Almost everyone has suffered from an acne breakout (or many more) in their lifetime. Acne occurs when the oil (or sebaceous) glands under hair follicles, usually on your face, neck, chest, or back, get plugged up, inflamed, or infected. Frequently the glands simply secrete too much of a thick waxy lubricant called sebum that keeps your skin healthy. This blocks the pores and creates a perfect breeding ground for bacteria. Follicles then get red and inflamed.

Hormone imbalances can play a role as well. Sebum increases with the overproduction of testosterone and other androgens in teenage boys, for instance, or with women;s hormonal fluctuations, such as those associated with the menstrual cycle, pregnancy, and menopause. In mild cases of acne, whiteheads and blackheads appear, and maybe some raised red blemishes. In more severe cases, pus-filled cysts and deep nodules form around the inflamed follicles, causing unsightly bumps, tenderness, and often pain.

Organic Skin Treatments for Acne

A couple of herbal products are useful for drying up acne. Topically applied tea tree oil is a natural alternative to benzoyl peroxide. Tea tree oil is fungicidal, antiseptic, expectorant, anti-infectious, anti-inflammatory, parasiticide, and antiviral. Wipe on a 10% to 15% strength solution twice a day.

The herb chamomile also has long been used for easing skin inflammations. Make a strong chamomile tea, and wipe the cooled liquid over your face each morning. This effective daily rinse tones and cleanses.

The holistic understanding of acne is generally the result of hormonal imbalance or toxicity of the bowel or blood. Use cleansing herbs like burdock root, yellow dock root, or echinacea root to help cleanse your blood and remove toxic waste products from your liver. Use bowel-cleansing herbs like yellow dock root and psyllium seed for a week, and repeat once a month for several months, especially if you have trouble with boils, acne, and other skin problems. Take evening primrose capsules. And apply tea tree oil solution externally.

Here’s a helpful tea recipe:

1 tablespoon Oregon grape root

1 tablespoon yellow dock root

1 tablespoon burdock root

1 tablespoon red clover flowers

2 cups water

Put all herbs in water and simmer 30 minutes. Drink one cup of the tea, 2 to 3 times daily.

During a breakout, eat mainly fresh fruits and vegetables, and add a six-ounce glass of cleansing vegetable juice with equal parts of cucumber, carrot, and celery, with a little parsley. Identify and drastically reduce all forms of refined sugar and fried foods in your diet – this includes honey.

Alternate hot and cold compresses over pimples once or twice a day to open the pores, cleanse them, and increase circulation to remove wastes.

Sometimes the skin will show reactions to external factors, such as bacteria, that have led to internal processes, which reflect on the skin instead of manifesting internally. While symptoms on the skin should be attended to, the real problem lies in the weakened defense system, which should be toned and strengthened so that the body will rid itself of infection.

The general guidelines for the treatment of infections also hold true for acne. And if antibiotics have been used recently, at least 1 g of vitamin C should be taken daily.

Acne is not a new problem; people have been suffering from it for many thousands of years. In ancient Egypt for instance, oils were often used to soften and smooth the skin. It is only in recent times that people have begun to use acne creams made of chemical ingredients like benzyl peroxide, among others. These can not only have unwanted side effects, like the drying of healthy skin or the bleaching of clothing, but can be very costly.

It’s no mystery that our grandmothers seemed to know best. When it comes to health and skin, the more natural the ingredient, the better. Of course, there are times when natural remedies may not be as effective and that is Ok. However, just be aware of the natural options you have first, before you waste a lot of money on another product that doesn’t work. Many people today discovering the old-world secrets in caring for their bodies more naturally, and are turning to natural and herbal remedies, such as the following simple ‘kitchen cures’.

Acne Remedy #1: Make a paste of nutmeg powder and milk, and apply to your face in a thin layer. Leave on for up to an hour, or even overnight.

Acne Remedy #2: Take an orange peel and leave it to dry, and then grind it to a powder. Mix with water and apply directly to the pimple.

