What is acne? How is it formed?

Except for a few areas of our body, palms, soles, lips, etc. completely covered with hairs. Hairs; They can be visible or as thin formations that we call feathers, they can be so thin that they are invisible to the eye. Hair is a protein structure produced in the skin tissue called keratin.

Our whole body is covered with hairs that we can see or not. Except for a few of our regions (palms, soles of feet, lips, etc.), hairs are found in sacs called hair follicles.

Hairs are located in a follicle, or sac, within the skin tissue. Body hair is located in a channel that extends from the follicle towards the surface. This follicle canal is connected to the oil-producing vesicles. The oil-producing vesicles secrete the oil they produce towards the body surface through these channels. The oil (sebum) produced in this process is an extremely protective and beneficial substance for our skin. There is an extreme increase in the amount of oil produced in the fat sacs in certain periods. The period in which this increase is most intense is the adolescence period, when hormonal changes are most common. The biggest hormonal change experienced during puberty is the abnormal androgen increase. In boys and girls, androgen hormones increase rapidly. This increase triggers sebum production. The sebum, which is produced much more than normal, accumulates at the point where it cannot reach the skin from the follicle canal.

Due to any reason, when the follicle channels are blocked, visible plugs (comedone) form on the skin. These plugs, also called black or white dots, are called open or closed comedones.

If the follicle channel is blocked due to any reason, the sebum accumulated in the channel forms tiny plugs called ‘comedones’. Although the reason for the obstruction of the follicle canal is not known exactly, in case the skin tissue renews itself, epithelial cells shed from the skin, external stimuli, different lesions on the skin, micro-organisms, etc. is thought to be effective in this blockage.

The comedones formed are examined in two groups.

Open comedones: It is the condition in which sebum forms an open-ended plug in the follicle canal. In this case, the color of the comedo is black. The sebum oxidizes and becomes darker in color. Colloquially it is called ‘Black Spots’ and is a common name.

Open comedones, popularly known as blackheads.

Closed Comedones: It is the condition in which the tip of the sebum is closed in the follicle canal. In this case, the sebum is under the skin and is white in color because it is not subject to oxidation.

closed comedones

The sebum accumulating in the comedonal plug stimulates the appetite of the ‘Propionibacterium Acne’ bacteria found in our flora and feeds on oil, and ensures the proliferation of P. Acne bacteria in the region. The increased sebum that cannot be removed from the duct enters a cycle with the P. Acne bacteria in the plug. The immune system responds with white blood cells against P. Acne bacteria that multiply and reproduce more than normal. If he can eliminate the situation, the problem is solved. The problem occurs even though the immune system is unable to resolve the condition. When the white blood cells are insufficient during the destruction of the bacteria, an inflammatory condition occurs in the region. The resulting inflammatory condition is a painful, reddened, inflamed condition.

Clearly, the formation process of acne, comedones is seen.

If the sebum plug formed on the skin cannot be destroyed by the immune system, it turns into acne. Acne first manifests itself as a skin lesion called ‘papule’ and accompanied by redness. The papule creates a raised, reddened, and painful condition that is elevated above the skin. In the advancing period of the papule, the accumulated infected fluid progresses to the papule surface and turns into a ‘pustule’. Acne that turns into a pustule is more differentiated from a pustule in appearance. In addition to the painful condition and redness, there is an inflamed fluid that can be observed under the skin in the pustule. If the infected fluid accumulating in the follicle in the later period of the pustule cannot be destroyed by the body, it turns into nodules (cysts), and after this stage, surgical application to the skin may be required.

Pustule-like acne vulgaris

Not all comedones are acne, but every acne subject has comedones. Observe the formations on your skin carefully. See a dermatologist immediately in cases where the changes progress to disease extent.

Is Acne Related to the Immune System?

