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Acne is not just the basic stuff we’ve talked about already. It has many more variants. There is one such form that we cause ourselves, spending half the day in front of the mirror, scratching and abrading and picking on acne, blackheads and whiteheads. This causes new acne to form, called the excoriated acne. Excoriate means to scratch or abrade the skin. Picking and scratching of acne causes small red marks that appear as if they’ll go, but they stay on, become black and finally become permanent.
In a normal person, it may just appear to be a small acne, but people who know the cause and who are prone to acne know that their constant touching and picking is causing this, yet they cannot endure their desire to nail their acne down, causing more of it. This takes a form of compulsive picking at every small blemish that happens and should be discussed with the dermatologist
Some people also have obsessive compulsive disorder to pick on acne, making this condition even worse.

In this age of modern medicine, dermatologic and cosmetic surgery is available for acne scars. But before going for a treatment one must necessarily examine their skin type and decide which treatment they should go for. Besides, the cost, purpose of the treatment and the number of days required to heal and no of days that the results are going to stay on for, all should be kept in mind before going for a treatment.
If a person is not very heavily affected by the scars and they do not have emotional and psychological effect on them, they might even choose to live on with them, but for the one’s whose social and mental health is deteriorating because of this, they should get themselves treated right away. Moreover, these expensive treatments should be sought only if the scars are particularly disfiguring. Before going for the treatment, one must have a frank discussion with the dermatologist and know whether the case is dire enough to go for medical treatment or no. for that, the dermatologist has to take a number of tests.
One must keep in mind after a treatment or even before going for it that the skin has been damaged by the scars. So there is going to be a trace of the damage even after the treatment. Nevertheless, acne treatment does give the skin a better physical appearance.

There are two kinds of acne scars:

1- Keloids- these are scars that are caused by the increase in tissue formation. They are also called hypertrophic scars, hypertrophy meaning an enlargement or an overgrowth. Excess deposition of the protein collagen in the tissue causes hypertrophic scar or keloid. When there is an injury in the skin, the immediate response of the body is to produce extra collagen and deposit it in the sight of the injury. The protein then settles as a mass of fibrous tissue, resulting in a firm, smooth and irregularly shaped masses of skin tissue.

The size of a keloid is generally a very few millimeters but in a few cases, it can grow up to a centimeter. This has genetic specifications and is passed on to the progeny as inheritance. People who have relatives with these scars are more susceptible to have them. This type of scar can persist from over a span of few years to the entire life time of a person. In some fortunate cases, its size reduces.

Life is not simple for people with such abnormal marks, especially on their face. They have to constantly face the unwanted glances of the people around them. There are cases when women have been rejected in marriage because of a familial scar that runs in her blood.

There is a stigma attached to visiting a dermatologist. Because everybody is suggested that acne will eventually disappear. But if the following statements appear in your mind, it is time to pay a visit to a dermatologist:-

1) Your acne makes you feel diffident.

2) You are embarrassed by them.

3) Scars are appearing after acne lesions clear.

4) You’ve become a pessimist since you’ve had acne.

5) You have dark skin where darker patches appear when an acne lesion clears.

6) You have painful nodules and persistent blackheads and whiteheads.

7) You’ve tried and failed using all possible non-prescription medicines.

If you match any one of the following criteria then this is just the time for you to get a proper medical treatment done. Dermatologists will give a new feel to your skin by treating you of existing acne and preventing further breakouts and scarring. Apart from this, new confidence will be infused in you once you start getting treated for it.

Treatment at the earliest stage is best or people have to visit psychiatrists along with dermatologist.

There may be chances that you might suffer from acne due to a certain drug that you are taking. This happens more than often that acne pops up in people due to the side effect of a particular drug.

One of the drugs that is known to cause acne is Steroid.  This kind of acne can arises due to the intake of steroid pills or due to applying corticosteroid creams to your skin. You can easily tell that acne is caused due to steroids as it is a bit different from regular acne. It is inflammatory and also has blemishes. These are prescribed for rheumatic arthritis, rashes or kidney diseases. In case you are on these drugs try not to take tem on a long term basis. Also, avoid the usage of steroid based creams.

