Acne is also known as “pimples” is a dermatological problem that has never been paid due attention to by most people though it negatively affects the psychological state especially during adolescence and can cause persistent skin problems and scars on human skin in the long term in case of wrong treatment.
A direct link between fatty foods and acne formation has not been proven. Acne can be caused by hormonal and genetic factors.
Acne is a skin condition caused by excessive sebum secretion in sebaceous glands located in the middle layer of the skin.
The most common acne occurs when the bacteria Corynebacterium Acnes develop in the formation caused by the secretion of sebum as a result of clogging of the pores at the hair root.
The most common negative side effect of ineffective acne treatment are acne spots or scars.
Acne spots are a change in skin color after acne has healed.
Usually, the spots are darker than the skin, but in rare cases, they can be lighter. Acne spots are on the same level with the skin, there are no irregularities or depressions.
Acne scars are depressions and sometimes raised bumps in the skin after acne has healed.
Acne-affected skin usually has both acne scars and acne spots.
If the surface layer is damaged or burned our skin can heal without scarring. However, with deep injuries or burns, when the middle and lower layers of the skin are damaged, there is a high probability of scarring due to the healing process because the skin tissue is damaged more.
As with injuries or burns, our skin perceives acne as a problem that needs to be addressed and triggers a process called inflammation.
Some pimples cause rupture of the follicle walls, in these cases, the cells responsible for the skin self-healing are damaged. As a result, a scar appears because the skin produces more collagen than necessary. It is called a hypertrophic (keloid) scar. The type of scars that occur with less collagen production are classified as atrophic scars and look like pits or depressions.
In other words, acne scars can be convex or concave in relation to the surface of the skin, depending on the personal characteristics of the patient. Acne scars are most commonly considered atrophic scars.
Acne scars or spots are not inevitable but they are very common.
Here are the reasons:
Of course, it is possible.
However, the top priority should be timely acne treatment and prevention of spots and scars because treating spots and scars are much more difficult, more expensive, and much longer than acne treatment.
The first thing we look at when treating acne spots and scars is whether the acne is still active. If pimples still appear, effective acne treatment should be done to prevent new scars and spots from forming. Otherwise, spots and scars from new acne will have to be re-treated.
As we explained above, it is very important to prevent new acne from forming before treating spots and scars, because every new pimple is a candidate for a new blemish or scar.
When treating acne, small sebaceous formations that do not contain inflammation, called comedones or blackheads, should be treated with products containing acids. Because they are usually the precursors of acne.
Creams containing azelaic acid, salicylic acid, retinoic acid, or chemical peels with glycolic acid are an important step in the treatment that prevents comedones from becoming pimples and reduces acne formation.
For inflammatory lesions called pustules, nodules, cysts, treatment options vary depending on the severity of acne, from topical creams to oral antibiotics or retinoic acid.
Topical antibiotic creams, benzene peroxide creams, and topical retinoid creams are used to treat mild acne.
In the case of moderate acne lesions women may be prescribed oral antibiotic therapy (especially tetracyclines, the duration of which does not exceed 3 months) and in some cases estrogen-containing drugs.
In the treatment of severe acne lesions, one of the important options is the use of isotretinoin.
The following methods are mainly used in the treatment of acne scars:
The choice of treatment for acne scars and spots depends on the prevalence and depth of the spots and scars, whether new acne continues to appear, and the season of the year.
Treatments for acne scars are long-term and should be applied step-by-step.
That is why good contact between the patient and the doctor and regular check-ups are important in this process.
You may find some of our before and after results, below;
While treating acne is challenging there is a good chance that your skin will heal completely.
However, acne scars are much more difficult to treat. It is good if they are few and not deep. However, if there are moderate to deep scars it is difficult to predict how much the condition will improve. If an effective treatment protocol is applied and the person protects their skin well in this process significant improvement can be achieved. Deep scars should not be expected to completely heal with any treatment. If the patient wants deeply damaged skin to look as smooth as normal skin this can be achieved with fillers.
The topic of acne scars and spots is unfortunately widely used to attract clients to beauty centres. Salons and centres operating without a dermatologist make promises and give "one hundred percent guarantees", which unfortunately is not evidence-based. Unfortunately, acne scars and spots cannot be removed with skincare, needling therapy, or skincare products.
Scientific studies have not found any link between acne formation and nutrition (such as fat in the diet). For this reason, patients with acne are not prescribed a special long-term diet.
The effect of coffee and cola on the occurrence of acne has not been proven either.
However, while acne is caused by genetic reasons and hormones, it can be aggravated by some environmental factors.
Humid hot air, pressure on the skin, chlorinated water are physical factors that can be listed as contributing to the spread of acne.
In addition to medical treatment, inflammatory lesions, also called pustules, should not be squeezed out otherwise the risk of secondary bacterial infections and acne scars increases.
It is possible to reduce the number of blackheads and whiteheads, also called comedones, by using a chemical peel with fruit acids every 3-4 weeks.
After peeling the steam bath is applied to the skin and then stubborn comedones are cleaned with a medical comedone press.
It is important not to confuse acne with another condition in order to choose and apply the appropriate treatment. At the diagnostic stage, you should rule out rosacea (rose disease), panniculitis, bacterial and fungal folliculitis with acne-like formations.