Here is a little extract from the ebook "The Complete Guide to Acne Prevention, Treatment and
Remedies".
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Scars and Stripes - Scarring in Acne
In teenagers, as well as adults, severe acne can lead to atrophic, or pit-like, scars in the
affected area. This can be the source of a huge inferiority complex and leads to
depression in many people.
This section describes:
• How to define scarring
• The various types of scars that result from the different kinds of acne … and
• Are they treatable?
Definition
The human body is tuned to respond to any foreign body or abnormal change, whether
in it or outside, in a similar way to how an animal would attack an intruder encroaching
upon its territory. The body automatically acts to ‘normalize’, or heal the change that
took place in it.
For example, if the body receives an external injury, it immediately initiates production of
clotting to heal the wound. The body instigates a similar healing process when scarring
occurs.
In biological terms, ‘scarring’ is the fibrous process that initiates production of collagen
to heal the acne-induced changes in the body.
People suffering from either moderate or severe forms of acne vulgaris (e.g., acne
fulminans, acne conglobata) are particularly prone to scarring or pigmentation. Hence, it
is advisable for patients suffering from severe acne to seek immediate treatment that
will reduce their chances of developing deep, or untreatable, scars.
I. Color changes due to inflammatory lesions
The healing of inflammatory acne lesions can lead to the emergence of patches of
pigmentation in the affected area. These changes in skin color are temporary and
curable. With the right treatment, the patches disappear after a few months and do not
recur.
The color changes are classified into three types:
(1) Post- inflammatory pigmentation: Results in brown pigmentation
(2) Post- inflammatory hypopigmentation: White marks appear on the skin
(3) Post- inflammatory erythema: Purple, or pink, patches are seen.
Treatment for post- inflammatory pigmentation
Treatment options for post-inflammatory pigmentation include:
Chemical peel-offs: These are face packs with glycolic acid or Jessner’s solution added
to them.
Azelaic acid cream: This cream, also prescribed for treating moderate acne, is
successful in treating pigmentation.
Protection from the sun: Brown marks darken under moderate to excessive exposure
to the sun.
Always apply an oil-free sunscreen with an SPF of 15 or more before going out of the
house.
II. Physical disfigurations in the form of pits or lumps
Severe acne causes three kinds of scarring. These are -
- Ice Pick scars: Appear as a series of small pits.
- Hypertrophic/ Keloid scars: Extremely thick, lumpy scars that protrude from the
skin.
- Atrophic scars: In contrast to keloid scars, atrophic scars are thin, flat scars.
Treatment Options
There are various treatment options for each type of scar. Most scars heal completely
with the right treatment, though it may take many months for this to occur. However,
in a few cases, the scar recurs, even after being successfully treated.
Here are the different ways in which the three kinds of scars can be treated. For details
on the procedures, please refer to the Section on Treatment.
1. Ice pick scars can be treated by:
- Dermabrasion
- Cutting out larger scars
- Laser resurfacing
2. Atrophic scars:
- Dermabrasion
- Increasing the soft tissue through fat or collagen implants
- Hypertrophic, or keloid scars, are the most difficult of the three to treat
successfully. Despite apparently effective treatment, the scars are liable to recur
within a short time.
Treatments that can be used are -
- Dressing of scars with silicone gel
- Application of strong topical steroids
- Steroidal injections in the lesions
- Cryotherapy (Cold therapy)
- Surgery
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The above is an extract from the ebook "The Complete Guide to Acne Prevention,
Treatment and Remedies"
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The table of Contents
1. Acne - An Overview
2. What is Acne?
Definition of Acne
3. Who Develops Acne?
4. What is the Real Cause of Acne?
The Hair Follicle and the Sebaceous Glands
Sebum
Hormonal Control of Sebum
Role of Sebum
Why We Get Acne?
