Acne or Pimples

Is acne vulgaris (aka Pimples) disrupting your life?

Acne or ‘pimples’ is a common skin problem affecting mainly teenagers and young adults but can also occur in women up to 40 years. It is hereditary, meaning you are more likely to have acne if your parents, siblings, and relatives have it too. It occurs when hair follicles (opening of the hair on the skin) become clogged with oil (sebum) and dead skin cells.

Acne can appear as blackheads, whiteheads, red spots, and bumps (some may be pus-filled) and worst of all can result in permanent scarring.  It can occur on the face (most commonly), chest, back, and arms. Acne can cause many who suffer from it to feel self-conscious, have low self-esteem, shy away from social activities, avoid relationships, and even be suicidal.

Good news!

Acne can be treated and you need not suffer needlessly. For mild acne, topical benzoyl peroxide, retinoids, azelaic acid, and salicylic acid can be used. Whereas for severe acne, oral antibiotics, and isotretinoin in combination with topical treatment is recommended. Oral isotretinoin is teratogenic (can harm your fetus in pregnancy) and can only be prescribed by a certified dermatologist. Blood monitoring of liver function and lipid levels is also required while on isotretinoin.

Is my acne related to the food I consume?

Acne can be worsened by foods with a high glycaemic index (food that makes your blood sugar level rise rapidly).

Can someone get acne by touching me?

No, acne is not contagious.

Skincare for acne-prone skin:

Do’s

1. Use a cleanser for oily skin
2. Choose a moisturizer and sunblock that is non-comedogenic (does not clog up your pores and is oil-free)
3. Seek treatment early before scarring develops

Don’ts

1. Do not wash/scrub too frequently. Recommended 2-3 times a day
2. Do not squeeze, pinch, and pop your pimples. Allow them to heal naturally
3. Avoid harsh facials
4. Avoid sun exposure and use adequate sun protection
5. Do not undergo laser treatment and chemical peels while on isotretinoin
6. Avoid home remedies (toothpaste, lemon, turmeric, etc.) as these can cause allergic reactions

I have severe acne scars. Can they be treated?

Although difficult to treat, chemical peels and laser treatment can provide some improvement. Prevention is best!

Caution

Do consult your friendly dermatologist to ensure the correct diagnosis is made and your skin condition is managed appropriately. Avoid self-diagnosing by ‘googling’ or following non-doctors on social media platforms (TikTok etc.) as this can lead to wrong diagnosis and treatment. Always consult your dermatologist before starting any treatment as many commercial skin products contain ‘retinol’ and other active ingredients that if not used correctly may cause more harm than good.

Whitehead and papules

Cystic acne with pustules and scarring

Permanent scarring due to acne

Nodulocystic acne with pustules

Severe acne with pus

Blackheads