes and ears as well as muscle and joint pain, elevation in the liver enzymes, and psychological problems. Therefore, this treatment must be applied only under a physician’s supervision.

-Special Care for Acne
It is a professional cleansing procedure for the patients with dark and white spots. When the patients squeeze these spots, the acnes may worsen or leave scars on the face. Therefore, this procedure must be performed only by the specialists under clinical conditions.

-Intralesional Steroid Injection
Intralesional steroid injection can provide a temporary recovery especially for the patients with nodular or cystic acne lesions through injection of steroid into these lesions. This treatment must be combined with other treatments.

-Chemical Peel
Acne can be successfully treated with fruit acids that are selected in accordance with the type of acne lesions.

Peel products that contain salicylic acid are usually preferred for the treatment of acnes with dark and white spots. On the other hand, products that contain glycolic acid as well as pyruvic acid and lactic acid can be used for the treatment of red and yellow rashes. Though chemical peel therapy is applied once a week in an intensive program, it is usually performed in at least four sessions at intervals of two weeks.