Every stage of the formation and treatment processes of acne is related to the immune system. According to one view, “acne occurs when white cells in the immune system attack P. Acne bacteria in the flora.” it is called. In other words, we know that there is a group of scientists who argue that acne can be treated by suppressing the body’s immune system attacking P. Acne bacteria with a wrong reaction and conducting scientific studies on the subject. Deepening the scientific data and conducting much more studies on the subject in order to clarify the subject will lead to the development of positive approaches to treatment.

At this stage, if we leave aside the discussions whether suppressing the immune system is a correct treatment or not, eliminating the P. Acne bacteria with the antibiotic treatment is one of the treatment stages. There are other successful drug treatments applied in this field. We observe that topical agents, light treatments, laser treatments and the carbon laser application that we have applied recently also have therapeutic efficacy on acne.

Which Medicines Should Be Used for Acne Treatment?

Never, ever try to take medicine from someone who learned over the internet, bought from a neighbor, used it before and was effective. Do not trust this information. None of the information provided here suggests treatment. It certainly does not direct you to apply a treatment. It is purely for informational purposes. Moreover, in the case of a progressive disease such as acne, which can go beyond the cosmetic problem, do not use any treatment method without the control of a specialist physician.

Your specialist will guide you on the subject. Be sure to regularly use the drugs recommended by your doctor. I will not recommend a drug from here. As I said, they should stay away from the pages that recommend drugs. No physician recommends a medicine from its page.

As we mentioned, antibiotics, topical agents, anti-inflammatory drugs and laser applications are successful when applied with a combined treatment option.

Treatment of Acne Scars

Unfortunately, when we undergo any surgery, it is inevitable to leave scars on our skin. However, it is not possible to give precise information about how many scars will remain. Scarring may vary depending on the skin structure of the person, the anatomical structure of the area to be operated, the color, thickness, blood supply of the skin in that area, and whether the person smokes or not.

Acne Vulgaris requires a process that must be treated, and this process does not involve a short period of time. Although the treatment process depends on the person, it is long.

If there is swelling and itching in that area after the surgery, if there is no decrease in the complaints after 6-12 months after the surgery, there is a possibility of developing a keloid-like scar in this area. Postoperative wound care should be done well. The patient should take care of his nutrition, take adequate rest, and keep the wound away from mechanical and chemical traumas. Not smoking is also important for wound healing.

Despite everything, if there is a scar in the operation area, treatment methods such as laser, dermabrasion, chemical peeling can be applied to lighten the scars in this area.

Is Carbon Peeling Effective on Acne?

Acne is a topic of great interest to medical science, as more than eighty percent of teenagers suffer from it. Acne is encountered not only in young people, but also in every period of hormonal change. For example;

in pregnancy

In the use of birth control drugs

Those on hormone therapy

Under stress, etc. In some cases, we observe the development of acne.

The combination of carbon therapy and laser allows us to get good and effective results in acne treatment lately.

We get extremely successful results in acne with the carbon peeling-laser method. With the use of carbon with laser, the results are close to perfect as the effect of opening the skin pores eliminates the situation where acne occurs. Because carbon molecules are absorbed by the pores, tiny explosions are made with the laser, and a very light peeling is done on the skin. Our video on the subject:

You can watch it by clicking on our https://www.youtube.com/watch?v=1d3kgeNdK4I&index=5&list=PLRuAjEj3J5kKYf9Ul1G0vp35R_wdaUYBd link.

Does What We Eat Cause Acne?

What we eat does not cause acne. If we eat too much fat, our fat tissue under our skin grows. There is no scientific connection between the growth of adipose tissue and the overworking of the fat sacs, or the clogged hair follicle and turning into acne. Scientifically, it is not correct to say that diet has a direct effect on acne formation. Edible chocolate, nuts, etc. We say that foods have no effect on acne, but the psychological state should not be ignored. If the person believes that a pimple occurs when he eats something, it may be so and he should stay away from it. It would not be wrong to say that this situation is related to the psychology of the person rather than his diet.

Should a diet be followed during acne treatment?

Rather than treating acne, a healthy diet is essential for a normal life form and a healthy life. You should definitely get help from knowledgeable experts about diet and nutrition, and you should not resort to hearsay diets, unhealthy programs and starvation diets just to lose weight. Such diets create a state of stress. The hormonal balance of individuals under stress is disturbed, and this causes more metabolic problems as well as acne.

