The severity of acne vulgaris (Gr. ἀκµή, "point" + L. vulgaris, "common")[23] can be classified as mild, moderate, or severe as this helps to determine an appropriate treatment regimen.[19] Mild acne is classically defined by the presence of clogged skin follicles (known as comedones) limited to the face with occasional inflammatory lesions.[19] Moderate severity acne is said to occur when a higher number of inflammatory papules and pustules occur on the face compared to mild cases of acne and are found on the trunk of the body.[19] Severe acne is said to occur when nodules (the painful 'bumps' lying under the skin) are the characteristic facial lesions and involvement of the trunk is extensive.[19][24]
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Considerations: Cigarette smoking with oral contraceptive use increases the risk of serious heart disease.2 There are many negative side effects and positive side effects to taking birth control pills for acne. Talk to your doctor to decide if it is right for you.1-3 While it is a widely held belief, evidence does not show a correlation between pregnancy rates and concurrent administration of birth control pills and oral antibiotics. [With the exception of anti-tuberculosis drugs like rifampin.]
If you have dark brown spots where acne has healed, you absolutely, positively have to avoid any of the irritant ingredients listed above. Your product has to be gentle enough not to cause irritation and strong enough to remove makeup. If you are on a budget, then Black Opal Skin Perfecting Blemish Wash, Burt’s Bees Natural Acne Solutions Purifying Gel Cleanser, or Neutrogena Oil-Free Acne Wash will work well. ProActiv Renewing Cleanser or PanOxy soap cost a little more but help heal pimples.
^ Jump up to: a b c Zaenglein, AL; Graber, EM; Thiboutot, DM (2012). "Chapter 80 Acne Vulgaris and Acneiform Eruptions". In Goldsmith, Lowell A.; Katz, Stephen I.; Gilchrest, Barbara A.; Paller, Amy S.; Lefell, David J.; Wolff, Klaus (eds.). Fitzpatrick's Dermatology in General Medicine (8th ed.). New York: McGraw-Hill. pp. 897–917. ISBN 978-0-07-171755-7.

If you have non-inflamed acne, it means you have a lot of blackheads and whiteheads, but not a lot of redness and swelling. Most common acne face washes can work well for you. If you have inflamed acne, you want to make sure you buy a facial cleanser that has the ingredients to reduce inflammation, swelling, and redness. But you also want to be careful not to buy or use anything that can cause irritation, dry skin and thus, more redness and swelling.
That’s why, no matter how uncomfortable your skin may feel while plagued with acne, you must resist the urge to touch your skin. If the irritating sensations become unbearable, there are other methods of treating your skin, such as cooling it with ice packs or aloe vera gel. You can even use medicated creams designed to soothe irritated skin – given that your dermatologist says it’s okay.
Antibiotics. These work by killing excess skin bacteria and reducing redness. For the first few months of treatment, you may use both a retinoid and an antibiotic, with the antibiotic applied in the morning and the retinoid in the evening. The antibiotics are often combined with benzoyl peroxide to reduce the likelihood of developing antibiotic resistance. Examples include clindamycin with benzoyl peroxide (Benzaclin, Duac, Acanya) and erythromycin with benzoyl peroxide (Benzamycin). Topical antibiotics alone aren't recommended.

Dermabrasion is an effective therapeutic procedure for reducing the appearance of superficial atrophic scars of the boxcar and rolling varieties.[31] Ice-pick scars do not respond well to treatment with dermabrasion due to their depth.[31] The procedure is painful and has many potential side effects such as skin sensitivity to sunlight, redness, and decreased pigmentation of the skin.[31] Dermabrasion has fallen out of favor with the introduction of laser resurfacing.[31] Unlike dermabrasion, there is no evidence that microdermabrasion is an effective treatment for acne.[8]
How to Handle It: Consider salicylic acid your secret weapon. "This beta hydroxy acid helps remove excess oil and exfoliate dead cells from the skin's surface to keep pores clear," says Zeichner. Try Clinique's Acne Solution Clearing Gel, a two-time Best of Beauty winner that packs both salicylic acid and sea whip extract — an ingredient with skin-soothing properties — to help counteract the dryness sometimes caused by salicylic acid. The formula does double duty: It works as a spot treatment for mild to moderate acne and as a nightly allover treatment for pimple prevention. And since it dries clear, you can wear it to fight zits whenever, wherever.

Acne is only cosmetic. FALSE. Acne is a disease that gets worse if left untreated. It might not be a life-threatening condition, but it affects how you look and feel about yourself. Bacteria that gets into your pores and clogs them up can quickly multiply, leading to an out-of-control situation. Blemishes should be taken seriously and treated as soon as possible to keep them under control and to prevent permanent scars.
It's a common misconception that those with oily skin shouldn't moisturize. Be sure you're treating your entire face to a full routine and not solely relying on spot treatments to battle your breakouts. If your acne comes with a side of oil, this is your best bet for a daily moisturizer. It contains panadoxine, a vitamin B6 derivative that improves skin’s overall healthy balance by visually minimizing pore size and shine.
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