Adult Acne

adult acne continues to increase and becomemore common. other episodes of dermtv have discussed whatcauses adult acne and how to prevent it. today, i’ll tellyou how to treat it because it’s a little different from how youtreat teen acne. hello, i’m dr. neal schultz [pause] and welcome to dermtv. according to a study presented at

the american academy of dermatology meetingin 2012, more and more female adults are getting acne. the statistics are alarming: 45% of womenin their 20’s, 26% in their 30’s, and 12% in their 40’s. and in fact, frommy experience, i would have thought the percent in the 40’sis even higher, where these women also have the unfortunatedouble whammy of pimples meeting wrinkles! lets start with washing… you still need to wash twice a day,

even though you’re not as oily as you usedto be. most acne cleansers are designed for teenageoil and water, where the skin is very oily and not dry. however, as you get older, your facial skin tends to get drier from accumulatedsun damage and simply from the aging process. so adult acne with less oily and more dryskin requires milder cleansers and alcohol free toners. cleansing needs to be gentle, so don’t usea wash cloth.

yes, in theory the cloth can help with somephysical exfoliation, but for better exfoliation, use a chemicalexfoliant like glycolic or even salicylic, so use your hands when washing your face. and also make sure the water is warm, nothot, to avoid over drying already dry skin. next, since our hair also dries out as weage, conditioner becomes more important after shampooing. but make sure to thoroughly rinse your foreheadafterwards so your conditioner doesn’t coat your skinand cause breakouts.

for spot treatment of blemishes, not only are you dealing with dryer skin, but since adult acne often affects the jawline and top of your neck, more sensitive skin areas than mid and upperface as in teen acne, for spot treatments try 1% salicylic productsinstead of 2%, and 2 .5% benzoyl peroxides instead of moredrying 5% or 10%. while prescription topical antibiotics aregreat, make sure yours isn’t a combination antibioticwith a retinoid like tretinoin – more commonly known by the brand name retin-a.

retinoids can very easily irritate these areas. but my favorite and the best treatment forcontrolling adult acne is the off label use of low dose isotretinoin, formerly available as accutane, and today readily available as a generic orunder brand names like ascorbica. recent studies have shown excellent control with daily doses as low as 5mg per day. but you’ll need to see your dermatologistfor this one. the fda controls access to it with greatersecurity

than the federal reserve guards its gold inventory.

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