Dermatologist Dubai / Acne and Acne Scarring

Acne and Acne Scarring

Finding out that acne can persist as an adult is an unfortunate milestone for many teens. Acne is the most common skin complaint around the world, and, although it’s especially prevalent in teens, it can happen to anyone of any age. Hormone fluctuations are a major cause of acne, which is why it is so common in teenage years. However, bacteria, genetics, and continued hormone changes throughout life can all cause or increase acne breakouts. There are also various types of acne, which is why it is important to have your skin and acne complaints evaluated by professionals. At Spectrum Dermatology, we will work with you to customize the right acne treatment plan.

Acne can, unfortunately, come in many forms. The most common types include whiteheads, blackheads, “pimples” (also known as pustules), papules, and cysts. Every type of acne will require a different treatment option, which is why working with a dermatologist is key. The faster acne is correctly addressed, the lower the odds of permanent skin complications such as hyper pigmentation and scarring. However, if past acne has already caused dark spots or scarring, don’t worry. Spectrum Dermatology has cosmetic treatments, including laser therapy, to treat even the most stubborn of lingering blemishes.

The types of acne fall into inflammatory or non-inflammatory. Non-inflammatory does not cause inflammation in the surrounding area. The two types of non-inflammatory acne are whiteheads and blackheads. They are also the mildest form of acne and easiest to treat. This type of acne usually is not painful, but it can be embarrassing.

Whiteheads, or “comedones,” are typically small and circular. They may be circled by redness, but this is not classic inflammation. Blackheads, also comedones, can be flat or slightly raised. They are small and dark or black. “Blackheads” might be pores clogged with debris, such as makeup, or they can be whiteheads that have opened and been exposed to air.

Inflammatory acne includes papules, pustules, nodules, and cysts. It is the most severe form of acne and can lead to skin issues like scarring and “pitting.” If acne is very red, swollen, warm, or painful to the touch, it is likely a form of inflammatory acne. Nodules and cysts are the most painful forms of acne. They occur when simpler forms of acne lead to cell and tissue damage deep below the skin’s surface.

Acne Treatment Dubai

There are many factors to consider when diagnosing and treating acne. A person’s family history of acne, diet, amount of natural oil, and hormones can all affect types and degrees of acne. There are also mechanical factors, such as if a person has to wear a helmet or other headgear on a regular basis. These factors can be addressed simultaneously with dermatological acne treatments for the fastest, most effective results.

Acne and Acne Scars Treatment

Acne vulgaris typically becomes a problem during adolescence when the body undergoes puberty. Hyperactivity of the sebaceous glands is one of the many changes that occur because of puberty. This leads to the secretion of excess sebum, a natural oil that, in normal quantities, moistens and protects the skin. If sebum cannot flow smoothly to the skin surface (due to excess production or follicle blockage), the dermis is injured. This damage to the dermis activates an inflammatory response that causes the lesions and redness associated with acne. If the canals have been clogged, this sebum backup also becomes a rich feeding ground for the proliferation of bacteria.

When acne is severe, the resulting demanding infections drain the natural components and structures of the skin. Areas affected by frequent acne infections develop deficiencies in essential skin components, making it difficult for the body to properly defend itself as well as heal.

Acne, due to the resulting inflammatory and immune response of the body, damages collagen and elastin proteins, severs the microvascular system and further destroys other important skin cells. If this response is not controlled or injury occurs deep within the dermal layer, it can cause scarring.

Acne typically causes two types of scarring. Atrophic scarring refers to those caused by a loss of tissue, appearing as divots or depressions in the skin. Since acne tends to damage and destroy skin components, atrophic scarring is more common than the second type. Although not as common, hypertrophic and keloid scars can also occur due to acne. Keloid and hypertrophic scars are characterized by an excess of connective tissue. This rapidly constructed connective tissue consists mainly of collagen. In both types of scarring, the normal functional tissue (skin) is replaced by connective tissue (scar) to close the wound.

Light Therapy

Light therapy for acne (also known as phototherapy) works to reduce acne by removing the bacteria that causes acne – Propionibacterium acnes. High intensity blue light and pulsed light and head energy (LHE) are the two types of phototherapy currently being used to treat acne. Furthermore, LHE therapy shrinks sebaceous gland size, minimizing the amount of sebum produced.

Laser Acne Treatments

Even though lasers have been used in the medical field for more than 50 years now, they are just now being used for acne skin care. Now, there are two general types of laser acne treatments. One type is targeted at treating acne that kills the bacteria P. acnes and is proving successful in reducing sebum gland size, similar to light therapy. The second therapy is focused on removing the scars caused by it.

Laser skin resurfacing, the latter, eliminates skin layer by layer, effectively removing the topmost portion of scars. This controlled removal of skin also stimulates the body’s healing processes and helps replace damaged skin with healthy, functional tissue. Additionally, the heat from the laser also tightens the skin, helping to smooth out scars. The lasers typically used in this type of treatment are the carbon dioxide laser or the Erbium: YAG.

Laser resurfacing works well on shallow scars as well as those that need to be smoothed out or tightened. For this reason, it often follows surgical scar procedures. Together, healing and final results usually take one year and a half.

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