Acne is a chronic inflammatory skin condition that causes pimples, black head and spots, especially on the face, neck, chest, shoulder, and upper back. It commonly occur during puberty when the sebaceous gland activates, it can occur at any age, but mostly in teenagers and young adult.

It is not dangerous but can leave scars on the skin. Effective treatment are available, but acne can be persistent. The pimples and bumps heals slowly but when one begins to go others comes up.

Depending on it severity acne can cause, emotional distress, and scars on the skin. The earlier it is treated, the lower  risk you have of witnessing it’s severity.

Acne isn’t caused by just one factor. Acne occurs when the oil glands attached to the hair follicle are stimulated at the time of puberty or due to hormonal changes. The oil is a naturally lubricates the skin and protect it.

In line with the increase of oil production is a change in the manner in which the cells mature. Leading them to the follicular pores. The plug can appear as Whitehead if it is covered with a thick layer of skin, the darker exposed portion of the plug is called the blackheads. The plugged air follicles gradually enlarges, creating a bump.

As the follicle enlarges, the Walls rupture, allowing irritating substance and skin bacteria access into the deeper layer of the skin, basically allowing inflammation.  Inflammation near the skin’s surface produces pustules. Deeper inflammation results to pimples if the inflammation is deeper still, it results to a cyst.

Acne start to occurs when the pores of your skin becomes blocked with oil, dead skin or bacteria. Each pores of your skin is the opening of follicle. The follicle is made up of a hair and sebaceous (oil) gland.

The oil gland releases oil, which travel up the hair, out of the pores, and unto your skin. The  sebum (oil) keeps your skin lubricated and soft. Again, one or more problems in this lubrication process can cause acne. This can only happen when

  1. Too much oil is produced by the follicles.
  2.  skin cells accumulates the pores.
  3.  Bacteria builds up in the pores.

These problems contributes to the development of pimples. A pimple appears when bacteria grows in a clogged poreand the oil is unable to escape.

   There are certain factors that contributes to acne, these factors include:

  1. Having parent who has acne.
  2. Hormonal changes due to pregnancies, puberty even menstruation.
  3. A hight diet in refined sugar or carbohydrates.
  4. Certain medication such as, certain birth control pills.

Types of acne

 Acne is divided into two categories. It may be, Non-inflammatory acne or inflammatory acne.

  Non inflammatory acne includes, blackheads and whiteheads. These acne normally do not cause swelling, and they respond to “over the counter (OTC) treatment.” Salicylic acid recommended best for acne, but works best on non inflammatory acne.

Salicylic acids naturally shed’s the skin, removing dead skin cells that can lead to black head and whitehead. Some cleansers, moisturizers and toners contains salicylic acids.

Blackheads occurs when a pore is clogged by a combination of sebum and dead skin. The top of the pore remains open, despite the rest of it being clogged. This result is characteristic black color seen on the surface.

Whiteheads can also form when a pore gets clogged by sebum and dead skin cell. But unlike blackheads, the top of the pore gets close up. It looks like a small bump on the skin. Whiteheads are difficult to treat because the pores are closed. Products containing salicylic acid can also be helpful also,.

Inflammatory acne are pimples that are red and swollen. Although sebum and dead skin cell contributes to inflammatory acne, bact ria also play a role in clogging up pores. Bacteria can cause an ainfection deep beneath athe skin’s surface, which may result to painful acne spots that are hard to get rid of.

Products containing benzoyl-peroxide may help reduce swollen and get rid of bacteria within the skin.

Other forms of acne includes;

Papules: these occurs when the walls surrounding your pores br hieaks down from severe inflammation. This result to hard clogged pores that are tender to touch.

Pustules: it forms when the walls around your pores breaks down. Unlike papules, pustules are filled with pus. These bumps comes out of the skin and they usually have yellow or white heads.

Nodules: it occurs when clogged swollen pores endures further irritation and grows larger. Unlike papules and pustules, nodules  are deeper underneath the skin. Because nodules are underneath the skin, you can’t possibly treat them at home. Prescription medication is necessary to help clear these up.

Cysts: cysts can develop when pores are clogged by a combination of bacteria, sebum and dead skin. The clogs occurs deep within the skin and further below the surface than nodules. The bumps are often painful to touch. The cysts are the biggest form of acne, and their formation usually result to severe infection. This type of acne will likely leave are scare.

 The cysts acne is known as the worst type ever. This particular type of acne lives scars, and need to be treated correctly. Most people tend to treat cysts as they would with other form of acne. Doctors aren’t sure of what causes it.

Hormones called androgen plays a role. When you’re a teenager, your androgen level goes up, this leads to changes in skin that can result to clogged pores and acne. You’re most likely to get cystic acne in your  teens or early 20s.

But it can happen to children as young as 8 or adults as old as 50. Your face, chest, back, shoulders and upper arms can be affected. If one of your parents have a severe cystic acne you’re most likely to develop it.