Another drug that causes a similar predicament is the testosterone pill. It is used by athletes to increase muscle mass. It causes a change in the body hormones leading to acne. Also, the drug called Danazol, prescribed to women with endometriosis acts in the same manner. Other such drugs are Lithium, Dilantin. Whenever you take a drug keep these drugs in mind and check the constituents of the drug carefully.

1. It is very commonly seen in people with acne prone skin that they scrub their face hard twice a day or keep cleansing them. It is a major misconception that poor hygiene is a reason for acne. It is not so. Although it is very healthy for the skin if we keep it clean and let mud and mire and dead skin accumulate on our skin, excess of everything is bad. And especially a skin that already is affected with acne gets even more irritated by this. So the best way to keep clean is to wash the face with mild soap only twice a day.

2. Acne, contrary to general belief does not depend on the diet of a person. Eating a balanced diet is always healthy. But if certain people show symptoms of acne with a certain food type, they should avoid that. Apart from that there are no specifications.

3. Many people believe that they should just let acne be. This is the biggest myth in this new age of cosmetics and advances in medical science. There are umpteen products to get it cleared so consult your dermatologist now instead of procrastinating and ignoring those ugly spots.

There are many such marks on the skin which may appear to be like scars but are not in reality. They may be pigmentation of some other kind but not acne scars.

Macules- they are reddish and flat spots that are formed when an acne lesion is in its last and the most inflamed stage. A macule stays on after the acne lesion has been treated or flattened. This macule marks the place of the lesion; it stays on for a few weeks to about 6 months and finally wears off, unlike a real scar, which does not disappear.

There are other forms of marks on the face like post pigmentation scars which is most common in people with a darker skin tone, but shows mostly in people with light skin. This happens when the affected area of skin heals and is left discolored. It requires prompt attention and visiting a dermatologist early is beneficial. It is most vulnerable in sun and may persist up to a year or 18 months. There is a treatment that can be done only under sterile medical conditions called chemical peeling which stimulates the process of treatment.

Thus, we now know that there are other marks also that can be mistaken for scars, which are actually marks which heal in time without a trace.

A circular sac like lesion which when plucked, oozes semi liquid material comprising white blood cell, dead cells and bacteria is called a cyst. Being larger than any of the above mentioned forms of acne, its effects are even greater. It is severely inflamed, extends to deeper into the skin, is terribly painful and leads to major scarring. Very often, nodules and cysts occur together and result in a severe form of acne which is called nodulocystic acne. Here too, isotretinoin ointments are the only effective treatment or systemic therapy. Some research workers in the field of acne are of the perception that true cysts rarely occur in acne, and what we generally call a cyst is actually a lesion which is a severely inflamed nodule. Thus they assert that the term nodulocystic should be abandoned. Nevertheless, resting the debate here, this is the most severe form of acne that is resistant to general treatment and leaves unpleasant scars after healing.

Acne has economic impact also. Americans spend about a hundred million dollars per year to treat them, including non-prescription medicines, special soaps, and cleansers.

Having spoken about various types of acne in detail, we will now read about who gets acne and how to treat them.

Our body is covered with millions of tiny pores. These pores are bigger in some parts like the face. All these pores lead to the sebaceous or the oil glands of the body. Normally, the sebaceous glands secrete sebum, which is oily in nature. On the face, which is the most exposed part of the body, it attracts dust and solidifies into blackheads and whiteheads. These are the most minor form of acne. Acne is a collective term for blocked pores, pimples, and deeper lumps like nodules and cysts.

Acne can occur anywhere, ranging from the face to the neck to the chest, back, upper arms and in some cases the buttocks. Mostly teenagers are affected by these eruptions on the various parts of the body, but adults as old as 40 may also have acne. Although acne starts occurring after a certain age, it is a myth that acne occurs only in the youthful.  Acne, as a disease is not fatal, but its consequences are not very desirable either. They can leave marks which wear off with time, but the severe cases can lead to scarring, which disfigures the area of the scars. Acne may not be a very serious medical problem, but the ugliness it causes can be very upsetting.

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Reducing acne naturally involves drinking lots of water, getting plenty of rest and keeping hands off of the face. Change pillowcases and apply honey to the skin to naturally reduce acne with tips from a professional makeup artist in this free video on skin care.