How Frequent Washing or Not Washing the Skin Is Effective on Acne?

First of all, doing anything more than normal will definitely return to the body with a harmful result. You shouldn’t do anything too often. If your specialist has not recommended it to you, please do not do this on your own.

Your acne will not get better by washing your face frequently. Acne does not occur because you do not wash your face frequently.

When it comes to skin and acne, a real expert’s view on the subject remains very weak and silent on the internet -as everyone is an expert-.

Washing your skin frequently is not good for acne. Or acne does not occur because you do not wash your face often. Acne does not have a direct relationship with cleaning. Sometimes the cleaning agents you use can also prepare the ground for acne formation.

Scar, Pimple, Acne Treatment

The type of scar is important in the treatment of acne scar. If there is an atrophic scar like ice pick, subcision and punch excision may be required in addition to other treatments. Different treatment methods can also be applied to the same person.

Treatment methods include:

chemical peeling,

mechanical peeling,

fractional laser,

Release of subcutaneous bands with needles or cannulas,

filler injection,

Excision with punch tool,

Local application of TCA to that area,

Applications with dermapen and dermaroller

What can be applied in hypertrophic acne scars?

Methods such as applying silicone to the lesioned acne area and pressure treatments, intralesional injections of substances such as cortisone, bleomycin into the scar, cryotherapy can be applied.

Treatment of Scars in the Style of Red or Brown Spots

Creams and peelings containing AHA, kojic acid, azelleic acid, retinoic acid can be used to exfoliate the skin.

If you have acne, go to a specialist.

Follow their suggestions.

Purify your skin with suitable cleansers.

Do not use oily cleaners.

Do not try to dry your skin on your own. Do not use skin dryers.

Do not apply any acne cream you find on the internet to your face.

Do not wear heavy makeup.

Stay away from stress.

Is Oily Skin More Prone to Acne?

Sebum, or oil, is a substance that nourishes the skin and keeps it healthy. The problem is not that your skin is oily. The problem arises when the oil cannot be removed from the hair follicles as a result of hormonal imbalance. If your skin is normally oily and this oil is removed from your body regularly, if there is no pathological problem, there is no rule that your oily skin will have acne. The etiology of acne is independent of body fat.

Are Pimples Boring?

First of all, acne and acne refer to two different conditions. Acne is a systemic disease condition. Acne are skin lesions that are seen singularly, except in the case of disease. However, it should never be wrung out, the skin should be purified with appropriate cleansers. Acne is usually a self-limiting condition. Without an external intervention, the body’s immune system resolves this situation before it turns into acne.

Do not squeeze your pimples no matter what. Squeezing your pimples causes obvious scars on your face.

Personal and uninformed intervention should never be done in all lesions that may occur on the skin. If the lesion does not go away on its own, a specialist should be consulted when there is a possibility that it may turn into a disease.

In such lesions, the reference source is dermatologists.

In summary:

Pimples and acne are not the same thing, acne; It is a painful, inflammatory, systemic condition.

Acne does not heal on its own. He should see a specialist doctor.

Physicians who specialize in acne treatment are only dermatologists.

Do not interfere with acne without the supervision of an outside expert.

Do not squeeze the comedones (blackheads and whiteheads) on your face. Observe. If it progresses, do not do anything except on the advice of your doctor.

Not every information you find on the internet is correct. First, see if there is an expert opinion.

With the advice of a neighbor, friend, a medicine etc. to your face. don’t drive.

Forget the information that the drugs that will dry your face are beneficial for acne on your skin.

Washing your face frequently and with soap will not cure your acne.

It is not good to apply more moisturizer to your face than necessary.

With systemic antibiotics, topical pomades, serums, and state-of-the-art light and laser treatments, acne is a treatable disease. If acne is not treated, it leaves a mark on your skin. Acne scars are more difficult to treat than acne.