Cystic acne can be triggered by the surge of hormones associated with period in the females. When your body hormone levels shifts, it sends oil producing glands into overdrive.

An oil gland can become engorged or swollen  because it is filled with hardened excess oil. Cystic acne are most likely to affect your jawline and chin because this area has large number of oil gland, which means a higher number of clogged pores. Sometimes your diet could be blamed, common dietary causes of cystic in diary, caffeine or sugar.

A diet that ranks high in glycemic index scale is likely to be blamed for your underground blemishes. Studies have shown that high glycemic diet can activates acne because sugars are inflammatory.

 The cyst acne is even more visible because it is the most severe form and produces cyst and nodules, alongside inflammatory papules and pustules. All forms of acne can affect self esteem and mood but the risk of psychological distress is higher for cystic acne as it typically has a greater impact on the appearance of the face and disproportionately affect young adults, who may be socially sensitive.

Some people usually  experience physical symptoms, but the skin appearance can cause emotional distress. In cystic acne, however, the distress may be greater, and the cyst may be painful.

The importance of the treatment is underlined by the risk of scarring from severe cyst acne. This can produce a long-term and permanent damage in form of; small dip pits known as ” ice-pick scars, red, raised scars, larger pits, and shallow depressions in the skin.

To get rid of cysts acne, here are some few tips and treatment required:

Clean your skin gently and regularly; lot of people are practicing this steps, it is important to clean the skin once or twice a day, to help remove the make up, oil or bacteria that could help contribute to breakouts.

Never skip moisturizing: moisturizing is another key way to protect and smooth your skin, and heal acne marks. Choose moisturizers that’s labeled “noncomedogenic”  which means it won’t clogg your pores, and if you take any products that contains coconut oil, put it away and save it for areas that don’t have acne, like the hand, feet’s or legs. Coconut oil is known to clog pores and worsen acne.

Look for key ingredients:  Benzoyl  peroxide and salicylic acids are miracle ingredients, and you can find them in over-th -counter products. These products comes in form of  teams, gel, or washes. The anti biotics work locally on the skin and clear acne.

Resist poping cystic acne:  resist the urge to touch any bump, everyone think that they can pop cyst, but you need to leave cyst alone cause all that aggression only makes it worse.

Cyst break out often  damage healthy tissues, so picking it only worsen the skin and inhibit its self-healing abilities. Breaking the cyst open will only spread the infection to the surrounding skin, which can cause more breakouts. Ontop that you’re more likely to develop scars if you try to pop cystic acne because it’s so deep down in your skin.

Get facials:  regular facials keep pores as clean as possible. The catalyst for acne is blocked and clogged pores, composed of old and dead skin cells. Regular facials clears the pores, making acne less likely.

Reduce stress: do whatever you can to reduce stress because it is definitely related to breakouts. Acne flares up are very closely linked to stress. Sometimes we may be anxious or worried, preparing for exams  or going through a hard time.

Lot of these has to do with stress hormones that flare in our body when we’re worried or anxious and contribute to breakouts. Engage in any activity that relieve stress level and promote feelings of well-being.

Whatever is your form of stress relief, it’s important you pursue them everyday, not just for your skin but your overall well-being. Getting enough sleep is part of stress management. When we don’t get enough sleep, our minds and body are placed under stress and this can manifest as more breakouts or worst acne ever.

  One of the most effective prescription for cyst acne treatment available is a pill called, isotretinoin. It is a safe  and highly effective medicine that comes from vitamin A. It is a tightly regulated medicine, because females who takes it could have birth defect if they become pregnant while taking it.

There are lots of possible side effects to know about, which is why you need to see a dermatologist, who can describe the options for you. Majority of people who get through a six month or so with isotretinoin never break out the in the same way again. Their skin remains clear, or almost clear.

For cases of moderate, isotretinoin is not recommended until standard treatment with oral antibiotics has been tried and found to be ineffective. Isotretinoin is however recommended for a severe cyst acne.

         Another treatment to be considered is;

Steroids injections. These injections are injected directly into the cyst to reduce inflammation  and prevent scarring. The treatment is always carried out by a specialist. There may be a short-lived side effect after the injection.

The dermatologist may also offer incision, and drainage of certain large cyst. It is strongly advised that people do not try this themselves as it will worsen the skin problem and cause deeper scarring and skin infection.

 Some birth control pills are recommended for the treatment of cyst acne. Long term treatment of acne in women can involve the birth control pill, which suppresses sebum production.

Where appropriate, and oral medication containing estrogen and progesterone may be used for six months or more. A drug called spironolactone may be prescribed with the pill. This is a synthetic steroids that inhibits androge

Some practical measure to avoid to  making worse acne are useful for anyone with acne including cystic acne:

  • Leave pimples alone, picking and squeezing is likely to worsen.
  • Make sure to go to bed without any make up on, and also avoid heavy make ups.
  • Do not wash your skin too often, use a mild soap and lukewarm water or a cleanser.
  • Avoid abrasive soap , cleansing granules, astringent or exfoliating agent.

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