Acne is a widespread condition. Typically beginning with hormonal changes that cause the enlargement and obstruction of sebaceous glands in the skin. This can result in both physical and emotional scars. Uneven texture, dark marks and premature ageing are just some of the ill effects of acne scars. Acne patients experience shame, embarrassment, anxiety, lack of confidence & impaired social contact.
At "Skin City" we adopt only the very latest in skin care technology, and ensure the highest safety standards, And are performed under the guidance of our in-clinic dermatologist.
Q: What is acne?
A: Acne is a chronic inflammatory skin condition, of the pilosebaceous unit (sebaceous glands),seen primarily in adolescents. It is characterized by the formation of comedones, papules, pustules, nodules, cysts accompanied by scarring. The primary site of acne is the face and to a lesser extent the back, chest and shoulders.
Q: What causes acne ?
A: At puberty, the body undergoes changes and there is an increase in hormones. These hormonal changes cause increased sebum production, thickening of the pilosebaceous duct, increase in bacteria P.acnes. The amount of sebum produced is much more than that can be normally excreted. The area around these glands may swell and become infected. The inflammation of these clogged skin pores and their subsequent appearance as larger redder spots, sometimes filled with pus.
Q: Is it hereditary ?
A: Genetic factors do influence susceptibility to acne. Acne is more severe in patients whose parents had suffered from it.
Q: What are the other precipitating factors?
- Many women can have flare 2-7 days premenstrually.
- Sunlight (UV radiation) may enhance the comedogenecity of sebum.
- Acne induces stress and picking of spots will aggravate the appearance.
Q: Is it related to diet?
A: There is no link between acne severity, caloric intake, carbohydrates, lipids, proteins, minerals, amino acids & vitamins. However some studies have shown it to be less severe in those eating a diet rich in fish.
Q: Do I need to undergo lab tests ?
A: Laboratory work up is not indicated unless hyper androgenism is suspected.
Q: Who is prone to acne?
A: Usually starting at puberty, acne can affect people of all ages. Acne cases in 20, 30 and 40 year olds only go to prove this. As does Adult acne - another variant that can affect perimenopausal women. But average age prone for acne is 12 years to 24 years.
Q: What are acne scars & how do they occur?
A: Marks and pits that are left behind once the acne is cleared are known as acne scars. Although not contagious, 'popping zits' and untreated acne can lead to permanent scarring.
Q: What can be done to minimize these scar formations?
A: The only sure method of preventing or limiting the extent of scars is to treat acne early in its course, and for as long as necessary. The more the inflammation is prevented or moderated, the easier it becomes to avoid scars.
Acne lesions should not be picked or squeezed by the patient. Squeezing forces infected material deeper into the skin, causing additional inflammation and possible scarring.
Q: What does one look for in an Acne Scar Reduction Treatment?
- A treatment must look at all the aspects of acne. It needs to
- Be gentle enough for all skin types.
- Be able to prevent new blemishes from coming to the surface.
- Help the current blemishes heal.
- Help prevent remnant marks from forming.
- Reduce the scarring and marks caused by old breakouts.
Q: How can acne be treated?
A: Getting rid of acne prevents scarring. However, if one does not have acne scars, they need to consult a dermatologist who can customize a solution plan specifically for their needs. Peels may be used by some, while Higher Level of Skin Polishing & Brightening may benefit others. A combination therapy may also give good results based on the type and extent of scars. It is important that the acne be well controlled before any procedure is used to alleviate scarring.
No Soap or Topical agent will remove the lipids or bacteria from within the follicle. But cleansing to remove oil, if not overdone provides benefit.
Vitamin A derivatives like Tretinoin, Adapalene are comedolytic and reverse the altered pattern of follicular keratinzation. Benzoyl peroxide, Erythromycin, Clindamycin are antibacterial agents.
Doxycycline, Azithromycin are the commonly used systemic agents. Isotretionion is used for very severe cases. Treatment has to continued for 3-4 months.
Glycolic forms a part of the group of acids called alpha hydroxy acids (AHA's). These are natural moisturizing agents, which easily penetrate the skin. They are also used as an excellent deep cleansing peel as they increase the skin's performance by decreasing the build up of dead skin cells thereby allowing fresher skin cells to the surface. These are solutions applied to the skin to help remove dead skin pollution deposits and damaged skin, hence aiding scar reduction and cleansing of the skin's surface. Salicylic acid is beta hydroxy acid is used as BHA peel. It is use ful for very oily skin.
Micro-dermabrasion or a higher level of Skin Polishing & Brightening
This is also highly effective in reducing the appearance of acne scars. This subtle procedure is performed with fine crystals under vacuum, resulting in the exfoliation of dead skin cell buildup and smoothing of acne scars.
The result: Vibrant and smooth skin. This treatmnent improves skin defects regardless of skin type and color. It may also be safely used on any part of the body.
Intense pulse light
This emits this intense pulsed light in the 420 -950 nm range. Targets porphyrins which are produced by P. acnes and destroys the bacteria without any effect on the surrounding human tissue.
Causes reduction in the active lesions by deep dermal heating (remodeling of collagen), vasodilation (Increases blood circulation and faster lymph drainage). It causes shrinkage of oil glands lifting of scar base.
Near intra red Pulse light ST
Near infra red wavelengths are emitted which heats the dermis, causes remodeling of collagen and improves scars.
Lasers Deliver thermal energy at optimal pulse durations which starts a wound healing response leading to collagen remodeling.
