Complete guide for acne and acne scars in 2021
Your guide to beating acne and scars
Acne can strike at any age but today there
are many effective treatments to tackle the problem.
We reveals a few of them
Mild acne Mild acne is categorised as temporary small clusters or single pimples. It is
normally treated with creams and lotions which can be highly effective.
Medicated creams/antibiotic lotions: These are only available on
prescription. The creams used most commonly are those containing
tetracycline, erythromycin or clin-damycin, which help cut down the level of
bacteria reduce inflammation. They dry up pustules quickly and, for mild to
moderate acne, clindamycin lotion is as effective as oral antibiotics.
Benzoyl peroxide: Available over the counter and recommended as a
once-a-week facial cream wash. It can dry out the skin so, if using it
regularly, you should also use an oil-free moisturiser.
Topical vitamin A derivatives: Available as creams, gels and lotions,
these are good for clearing up blackheads but often dry the skin.
Use them in conjunction with an oil-free moisturiser.
Alternative remedies: Precious Earth face mask contains seaweed extracts
that act as an organic magnet, sucking out impurities from the skin's
infected pores without stripping away essential oils. A 50ml tub costs £8.
Call: 01993 868912.
Fleuraderm is a natural supplement containing herbs specifically selected
to fight acne. It contains wild pansy and burdock to cleanse the skin tissue
and blood, nettle to control testosterone levels and zinc to help the skin
heal.
A month's supply costs £8.45.
Call: 01473 667 443.
Severe acneSevere acne is categorised as large areas of skin infected with red, inflamed
lesions which are always present. It can cause permanent scarring.
The most common form of treatment is oral antibiotics, which have few
side-effects.
Oral antibiotics: Usually prescribed to be taken over prolonged periods,
usually for no less than six months. They cannot be taken indefinitely.
The most frequently prescribed antibiotics for acne are tetracycline,
erythromycin, minocycline and trimethoprim.
Sufferers should notice a significant improvement in their acne after
approximately two months. If not, consult your GP.
Some antibiotics may reduce the effectiveness of the contraceptive pill so
discuss this with your GP.
Hormone treatments: A common treatment - for women only - is the oral
contraceptive pill, Dianette. This contains a medium dose of oestrogen, a
hormone that fights acne, and a drug called cyproterone acetate that reduces
testosterone levels.
It is often prescribed for women who have not responded to oral
antibiotics and should be taken for a minimum of six months, but can be taken
for up to 24 months.
Oral vitamin A derivatives: These drugs are available only from
dermatologists.
They are powerful and can control severe forms of acne.
They do have some side-effects and so their use is restricted to chronic
cases.
Retinoid acid cream: This cream is available on prescription only. Its
chemical name is Tretinoin or topical Isotretinoin and it is a derivative
acid of vitamin A. Used regularly it softens the skin and helps prevent
blackheads reforming.
Silicol skin: This face mask coats the skin with silycic acid particles
that absorb excess grease, dead skin cells, toxins and bacteria without
harming healthy skin. It is priced at £7.99 for 50ml and is available from
pharmacies or my mail order. Call: 0870 7274153
Alternative treatments:
Ketsugo cream contains a compound called isolutrol, which is an enzyme
extracted from sharks and has antimicrobial qualities. It is available in
health food shops.
Quick fixesSeveral useful treatments can temporarily help reduce the appearance of acne
for a special occasion and can be taken together with other long-term
medications.
Tea tree and lavender oil: These both have antibacterial and antifungal
properties and help to reduce inflammation of pimples.
Nicotinamide: A vitamin B2 derivative which is helpful for the more
inflamed types of spots. It should be applied twice a day to help reduce
redness and inflammation.
Squeezing: The only time it is advisable to squeeze a spot is when the
pimple has a white head. Squeezing red spots will only make them worse.
Make sure your fingers are clean. You can buy a metal device designed
specifically for squeezing pimples, available from Boots.
ScarringThere is no absolute solution for scarring, but most treatments achieve up to
50 pc improvement.
Glycolic acid peel: An acid face mask that gently removes the top layers
of skin to reduce scarring. It costs £270 for six treatments. Call: 01277 20
3000.
Microderm abrasion: A machine which blasts off the top layers of skin with
tiny crystals to remove surface scarring. It costs £100 a session. Call:
01277 20 3000.
Bioskinlas: A modern cold laser treatment that is effective in removing
deep acne scarring, with improvement in skin texture.
It costs £50 for one treatment. Call: 020 7242 5749.
Beauty productsFoundations and concealers: They are safe to use on acne as long as they are
non-comodogenic (specified on label).
Sun-creams: Various sun creams are available for use on acne including
Proderm which is specifically for problem skins, Boots Sport Range, and
Hyseke Solaire (020 8399 3040) for greasy skins.
Moisturisers: All oil-free moisturisers are suitable for use on acne.
Neutrogena do a good one in its Clear Pore range, and the Body Shop has a
wide selection.
Cleansers: Some cleansers can irritate acne. Try Neutrogena Clear Pore
range cleanser, formulated for acne sufferers, or Acnisal, available from
pharmacists, which contains salicylic acid.
What is acne?Acne, which is any kind of spot including blackheads, can range from a few
pimples to large areas of infection, and treatment varies according to the
severity of the disease.
It is caused in both men and women by a hormonal imbalance of testosterone
which is first produced during puberty. Triggers for testosterone imbalances
include puberty, menopause, pregnancy, the contraceptive pill and stress.
Yet contrary to common belief, diet does not affect acne and although good
nutrition can help to promote healthier skin, it cannot prevent acne nor does
a bad diet exacerbate the disease.
Although medications, both oral and topical (used externally), are highly
effective treatments, an increasing bank of medical research has found that
alternative treatments for acne can also work well in fighting the condition.
Therefore a combination of both types of treatment is often recommended.
* For further information contact The Acne Support Group: 020 8561 6868.
How to prevent acne — improve your diet and use skin care solutions
Professor of dermato-epidemiology and co-director of the Centre of Evidence-based Dermatology at Nottingham UniversityAlthough a lot is known about the causes of acne, including genetics, the role of hormones, bacteria including Cutibacterium acnes and inflammation, very little scientific information is available on the causes of acne flares or “breakouts”. There is no doubt that flares occur — just as in other chronic inflammatory skin conditions that wax and wane like eczema — but good research into what triggers such flares is lacking.
Nearly all acne treatments take weeks to work, so there is no quick fix. They all work by preventing new spots from forming rather than zapping existing ones.
If you have worked out a cause for your flares from past experience and.
3 Signs You're Dealing With Hormonal Acne, and the Products That Can Help
If there’s one key skincare lesson that's most important to learn, it’s that not every product will work for everyone's skin. Similarly, not every routine, even the viral regimens made famous for their epic results on TikTok, will be able to deliver the results you’re hoping for. But one thing is certain: regardless of your skin type—from oily to sensitive to mature—all humans are susceptible to blemishes, breakouts, and varying degrees of acne. It's one of those common skin concerns that simply doesn't discriminate.
Different kinds of acne can have different root causes, but perhaps the most weighty to treat is hormonal acne. "Hormonal acne is adult female acne caused by or sensitivity to, the male kinds of hormones we as women all inherently have," says Rita Linkner, MD, FAAD. "In order to combat hormonal acne, oral medications are needed as the issue at hand is hormonal."
But how can you really know if you're dealing with hormonal acne? Consulting a trusted dermatologist to make a diagnosis is key, but in the meantime, here are some characteristics to help you identify it.
From Ascorbic to Salicylic, Your Complete Cheat Sheet to Skincare Acids
There's arguably no category of skincare ingredients that can do more than direct acids. They're well-known—and beloved—for their ability to do everything from brighten skin to unclog pores. But, while there is some overlap among all of the many different types of acids out there, they're by no means all the same. Some have very unique benefits, and they all have distinct features that make them better suited for certain skin types and/or complexion concerns. Ahead, top dermatologists weigh in on everything there is to know about 11 of the most common acids out there (consider it your ultimate guide to direct acids).
