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Acne

Acne in general and more specific information about the face.

Causes

  1. Retention hyperkeratosis. What that means is the skin is not exfoliating in a normal fashion and the outer layers of the skin stick together excessively and the pore can’t drain.
  2. Excessive sebum production that becomes thick and cloudy in nature and can’t drain from the pore.
  3. Hormones mostly androgens that can be triggered and increased by many factors which make the pore walls inflamed and sticky which can slow and stops drainage from the pore.
  4. Inflammation throughout the body and more specific inflammation in the walls of the pore which make them red and sticky and stop the drainage from the pore.
  5. Hair on the face can be a contributing factor because the hair shaft can have spines at the base (like branches of a tree at the base). The hair itself can exfoliate or block the pore from draining.
  6. Polycystic ovaries: The end result means more free testosterone and estrogen which cause more inflammation in the pores especially during the women’s period.
  7. Propionibacterium acne which is anaerobic. Anaerobic bacteria thrive without oxygen and when exposed to oxygen they die. P acne will reproduce down deep in the sebaceous gland. They multiply and flourish deep in the gland without oxygen. When this happens they colonize in the pore and they are extremely hard to kill and a lot of time you will see a region in which they are located. It is an area which there is a line of pimples or a patch and the person will keep breaking out in the same area over and over. This is usually where the person rests there hands on their cheeks and jaw area. Propionibacterium acne produces the free fatty acid and starts the resultant inflammatory cascade. Also if you see a group or areas of pimples one might think how did it spread from one area to the other area. During a prior inflammation which epithelial tongues have caused fistulous links between neighboring sebaceous units. These tunnels fill with sebum and bacteria therefore the spread of infection.
  8. One major factor that causes pimples is when the walls of the pore become inflamed and sticky there is a disordered shedding of the cells that line sebaceous follicles this cell desquamating horny cells (has spines) they stick together and stops the flow to the surface of the skin.
  9. A lot of stress in the person’s life cause a release of hormones from the adrenal cortex this causes inflammation of the pores which causes and starts the shedding of cells and blockage.
  10. Food: There have been studies on this and the link to acne but their studies are flawed because the way they were done. What we take into our body does affect our skin. The food and water we take in affect our body tremendously. There are inflammatory foods and non-inflammatory foods. Inflammatory water and non-inflammatory water.
    If I could just tell you a short story to explain. One time I lived in a region in the US where the water was said to be clean and safe to drink and it was safe to drink. I was at the local home depot talking to a guy about how bad the water was to drink. I am particular about the water I consume. The guy said that he lived in the area and he drank the water his whole life and he thought it was fine. I look at his skin and noticed how red and inflamed his skin was. His skin was slightly patchy and had redness on the face. I thought maybe it was just his skin condition but then as I walked around analyzing people’s skin in the area, I noticed a tremendous amount of people with the same issue of their skin so I don’t believe it was a coincidence. It is essential to take in half your weight in ounces of filter ph balanced water or alkaline water a day. Most important to drink 16 oz of water in the morning when your body is the most toxic. The other time of the day that is important to drink the water is at night. The reason is to flush your organs and the biggest organ is the skin. This can be further discussed in the member section.

How does a person get control and reduce or eliminate acne?

Once you go after and stop the factors that cause acne you will eliminate acne. The only factor that you can not change is genetics.