5. Types of Acne Lesions
6. Scars and Stripes - Scarring in Acne
Definition
Types of Scars
( 1.) Color Changes Due To Inflammatory Lesions
Treatment For Post - Inflammatory Pigmentation
( 2.) Physical Disfigurations In The Form Of Pits Or Lumps
Treatment Options
7. Seborrhea Due to Hormonal Changes
Causes of High Levels of Androgens In Women
8. Factors Which Aggravate Acne.
Acne Lesions
Inflammatory Acne
Non-Inflammatory Acne
9. Acne Vulgaris
Pathophysiology of Acne Vulgaris
Diagnosis
Management of Acne Vulgaris
Topical Treatments
Systemic Treatments
Surgical Options
Prognosis
Precautions for Patients
10. Acne Conglobata or Cystic Acne
Patho-physiology of Acne Conglobata
Characteristics
Treatment
11. Severe Acne: Acne Fulminans or Acne Maligna
Features of Acne Fulminans
Pathophysiology
Medical Care
Prognosis
Management
12. Comedonal Acne
The Way Out
13. Acne Keloidalis Nuchae
Treatment
14. Acne in Pregnancy
Medicines to be Avoided During Pregnancy
Treatment of Acne During Pregnancy
15. Acne Excorie
Treatment
16. Newborn or Infantile Acne
Infantile Acne
17. Acne Due to Medicines
Hormonal Medicines
Other Types of Medicines
Precautions
18. How to Diagnose Acne
Prognosis
19. Ten Tips to Avoid Acne
20. Useful Tips to Reduce Acne Naturally
21. Tips to Avoid Worsening Acne
22. Step One: Keeping Your Face Clean
23. Step Two: Using Acne Face Creams
24. Step Three: Relieving Your Constipation
25. Step Four: Making Changes to Your Diet
26. Step Five: Foods to Avoid
27. Step Six: Using Essential Fatty Acid
28. Step Seven: Using Fish Oil
29. Step Eight: Juices You Should Be Drinking
30. Step Nine: Fruits You Should Eat
31. Step Ten: Vegetables to Eat
32. Step Eleven: Eating Protein Rich Food
33. Step Twelve: The Vitamins You Should Take
34. Step Thirteen: Herbal Mixtures
35. Step Fourteen: Changing Your Thinking
36. The Psychosocial Impact of Acne
37. Myths and Misinformation About Acne
38. When to Seek Professional Help
39. Tips for Clear, Beautiful Skin
40. Acne Treatment
41. Treatment of Mild Acne
(1) Benzoil Peroxide
Possible Problems With Benzoil Peroxide Products
(2) Azelaic Acid
(3) Topical Retinoids
42. Treatment of Moderate Acne
43. Treatment of Severe Acne
(1) Isotretinoin
Properties of Isotretinoin
Side Effects and Precautions
Monitoring the Patient
(2) Accutane
(3) Corticosteroids
(4) Surgery
44. The Powerful Effects of Accutane - The Risky Miracle Drug
What is Accutane?
1) Risks During Pregnancy and Lactation
2) Psychiatric Distress
3) Abdominal Problems
4) Effects on the Bones and Muscles
5) Brain Problems
6) Problems with Vision
7) Effects on Hearing
8) Effects on Lapid Levels
9) Allergies
10) Blood Sugar Problems
Symptoms of Other Serious Problems
Some Less Serious Side Effects
Precautions for Patients
The Treatment Procedure
45. Budget Friendly Home Remedies for Acne
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Dear Acne Sufferer,
It doesn’t matter whether you are a teenager or are a “30 something.” Acne doesn’t
really care as long as it finds a home.
Do any of these situations describe you?
Your Diet & Acne
You love French fries and other greasy foods. But your skin breaks out.
Skin Care Products & Acne
You’ve tried every cosmetic and tanning lotions on the market, but your skin still
breaks out!
Hygiene & Your Skin
You shower every day and still have difficulty with unwanted blemishes popping up.
Acne & Shaving
You shave with a double-edged razor and you often have inflammation in areas
afterwards.
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Did you know?
Acne affects millions of people all over the world. The statistical distribution of the
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2. The condition occurs on some children under 10 years of age.
3. Boys are more likely to have a severe form of the disease
than teenage girls.
4. About 12% of women between 22 and 45 years of age are
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5. About 3% of all men are affected during their adult life.
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Brought to you by Jacob Gan, PhD (Michigan)
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