Ascorbic Acid for acne
What it is: Also known as l-ascorbic acid, this is the most potent form of topical vitamin C, naturally occurring in a variety of fruits and vegetables, though also often synthesized in a lab.
What it can do for your skin: In short, a lot. First and foremost, it’s an extremely potent antioxidant that helps to protect skin from free radicals formed by exposure to environmental factors such as pollution and UV rays, explains Marie Hayag, MD, a board-certified dermatologist in New York City and founder of Fifth Avenue Aesthetics. Topical application of vitamin C has also been shown to play a key role in the production of collagen, the protein responsible for keeping skin strong and youthful, she adds. And finally, it’s effective at inhibiting the production of melanin, or pigment, a great pick for those who want to fade dark spots and discoloration.
Try it if: According to Dr. Hayag, ascorbic acid’s powerful antioxidant properties make it a great choice for pretty much anyone and everyone, a universal crowd pleaser. Just FYI, don’t use it at the same time as any retinoids in your skincare routine, as the two work at different pH levels and can ultimately inactivate one another.
Find it in: Drunk Elephant C-Firma Day Serum ($80; sephora.com). Apply this ascorbic acid-rich serum under your sunscreen every morning for an added layer of protection.
Azelaic Acid for acne
What it is: An ingredient naturally found in grains, including barley, rye, and wheat, and that’s also produced by yeast on your own skin.
What it can do for your skin: It’s ideal for treating both comedonal acne—blackheads and whiteheads—as well as inflammatory acne, says Dr. Hayag, thanks to its antimicrobial properties. As an added benefit, it combats hyperpigmentation too, by preventing discolored cells from developing, says Debra Jaliman, MD, board-certified dermatologist and assistant professor of dermatology at Icahn School of Medicine at Mount Sinai in New York City. And that’s a major win when it comes to stopping and treating the discoloration often associated with acne scarring.
Try it if: All skin types can benefit from using it, but it’s especially great for those prone to acne and hyperpigmentation. Fun fact: It’s also one of the few acne-fighting ingredients that women can use during pregnancy, notes Dr. Jaliman.
Find it in: Paula’s Choice 10% Azelaic Acid Booster ($36; sephora.com) combines azelaic with another super powerful acne-fighting acid, salicylic acid, more on that ingredient to come.
Citric Acid for acne
What it is: As the name suggests, it’s an acid that comes from citrus fruits, oftentimes lemon. It belongs to a class of acids known as alpha hydroxy acids, lauded for being great chemical exfoliants that work on the surface of the skin to improve tone and texture.
What it can do for your skin: Along with these exfoliating benefits, citric acid also has antioxidant properties, says Dr. Hayag.
Try it if: You’re going to be using it in lower concentrations and/or you don't have sensitive skin. “Citric acid can be irritating, especially in concentrations over 10%, due to its acidic pH,” points out Dr. Hayag. She adds that it’s also not as well-studied as its more often-recommended counterparts, glycolic and lactic acids. (More info on those in a moment.)
Find it in: Neostrata Perfecting Peel ($85; dermstore.com). A favorite of Dr. Jaliman’s, she says these pads, which combine citric and glycolic acids, are a good option to use weekly to improve skin’s clarity and brightness.
Glycolic Acid for acne
What it is: Arguably one of the more popular acids out there, glycolic acid is an alpha-hydroxy acid derived from sugarcane. The smallest of the AHAs, it’s the one that’s able to penetrate the deepest and as such the most effective, though also does have the highest potential of causing irritation.
What it can do for your skin: A great exfoliator, it’s perfect for brightening up the skin and combating discoloration, leaving it looking overall glowy and refreshed, while also improving the texture to make it appear smoother, says Dr. Jaliman. Glycolic acid is also unique in that it works on the deeper layers of the skin where it can stimulate collagen production, adds Dr. Hayag. Translation? Fewer wrinkles.
Try it if: You’re looking for some anti-aging benefits, and/or if your skin isn’t very easily-irritated.
Find it in: La Roche-Posay Glycolic Acid B5 Dark Spot Corrector ($32; ulta.com). Yes, this helps combat dark spots, but it also generally improves the tone and texture of your skin, leaving it smoother and more even.
Ferulic Acid for acne
What it is: This isn’t an ‘acid’ in the traditional sense; rather, it’s a powerful antioxidant that’s naturally found in many types of fruits and grains.
What it can do for your skin: Along with being a powerful antioxidant that protects skin from damaging free radicals, it also has anti-inflammatory properties, says Dr. Hayag.
Try it if: Dr. Jaliman says its powerful antioxidant properties makes it a great choice for all skin types. You’ll usually see it formulated in conjunction with vitamin C and vitamin E because it increases their stability, explains Dr. Hayag, ultimately upping the antioxidant prowess.
Find it in: SkinCeuticals C E Ferulic ($166; dermstore.com). Another one of Dr. Jaliman’s picks, this does in fact have that unique trifecta of antioxidants, making this formula super potent and effective.
Hyaluronic Acid for acne
What it is: Again, this isn’t like other acids. It’s actually a sugar that’s naturally found in our own bodies (it’s made in a lab for use in topical skincare). It’s a humectant, meaning it draws water to and traps it in the skin.
What it can do for your skin: Because it’s a humectant, it’s one of the best hydrating ingredients out there, able to bind 1000 times its own weight in water, says Dr. Hayag. Not only does this quickly combat dehydration, it can actually help improve the look of wrinkles, too, instantly plumping up skin and making it appear smoother.
Try it if: Hyaluronic acid is also very well-tolerated, an ingredient that pretty much anyone and everyone can use. It’s great if your skin is dry, but really anyone could—and should—consider using it.
Find it in: L’Oréal Paris Revitalift Derm Intensives Hyaluronic Acid Facial Serum ($24; target.com). Layer it under a thicker moisturizer if you have super dry skin, or try using it on its own if your skin is oilier or more acne-prone.
Lactic Acid for acne
What it is: Another alpha hydroxy acid, this comes from milk.
What it can do for your skin: Again, those same exfoliating benefits of all of the other AHAs we’ve talked about apply here as well. It’s also a humectant, meaning it can attract water to the skin, so it’s less drying than some other exfoliating acids.
Try it if: You want to reap the benefits of alpha hydroxy acids, but are looking for something that’s potentially less intense and irritating than glycolic acid; because lactic acid is a larger molecule, it can’t penetrate as deeply and is less likely to cause unwanted irritation.
Find it in: Sunday Riley Good Genes All-In-One Lactic Acid Treatment ($85; sephora.com) can be used as an overnight leave-on serum, or as a 15-minute, rinse-off mask if you have super sensitive skin.
Mandelic Acid for acne
What it is: An alpha hydroxy acid derived from bitter almonds.
What it can do for your skin: Its use in dermatology isn’t very well-studied, notes Dr. Hayag, though it does effectively exfoliate and can help improve the texture of your skin.
Try it if: “Mandelic acid has larger-sized molecules than other alpha hydroxy acids, which means it penetrates the skin more slowly. As such, it’s gentler on the skin than the other AHAs,” says Dr. Jaliman. Try it if you want to reap the benefits of an AHA—specifically improved tone and texture—but without the irritation.
Find it in: The Ordinary Mandelic Acid 10% + HA ($7; ulta.com), a gentle and affordable recommendation from Dr. Jaliman.
Oleic Acid for acne
What it is: Another “non-acid,” this is actually a fatty acid found in various plants, including olives and sea buckthorn, says Dr. Hayag. It’s also a natural component of many oils often used in skincare, including sunflower and olive oils.
What it can do for your skin: Nourishes and moisturizes, though it’s best when combined with other ingredients, such as other fatty acids, to ultimately yield the most effective results.
Try it if: You have dry, mature skin and need a lot of moisture. Anyone with acne-prone skin should avoid oleic acid, and the oils that are rich in it, because it can be comedogenic, warns Dr. Hayag.
Find it in: Biossance Squalane + Omega Repair Cream ($58; sephora.com), which combines oleic acid with other skin-loving omega fatty acids.
