Acne

Acne is an inflammatory, chronic, multifactorial disease that affects the pilo-sebaceous unit. It appears in areas where the density of sebaceous glands is high: face, back, décolleté.

The mechanism by which the acne lesion is produced are:

• Increased profiling of the epithelium lining the follicle – ultimately leads to the blockage of the pore.
• Increased production of sebum.
• The presence of a commensal bacterium, Cutibacterium acnes, which normally lives on the skin – it degrades sebum into potentially irritating fatty acids, giving birth to acne.
• Inflammation.

Factors that influence the appearance of acne:

• Genetic factors: the number and activity of the sebaceous glands are inherited.
• Hormonal changes: polycystic ovary syndrome, puberty, pregnancy.
• Certain medications.
• Certain cosmetic products with a comedogenic effect.
• The use of tight clothes that lead to the blocking of pores.
• Stress.

Diet is also a factor that seems to influence/accentuate acne lesions in predisposed individuals. The foods most frequently incriminated are those with a high glycemic index: milk, chocolate (and sweets in general – high glycemic index), diets rich in fats (poor in omega 3).

Hormonal acne is a form of acne that appears even after adolescence, which usually doesn’t respond that well to treatment and is accompanied by frequent relapses. It usually appears in adult women, frequently along the mandibular line, the appearance of lesions being influenced by hormonal fluctuations. The lesions are often deep, painful and can result in the formation of scars/erythema/post acne hyperpigmentation.

The treatment is complex combining topical preparations, systemic treatment (including hormonal) and various procedures (Gold Toning, Hollywood peel, Dermalinfusion, Laser CO2). It is also important to find a team of doctors (gynaecologist, dermatologist) that you can trust and with whom you can manage this condition.

Types of acne lesions:

• Non-inflammatory: closed (whiteheads) or open (blackheads) comedones.
• Inflammatory: papules, pustules, nodules, cysts.

How is acne treated?

It is important to find a dermatologist you can trust, the relationship with the doctor is essential as it will be a long-term treatment, acne being a chronic pathology.

During the consultation, the anamnesis will be taken and the clinical form of acne will be established. The treatment is customised according to the type of lesions present and can be represented by:

• Skincare routine
• Topical treatment
• Systemic treatment
• Laser treatments: Hollywood peel, Gold Toning, CO2 laser
• Med spa procedures: Dermalinfusion

Untreated acne can lead to the appearance of post-inflammatory erythema, scars, hyperpigmentation, ultimately having a strong impact on the patient’s quality of life.

To see which is the best solution in your case, let’s meet for a consultation! You can contact us here.

You can see the results of all interventions performed by Doctor Elena Martin on her Instagram or Facebook page.

All procedure prices can be found here. You can also find more information about the entire range of interventions performed by Doctor Martin here.

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