Acne Remedy #3: Applying garlic directly to a pimple can also be a great remedy, as garlic is a natural disinfectant.

Acne Remedy #4: Mix a spoonful each of fresh lemon juice and cinnamon. Apply to the acne overnight for several nights in a row to be effective.

Acne Remedy #5: Take fresh leaves of fenugreek and grind to make an acne remedy that is also said to be effective in reducing wrinkles. It should be left on for only fifteen minutes.

Acne Remedy #6: Papaya juice, which is high in natural enzymes, makes a wonderful acne solution all on its own.

Acne Remedy #7: Boil a cup of milk, and then allow to cool to room temperature, and add a spoonful of limejuice to make a acne face wash.

Acne Remedy #8: Mix rosewater, cucumber juice and lime juice in equal amounts. Apply to clean face and leave on overnight.

Chemical skin care ingredients you should avoid if you are acne-prone or have oily skin in combination with acne:
• Butyl stearate
• Cinnamon Oil
• Isotearyl isostearate
• Cocoa butter
• Jojoba oil
• Coconut oil
• Decyl oleate
• Myristyl myristate
• Myristyl propionate
• Octyl palminate
• Octyl stearate
• Peppermint Oil
• Isopropyl stearate
• Isopropyl, isostearate, myristate or palmitate
Try several of these natural remedies and see which one is best for you, be aware that it can take several days to have an effect. Make sure you use clean spoons and dishes to mix your remedies, and remember to wash your face as usual in between treatments.

Acne: Words to Know
Androgen:
A male sex hormone found in both males and females.
Anti-androgen:
A drug that slows down the production of androgens.
Antibiotic:
A drug that kills bacteria.
Comedo:
A hard plug that develops in the pores of the skin composed of sebum and dead skin cells. The mildest form of acne.
Comedolytic:
Drugs that break up comedos and open clogged pores.
Isotretinoin:
A drug that decreases sebum production and dries up acne pimples.
Sebum:
An oily material produced by sebaceous glands that keeps the skin moist.
Tretinoin:
A drug that increases the rate at which skin cells are formed and die.
CAUSES
________________________________________
The exact cause of acne is not known, however, several risk factors have been identified.
• Age. Because of the effect of sex hormones, teenagers are quite likely to develop acne.
• Cosmetics. Make-up and hair sprays that contain oils can make acne worse.
• Diet. Acne is not caused by diet, but some foods can make the disease more serious.
• Disease. Hormonal disorders can increase the severity of acne problems in girls.
• Drugs. Acne can develop as a result of using certain drugs, such as tranquilizers, antibiotics, oral contraceptives, and anabolic steroids. Steroids are synthetic hormones that may sometimes be abused by athletes to increase the size of their muscles.
• Environment. Acne can become worse as a result of exposure to oils, greases, and polluted air. Sweating in hot weather can also make the condition worse.
• Gender. Boys are more likely to develop acne and tend to have more serious cases than girls.
• Heredity. Acne is more common in some families than in others.
• Hormonal changes. Acne can flare up during menstruation, pregnancy, and menopause. Menopause is the period in a woman’s life when her body stops producing certain hormones.
• Personal hygiene. Strong soaps, hard scrubbing, and picking at pimples can make acne worse.
• Stress. Emotional stress can contribute to acne.

Rosacea is a long lasting, non-scarring skin condition of the face that is often misdiagnosed as adult acne. It varies in severity and does not always worsen with time. Typically, you will experience inappropriate flushing that is not usually associated with sweating and/or persistent facial redness. It is common to have broken blood vessels (telangiectasias) on your cheeks. You may also experience bouts of inflammation that cause red papules (small bumps) or pustules. However, comedones (blackheads and whiteheads) are not part of rosacea.

About 50% of those with rosacea suffer eye involvement, including such conditions as conjunctivitis, blepharitis, dry gritty eyes, and recurrent sties. Nose enlargement (rhinophyma) is uncommon but mostly seen in men. It is only very rarely seen in women.