Salicylic Acid for acne
What it is: The most commonly used beta hydroxy acid, this is derived from willow tree bark, says Dr. Hayag.
What it can do for your skin: Unlike AHAs, which are water soluble, BHAs are oil-soluble. Why does that matter? “It means they can get deeper into the pores to dissolve excess sebum,” says Dr. Jaliman, as well as help remove dead skin cells and unclog pores and help ease inflammation, too.
Try it if: Salicylic acid is ideal for those with oily or acne-prone skin. Reach for the ingredient if you’re looking to help target whiteheads, blackheads, or clogged pores, advises Dr. Hayag
Find it in: No7 Laboratories Acne Treatment 2% Salicylic Acid ($23; ulta.com). A 2% concentration of salicylic acid is paired with kaolin clay to help purify skin and minimize blemishes, as fast as overnight.
Tartaric Acid for acne
What it is: Naturally found in grapes, tartaric acid is another alpha hydroxy acid.
What it can do for your skin: Like the others AHAs, it does exfoliate, though Dr. Hayag notes that in skincare products it’s often used more to regulate the pH so that other AHAs it’s formulated with function optimally.
Try it if: That being said, because it does have a larger molecular size, it’s another good option that’s less likely to be irritating, and is more suitable for those with sensitive skin, says Dr. Hayag.
Find it in: Juice Beauty Prebiotix Instant Flash Facial ($52; dermstore.com) works in just one to two minutes, thanks to a blend of exfoliating tartaric and glycolic acids.
Dermatologist-approved acne-fighting products to add to your routine
Life is stressful, but skin care shouldn’t be. Whether you’re suffering from a bout of pubescent acne, you can’t seem to get your maskne under control or you’re getting the far too occasional stress breakout, it can feel so relieving to find products best suited to treat your skin.
“Acne is a genetic condition. There are a few different things that come together to cause someone to develop acne,” Dr. Elyse Love, a New York City-based board-certified dermatologist explains. “At one level there’s a little abnormality at the level of the follicle where the cells get clogged. At the second level, there’s inflammation at the level of the follicle, which can be worsened by the bacteria p. acne. Then, we also know that hormonal changes can have an influence, expressed by the amount of sebum our follicles make.
Woman looking at pimple
According to Dr. Charlotte Birnbaum, a New York City-based board-certified dermatologist who specializes in acne treatment, acne can be categorized in two ways: comedonal, which is composed of blackheads and whiteheads, or inflammatory, which she categorizes as pink cystic bumps. New York City-based board-certified dermatologist Dr. Shereene Idriss comments that “acne is treated differently on younger or older patients, depending on the underlying cause of acne.” She shares that in younger patients, acne is usually “driven from inflammation and sweat production,” whereas in older women it’s “more hormonally driven,” due to the female body’s natural fluctuation of hormones. In fact, Love says that men tend not to get adult-onset, hormonal acne at all.
Retinoids: Birnbaum calls retinoids “the holy grail of acne treatment” because they’re backed by years of scientific studies that show they really work. She says that “retinoids increase skin cell turnover, help unclog pores and decrease inflammation,” to improve inflammatory acne. Love also shares that retinoids “help normalize pigment production, which is good for people who get dark spots after a breakout.” Love recommends starting it in your routine two to three times a week and slowly building up because retinoids can cause dryness and flakiness. If you’re looking for a gentle retinoid, she recommends you consider adapalene. Our experts share that retinoids make skin more sensitive to sun, so make sure to wear SPF, but they are best used at night anyway.
Benzoyl peroxide: Benzoyl peroxide is one of Love’s favorite over-the-counter acne solutions because it’s “anti-inflammatory, antibacterial and it helps decrease the oiliness of the skin,” making it great to treat all types of acne. Our other experts certainly agree — Birnbaum notes that you should use benzoyl peroxide at a different time of day as your retinoid, because it can make the retinoid less effective. Love explains that adapalene, however, is safe to use with benzoyl peroxide, unlike other retinoids.
Salicylic acid: Salicylic acid is the next ingredient to look out for, recommended by all of our experts. Idriss explains that it’s a “beta hydroxy acid (BHA) and oil-loving, therefore goes deeper than those hair-loving follicles.” Love notes that it’s great for exfoliating the skin, or treating whiteheads and blackheads. Birnbaum comments that alpha hydroxy acids (AHAs) such as glycolic acid are good acne-fighting ingredients as well.
Azelaic acid: According to Birnbaum, azelaic acid is “antibacterial and anti-inflammatory, with the ability to break up clogged pores,” as well as the ability to improve dark marks. Our experts share that this is safe for those who are pregnant and nursing.
Sulfur: Lastly, Love explains that “sulfur is great for inflammatory acne.” Better yet: This ingredient is also safe for those who are pregnant and nursing.
All three of our experts emphasize consulting with your dermatologist if you’re ever concerned about your routine. But as a general rule from our experts, start slow when introducing new ingredients to your skin. According to their guidance, it can take anywhere from six weeks to three months to see results. Furthermore, Idriss advises you to “avoid excessive cleansing and abrasive methods” and be sure to remove makeup at night.
Birnbaum cautions against using facial oils if you have acne-prone skin, remarking that she “sees acne patients flaring from facial oils on a daily basis.” Love recommends you look for products that say “oil-free” or “noncomedogenic” to verify that it won’t worsen your acne by clogging your pores.
Ahead, we consulted our expert dermatologists and researched some of the most effective acne-fighting products on the market with this in mind. From cleansers to spot treatments to sunscreens, we’ve curated acne treatments that will save you the stress of finding what works for you and keep your breakouts in check.
Neutrogena Pink Grapefruit Oil-Free Acne Wash ($7.97; amazon.com)
Amazon
Neutrogena Pink Grapefruit Oil-Free Acne Wash
This might be the cleanser that reminds you of your pubescent acne, but it’s still one of Love’s recommendations. Not only is the cleanser a great morning wake-me-up due to the grapefruit, but it contains salicylic acid. She advises that this “cleanser works better if you let it sit on your face before rinsing it off” so that the salicylic acid has time to work on the skin.
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CeraVe Acne Foaming Cream Cleanser ($11.97, originally $14.99; amazon.com)
Amazon
CeraVe Acne Foaming Cream Cleanser
This creamy cleanser comes as a top pick from Birnbaum. It even contains hyaluronic acid and ceramides to not only clear and prevent new acne but also hydrate and nourish the skin. This is Love’s favorite as well because of the featured ceramides, stating that “it’s meant to be tolerated by sensitive skin.”
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NeoStrata Foaming Glycolic Wash ($38.66; amazon.com)
Amazon
NeoStrata Foaming Glycolic Wash
Birnbaum recommends chemical versus physical exfoliants to treat acne, and this pick of hers comes as a glycolic acid cleanser. Using this to exfoliate in the morning will give you an unmatched glow in advance of the day ahead.
L’Oréal Paris 10% Pure Glycolic Acid Serum ($21.30, originally $23.99; amazon.com)
Amazon
L'Oréal Paris 10% Pure Glycolic Acid Serum
Idriss recommends this glycolic acid serum that’s meant to reveal younger-looking skin. The glycolic acid works as an exfoliator but also contains aloe to be gentle enough for daily use.
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Versed Game Over Acne Drying Treatment ($16.99; versedskin.com)
Versed
Versed Game Over Acne Drying Treatment
The Versed Game Over Acne Drying Treatment comes at the recommendation of Love for being a sulfur-based spot treatment. It includes 10% sulfur to dry out existing blemishes by absorbing excess oils and unclogging pores, along with bentonite and kaolin clay to further treat the skin.
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Differin Acne Treatment ($12.88, originally $14.99; amazon.com)
Amazon
Differin Acne Treatment
Love calls this the “revolution starter” because it was the first adapalene treatment of its kind to hit the market. You probably know it as the acne treatment your dermatologist prescribed you while you were growing up, before the FDA approved it for over-the-counter use in 2016.
