There’s another downside to isotretinoin: It requires a lot of paperwork and office visits. Since isotretinoin can cause birth defects, you have to come into the dermatologist once a month to get a pregnancy test and take a lengthy survey with questions about your sex life to prove that you are using sufficient birth control. These precautions are intense, but dermatologists agree that the final results for isotretinoin are like no other. “This is one of the few medicines that I can look [patients] in the eye and guarantee them it will work,” Dr. Friedman says.
How to Handle It: Your best bet is benzoyl peroxide. "Benzoyl peroxide can kill acne-causing bacteria and reduce inflammation," says Zeichner. Try a cream like the La Roche-Posay Effaclar Duo Dual-Action Acne Treatment ($37), which also exfoliates with lipo-hydroxy acid. Be aware that it can seriously dry out skin so moisturize well after you use it.
For the treatment of face acne, orange peel can be an effective home remedy. Put some orange peels in the sun to dry out. Grind these dried peels into powder. Add water in the powder to make a paste. Apply the paste gently on the acne. Leave it for fifteen minutes and wash it off with warm water. Vitamin C present in orange helps in treating the acne on the face. It also helps in getting rid of pigmentation, blackheads, wrinkles, and dark spots.
“You unfortunately cannot determine the strength of a product strictly by the percentage of its active ingredients because how well a product works depends on how well its inactive ingredients help it penetrate the skin,” explains Dr. Green. “In other words, a 2 percent benzoyl peroxide may be more effective than another brand’s 5 percent benzoyl peroxide because there are other ingredients helping out.”
SAPHO syndrome is a chronic disorder that involves the skin, bone, and joints. SAPHO syndrome is an eponym for the combination of synovitis, acne, pustulosis, hyperostosis, and osteitis. SAPHO syndrome is related to arthritic conditions such as ankylosing spondylitis and reactive arthritis. Treatment is directed toward the individual symptoms that are present, and includes medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), and cortisone medications.
Everyone's skin is different, so the routine and facial cleanser that works for your best friend probably won't work for you. "It is always best to see a dermatologist to determine a best skin routine as often times prescription products are needed as well," says board certified dermatologist and medical director and founder of California Dermatology Specialists, Dr. Eric Meinhardt.
Warning: Sulfur smells like rotten eggs. But it is an effective ingredient at drying up pus-filled pimples and whiteheads (you’ve gotta take the good with the bad). It works by sucking up the oil. Sulfur is typically mixed with other active ingredients to get the most efficacy and fragrances to mask the strong scent. You can often find it in masks and spot treatments.
Most people either choose to live with acne, or out of frustration turn to medications or chemical treatments that often have side effects or simply don’t work at all. Dermatologists can prescribe medications to treat acne, including gels, lotions, cleansers and even antibiotics. The harsh chemicals used in over-the-counter and prescription acne products can cause further irritation to already-sensitive or inflamed skin, so using these is not always the best option, or safe for continued use.
Spot treatments are designed to give problem pimples a mega-dose of concentrated benzoyl peroxide — in a couple of regimens, like the Proactiv Teen Kit, the spot treatment had nearly three times the benzoyl peroxide as its all-over treatment. The logic: If benzoyl peroxide can be irritating to the skin in high concentrations, limiting its intensity to just the pimple itself could save the rest of your healthy skin.
Sugar is a natural exfoliator, which easily opens up the clogged pores. Take 1½ cup of white sugar and 1½ cup of brown sugar. Add 2-3 tablespoons of coarse sea salt. Also add a half cup of olive oil. Add one whole vanilla bean and ten tablespoons of vanilla extract. Mix all the ingredients well and store it in a jar. Now, use one spoon daily as a scrub.
Retinoids and retinoid-like drugs. These come as creams, gels and lotions. Retinoid drugs are derived from vitamin A and include tretinoin (Avita, Retin-A, others), adapalene (Differin) and tazarotene (Tazorac, Avage). You apply this medication in the evening, beginning with three times a week, then daily as your skin becomes used to it. It works by preventing plugging of the hair follicles.