Key Features:

• Facial symptoms – burning and stinging
• Facial flushing, blushing evolving to persistant redness
• Inflammatory papules, pustules (pimples)
• Cheeks are not warm
• Telangectasiae, (blood vessel lines)
• Eye involvement
• Soft tissue hypertrophy or skin thickening (rhinophyma)

Facial flushing	Telangectasias	Rhinophyma

Who Gets Rosacea?

This condition is most commonly seen in those who have fair skin and is sometimes referred to as the “Curse of the Celts” or a “Peaches and Cream“ complexion.

Where Does Rosacea Occur On The Skin?

You will usually see rosacea around the central area of your face. It may occasionally be isolated to one patch.

When Does It Usually Start?

Onset usually occurs between 20-40 years of age.

How Does Rosacea Affect Us?

• Rosacea can be very embarrassing, flushing can be a source of social discomfort
• Many may feel that they are perceived as heavy drinkers
• Eyes can be gritty and uncomfortable
• Older men are frequently ashamed if their nose becomes bigger and knobbly

The unfair fact is that adult acne will affect 25 percent of men and 50 percent of women in their adult lives. We know that identifying hormonal changes as the main cause of adult acne aren’t entirely proven. There isn’t just one cause. Acne in adult women can be linked to cosmetic use, some hair products and can frequently be brought on by the hormonal fluctuations associated with pregnancy. Certain types of prescription medications can also cause adult acne. Some strains of acne, such as Acne vulgaris, don’t typically show up in adults until midlife. Adult acne also forms differently, whereas adolescent acne begins on the forehead and cheek area, adult acne tends to show more on the chin, jaw line and neck.

With all this new adult acne erupting (pardon the pun) more than before, natural acne and scar treatments are gaining more acceptance as consumers want to make healthier more sustainable choices for their skincare.

Your skin has an amazing natural ability to regenerate itself and a new layer of skin growth will generally cover any scarring, but in the rare cases where this does not occur then a more advanced scar treatment is in order. Always consult with your doctor or dermatologist before beginning any facial treatments to be sure you are not causing further damage.

A healthy, well-balanced diet plays a large role in helping your body and skin to regenerate itself to its optimal condition. Many dermatologists recommend a diet high in natural minerals. These minerals are to maintain the health of the skin cells, which in turn should prevent a further outbreak of acne and repair damaged tissue. Diets, which include plenty of green vegetables, un-cooked vegetables such as carrots, spinach and cucumbers, have also helped many to maintain smooth, blemish-free skin. The idea is to try to create a new fresh layer of skin so that the scars reduced or eradicated.

Are you drinking enough water?

By consuming a regular amount of water daily, you can improve the look of your skin. The average human body is comprised of 60 percent water. Drinking more water, instead of sugar-laden sodas or energy drinks will keep the skin moist and smooth; it will also clear away the dead skin cells, flush toxins and aid in the regeneration of new skin cells. Mixing water with natural ingredients like citrus, fruit or vegetable juices, can also be helpful to exfoliate the skin.

With a proper nutritious diet, vitamins and plenty of water, most see results within a few months. It can take up to a year for acne scars to heal completely. Acne scars do not show up overnight and removing them can take the same amount of time if not more. It takes patience, but with the proper motivation for beautiful, glowing skin, it will be well worth the wait.

When applying antiacne drugs to the skin, people should be careful not to get the medicine in the eyes, mouth, or inside the nose. They should not put the medicine on skin that is wind burned, sunburned, or irritated, and not apply it to open wounds.

Because antiacne drugs such as benzoyl peroxide and tretinoin irritate the skin slightly, users should avoid doing anything that might cause further irritation. They should wash the face with mild soap and water only two or three times a day, unless the physician says to wash it more often. They should also avoid using abrasive soaps or cleansers and products that might dry the skin or make it peel, such as medicated cosmetics, cleansers that contain alcohol, or other acne products that contain resorcinol, sulfur, or salicylic acid.