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La Roche-Posay Effaclar Adapalene Gel ($29.99; amazon.com)
Amazon
La Roche-Posay Effaclar Adapalene Gel
As an alternative adapalene treatment, this gel by La Roche-Posay comes recommended by Birnbaum. She advises you start slow as your skin builds tolerance to the formula.
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The Ordinary Azelaic Acid Suspension 10% ($7.90; sephora.com)
Sephora
The Ordinary Azelaic Acid Suspension 10%
Birnbaum recommends The Ordinary’s Azelaic Acid Suspension 10%, a product formulated to reduce the look of blemishes and brighten your complexion. One reviewer called it “magic for adult acne and redness.”
Hero Cosmetics Mighty Patch Original ($12.50; amazon.com)
Amazon
Hero Cosmetics Mighty Patch Original
The Mighty Patch by Hero Cosmetics is Birnbaum’s go-to. She says that “hydrocolloid patches are great for helping heal inflammatory acne lesions, but also help prevent picking.”
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Starface Hydro-Stars Starter Pack ($14.99; target.com)
Target
Starface Hydro-Stars Starter Pack
Pimples are completely normal, so why try to hide them? Accentuate your zit with these adorable Starface patches. Recommended by Idriss, these work as a hydrocolloid treatment to absorb the fluid in your breakout and shrink them overnight.
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ZitSticka Killa Kit ($29; ulta.com)
The ZitSticka Killas are one of our favorite pimple patches we’ve tried. It uses what the brand calls “microdart technology” to deliver hyaluronic acid, niacinamide and salicylic acid to your most stubborn and early-stage blemishes.
Versed Back-Up Plan Acne-Control Body Mist ($14.99; versedskin.com)
Versed
Versed Back-Up Plan Acne-Control Body Mist
“Versed has this salicylic acid spray that’s pretty cool,” says Love. “It’s specifically made for the body to spray directly onto the skin for easy application.” The brand recommends even spraying your clean face with the mist to help with maskne. Brilliant.
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PanOxyl Acne Creamy Wash ($9.49; target.com)
Walmart
PanOxyl Acne Creamy Wash
Idriss and Love are fans of this benzoyl peroxide wash by PanOxyl, but Love likes it specifically for the body. She explains that she “recommends [her] patients put it on and let it dry for about 30 seconds before rinsing it off. This is so that it has time to penetrate into the skin.”
EltaMD UV Clear Broad-Spectrum SPF 46 ($37; amazon.com)
Amazon
EltaMD UV Clear Broad-Spectrum SPF 46
Birnbaum emphasizes the importance of sunscreen in your routine if you have acne. “Acne medications make the skin more sensitive to the sun and the sun contributes to pigmentation of acne lesions,” she explains. This lightweight SPF by EltaMD is her pick because it’s unlikely to cause breakouts.
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La Roche-Posay Toleriane Double Repair Moisturizer ($19.99; target.com)
Target
La Roche-Posay Toleriane Double Repair Moisturizer
Birnbaum recommends “oil-free moisturizers with ceramides for acne-prone skin, including the La Roche-Posay Double Repair Moisturizer.” This noncomedogenic lightweight moisturizer also includes SPF 30, niacinamide and glycerin for healthy-looking skin each day.
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Aveeno Calm + Restore Oat Gel Moisturizer ($17.97, originally $18.89; amazon.com)
Amazon
Aveeno Calm + Restore Oat Gel Moisturizer
We can always count on Aveeno for a sensitive skin solution. If you’re looking for a gentle moisturizer, opt for this gel formula from the brand’s Calm + Restore collection. Recommended by Idriss, this lightweight cream is made with prebiotic oat and feverfew for hydration without stressing your skin.
Peter Thomas Roth Therapeutic Sulfur Mask ($52; sephora.com)
Sephora
Peter Thomas Roth Therapeutic Sulfur Mask
Formulated with 10% sulfur, kaolin clay, bentonite clay and aloe vera, this top-rated and Underscored-approved mask works to clear your blemishes, absorb oil and unclog your pores. It’s basically the deep clean your acne-prone skin needs.
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Aztec Secret Indian Healing Clay ($14.95; amazon.com)
Amazon
Aztec Secret Indian Healing Clay
You might have this Indian healing clay in your cabinet to revitalize your luscious curls, but don’t forget you can use it to clear out all those toxins and impurities in your skin. We’ve used this mask over and over again, and it remains an Underscored bestseller. One reviewer even said that it’s “the only acne cure that worked” for them.
Glossier Solution Exfoliating Skin Perfector ($24; glossier.com)
Glossier
Glossier Solution Exfoliating Skin Perfector
Love would recommend Glossier’s Solution as a good chemical exfoliant, explaining that salicylic acid has recently become popular in toners. It contains a cocktail of AHAs, BHAs and PHAs to wipe away dead skin and reveal baby-smooth skin. It’s also a favorite of the Underscored team.
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Paula’s Choice 2% BHA Liquid Exfoliant ($29.50; paulaschoice.com)
Paula's Choice
Paula's Choice 2% BHA Liquid Exfoliant
This salicylic acid exfoliant by Paula’s Choice is one of our favorites too, not to mention the product has become super popular amongst beauty insiders. It features 2% BHA, which is also known as salicylic acid, to unclog pores and exfoliate dead skin cells.
Alpha-H Liquid Gold Exfoliating Treatment With Glycolic Acid ($48; sephora.com)
Sephora
Alpha-H Liquid Gold Exfoliating Treatment With Glycolic Acid
“Glycolic acid is very helpful for treating pigmentation,” says Love. We’d suggest considering the Alpha-H Liquid Gold for an overnight treatment that’s meant to help with wrinkles, pigmentation and sun damage. Keep in mind, though, that Love advises you focus on stopping the development of new breakouts before treating the dark spots.
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Paula’s Choice 10% Azelaic Acid Booster ($36; paulaschoice.com)
Paula's Choice
Paula's Choice 10% Azelaic Acid-Booster
This azelaic acid booster by Paula’s Choice is recommended by Idriss. Containing licorice and salicylic acid as well, this cream is mean to clarify uneven skin tone, fade acne scarring and reduce redness. According to Idriss, this pregnancy-safe formula “acts as a great anti-inflammatory adjunct” too.
No Matter Where Body Acne Pops up, Here’s How Dermatologists Send It Packing
Summer is almost here, which means walking around with your entire body coated in sweat will happen as frequently as influencers posting photos on top of swan floats. And with all that sweat inevitably comes body acne. There isn’t a single root cause of acne, and it often (and trust us it will) pops up whenever it wants, even if you’ve never had acne before.
Just like with your face, a combination of oil and grime on top of your skin can cause breakouts pretty much anywhere on your body—from your chest to your arms and legs to your butt. “Facial and body acne share several similarities, and can both be driven by overactive oil glands, delayed sloughing of dead skin cells, and colonization with P acnes bacteria,” says Marla Diakow, MD, a dermatologist at Schweiger Dermatology Group in Garden City, New York. But, she says, there’s one major difference. “Acne-like bumps on the body are more often from folliculitis, which is triggered by inflammation of the hair follicles.”
As anyone who’s ever dealt with acne on their face probably knows, there’s rarely just one thing causing it—chances are, it’s a combination of a few different factors coming together for a perfect storm. First, let’s break it down at a biological level. Part of the reason acne develops, in general, is because of excess oil secreted by our sebaceous glands, and there happen to be more of those glands on our chests and backs, which is why breakouts in those areas tend to be so common. “They love the oily environment, and our immune system works hard to fight against them, which causes inflammation,” explains dermatologist David Lortscher, MD, founder of Curology. He also notes that hormones and genetics can also play a role here, so even if you do everything right externally (more on that below), you may still wind up with some pesky pimples that dot your bod every once in a while.
What causes acne
And what’s more, outside factors like laundry detergent, fabrics, how much you exercise, and even your shower habits can affect what happens to your body. If you’re unsure about the root of your acne, a survey conducted by eMediHealth found that common causes of acne are hormones, stress, environmental stressors, your diet (processed foods, dairy, and sugar are major culprits), and even poor hygiene.
