The Hidden Causes of Acne: What You’re Missing in Your Skin Care Routine

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The Hidden Causes of Acne: What You’re Missing in Your Skin Care Routine

Acne. It’s a battle millions wage, but victory requires more than just occasional spot treatment. Here’s your roadmap to clear, healthy skin through a science-backed approach to acne care.

Ditch the Bad Habits:

  1. Overlooking Hydration: Focusing solely on controlling oil can lead to a water-oil imbalance, aggravating acne.
  2. Using Peel-Off Masks: These can inflame acne-prone areas, worsening the condition.
  3. Inadequate Sun Protection: UV exposure can trigger acne and deepen acne scars.
  4. Over-Cleansing: Cleaning your face too often can damage the skin barrier, leading to more severe skin issues.
  5. Improper Exfoliation: Either not exfoliating at all or doing it too frequently (sensitive skin types should avoid it) can exacerbate skin problems.
  6. Touching and Picking at Acne: This spreads bacteria and can cause secondary infections.
  7. Incomplete Makeup Removal: Failing to thoroughly remove makeup can clog pores and disrupt sebum secretion.
  8. Misusing Steroid Acne Treatments: These can initially decrease acne but often worsen the condition over time.

Embrace the Good Habits:

  1. Proper Facial Cleansing: Always wash with warm water and choose cleansers that balance oil and moisture, such as amino acid-based cleansers for sensitive and acne-prone skin.
  2. Consistent Moisturization: Even oily, acne-prone skin needs moisture. Opt for lightweight, non-greasy moisturizers.
  3. Diligent Sun Protection: Sunscreen is crucial for preventing further skin issues such as redness and hyperpigmentation. Physical and broad-spectrum sunscreens are recommended for sensitive skin.
  4. Attention to Detail: Avoid squeezing pimples, reduce makeup use, remove makeup immediately after returning home, and seek professional treatment for severe cases.

Differentiated Acne Care: Medically Treated vs. Untreated and Acne-Prone Skin

  • During Medical Treatment: When undergoing dermatological treatment, skincare products can alleviate symptoms like dryness and peeling caused by acne medications, improving adherence to the treatment.
  • For Acne-Prone and Untreated Skin: Focus on hydration and simplify your skincare routine. Use products that restore the skin barrier and avoid those that could irritate during sensitive periods.

Cleansing in Acne Care

For Skin Under Medical Treatment:

  • Pre-Tolerance Development: Before your skin has adapted to acne medications, which often cause dryness and flaking, it’s advisable to minimize or even avoid using face washes. Instead, wash your face only with warm water twice a day.
  • Avoid Strong Detergents: Stay away from harsh soaps, including scented soaps and sulfur soaps. Over-cleansing can strip the skin of its natural oils, damaging the protective lipid layer and leading to further dryness or cracking.
  • For Regular Cleansing: Use a gentle, low-lipid cleanser once or twice a day, depending on how oily your skin feels. Non-ionic surfactant-based cleansers can be used occasionally for their mild effect.

For Untreated or Acne-Prone Skin:

  • Gentle Cleansing: If your skin is sensitive, minimize the use of cleansers. Washing with just warm water can be adequate (early treatment is recommended for best results).
  • Sensitive Conditions: For skin that is particularly sensitive or inflamed, avoid using cleansers altogether and consult a dermatologist for specialized treatment.
  • Post-Treatment Acne-Prone Skin: For skin that has built a tolerance to acne medications and is not actively peeling or overly dry, a non-soap surfactant-based cleanser can be used.

For Skin Under Medical Treatment:

  • Medications Inducing Dryness: Treatments with topical retinoids (Vitamin A derivatives), glycolic acid (AHA), salicylic acid (BHA), and azelaic acid are common in acne therapy and can severely dry out the skin. Oral isotretinoin (Accutane) can also cause significant drying.
  • Hydration and Repair: It’s essential to use appropriate skincare products to moisturize and repair the skin. Lotions or creams are typically used, depending on the dryness level.
  • For Mild Dryness: A lotion is usually sufficient.
  • For Severe Dryness and Peeling: Use creams with varying levels of richness to restore skin moisture effectively.

For Untreated or Acne-Prone Skin:

  • Skin Type Adjustment: After formal treatment, the skin often transitions to normal or dry types, requiring less intensive care.
  • Seasonal Hydration:
    • Summer: Focus on hydrating toners/serums and lotions.
    • Winter: Opt for hydrating toners/serums and non-oily lotions or creams. If the skin remains dry, consider using creams with hydrating, emollient, and occlusive properties to lock in moisture.

Moisturizing in Acne Care

Anti-inflammatory Measures for Acne Care

Managing inflammation is critical when dealing with acne, as inflammation not only contributes to the development of acne but can also prolong and exacerbate the healing process. Here’s how to effectively incorporate anti-inflammatory measures into your acne care routine:
  1. Understanding Inflammation in Acne: Acne lesions are typically accompanied by chronic inflammation, which can lead to the formation of red and dark acne marks if not properly managed.
  2. Promoting Healing and Reducing Hyperpigmentation: Anti-inflammatory treatments can help fade red acne marks and prevent the formation of darker pigmentation. This is crucial for maintaining even skin tone and texture.
  3. Using Barrier-Repairing Serums: Products designed to repair the skin barrier typically contain soothing, redness-reducing, and skin-stabilizing ingredients. These serums can greatly assist in calming inflamed skin, reducing redness, and stabilizing acne-prone skin by strengthening its natural defenses.

Sun Protection for Acne-Prone Skin

Sun protection is paramount for all skin types, especially for acne-prone skin, which may be more vulnerable to the damaging effects of UV rays due to the use of photosensitizing medications.
  • Challenges with Photosensitivity: Many topical and oral acne treatments increase the skin’s sensitivity to sunlight, making it susceptible to burning and further damage. Proper sun protection is essential to prevent these effects and stabilize the medication’s efficacy under UV exposure.
  • Comprehensive Sun Protection Measures:
    • Use Protective Clothing: Clothing with a high density of weave, darker colors, or special sun-protective coatings offers better UV protection. Fabrics labeled with an UPF (Ultraviolet Protection Factor) of 25 or higher provide significant protection against UV rays.
    • Wide-Brimmed Hats and Sunglasses: Hats with brims wider than 7.5 cm are effective in shading the face from the sun. Sunglasses that block all UV rays help protect the eyes and the sensitive skin around them, while also minimizing exposure to blue light and UV rays.
    • Selecting the Right Sunscreen: Choose sunscreens that provide broad-spectrum coverage, covering both UVA and UVB rays. The sunscreen should be photostable, easy to apply, breathable, and free from ingredients that could cause irritation or allergic reactions. For acne-prone or sensitive skin, mineral sunscreens containing ingredients like zinc oxide or titanium dioxide are often recommended because they are less likely to irritate the skin.

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