http://www.nycdermatologist.com (212)-644-9494
Acne Dermatologist of Manhattan Acne Dermatologist of NYC Dermatology New York Board Certified Dermatologist Acne is one of the most common of all skin problems. It affects most teenagers to some degree and even more adults. Acne shows up as whiteheads, blackheads, pimples and deep painful bumps that look like boils. Acne most commonly occurs on the face but can also appear on the neck, back, chest and shoulders. It is estimated that as many as 80% of people between 12 and 25 years of age suffer from acne. While in most people, acne clears up after few years, many suffer from permanent scarring of the skin. Even when there are few physical marks left, the emotional ones can be devastating. Acne problems are commonly faced by many young adults and teenagers today. Some people develop acne even at forties and fifties.
According to Dr. Rothfeld at NYC Dermatology, acne is believed to develop due to various factors like hormonal imbalance, sebum secretion, hereditary factors, and food habits. Inflammatory lesions in acne Inflammatory lesions in acne (pimples or zits) include small red bumps (papules), pustules, large red bumps (nodules) and cysts (these are fluctuant nodules). They are often painful.What is the cause of inflammatory acne? They usually result from rupture of the wall of the closed comedone but may arise from normal-appearing skin.
The factors contributing to inflammation are:
- Bacteria Chemicals produced by Propionibacterium acnes diffuse into the surrounding skin (dermis) and attract white blood cells (polymorphonucleocytes and monocytes).
- Immunological reaction For unknown reasons, the cells lining the sebaceous ducts also produce inflammatory mediators (IL-1a, IL-b and tumour necrosis factor) so pimples may occur in the absence of bacteria.
- Foreign body reaction White blood cells (macrophages and giant cells) removing the debris may cause a more severe granulomatous inflammatory reaction.
- Irritation by lipids Free fatty acids and sebum penetrate the dermis after the duct has ruptured
- Hypersensitivity to P. acnes Hypersensitivity (allergy) to P. acnes is thought to be the cause of the severe skin condition, acne fulminans.
There are many treatment options for adult acne problems, but it is not mandatory that everyone gets cured. Dermatologists prescribe medicines taking skin care into concern. In many cases, blood and urine tests are taken, to test for any underlying causes. Severe acne patients are given antibiotics and very severe adult acne patients are treated with laser surgery, considering the seriousness of the problem. People suffering from acne should consult board certifed dermatologists like Dr. Gary Rothfeld and then undergo treatments that are suitable to them. Acne treatments are always done on the basis of severity of condition. Mild acne problems can be treated with topical products containing benzoyl peroxide, salicylic and glycolic acids. Some persistent acne patients may require systematic antibiotics like tetracycline, erythromycin, and acutane.
New methods like chemical peels and lasers are also included in the treatments to eradicate pimples and the marks present. Comedo extraction sometimes removing comedones proves beneficial. To extract whiteheads and blackheads, dermatologists use a sterile pen-sized device. This procedure should only be performed by a dermatologist. Patients attempts to extract comedones and drain cysts by squeezing or picking, can lead to worsening of the acne, scarring and infection. Tissue injured by squeezing or picking can become infected by staphylococci, streptococci and other bacteria.
Dr. Gary Rothfeld, a board certified dermatologist at NYC Dermatology performs this procedure personally. In many cases, acne cannot be cured completely, but can definitely be controlled in almost every case. Some basic steps need to be followed by adults. They should always touch their face gently, even when washing. Their diet should be as healthy as possible, and they should avoid oily or greasy foods whenever possible. Men should be careful while shaving using electric or ordinary razors, as these can negatively affect acne. http://www.dermatologistsnyc.com http://www.nycacne.org
Duration : 0:6:37
One Comment
In most cases, plastic surgery leaves behind tremendous scarring. These kinds of procedures stress the body and leave behind a lot of lingering side effects. The safest and most effective way to get rid of sagging epidermis without plastic surgical treatment is by giving your skin the nutritional vitamins and minerals it needs to accomplish so.