Less obvious causes of acne are wearing tight clothing, especially if you’re sweating and your skin can’t breathe, and excess oil in the skin, also known as sebum, which is secreted into your pores. Gross? Slightly but the reality for so many. Since rosé and body acne season is afoot, we had the pros break down how to handle breakouts from head to toe. Read on for their complete guide.
Butt and legs acne
What causes it? Butt acne—or as I like to call it when I’m cursing my own in the mirror, ass-ne—usually falls into the “folliculitis” category, which means that it’s a low-grade infection in the pores caused by bacterial organisms (sexy!). “Folliculitis may begin as irritation of the hair follicle openings, usually from sweating and clothes that rub for those who are cyclists or those taking spin classes,” says Dr. Lortscher.
How can you avoid it? To keep these irritations at bay, avoid prolonged sitting (especially when you’re sweating), opt for breathable fabrics where possible, and always try to shower immediately after your workout (or at the very least strip off your sweaty clothing). One thing to look out for, especially on your butt: If something you think is a pimple turns into a deep, painful sore, it may be something more serious, so you’ll want to check in with your doctor, STAT.
What can you do to treat it? Try a benzoyl peroxide wash—like the Mario Badescu Body Breakout Kit ($22) on your bum, and see how things clear up.
Chest
What causes it? Boob zits happen, and there are a few reasons why. In addition to the usual sweat situation, the sun could also be to blame in the summer, because it dries out your skin and causes your oil glands to over-produce, which can lead to pimples. Your hair products could also be causing a reaction, especially if you’re leaving excess shampoo and conditioner on your skin in the shower. Hormonal fluctuations could also be behind pimples on your chest—and if you’re seeing pimples alongside irregular periods or sudden excess body hair, according to dermatologist Amanda Doyle, MD, FAAD, they’re likely to blame.
How can you avoid it? Avoid having the straps of your backpack or messenger bag rubbing across your chest, and strip off those sweaty sports bras immediately after you step off the spin bike. If the placement of your acne is corresponding to where your hair hits your chest, consider swapping out your hair products and seeing if it makes a difference. And finally, be mindful of what you’re washing your skin with—certain soaps and wipes with ingredients that aren’t working with your skin could be causing acne instead of helping to prevent it the way you’d expect.
How can you treat it? Extend your usual facial products down to your chest. To be more specific, use a non-drying toner, like Thayer’s Witch Hazel ($11), glycolic peel pads, like Malin + Goetz Resurfacing Pads ($52), and spot treatments like Kate Somerville EradiKate ($26) where needed. If your acne is of the hormonal variety, Dr. Doyle recommends devising a plan with your derm.
Vagina acne
What causes it? Of all of the places you can break out (which is basically… everywhere), I’m going to go ahead and confirm that the vagina is the undisputed worst. “Vaginal acne is usually related to waxing or ingrown hairs from shaving,” says Dr. Doyle, so again, you’re likely dealing with a form of folliculitis. Laser hair removal is a game-changer for this area as it removes the hair follicle, significantly reducing acne from forming. If you are going to keep the hair in this area, clipping hairs instead of shaving and warm compresses when a lesion occurs can help.
How can you avoid it? “In sensitive areas, like the bikini line, avoid harsh scrubs or exfoliants,” says Dr. Diakow. And laser hair removal can be a better alternative for those prone to breakouts than other hair removal procedures. If you’re looking to keep your Big Bush Energy going strong, Dr. Doyle suggests clipping hairs instead of shaving and using warm compresses whenever a zit sprouts up.
How can you treat it? “A chemical exfoliant using glycolic acid or salicylic acid is best,” says Dr. Diakow.
Back acne
What causes it? To put it bluntly: A lot of things. In addition to the dirt/grime/grease we’ve already talked about, zits can also pop up on your back because of your hair products. Certain ingredients in your shampoo and conditioner, particularly sulfates, may be to blame for the “ring of fire” of clogged pores around your neck and back. Because they can be drying to the skin, they can cause oil glands to overproduce.
How can you avoid it? “To help prevent ‘bacne,’ minimize the contributing factors—avoiding comedogenic soaps and washes and moisturizers, rinsing off right after sweating, and consuming less dairy may help quite a bit,” says Dr. Lorstscher. “It’s all about trying to identify the trigger for the body acne, and addressing that.” One product line we love? SEEN shampoo and conditioner, which are specially formulated to help you avoid breakouts on your body. Regardless of which products your using, the oil from your hair and scalp can also trickle down onto your back in the shower, so be sure to give it a good wash and rinse after your hair routine is complete.
How can you treat it? If you’ve kept your skin hydrated and follow a flawless shower routine but still wind up with zits on your back, try a spot treatment. Natural remedies like tea tree oil and witch hazel can work wonders, as can OTC options like Mario Badescu Drying Lotion ($14). The skin on your back happens to be thicker than the skin on your face (same goes for your chest), so Dr. Doyle recommends pairing topicals with an Eterno LED Device, which uses red light to help with product penetration.
Coping with acne as an adult can be hard—trust us, we know—and can impact you emotionally and have you feeling less confident, but try your hardest to not let it stop you from showing up as your badass self. Yes, acne is frustrating, but we’re all bound to experience it at some point in our life, and fortunately for you, you have a toolkit on how to manage and prevent it in the future.
Speaking of acne, here’s your guide to dealing with hormonal breakouts. Plus, the best shower products you can buy at Ulta for under $15.
Our editors independently select these products. Making a purchase through our links may earn Well+Good a commission.
Acne Vulgaris: Review and Guidelines
IntroductionAcne is a chronic disease ofthe pilosebaceous follicle that affects mainly adolescents. It causes polymorph cutaneous lesions that may leave scars after regression. It is characterized by alternation of periods of exacerbation and stability. Spontaneous regression usually occurs after age 20, but some patients may continue suffering during adult life. Diagnosis is clinical and based on the patient's age at the time that the lesions first appear, and on its polymorphism and type of lesions and location. Some patients also need a hormonal and, sometimes, psychological evaluation. The right treatment for the right patient is key to treating acne safely.
Acne is a chronic disease of the pilosebaceous follicle that causes polymorph cutaneous lesions, among them comedones, papules, cysts, pustules, and abscesses which, after regression, may leave scars (see Figures 1-5). It is characterized by periods of exacerbation alternated with periods of stability. The face, anterior trunk, and upper back are the most commonly affected areas due to a greater concentration of sebaceous glands in these areas. Acne is considered the most common dermatologic illness, with greatest prevalence in adolescents. It affects 80% of adolescents, but also may be observed in 54% of adult women and 40% of adult men. The most intense and severe clinical pictures usually occur in males (see Figure 6). While there is generally spontaneous regression after age 20 in the vast majority of boys, girls may continue to experience acne during adult life. It is more common in Caucasians than in Asians and Blacks (Cunliffe & Simpson, 1998; Odom, James, & Berger, 2000; Strauss & Thiboutot, 1999; Thur, 2001). Acne in adult females is different from that of adolescents and should be considered a unique problem (Ramos-e-Silva & Carneiro, 2003; Sa, 2000; Strauss & Thiboutot, 1999).
Figure 2.
Moderate pustular acne of the cheek
Figure 3.
Moderate pustular acne of the cheek
Figure 4.
Moderate pustular acne of the nose
Figure 5.
Moderate acne on the chest
Figure 6.
Severe cystic acne in a male adolescent
There is a prevalence of papules and pustules especially in the mandibular, chin, and perioral areas and there is an absence of comedones (see Figure 7). Because acne was previously assumed to be caused by external agents, such as drugs, cosmetics, chemicals, and other products, this presentation was classified as acneiform eruptions and not as true acne.
Figure 7.