If benzoyl peroxide or tretinoin make the skin too red or too dry or cause too much peeling, the user should check with a physician. Using the medicine less often or using a weaker strength may be necessary. Benzoyl peroxide can irritate the skin of people with skin of color and cause darkened spots called hyperpigmentation on the skin. Benzoyl peroxide may discolor hair or colored fabrics.

ORAL DRUGS. Oral antibiotics are taken daily for two to four months. The drugs used include tetracycline, erythromycin, minocycline (Minocin), doxycycline, clindamycin (Cleocin), and trimethoprim-sulfamethoxazole (Bactrim, Septra). Possible side effects include allergic reactions, stomach upset, vaginal yeast infections, dizziness, and tooth discoloration.

The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. One effective treatment is topical tretinoin, used along with a topical or oral antibiotic. A combination of topical benzoyl peroxide and erythromycin is also very effective. Improvement is normally seen within four to six weeks, but treatment is maintained for at least two to four months.

Special Conditions

People who have certain medical conditions or who are taking certain other medicines may have problems if they use antiacne drugs. Before using these products, the physician should be informed about any of the following conditions.

ALLERGIES. Anyone who has had unusual reactions to etretinate, isotretinoin, tretinoin, vitamin A preparations, or benzoyl peroxide in the past should let the physician know before using an antiacne drug. The physician should also be told about any allergies to foods, dyes, preservatives, or other substances.

PREGNANCY. Teens who are pregnant or who may become pregnant should check with a physician before using tretinoin or benzoyl peroxide. Isotretinoin causes birth defects in humans and must not be used during pregnancy.

OTHER MEDICAL CONDITIONS. Before using antiacne drugs applied to the skin, people with any of these medical problems should make sure their physicians are aware of their conditions:
• Eczema. Antiacne drugs that are applied to the skin may make this condition worse.
• Sunburn or raw skin. Antiacne drugs that are applied to the skin may increase the pain and irritation of these conditions.

In people with certain medical conditions, isotretinoin may increase the amount of triglyceride (a fatty-substance) in the blood. This may lead to heart or blood vessel problems. Before using isotretinoin, adolescents with any of the following medical problems should make sure their physicians are aware of their conditions:

• alcoholism or heavy drinking, currently or in the past
• diabetes or family history of diabetes (Isotretinoin may change blood sugar levels.)
• family history of high triglyceride levels in the blood
• severe weight problems

Using antiacne drugs with certain other drugs may affect the way the drugs work or may increase the chance of side effects.

Anti-acne drugs are medicines that help clear up pimples, blackheads, whiteheads, and more severe forms of acne.

Benzoyl peroxide is found in many over-the-counter acne products that are applied to the skin, such as Benoxyl, Clear By Design, Neutrogena Acne, PanOxyl, and some formulations of Clean & Clear, Clearasil, and Oxy. Some benzoyl peroxide products are available without a physician’s prescription; others require a prescription. Tretinoin (Retin-A) is available only with a physician’s prescription and comes in liquid, cream, and gel forms, which are applied to the skin. Isotretinoin (Accutane), which is taken by mouth in capsule form, is available only with a physician’s prescription. Only physicians who have experience in diagnosing and treating severe acne, such as dermatologists, should prescribe isotretinoin.

Acne is a skin disorder that leads to an outbreak of lesions called pimples or “zits.” The most common form of the disease in adolescents is called acne vulgaris. Antiacne drugs are the medicines that help clear up the pimples, blackheads, whiteheads, and more severe forms of lesions that occur when a teen has acne.
Different types of antiacne drugs are used for different treatment purposes, depending on the severity of the condition. For example, lotions, soaps, gels, and creams containing substances called benzoyl peroxide or tretinoin may be used to clear up mild to moderately severe acne. Isotretinoin (Accutane) is an oral drug that is prescribed only for very severe, disfiguring acne.

Acne is caused by the overproduction of sebum during puberty when high levels of the male hormone androgen cause excess sebum to form. Sebum is an oily substance that forms in glands just under the surface of the skin called sebaceous glands. Sebum normally flows out hair follicles onto the skin to act as a natural skin moisturizer. The glands are connected to hair follicles that allow the sebum, or oil, to empty onto the skin through a pore.

