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Acne
who specializes in treating skin prob-
lems) about how you can help prevent
acne and if treatment would help you.
the face and/or other parts of the body. of this drug may include dry eyes, itch-
It can be treated with antibiotic lotions ing, mood changes, and changes in the
or gels, as well as retinoic acid. Retinoic blood and liver. You and your derma-
acid is an altered form of vitamin A. It tologist can decide whether this medi-
helps prevent whiteheads and black- cine is right for you based on the pros
heads. Your doctor may also prescribe and cons. Use any prescribed medicine
an antibiotic pill, such as erythromycin. exactly as you are advised. Taking more
If you take birth control pills to prevent medicine than you are supposed to take
pregnancy, antibiotics can affect how may make acne or your general health
well they work. Be sure to use a second worse. Ask your doctor what to do if
http://www.womenshealth.gov
method of birth control with the pill, you miss a dose.
such as a condom. Retinoic acid and Some large cysts do not respond to
1-800-994-9662
antibiotic pills can make the skin sensi- medication and may need to be drained
TDD: 1-888-220-5446 tive to the sun. So, wear sunscreen and or removed. Your dermatologist is
stay in the shade while using them. the only person who should drain or
Severe acne. Severe acne consists of remove these. You should never try to
deep cysts, redness, swelling, extreme drain or remove your acne by squeezing
damage to the skin and scarring. You or picking. This can lead to infection,
should see a dermatologist to care for worsen your acne, and cause scarring.
this type of acne. Scarring can be pre- Overall, if you don’t see a change in
vented with appropriate treatments. your skin in six to eight weeks, talk with
Your dermatologist can prescribe oral your doctor about your treatment plan.
antibiotics and oral contraceptives.
Large inf lamed cysts can be treated
with an injection of a drug that lessens Q: Can birth control pills help treat
the redness, swelling, and irritation, and acne?
promotes healing. A: For women who break out mainly
Your dermatologist may prescribe around their menstrual cycle, some
Accutane®, if other treatments have birth control pills can help. Research
not worked. This is a strong medicine shows that these pills can clear acne
that can help prevent scarring and treat by slowing down overactive oil glands
active disease. But, Accutane also can in the skin. Sometimes, birth con-
cause birth defects. It is important that trol pills are used along with a drug
you are not pregnant and do not plan called spironolactone to treat acne in
to get pregnant while taking this medi- adult females. This medication low-
cine. You must use two methods of ers levels of the hormone androgen
birth control at the same time. This is in the body. Androgen stimulates the
done for one month before treatment skin’s oil glands. Side effects of this
begins, during treatment, and for a full drug include irregular menstruation,
month after stopping the drug. Talk breast tenderness, headache and fatigue.
with your dermatologist about when it’s Spironolactone is not appropriate thera-
safe to get pregnant. Other side effects py for all patients.
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Q: When is surgery used for acne • Wash your hair on a regular basis. If
scarring? your hair is oily, you may want to
A: If you have scarring, your dermatolo- wash it more often.
gist may suggest surgery to help heal • Do not squeeze or pick at acne
acne lesions and remove scarring. A lesions. This can cause acne scars.
laser can reshape scar tissue and reduce
• Avoid getting sunburned. Many
redness. Dermabrasion is a type of
medicines used to treat acne can
surgery that can remove surface scars
make you more prone to sunburn.
and reduce the depth of deep scars.
Many people think that the sun
Another option is to transfer fat from
helps acne, because the redness from
http://www.womenshealth.gov one part of the body to the face. In
sunburn may make acne lesions less
1-800-994-9662
some cases, a single treatment can help
visible. But, too much sun can also
scarring. But for lasting results, several
TDD: 1-888-220-5446 increase your risk of skin cancer and
are often needed. There are also topi-
early aging of the skin. When you’re
cal treatments for acne scarring.
going to be outside, use sunscreen of
Photodynamic therapy is a new acne at least SPF 15. Also, try to stay in
treatment. It begins with light micro- the shade as much as you can.
dermabrasion. This is used to remove
dead skin cells on the face’s surface. • Choose make-up and hair care prod-
Then, an acid is put on the skin for ucts that are “non-comedogenic” or
30 to 60 minutes. After this period, “non-acnegenic.” These products
the acid is taken off. Lastly, the skin is have been made in a way that they
treated with a laser. This treatment is don’t cause acne. You may also want
still being researched, but seems to give to use products that are oil-free.
positive long-term results. • Avoid things that rub the skin as
much as you can, such as backpacks
Q: How can I help prevent acne and sports equipment.
and acne scars? • Talk with your doctor about what
A: You can help prevent acne flare-ups and treatment methods can help your
scars by taking good care of your skin: acne. Take your medicines as pre-
scribed. Be sure to tell your doctor
• Clean your skin gently with a mild
if you think medicines you take for
soap or cleanser twice a day once
other health problems make your
in the morning and once at night.
acne worse.
You should also gently clean the
skin after heavy exercise. Avoid
strong soaps and rough scrub pads. Q: Is rosacea the same as acne?
Harsh scrubbing of the skin may A: Rosacea (ro-ZAY-she-ah) is a common
make acne worse. Wash your entire skin problem often called “adult acne.”
face from under the jaw to the hair- Faired skinned and menopausal women
line and rinse thoroughly. Remove are more likely to have rosacea. Rosacea
make-up gently with a mild soap also seems to run in families. It causes
and water. Ask your doctor before redness in the center parts of the face
using an astringent. and pimples. Blood vessels under the
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reproduced, or duplicated without permission of the Office on Women's Health in the
Department of Health and Human Services. Citation of the source is appreciated.