Acne treatment depends primarily on the extent form of acne. It must also be taken into account, for example, whether you have particularly sensitive skin or are allergic to certain substances. In severe cases, acne treatment should be clarified with the dermatologist. In mild cases, you can try to relieve the symptoms yourself.
Acne has a very typical appearance. In addition, the timing of the appearance of the pustules and the rapidity of the course provide clues to differentiate acne from diseases such as purulent hair follicle inflammation or fungal diseases. The doctor will ask about possible pre-existing illnesses, taking medication (e.g. birth control pills) and a family history of acne, as well as about eating habits and cigarette consumption. To confirm the diagnosis, purulent wound secretions or blood can be taken in severe cases or if an infectious disease is suspected.
Treatments for acne
First rule: Never put your hand on the blackheads or pimples! Serious infections can otherwise develop, especially on the face. In the case of blemishes, a visit to a trained medical beautician is recommended.
Different ways of acne treatment
When asked “What helps against acne?” and “What to do about acne?” there are no generally valid answers, because different types of treatment are recommended for each skin type. The form and causes of acne and individual requirements (such as allergies) must also be taken into account if you want to successfully treat acne.
The various acne treatment options are roughly divided into an external (local or topical) acne treatment (for example, through ointments and peelings) and a holistic (systemic) acne treatment with medication to be used internally.
External acne treatment
Ointments, peels & Co.
In supermarkets and drugstores as well as over the counter in the pharmacy, ointments, creams, washing lotions and much more are offered for independent acne treatment. Such antibacterial (antiseptic) washing and care series can help with mild forms of acne. In severe cases, however, they do not offer adequate help for acne. So, if acne persists for a long time, the complexion steadily deteriorates or you suffer from mental acne, you should consult a dermatologist.
Antibiotics for acne (such as erythromycin and clindamycin) are also used for external acne treatment in mild and moderate cases, in the form of ointments and creams. They reduce the number of bacteria on the skin.
Skin-renewing peels can also support local acne treatment. They are mostly based on natural fruit acids, the alpha hydroxy acids (AHA). These include, for example, lactic, citric, malic, tartaric and tartaric acid. The peels are applied to the affected areas of the skin, where they are left to act for a certain time. They peel off the upper layers of skin and prevent cornification disorders. The skin looks fresher and the number of blackheads is reduced. It is important that you apply a good cream after applying a peeling. Usually, about six to eight applications are carried out within four weeks. These peels should not be used more often because they strain the skin.
Other methods of external acne treatment
Other forms of external acne treatment are offered at the doctor or in the cosmetic studio. These include, for example, vaporization, icing and the cosmetic opening and expression of pimples or abscesses. Newer treatment methods are the irradiation with selective UV light and the color light therapy, which was applied over several weeks. An irradiation period lasts approximately 30 minutes, during which the skin is alternately irradiated with UVA and UVB radiation or alternately with blue and red light.
A completely new method of acne treatment is the socalled microdermabrasion. Fine crystals are shot at the skin with high pressure. This removes calluses and firms the skin.
Internal acne treatment
Medicinal acne treatment is only carried out in the case of moderate and severe illnesses. It takes time – results cannot be seen overnight. With most medications, the first signs of an improvement in acne symptoms appear after six to eight weeks at the earliest.
In most cases, antibiotics are used for internal acne treatment (e.g. in the form of tablets). These fight the bacteria that cause the inflammation of the pimples. However, antibiotics must not be used as long-term treatment, otherwise resistance may develop. In addition, pregnant women, nursing mothers and children under the age of twelve are not allowed to take certain antibiotics (including tetracyclines).
Another option for acne treatment is vitamin A acid derivatives (retinoids). They fight pimples and blackheads, but don’t help with a bacterial infection. For example, the active ingredient isotretinoin is often used in acne. In many cases, acne is hormonal, that is, caused by male sex hormones (androgens). Female sex hormones and anti-androgens can therefore help to improve the complexion. That is why women are often prescribed the anti-baby pill for acne treatment. Special preparations based on anti-androgens can be considered. That is, not all contraceptive pills are suitable for acne treatment.
The anti-baby pill is not suitable for acne treatment in women who want to have children. It is also not used in boys and men with acne.
Homeopathy is also used in acne treatment, although studies have so far not been able to provide clear evidence of its effectiveness. experienced therapist should discuss which homeopathic applications and are most suitable in individual cases.