Facial skin is the characteristic of personality and the title of beauty, and when pimples and pimples invade this skin, it loses its luster and freshness.
What worries women or men the most is the appearance of (acne) on the skin, besides the medical effects that appear clear on the face, the psychological repercussions are the most important concern of those suffering from this problem.
Dr. Ibtisam Hassan Feda, a consultant of dermatology and cosmetology at King Fahd Hospital in Jeddah, reveals that acne is a common disease in the second and third decades of life and affects a large proportion of people, males and females, during the teenage years, especially between 15-20 years, and this does not prevent its appearance after the age of thirty It is, in itself, the result of physiological changes that occur during the transition from childhood to adolescence, as a result of the high level of hormones, especially the male hormone (testosterone) during puberty, which leads to enlargement of the sebaceous glands in the skin.
Heredity factor
Dr. Faida indicates that there are no specific reasons, but there are influencing factors as a factor (genetics) that controls the size of the density of the sebaceous glands and leaves traces and scars on the face, and many theories have proven that foods do not have a significant effect in the spread of acne, but you must stop eating some Fatty foods, milk and nuts, as well as the disruption of some hormones lead to the emergence of feminine grains and are associated with ovarian diseases, in addition to that there are some microbes in the fatty hair follicle, especially the microbe (coryne dacterium acne), which secretes some yeasts that dissolve into fatty acids and thus cause infections in the follicles in areas The surrounding skin, as well as the indiscriminate use of fatty creams and commercial formulations that were widely used in pharmacies or by girlfriends because they contain cortisone.
Dr. Faida notes that acne appears in the form of papules and pimples in addition to cysts and appendages and the size of black and white heads, and they usually appear on the face and are found on the back, chest and shoulders due to the presence of sebaceous glands in large numbers in these areas, and what should be warned is that acne does not spread through Infection, but each person should have his own tools as a principle of personal hygiene .. She adds that the factors that lead to the increase in symptoms are psychological pressure, hot weather, high humidity, and cosmetics containing high levels of fat, before and during the middle of the menstrual cycle.
And she goes on to say: Although acne is not a disease, it is a certain period in which almost everyone suffers from the emergence of love, but it is very important for the patient to take into account the doctor’s efforts in determining the type and period of treatment depending on the severity of the appearance and the places of its spread in order to avoid the occurrence of scars and scars.
Types of treatment
About the treatment, Dr. Faida says: There are two types of treatment, which are either oral or topical treatment. Oral treatment is done with a drug from vitamin A derivatives and it is very effective, especially for cystic, moderate and severe acne who do not respond to topical treatments, and it is given to young people. And girls, especially unmarried women, because a married woman must use strong contraceptives with him to avoid pregnancy deformities, and it is strictly forbidden to use it for pregnant women. Therefore, side effects must be understood by the doctor, where the patient must analyze the fat percentage and liver functions in the body, and the duration of treatment takes between 3- 5 months, the dose is calculated according to the patient’s weight, and I note that this treatment is not dispensed through pharmacies, but by a specialized dermatologist who understands the side effects that can happen to the patient, and despite the accuracy of the use of this treatment, it is effective and does not lead to problems as long as it is used in the correct way.
The other treatment is antibiotics, especially if there are blisters, and is used to reduce the germs in the follicles, as well as female hormones (birth control pills), and cortisone pills and use them in certain cases of acne, such as the treatment of inflamed cysts .. Dr. Faida takes the side of topical treatments. It explains that they are lotions, clutches, and creams that contain vitamin (A), as they dissolve the keratinous deposits in the openings of the sebaceous glands and may do some skin tightening, as well as topical antibiotics, especially when there are pimples, and the acne characteristic of the cysts is treated by injecting the bags With cortisone compounds.
Dr. Weeda continues that there are modern treatments represented in laser treatment, which is several sessions and depends on the type of case, and blue light therapy (usually for the treatment of simple cases or it must be accompanied by oral treatment or accompanied by local treatment to obtain satisfactory results, and it is also necessary. It is in several sessions of a week or two and for several weeks. As for the treatment with chemical peeling, whether superficial and deep, it is usually used to treat the effects of acne, whether it is coloration of the skin or treatment of scars and to also reduce the severity of the oily substance in the skin, and it must be performed by a specialist doctor and not by cosmetic salves. To avoid side effects.
