Are you Hiding from Your Acne? Here’s How to Deal

Going back to school (or work) after a carefree summer can strike fear in the heart of even the most skin-confident among us – when acne makes an appearance. Regardless of when, or how, breakouts happen, they are painfully unwelcome – and always frustrating. Most people just assume acne is part of life and resolve to take better care of their skin, or pull the sheets back over their head until it goes away. But all breakouts are not created equally, and understanding how to spot, and treat them will get you on the road to clear skin fast.
Get familiar with these four most common types of acne, and beat your breakouts as soon as they show up. . .
1) Comedonal Acne
Every kind of acne does have one thing in common, says NDDA’s Dr. Melissa Rubenstein. “Breakouts are caused by a buildup of excess oil and how your skin reacts to that excess oil.” Comedonal acne begins with blocked oil glands, or pores in the skin – which is often the beginning of an acne problem. Instead of moving freely through pores, the oil on the surface of the skin becomes thick and forms a plug in the pore where oil naturally surfaces. This blockage then causes pores to enlarge and even develop into blackheads.
To treat this kind of acne, Dr. Rubenstein recommends sticking to oil-free moisturizers and using exfoliation to get pore-clogging oil and other irritants out of the skin’s surface. Another important way to keep this kind of acne under control is to keep pores clear to begin with. Look for products containing salicylic acid, a beta hydroxyl acid that aids in exfoliation. Prescription retinoids are also helpful for this type of acne.
2) Inflammatory Acne
When comedonal acne leads to the breakdown of a hair follicle or traps bacteria in a pore, it develops into a localized infection, creating inflammation and bumpy acne. This kind of acne can surface as a “pustule,” or whitehead on skin. “Normally what you are seeing with inflammatory acne is the body’s immune system reacting to the infection with a flood of white blood cells,” says Dr. Rubenstein.
The best way to treat this kind of acne is to consult with your dermatologist to find the treatment options that work for your skin and reduce the chances of another breakout.
3) Cystic Acne
Take inflammatory acne up a few notches in severity and you’ve got the third common type of acne – cystic acne. It’s caused by the most severe buildup of bacteria and oil in a pore and attracts the biggest immune response, often appearing as a small boil under the skin’s surface. This can also be one of the most frustrating forms of acne, says Dr. Rubenstein. “The skin that covers cystic acne is smooth, and that adds to the feeling of a painful infection below the surface.”
Unfortunately, there aren’t a lot of options for treating cystic acne once it has developed – a process that can take several weeks, and may not even be noticed until the blemish is fully formed. Start with warm compresses to the area and avoid picking it. Your dermatologist can treat the cyst with a diluted corticosteroid, or “steroid shot,” that will resolve it immediately. If you are prone to cystic acne, Dr. Rubenstein suggests focusing on a good prevention method, which usually involves working with your dermatologist to plan a cleansing routine and prescription regimen that may include oral medications including antibiotics or Accutane that keeps skin free of oil gland blockages to begin with.
4) Hormonal Acne
The fourth most common type of acne is also the most predictable. If your breakouts seem to follow a schedule, and especially if they show up in the same general area every month, hormonal acne is most likely to blame. If you’re a guy, you probably don’t have to deal with this one. “The majority of hormonal acne cases we see are in women,” says Dr. Rubenstein.
As with other forms of acne, controlling oil and keeping skin clean will help control the severity of the breakout. And because these breakouts are in sync with hormonal fluctuations, hormone regulating treatments like birth control pills or a medication called spironolactone are great options.
Consult with your dermatologist to find an acne regimen that’s right for you!

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North Dallas Dermatology Associates8144 Walnut Hill Lane Suite 1300
Dallas Texas 75231
Fax: (214) 420-7380

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, Are you Hiding from Your Acne? Here’s How to Deal