Acne in adult woman
Several factors are involved in acne pathogenesis: increase of the sebaceous secretion, hyperkeratosis of the pilosebaceous follicle canal with consequent retention of sebum, increase of the bacterial flora causing enzymatic alterations, and chemical alterations of the sebum due to increase of the free fatty acids. In this multifactor pathogenesis, the andro-genic stimulus of the sebaceous glands plays an important role. In spite of the sebaceous secretion being under genetic control, there is an exaggerated response of the pilosebaceous unit to the normal levels (although the hormones [androgens] are in normal quantity, the pilosebaceous unit overreacts to them). It is important to check for the possibility of hormonal alterations in women (polycystic ovary syndrome). If present it must be treated (Brown & Shalita, 1998; Cunliffe & Simpson, 1998; Odom et al., 2000; Strauss & Thiboutot, 1999; Thur, 2001).
Lesions in the hair follicles are due to the increase of sebaceous secretion, hyperkeratosis of the fol-licular canal with retention of sebum, and development of bacterial flora, which causes chemical alterations of the sebum, raising the levels of free fatty acids. This increase of sebaceous secretion is the initial alteration and retention in the gland due to obliteration of the acroinfundibu-lum and leads to the formation of the comedones. Overgrowth of bacteria, mainly Propionibacterium acnes, and release of irritating free fatty acids, a papula-pustule is formed. Coagulase positive Staphylococci also have been implicated in the acne genesis process (Brown & Shalita, 1998; Hirsch & Shalita, 2002).
Despite not representing a risk to life, acne can entail severe psychological consequences and can negatively affect the patients' quality of life; therefore, a successful treatment promotes much more than just cosmetic benefits (Abramovits & Gonzalez-Serva, 2000; Koblenzer, 1997). The emotional factors that may irritate or worsen acne should not be ignored, especially on the face. Active lesions change one's physical appearance and scarring, caused by non-treated lesions, may be permanent. Physical and psychological stigmata from acne can be averted with early and appropriate clinical diagnosis and early institution of therapeutics.
Skincare: 5 Homemade Remedies To Fight The Summer Heatwave
New Delhi: The best season of the year is around the corner, Summer is all about sipping cold Coladas, wearing easy breezy outfits, and getting all the vitamin D. Once summer sets in with its high temperature, your skincare routine must change according to the season too. Also Read - 4 Mistakes to Avoid When Applying Under Eye Cream
The summer heat and the glare of the sun play spoilsport and are a cause of a lot of skin problems like sunburn, acne, open pores, and suntan. During the summer months, you can’t go wrong with natural remedies but it does get tricky when choosing formulas and ingredients that can withstand heat, humidity, and even sweat. Also Read - Juicy Chemistry Review: Get Rid of Dark Circles, Puffy Eyes And Fine Lines in 3 Simple Steps
Mixed and handpicked are 5 super effective home remedies that will help you prevent these skin problems by using only ingredients from your own kitchen which can not only make food tastier but your skin healthier: Also Read - 7 Essential Tips By Shahnaz Husain On Things to Keep in Mind Before Buying Cosmetics
Oatmeal can not only be a healthy snack to cut down the excessive calories from your system but also soak up the excess oil on your skin and help treat acne. Its antioxidant and anti-inflammatory properties help to treat dry skin and remove dead skin cells. And the very versatile, tomato juice reduces the risk of heat burns, soothes skin inflammation, and stimulates collagen production.
Directions:
Mix 1 tablespoon of milk with 2 tablespoons of oatmeal and 2 tablespoons of tomato juice. You may also add an orange pulp for extra effect. Blend this mixture together and form a thick paste-like face pack. Apply this paste all over your face and neck and let it dry. Once dry, scrub it off while rinsing. It will brighten your skin tone and give you a healthy glow. Use this twice a week for best results.
Milk has a cooling effect on the skin and known to cure severe burns and summer marks and it also stimulates cell growth whereas glycerin acts as a humectant, which is a substance that allows the skin to retain moisture. It can increase skin hydration, relieve dryness, and refresh the skin’s surface.
Directions:
Mix half a cup of milk with 3 tablespoons of glycerin and apply the mixture all over your face. Let it sit undisturbed for 15 minutes before rinsing it with lukewarm water. It will rejuvenate your skin and restore its natural pH balance. Use this mask once a week for the best results.
Always Refer to Papa-ya Pulp
Papaya is inculcated with the goodness of the enzyme papain exfoliates the dead skin cells and eases skin impurities. It is also known for preventing itching and reducing redness.
Directions:
Take a papaya pulp in a bowl and mash it, making a thick paste. Apply the paste on your face and neck and leave it undisturbed for 20 minutes before washing it off with cold water. You may also add curd or lemon juice to the pulp in order to remove tan. Use this once a week for the best results.
Cucumber is a natural cooling agent on the skin. It is known as a cure to acne-prone skin, soothes irritation and provides deep hydration to the skin. Whereas, eggs can be used in improving skin texture, be it dry or oily. It also helps tighten pores and removes excessive oil.
Directions:
Mix cucumber juice or the pulp with 2 tablespoons of powdered milk and one egg white. Mix the ingredients in a blender and make a smooth paste. Apply this paste on your face and neck and leave it on for half an hour before rinsing it off with lukewarm water. Ditch the milk powder if you have oily skin. Repeat this process twice a week for best results.
They say, always stay connected to the soil of motherland, so shall we by letting our dear Multani mitti as our skin soldier bravely fight acne and pimples as it removes excess sebum and oil. It deeply cleanses the skin and defeats the evils like dirt, sweat, and impurities. It is also known for treating tan and pigmentation along with sunburn, skin rashes, and infections.
Directions:
Mix one tablespoon of multani mitti with rose water and make a paste. Apply the paste on your face and let it dry for about 15 to 20 minutes. Once dry, wash it off with lukewarm water and a cleansing face wash. This will help shrink your pores and clear the skin. Repeat this procedure twice a week for best results.
With these simple Home Remedies, you can now bid a forever Goodbye to the skin enemies and beat the Scorching heat !!!
SMALL BUMPS ON FACE NOT ACNE | TREATMENT & MEDICATIONS
How to get rid of small bumps on the face, not acne and itchy bumps filled with clear liquid With the proliferation of collision/bumps treatments on the market, it is difficult to know which stumps to use. Your skin is a resin mark for information on various bumps/pimple treatments, tips on collision prevention measures, guidelines on different types of collision treatments, and what specific hard bump on face won't pop treatments are available.
Current medical research shows that what works for one person does not work for another. Effective acne treatment requires finding a product that works. It is wise to consider the types of lesions, the underlying conditions, the age of the patients, the skin type, the lifestyle, and the motivation before choosing a product. Adult collision products may not be the best skin bumps solution if you have a teenage daughter.
BUMPS CLEANERS
Blemishes play an important role in any skincare procedure. Maintaining an acne-free complexion requires a balanced approach to bumps/acne prevention and treatment. Therefore it is important to prepare the skin to help prepare the skin for oil cleansing and treatment of further skin bumps. Consider bumps cleaners. This applies regardless of age and is an important part of keeping a broker free.
NATURAL DISCOUNT FOR Acne
There are many beneficial properties in the treatment of natural collisions that can be used to clean and relieve the irritation and spread caused by blows. Essential oils are often the key ingredient in natural collision /bumps products. Some oils have natural antibacterial properties, while others help cleanse, exfoliate and soothe bumps-affected areas. Alternative approaches to treating acne related to natural bumps products are based on the use of acne-based alcohol, anti-acne creams, or recommended shield products that can dry out and irritate your skin.
HOME REMEDIES For Acne
Aromatic essential oils can be used as a home remedy for bumps in select or blended blends. This section of the site introduces some of the available oils and provides background information on the beneficial properties of these products.
HERBAL
Another comprehensive approach to treating collisions is to use herbal remedies for collisions. By eliminating toxins from the body, herbal solutions strengthen the body by getting rid of toxins and unwanted pieces caused by bacteria. Herbal remedies attack this problem, and heal your body so that your skin can heal. Increasing the body's vital system is a great way to eliminate bacteria.
At the same time producing toxins with the added benefit of strengthening the body's immune system.