Sometimes the sebum combines with dead, sticky skin cells and bacteria called Propionibacterium acnes (P. acnes) that normally live on the skin. The mixture of oil and cells allows the bacteria to grow in the follicles. When this happens, a hard plug called a comedo can form. A comedo is an enlarged hair follicle. It can appear on the skin as a blackhead, which is a comedo that reaches the skin’s surface and looks black, or as a whitehead, which is a comedo that is sealed by keratin, the fibrous protein produced by the skin cells and looks like a white bump.

In addition, pimples can form on the skin. Types of pimples include:
• papules, which are small, red bumps that may be tender to touch
• pustules, which are pus-filled lesions that are often red at the base
• nodules, which are large, painful lesions deep in the skin
• cysts, which are painful pus-filled lesions deep in the skin that can cause scarring

Pimples form when the follicle is invaded by the P. acnes bacteria. The damaged follicle weakens and bursts open, releasing sebum, bacteria, skin cells, and white blood cells into surrounding tissues. Scarring happens when new skin cells are created to replace the damaged cells. The most severe type of acne includes both nodules and cysts.

Acne cannot be cured, but antiacne drugs can help clear the skin and reduce the chance of scarring. The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. Benzoyl peroxide and tretinoin work by mildly irritating the skin. This encourages skin cells to slough off, which helps open blocked pores. Benzoyl peroxide also kills bacteria, which helps prevent whiteheads and blackheads from turning into pimples. Isotretinoin shrinks the glands that produce sebum. It is used for severe acne lesions and must be carefully monitored because of its side effects. Antibiotics also may be prescribed to kill bacteria and reduce inflammation.

Acne: Words to Know
Androgen:
A male sex hormone found in both males and females.
Anti-androgen:
A drug that slows down the production of androgens.
Antibiotic:
A drug that kills bacteria.
Comedo:
A hard plug that develops in the pores of the skin composed of sebum and dead skin cells. The mildest form of acne.
Comedolytic:
Drugs that break up comedos and open clogged pores.
Isotretinoin:
A drug that decreases sebum production and dries up acne pimples.
Sebum:
An oily material produced by sebaceous glands that keeps the skin moist.
Tretinoin:
A drug that increases the rate at which skin cells are formed and die.
CAUSES
________________________________________
The exact cause of acne is not known, however, several risk factors have been identified.
• Age. Because of the effect of sex hormones, teenagers are quite likely to develop acne.
• Cosmetics. Make-up and hair sprays that contain oils can make acne worse.
• Diet. Acne is not caused by diet, but some foods can make the disease more serious.
• Disease. Hormonal disorders can increase the severity of acne problems in girls.
• Drugs. Acne can develop as a result of using certain drugs, such as tranquilizers, antibiotics, oral contraceptives, and anabolic steroids. Steroids are synthetic hormones that may sometimes be abused by athletes to increase the size of their muscles.
• Environment. Acne can become worse as a result of exposure to oils, greases, and polluted air. Sweating in hot weather can also make the condition worse.
• Gender. Boys are more likely to develop acne and tend to have more serious cases than girls.
• Heredity. Acne is more common in some families than in others.
• Hormonal changes. Acne can flare up during menstruation, pregnancy, and menopause. Menopause is the period in a woman’s life when her body stops producing certain hormones.
• Personal hygiene. Strong soaps, hard scrubbing, and picking at pimples can make acne worse.
• Stress. Emotional stress can contribute to acne.

Many of you may be curious, what is Ayurveda and how’s it going to help my acne?