Therapy will be discussed

  1. Benzoyl peroxide: This is a topical that can be bought over the counter at many stores. Its action kills the Propionibacterium Acne and to reduce the number of bacteria on your skin thus reducing the free fatty acids that are produced by the bacteria that cause inflammation. It has been found that 2.5% benzoyl peroxide is just as effective as 5% with less irritation to the skin. I think that benzoyl peroxide will not kill the deep Propionibacterium Acne that has colonized in the gland. I believe that the Q switch laser does kill the bacteria.
  2. Topical antibiotics for the skin affect acne by reducing the number of bacteria on the skin and suppressive effects on the inflammatory response. There is only one topical antibiotic that is effective and can be shown in our members section with sign in.
  3. Exfoliants: This address the Retention Hyperkeratosis which means the skin doesn’t exfoliate. This is a key factor for eliminating acne. Elemental sulfur, resorcinol, Tretinoin or Retin A. In my opinion, they cause more redness and irritation to the skin and thus rebound acne. Even Benzoyl peroxide cause a lot of redness and irritation and rebound acne. The most effective is 2% Salicylic acid which is more gentle to the skin. It exfoliates the skin and reduces the bacteria and free fatty acid which cause inflammation and acne. The key is to maintain a balance in your skin not too oily and not too dry because if you don’t maintain the gentle balance of your skin you will never have clear skin. It is best to wash your face in the morning with the 2% salicylic acid wash and use our laser face lift cream because it will balance your skin. So if your skin is too dry from washing your face every day with the 2% salicylic acid wash which it does in most people. To maintain the balance wash with a ph balance wash every other day. The best wash for this is Phisoderm sensitive skin wash which you can alternate with the salicylic acid wash. It is also best to wash your face with the phisoderm at night.
  4. Oral Antibiotics: Tetracycline, Erythromycin, Minocycline, Doxycycline, Clindamycin, Trimethoprim-Sulfamethoxazole, Trimethoprim, Cephalosporins, Ampicillin. Propionibacterium Acne is very hard to kill because of the nature of the bacteria and where they exist deep in the gland. Therefore It takes a couple of months for the antibiotic to even reach the bacteria if at all. Which brings me to the conclusion that the main reason for the antibiotics is for their other effect on the skin which is to directly interfere with local chemical and cellular inflammatory mechanisms. To inhibit leukocyte chemotaxis and other neutrophil inflammatory functions and also may directly inhibit extracellular lipases responsible for the generation of inflammatory compounds. (What this means is that it stops the redness and swelling by stopping the inflammatory response.) There are many unwanted effects when using oral antibiotics stomach upset, throwing off your normal flora, candida vaginitis (yeast infection) dizziness, nausea, vomiting. There are other ways that can control this later.
  5. Blue light therapy: Propionibacterium Acne bacteria produces a porphyrin on the skin and you are able to see the amount of porphyrins on the skin with the visia scan at our office. What the blue light does is activate the porphyrins on the skin which makes them like a natural peroxide that kills the bacteria. When a person is serious they could buy a blue light that they sell and put it on over your face at night for 20 mins while you relax.
  6. Isotretinoin (Accutane) The side effects are really bad, not worth it.

Our approach to acne is a multifaceted approach. If you care about the way you look then you will commit to a program that will change your skin. There is a small financial commitment but considering you have your skin the rest of your life your confidence and mindset are important. I believe that it is certainly worth it because once you get the acne under control all you have to do is maintain your skin which is not a lot of money.

  1. Come into the office once a week for 10 weeks for the Q switch laser it has shown in studies that it will clear your skin. It clears your skin because it kills the bacteria deep in the skin. It helps with a slight exfoliation of the skin. It kills the small vellus hair on your skin that blocks the pore. It shrinks the sebaceous gland that produces oil. Also increases blood flow on a microscopic level. The better the blood flow is to the skin the more effect oxygen can reach your cells.
  2. Come into the office for the steaming and microdermabrasion it helps with the Retention hyperkeratosis plus it will clear the pore which has accumulated debris. This is essential and helps the pores function. 
  3. The topical exfoliant wash that kills bacteria and exfoliates the skin, clears the free fatty acids. The second wash is to maintain the ph balance.
  4. The laser face lift cream can be used because the products in the cream are designed to decrease inflammation and redness in your pores. It has antimicrobial element to it. Also, there is a natural humectant in it that brings water into your skin from the air. Furthermore, it has an element that will decrease or suppress the hormones in your pores.
  5. We can give you a list of anti-inflammatory foods and alkaline water that decrease the acid in your body and more important decrease the internal inflammation in your body which in turn decreases inflammation in the pore. We also can get you a list of inflammatory foods, give you some breathing techniques for stress, and help you find ways to decrease the stress in your life.

This is not given to you as medical advice but merely as educational material that can be found on the internet in articles such as webMD. If you are concerned about your skin, talk to a dermatologist and see what he says.

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