MEDICINES
Medication treatment is readily available over the counter at your local chemist or can be purchased online. Getting rid of acne / bumps requires choosing a product that suits your condition. If you have tried natural remedies and herbal remedies and they have not yielded the desired results, there are other types of collision remedies available to treat your condition. Whether you are looking for over-the-counter creams or over-the-counter medications, there is a solution for you.
There are all sorts of pieces on the skin that result in excessive tissue production or tissue loss. This section introduces the most common types of skin blemishes. The treatment of different types of fractures is chosen by a dermatologist and is checked against the severity of the condition.
BUMPS ON SKIN TREATMENT
Skin treatments vary in the procedure and cost. This section introduces some common collision treatments and provides some background information on the procedure and estimates the cost of a skin collision patient. Adult acne is a type of skin bumps/rash.
Adult acne affects most people at some point in their lives. In most cases, this is just a simple broker or zit and not an ongoing issue. Adults whose condition is more severe may receive special treatment from a specialist based on their condition and skin color.
THE BEST SKIN BUMPS SOLUTION
Skin bumps are things that most people will have to deal with in some form or another in their lives. Whether your child is looking for a cure for skin bumps and products or a teenager, finding the best skincare solution is a combination of effective prevention, rehabilitation, and treatment. Unfortunately, getting rid of bumps can involve some trial and error until someone finds a solution that works for them. The best way to deal with the problem is to educate yourself about the limits of the alternatives available and seek advice from the appropriate experts if needed.
Retinoids remain the gold standard for fighting acne and wrinkles. Here’s what you should know.
Although they’ve been around for decades, the vitamin A derivatives known as retinoids remain the gold standard for treating acne and wrinkles, with the skin-care and pharmaceutical industries continuing to develop and manufacture new products featuring them. Retinoids — including the most commonly known, retinol — are found in both prescription medications and over-the-counter formulations in a variety of strengths and product types.
But despite their longevity and proven results, these compounds retain the potential for undesirable side effects, such as peeling skin and sun sensitivity. It’s important, therefore, to understand the various types of retinoids and the safest ways to incorporate them into a skin-care regimen.
Attempts to use retinoids to tame acne date to the mid-20th century, when tretinoin, a derivative of vitamin A also known as retinoic acid, was studied in Europe for treating skin disorders including acne and skin cancer. Although it was deemed too irritating for practical use, American dermatologist Albert Kligman became determined to find the optimal dosage for acne treatment. In the 1960s, he notoriously tested tretinoin on inmates at Holmesburg Prison in Philadelphia until he found a dosage that could be tolerated. This led to tretinoin’s approval by the Food and Drug Administration in 1971, subsequently marketed under the brand name Retin-A.
In 1986, after adult patients using tretinoin to treat acne reported that the product was also reducing their wrinkles and improving their complexion, Kligman and his associates conducted a study on 400 adult women, concluding that topical tretinoin is capable of at least “partly reversing the structural damages of excessive sunlight exposure and may be useful in decelerating the photoaging process.”
Since Kligman’s 1986 work, there have been thousands of studies on tretinoin, making it one of the most researched anti-aging ingredients in dermatology. “Tretinoin is considered the gold standard in skin care because of the extensive body of research that supports how well it works at increasing cell turnover,” said Ranella Hirsch, a dermatologist based in Cambridge, Mass. This boost in cell turnover helps increase collagen production, unclog pores (one way it helps treat acne), smooth fine lines, reduce the appearance of sun damage and manage dark spots, Hirsch added.
[Exfoliating isn’t necessary. But if you do it, follow the tips from these dermatologists.]
The ability of retinoids to vanquish acne and wrinkles, however, has been accompanied by their reputation for painful side effects such as peeling, flaking, redness, sun sensitivity, irritation and, for some skin types, hyperpigmentation. Evan Rieder, a New York-based dermatologist and psychiatrist at NYU Langone, sees the education around retinoids to be as vital as the products themselves. “I have a picture from my sophomore dance in high school where my skin is literally falling off my face from using too much Retin-A to treat my acne” because he wasn’t given the right information, he said. “So, part of this is the fault of dermatologists. We need to give people the right information about how to safely and tolerably introduce a retinoid.” That means knowing what strength retinoid to start with and how often to apply.
Retinoids are usually categorized by where they fall in the conversion pathway to retinoic acid, which is the strongest and the most likely to cause irritation. “For example, tretinoin is retinoic acid, so it’s much more potent than over-the-counter versions because there is no conversion necessary before it has a biological effect on the skin,” said Joshua Zeichner, a New York-based dermatologist and director of cosmetic and clinical research in dermatology at Mount Sinai Hospital. The packaging on over-the-counter items should clearly state which kind of retinoid is in the product; one of the most commonly seen is retinol.
When Hirsch is explaining the difference in retinoid strengths to her patients, she likes to borrow a royal family analogy from author and skin-care expert Caroline Hirons: Think of prescription-strength retinoic acid (tretinoin, Retin-A) as Queen Elizabeth; it’s the strongest because no conversion is necessary. Retinaldehyde (retinal) is Prince Charles because it is only one conversion away from retinoic acid; retinol is Prince William because it’s two conversions away; and retinoid esters (retinyl palmitate, retinyl acetate and retinyl linoleate) are Prince George, the weakest of the retinoids and usually best tolerated.
“And not everyone needs to get to the queen. Some people will never need more than Prince William or Prince George,” Hirsch said.
[LED masks to fight wrinkles: Here’s what you should know]
The key to safely and tolerably introducing a retinoid is not only to start with a low strength but to only apply a pea size of the retinoid two to three times per week, depending on your skin’s tolerability, Rieder said. “I love to start my patients on retinol or retinaldehyde [retinal] for a month or two, and then transition them to prescription-strength tretinoin,” said Sarvenaz Zand, a dermatologist based in Marin County, Calif. “This regimen helps to avoid all the irritation, peeling and redness that you can get with starting a prescription-strength retinoid right off the bat.”
Retinoids can treat acne and hyperpigmentation in people with darker skin tones. But if overused, they can actually cause further hyperpigmentation and dark marks from the peeling and inflammation, said Susan Taylor, a Philadelphia-based dermatologist and founder of Skin of Color Society. “Light skin can get red, dry and flaky, but retinoids don’t necessarily cause darkness on light skin tones,” she said. With patients of color, she said, “I tend to select the lowest concentration, and then slowly titrate up.” She often starts by treating these patients with adapalene, which can be found over the counter as Differin, because it is perceived to be a bit milder.
[Those scaled-back pandemic beauty habits are better for your skin, hair and nails, experts say]
Skin-care brands have developed a new generation of high-strength retinoids in the past few years that are intended to be more easily tolerated by the skin because of the addition of hydrating ingredients to the formulas, such as ROC Retinol, a line that includes creams and serums, Medik8 Crystal Retinal, sold in four different strengths so users can slowly titrate up, and Altreno, a prescription medicine from the makers of Retin-A. Though these new formulas are meant to make retinoids more tolerable, you should still expect some irritation, according to Zeichner.
“The first two to four weeks of usage, the skin goes through a process called retinization where your skin adjusts to the application of the product,” he said. “And this can lead to redness, dryness, burning, stinging, peeling.” If you develop irritation, you need to put your foot on the brakes, use the retinoid less frequently and combine it with a moisturizer to help your skin tolerate it, Zeichner added.
Another reported side effect of retinoids, particularly in people with active acne, is new outbreaks known as skin purging. “Purging is typically a sign that there was acne underneath the surface of the skin, and that the rapid skin cell turnover from the retinoid is forcing the acne to the surface, making the acne appear worse before it gets better,” said Chicago-based dermatologist Caroline Robinson. But dermatologists say the purge usually resolves within weeks if patients stay the course.
When you are considering incorporating a retinoid into your skin-care routine, be mindful that retinoids are contraindicated for pregnant women and women planning a pregnancy. Also, you should avoid other products that exfoliate, said Robinson. “This means chemical exfoliants like hydroxy acids and physical exfoliation with any brushes, towels, pads.”
Jade rollers: Wrinkle-fighting wonder cure or pointless (yet pretty) sham?