The word Ayurveda translates to “the science of life” (Ayru – life and Veda – science). Ayurveda has brought true health and wellness to millions of individuals throughout the ages with simple changes in daily living practices. Incorporating just a few of these proven methods into your lifestyle can bring about radical changes in your life.
It is currently considered a form of complementary and alternative medicine (CAM) within the United States of America, but this ancient art of healing has been practiced continuously for over 5,000 years.
Where Ayurveda differs is in its approach. Unlike other treatment methods, Ayurveda is a comprehensive, holistic system that uses a variety of therapies in an attempt to bring about fundamental change in a person’s lifestyle.
Ayurveda states that each person is unique, exhibiting a distinct energy pattern that is a combination of physical, mental and emotional characteristics. These energies manifest themselves within three doshas, or regions within the body. The three doshas and their perceived locations are vata (colon), pitta (small intestine), and kapha (stomach).
There are more than 20 types of Ayurvedic treatments. These include herbs, nutritional changes, healing oils, massage therapy, meditation and breathing exercises, yoga and other forms of exercise, as well as inducing a person to sweat, move his or her bowels, or even vomit to cleanse the body of toxins.
According to Ayurveda, ojas is the source of the body’s immunity and the subtle substance that gives healthy skins it’s natural glow. When ojas is depleted, the immune response is weak and the skin becomes lifeless. Low ojas and low immunity result from the same cause: an overload of physical, chemical or psychological stress. Ayruveda describes this overloaded condition as an imbalance of the three doshas, and seven dhatus (or body tissues).
For example, acne rosacea is a blood disease and therefore originates in the second tissue. Whether the stressor is the wrong food or an undigested emotion, it takes a couple of weeks from the time the stress occurs for this type of type to break out. Cystic acne, on the other hand, is a disease of the fat tissue–or fourth dhatu-and takes as long as three to four weeks to appear on the skin. Cancer, a disease of the bone marrow and reproductive tissue –the sixth and seventh dhatus, may exist in the body as long as seven years before being discovered.
The basic premise here is one that western medicine is only now beginning to recognize–that every organ, tissue and cell in your body, are directly connected to each other. The skin and the mind form from the same embryonic tissues in the womb. Our skin can be seen as our second brain and the mirror of our thoughts and emotions. What you eat or drink can affect your mind as equally as how you think or feel can affect your body. This is experiential fact, for any of you who may have enjoyed too much alcohol at one time or felt your stomach turning the last time you were nervous or upset.
Ayurvedic practitioners believe that they must first identify which of a person’s doshas are out of balance before suggesting treatment methods. Symbiotically, whatever substance is absorbed into the skin will have an effect on the individuals’ body tissues and vice versa.
That said, there are some specific treatments that many recognize as effective treatments for skin conditions. For starters, regardless of the skin condition, Ayurvedic practitioners suggest staying hydrated. Ayurvedic practitioners believe that water helps to naturally stabilize dry or oily skin. Drinking enough water also helps prevent the loss of moisture through the skin, which helps to promote overall wellness.

Ayurveda also recommends adhering to a daily regimen for proper skin care, including the use of a natural soap and the use of natural skin moisturizers. This is true whether a person has naturally dry skin or suffers from a more serious condition such as psoriasis. The key is to make sure that the moisturizer is in fact, natural, containing only substances such as aloe vera—a natural antibiotic that many believe is particularly helpful in the treatment of many skin conditions. Unfortunately, many commercially available moisturizers contain preservatives and other chemicals, and do not fully absorb into the skin, instead remaining on the surface and sometimes clogging pores as a result.

In addition to proper hydration and skin care, Ayurvedic medicine has identified three natural supplements that appear to help treat a wide range of skin conditions—neem, haemafine syrup and khadir. All three of these are widely prescribed to treat acne, psoriasis, and eczema, although many believe they can be used to treat any skin condition. The tree stem, root, and bark of neem, a large evergreen tree, have antibacterial properties. It is used in supplement form to treat skin conditions. In addition, many Ayurvedic soaps contain neem extract. Haemafine syrup is a natural solution made up of more than a dozen herbs. It is used as a remedy for all types of skin diseases through its natural blood purification properties. Khadir, also known as the acacia catechu herb, is another natural blood purifier used to treat skin conditions.

Besides supplements, some Ayurvedic sources also suggest that a person with a skin condition receive an abhyanga, a traditional Ayurvedic massage that uses herbalized oils to draw toxins out through the skin.

