Acne Specialist
Acne isn’t only an active, disfiguring skin condition; it can also leave behind deep skin scarring in some patients. While acne is a condition most often associated with adolescents, acne can affect patients at any age and of any gender. The full-service dermatology care available through The Herschthal Practice in Boca Raton and Tamarac, Florida provides one-stop care for any acne-related issues.

Acne Q & A

The Herschthal Practice - Aesthetic Dermatology

What causes acne and how is it diagnosed?

Acne occurs when pores in the skin clog with dead skin cells. Usually, these cells simply shed off the top layer. Natural body oil production increases during puberty, causing the dead skin cells to stick and clump together, and ultimately clog pores. Bacteria that live on the skin can also get trapped in the pore, and from there, multiply quickly. Inflammation appears as a red swollen bump or pimple on the skin. When the inflammation is deeper, an acne cyst can form.

Diagnosis of acne is usually done visually, on a graded scale from 1- 4, with 4 being the most severe. Other conditions can seem like acne, so proper dermatological diagnosis is important.

How is acne treated?

Treatment depends on many factors, including the age of the patient, the severity of the acne and other things such as gender. While not every regimen works for different patients, trying multiple treatments is not uncommon. There are three main treatment routes, depending on the individual case.

Acne treatment that you apply on the skin. Skin applications, or topical treatments, may kill bacteria or reduce skin oil production. Topical treatments may contain a retinoid, prescription-strength benzoyl peroxide, antibiotic, or even salicylic acid. Dr. David or Dr. Jordana will determine what treatment is best for your skin type.

Acne treatment that works throughout the body. Some acne types, especially those that are red, swollen types of acne, require medicine that works throughout the entire body. These can include

  • Antibiotics
  • Hormone treatments like birth control pills (can be helpful for women)
  • Isotretinoin, a vitamin A derivative that’s effective when other solutions fail

Dermatology procedures.  Dr. David or Dr. Jordana may recommend dermatology procedures that can reduce acne. These treatment procedures include:

  • Laser and light therapy which can help reduce bacteria levels
  • Medical-grade chemical peels which can treat blackheads and papular acne
  • “Drainage and extraction” methods may also be used to remove large cysts when medicine is not responsive. This method can also reduce the probability of a cyst leaving a scar

Are there steps I can take at home to reduce acne?

The Herschthal Practice recommends the following tips for skin care:

  • Wash twice daily and after perspiring heavily
  • Use a gentle, non-abrasive cleanser, applied with the fingertips, to prevent irritation from a washcloth or sponge
  • Use gentle care skin products, and avoid those with alcohol, astringents, exfoliants or toners
  • Scrubbing may aggravate acne, so avoid vigorous washing
  • Use lukewarm, rather than hot, water.
  • Shampoo daily, particularly when hair is naturally oily
  • Avoid picking, popping and squeezing, which extend clearing time and risk scarring
  • Stay out of the sun and don’t use tanning beds, since some acne treatments increase ultraviolet light sensitivity

Nearly every case of acne can be treated effectively. Contact The Herschthal Practice for an appointment to begin a treatment plan to address even the most frustrating acne issues.

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The Herschthal Practice - Aesthetic Dermatology
7280 W Palmetto Park Road
Suite 210
Boca Raton, FL 33433