She also emphasized that if you have a retinoid in your routine you should always wear proper sunscreen and moisturizer to prevent irritation. “The biggest issue I see with darker skin tones and retinoids is if the patient doesn’t use adequate sun protection or moisturizer, it can lead to irritation and place the skin at some risk of hyperpigmentation,” she said.
Hirsch tells patients to hold off on starting other active skin-care ingredients, such as benzyl peroxide, hydroxy acids or vitamin C, when incorporating a retinoid. “What I tell patients is that the retinoid needs to be the star of the show. She’s a bit of a diva and you really have to let her have her time to set the stage just the way she wants it before allowing the supporting cast onstage.”
Rieder emphasized patience when it comes to seeing results from retinoids, whether using them for the treatment of acne or wrinkles. “I always tell my patients that in the beginning you’re going to ask yourself, ‘Why the hell am I doing this to my skin?’ after having irritated, flaky skin for weeks and not seeing any difference at all. It’s like that six-month point, that one-year point that you really start seeing results. But it’s a journey, a long journey.”
Zeichner tells his patients it will be worth it in the end. “It’s like going to Hawaii from New York,” he said. “It takes you a really long time to get there, but once you get there you’re in paradise.”
Janna Mandell is a journalist based in the San Francisco area covering the beauty industry. Follow her on Instagram and Twitter.
[More from ]Wellness Vaccinated and ready to hit the gym? Here’s how to assess the risks. Good sleep means more than getting enough hours. A consistent schedule matters, too TikTokers are drinking liquid chlorophyll. Experts debunk this wellness craze.
This Seriously Effective Face Serum Nixes Acne and Wrinkles in Weeks
iS CLINICAL Active Serum
Courtesy/InStyle
For our 26th annual Best Beauty Buys, the InStyle team worked with leading dermatologists, makeup artists, hairstylists, wellness experts, fragrance connoisseurs, and manicurists to find out which products they can't get enough of. Now, the votes are in — and you'll want to get ahold of these 229 beauty game-changers.
Peek through any celebrities’ medicine cabinet, and a few brands tend to surface time and again. There are famous aesthetician favorites like Skinceuticals, liquid luxuries like Augustinus Bader, clean beauty face oils like True Botanicals and Vintner’s Daughter, and the big kahuna in a little blue bottle: iS Clinical Active Serum.
It might look unassuming, but the results iS Clinical delivers has made fans out of Jessica Alba, Rosie Huntington-Whiteley, Chrissy Teigen, January Jones and countless beauty editors who’ve worked their way through all the skincare one face can handle. No matter what, the anti-aging, acne- and dullness-fighting serum clears up stubborn problems and converts hyperpigmentation, redness, and wrinkles into glowing, red carpet-ready skin.
“They clearly used magic to make this,” one shopper writes, and another seconds that the stuff is no joke. “I mean, wow. I bought this on a whim thinking it would just be another one of those overpriced products that does nothing, but my skin has improved drastically in the past two weeks since I started using it,” the latter person continues. “I struggled with cystic acne, scarring, texture, dullness, etc. My acne is pretty much gone, my scarring has decreased significantly, and my tone just looks more even all over.”
iS Clinical Active Serum
Courtesy
Shop now: $138; dermstore.com
The Active Serum formula is so intensely loved that it’s won 58 pages of glowing reviews on Dermstore, and board-certified dermatologist Diane Madfes confirms that it’s worth its weight in gold. “This is an all-around fabulous product, great for treating acne and preventing wrinkles,” Madfes tells InStyle. “The ingredients are key, as iS CLINICAL’s Active Serum is water-based with glycerin to moisturize. The polyporus umbellatus mushroom is a lightener and an antioxidant, while salicylic acid is an exfoliant.”
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Madfes explains that the formula’s efficiency sets it apart, since the serum works quickly to fade post-acne marks and improve your skin texture, and shoppers also see tighter pores and super smooth, dewy skin. “This serum is the best exfoliating serum I've used so far, and I've used a lot as I am a licensed aesthetician,” another expert says. “Really great for clogged pores and acne!” Others dub it the best serum on the market and a “miracle worker,” its firming abilities and scar-erasing transformations enough to earn it a lifetime spot in their skin routines.
Even healthcare workers spending days on end in their masks say it’s life-changing, and former spa employees say that after seeing it recommended to every client that came in, they tried it and watched their dark spots disappear within a week. With continued use, multiple people say they finally feel un-self conscious enough to go without makeup over their hyperpigmentation and melasma.
“Acne is the worst, and I have been fighting it ever since I hit puberty,” another reviewer recounts. “I have tried thousands of products, saying, ‘Oh, maybe this one will work.’” Close to giving up, they ordered the iS Clinical Active Serum. “I saw results within days. My acne actually started to go away and what’s more, it actually prevents breakouts. I’m in love with this product and I will be using it for the rest of my life, or until my acne decides to go away.”
Its effect on wrinkles is no less impressive: After a few weeks of use, it toned down fine lines so completely that a shopper was shocked when they reappeared after running out of the serum. Repeated themes? The Active Serum is unbeatable, and worth every penny. Try it for yourself, and watch your skin shape up before your eyes.
This $23 retinol cream ‘works miracles for acne scarring’ — and over 17,000 shoppers swear by it
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There are a few ingredients that skin care professionals and aficionados routinely recommend, and retinol ranks pretty high on the list. In fact, according to a Stanford dermatologist, retinol is what some may deem “the gold standard” of skin care ingredients.
If you’ve been on the hunt for the right retinol product for your needs, you may have noticed that most options aren’t cheap. From the cult-favorite $105 Sunday Riley Luna Retinol Sleeping Night Oil to the slightly cheaper but still pricey Drunk Elephant A-Passioni Retinol Cream, it’s hard to find an effective retinol skin care product that’s budget-friendly.
Thousands of Amazon shoppers, though, say the “miraculous” $23 LilyAna Naturals Retinol Face Cream is the one to buy.
LilyAna Naturals Retinol Face Cream, $22.99 (Orig. $29.99)
Credit: Amazon
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Before getting into why this powerhouse product is a massive shopper favorite, here’s why retinol is so popular and helpful.
What is retinol?
According to Stanford Medicine, retinol is a chemical derivative of vitamin A: “a central vitamin needed for many functions of the body.” It’s proven to positively reduce wrinkles, improve collagen production and treat acne, among other functions.
Touted as “lifting, brightening and rejuvenating,” LilyAna’s affordable-yet-effective face cream delivers all of the known benefits of retinol without the excessive dryness that’s usually associated with vitamin A.
What’s the difference between retinol and a retinoid?
Here’s another common misconception. Though both terms are related, they’re not the same thing. According to the same article, while both are chemical derivatives of vitamin A, retinoids are more potent and “are classified as a pharmaceutical, meaning you need a prescription to use a retinoid cream.”
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Currently, one of the only popular retinoid treatments you can purchase without a prescription is the Different Gel Acne Spot Treatment.
Why do shoppers swear by the LilyAna Naturals Retinol Cream?
In addition to its affordable price, this retinol face cream is formulated for twice-a-day use. Meanwhile, most other retinol treatments are made for nightly use only, as retinol can increase the skin’s sensitivity to the sun.
Because of this, whether you use a retinol product or not, wearing sunscreen daily is a must.
The LilyAna Naturals Retinol Cream is also vegan, cruelty-free and made in the U.S.A. It has no artificial fragrances or colors and is gluten, paraben, phthalate, SLS, SlES and petroleum-free. Shoppers also say it helps minimize the appearance of hyperpigmentation, acne redness and scars.
One shopper said that after just 30 days of use, this product “significantly reduced” her acne scarring. Several shoppers share similar sentiments as the product has over 17,000 five-star reviews on Amazon.
Another five-star reviewer even said this $23 product performs better than their $75 serum.
“I love this product. It is so luxurious, never causes burning, peeling or redness,” the shopper wrote. “Truthfully, I think this is the best retinol cream I’ve ever used.”
Like all other skin care products, all retinol formulates are not “one size fits all.” Perform a patch test on your arm before applying the product to your entire face.
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