SYMPTOMS

Acne is often not apparent to an observer. Inflamed pores, however, can cause pain or itching. The most troubling aspect of acne for many people is the scarring that can occur. And, while acne may not be very noticeable, individuals tend to be sensitive about their appearance. Teenagers especially may become concerned about the way other people react to them.

DIAGNOSIS

People with acne are often treated by family doctors. More serious cases are referred to a dermatologist (a specialist in skin disorders) or an endocrinologist (a specialist in hormonal disorders).
Because of its appearance, acne is not difficult to diagnose. A doctor takes a complete medical history, which includes questions about skin, diet, medication use, and other factors associated with risk for acne. He or she conducts a physical examination of the face, upper neck, chest, shoulders, back, and other affected areas. The doctor determines the number and type of blemishes, whether they are inflamed or not, whether they are deep or near the surface of the skin, and whether there is scarring or skin discoloration.
Laboratory tests are not done unless the patient appears to have a hormonal disorder. In that case, blood tests and other tests may be ordered. Most insurance plans cover the cost of diagnosing and treating acne.

ANTI-ACNE DRUGS
Brand Name (Generic Name) and their pssible common side effects:

Accutane (isotretinoin) > Dry skin, dry mouth, conjunctivitis
Benzamycin > Dry and itchy skin
Cleocin T (clindamycin phosphate) Dry skin
Desquam-E (benzoyl peroxide) > Itching, red and peeling skin
Erythromycin topical (A/T/S, erycette, t-stat) > Burning, dry skin, hives, red and peeling skin
Minocin (minocycline hydrochloride) > Headache, hives, diarrhea, peeling skin, vomiting
Retin-A (tretinoin) > Darkening of the skin, blistering, crusted, or puffy skin

Several surgical or medical treatments may be used to reduce acne or the scars caused by the disease.
• Chemical peel. A chemical known as glycolic acid is first applied to the skin. When it dries, it is peeled off, taking the top layer of skin with it. This treatment helps reduce scarring.

• Collagen injection. Shallow scars are filled in by injecting collagen, a skin protein, beneath the scars.
• Comedo extraction. A special tool is used to remove a comedo from a pore.
• Dermabrasion. The affected skin is first frozen with a chemical spray. Then it is removed with a brush or sandpaper-like instrument.

• Intralesional injection. Anti-inflammatory drugs are injected directly into inflamed pimples.
• Punch grafting. Deep scars are removed and the area repaired with small skin grafts.

Alternative treatments for acne focus on proper hygiene and diet. Patients are advised to keep their skin clean and oil-free. They are also encouraged to eat a well-balanced diet high in fiber, zinc, and raw fruits and vegetables. They should also avoid alcohol, dairy products, caffeine, sugar, smoking, processed foods, and foods high in iodine, such as table salt.

Some doctors recommend the use of herbs to supplement the diet. Some herbs that have been used in the treatment of acne include burdock root, red clover, and milk thistle. Additional nutrients that may help to control acne include B-complex vitamins and chromium. Chinese herbal treatments that are recommended include cnidium seed and honeysuckle flower. Another herbal treatment is tea tree oil. The proper dose of these substances can be recommended by physicians or nutritionists.

Acne cannot be cured. However, it can be controlled in about 60 percent of patients with the drug isotretinoin. Improvement usually takes at least two months, and the problem may recur after treatment has been stopped. Inflammatory acne that results in the formation of scars may require one of the more aggressive treatments already described.

PREVENTION

There are no sure ways to prevent acne. However, the following steps tend to reduce flare-ups ofthe condition:
• Gently wash—do not scrub—the affected areas once or twice every day.
• Avoid rough cleansers.
• Use makeup and skin moisturizers that do not produce comedos.
• Shampoo often and wear hair away from the face.
• Eat a well-balanced diet and avoid foods that trigger flare-ups.
• Give dry pimples a limited amount of sun exposure unless otherwise directed by your doctor.
• Do not pick or squeeze pimples.
• Reduce stress.