Q: How do I select the right place to reduce acne scars? How is this treatment better than any other available in the market?
A: Treating acne requires medical expertise. Therapists without complete knowledge can further damage one's skin. Expert advice from a dermatologist helps in customizing and achieving a solution plan to attain best results. Skin city is super specialty laser institute equipped with more than 15 Laser heads. Our dermatologists are experienced and trained to choose the right technology or even combine multiple technologies addressing need. of your skin. The overall goal of our Acne Scar Reduction service is to get rid of existing lesions and scars, while preventing the formation of new ones. The process of exfoliation and consistent use of peels ensure acne pits and scars on the skin even out. However, results obtained differ in accordance with the customized treatment plan for each patient.
Q: What is "Skin City combination Therapy" for acne & are scars ?
A: For acne scars to even out you have to approach at two levels. Superficial treatment will shoulder margin of a pit while deeper treatment with laser will remodel the collagen & lift - up the scar base. For superficial approach Micro dermabrasion, AHA, BHA are used. For deeper target 1064 nm, 1320 nm, ST, Radio Frequency are used. A typical combination approach includes one prescription of medicine + superficial therapies like microdermabrasion, AHA, BHA, LEO 420 + One of deep dermal therapies like Accent, ST, 1064, 1320. For very deep scars Surgery with Er:YAG Laser.
Q: Why do I need multiple sessions to see best results of this Treatment ?
A: The acne scars may be dermal or epidermal. Therefore, the process of reduction requires an exfoliation of the superficial skin layer. And this is undertaken over multiple sessions. After each of which, the underlying exposed skin becomes tender and hence the improvement process is taken step by step. The progress starts with the first session itself. And culminates in approximately 8-15 sessions depending on recommendations of the dermatologist. Since skin is subjected to years of dust, pollution and UV rays, it takes-the recommended number of sessions for your skin to look, act and feel better.
Q: How long does a session last?
A: A session of acne scar reduction may last between 30 minutes to an hour.
Q: What are the kind of results that I should expect from this treatment?
A: There will be a visible difference in skin condition. As well as in it's texture. The skin looks cleaner and brighter. While the number of acne lesions would also go down with decreased scars and pigmentation.
Q: Is the treatment for acne scar reduction safe?
A: Absolutely. We always do a crystal sensitivity or patch test before proceeding with a . All our skin practitioners have been trained and certified. And we even ensure there is always an in-house dermatologist at the clinic.
Q: Are there any side effects of this treatment?
A: There are no side effects in this . Since the dead cells on the surface of the skin are removed, the underlying exposed skin is tender and may immediately become slightly red. This will subside within a few hours. However, in the case of sensitive skin, this effect may last for a day or two.
Q: Are there any after-service recommendations that I need to be careful about?
A: The skin is usually tender after the service, hence direct exposure to excessive sunlight should be avoided. A sunscreen with a minimum of SPF 30 should be used twenty minutes before stepping out into the sun.
Q: Do I have to continue with the service to maintain the results achieved?
A: After taking the number of sessions recommended by the in house dermatologist, one does not need to continue with the service. However it would be an added effect if one were to take regular maintenance services.
Q: Why do we get Acne or Pimples?
A: Scientific research seems to indicate that there are four key factors involved in the acne process:
- Hormones undergoing a drastic change in the body during the teen years cause the oil glands to become overactive.
- Family background or heredity plays a very important role as well.
- If the skin cells that line the oil glands or pores are present in unusually large numbers, they tend to stick together, clogging the openings to the pores, leading to whiteheads or blackheads.
- Bacteria thrive on this oil from oil glands, growing readily beneath the skin cells and leading to infection. This produces redness and pus formation (the classic "pimple"), or in more serious cases, the infection spreads into deeper skin layers and causes cysts.
Cystic acne is a deeper infection of the skin and is more likely to lead to permanent scarring.
Q: How it affects me?
A: Acne or pimples can trouble us in three ways
- Pimple or Acne or varying severity
- Red or black pigment of healing acne
- Pits or scars of healed acne
SkinCity treatments for active acne.
Q: What is a hemangioma?
A: The word hemangioma comes from the Latin words hemangio meaning blood vessel and oma meaning tumor with active cell dividing activity. Hemangiomas differ from other vascular birthmarks in that they are biologically active, their growth is dependent from the growth of the child. They are the most common benign tumor of infants. In most cases it appears during the first days or weeks of life and will have resolved at the latest by age 10. In infancy, it is the most common tumor.
Q: What are types of hemiangioma?
A: types of hemiangioma :
- vascular tumors of infancy and childhood Infantile haemangoma
- Congenital haemangioma
- miliary hemangiomatosis of infancy
- Tufted angioma verrucous hemangioma
- Superficial haemangioma
- Deep haemangioma
- Mixed haemangioma
Some General tips to prevent acne
Acne Skin care regimen
- Do not wash face frequently.
- Gently wash with a soap free cleanser twice a day
- Avoid scrubbing
- Use a sun screen lotion of SPF 30 in the morning
- Don't squeeze, pick, scratch or rub skin
- Avoid excessive sun exposure.
- Avoid extreme stress if possible. Practice stress reduction strategies such as exercise, meditation, and counseling if stress is extreme.
- Get physical exercise regularly.
- Always keep follow-up appointments and maintenance sessions.
Skin City offers skin-care under the supervision of dermatologist. The results of the services can vary from person to person. The result of the services cannot be predicted with 100% accuracy since each individual's skin responds differently to a treatment.