Acne Treatment for Adult Men

Why Adult Men Get Acne

Adult men can take solace in knowing that they are not alone in their quest to find the best acne treatment products. Adult women often deal with the same acne treatment issues as they do. However, men may be disappointed to hear that they are more likely to have severe, long-lasting acne.
The same things that cause acne in teenagers may cause clogged pores and pimples in adults. Whiteheads, blackheads, and other forms of acne often develop as a result of excess oil that's released into the hair follicles and mixed with skin cells, subsequently clogging the skin pores and trapping bacteria. When the immune system tries to treat acne causing bacteria, it can also cause redness and inflammation near the affected area.

How to cure acne vulgaris

Acne vulgaris
Acne vulgaris (cystic acne or simply acne) is a common human skin disease, characterized by areas of skin with seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), pustules (pimples), nodules (large papules) and possibly scarring. Acne affects mostly skin with the densest population of sebaceous follicles; these areas include the face, the upper part of the chest, and the back. Severe acne is inflammatory, but acne can also manifest in noninflammatory forms.The lesions are caused by changes in pilosebaceous units, skin structures consisting of a hair follicle and its associated sebaceous gland, changes that require androgen stimulation.

best skin care products-Diet and Acne

Does What You Eat Affect How You Look?

One of the biggest skin care myths is that fried foods and chocolate cause acne. You’ve heard it before and maybe you believe it because when you eat a lot of junk foods, you may see the results show up on your skin in the form of pimples. While it is still a myth and there is no research that shows these foods directly cause acne, it is factual that eating nutritiously has a positive effect on the skin. Here we will discuss how a healthy diet including some very important nutrients, will keep your skin healthy, prevent breakouts and speed the healing process of existing pimples.

5 Minutes to Beautiful Skin by Morning

Don't have the time to have a time-consuming skin care routine in the morning? Take some time before you go to bed. All you need is 5 minutes! There are things you can do before you go to sleep that will make big improvements in your skin, no matter if you want to work on acne, fine lines, dull or dry skin.
Many people just grab a facial cleansing cloth before bed (me!) but by taking a little time to invest in your skin instead of just wiping away the makeup, benefits will build over time and you'll see what little it takes to see big changes.

Clean Face Tips : How to Clean Your Face Properly

Clean Face Tips : How to Clean Your Face Properly

There's nothing worse than getting out of the shower and feeling like you're face never was fully cleaned despite using your face wash. Or getting ready to put on your foundation and noticing that your pores looked clogged and dirty.
We wish it was as simple as grabbing the face cleanser and taking 30 seconds to slosh it around your face, but it's not always that simple. Here are some clean face tips to make sure you're getting the most out of your facial cleanser and some extra steps you might want to consider doing for the best outcome

Trisan Antibacterial Cleanser

0.25% Triclosan
Trisan Antibacterial Cleanser

Trisan contains the antibacterial Triclosan, an effective agent against a wide range of
Gram-positive and Gram-negative bacteria, yeasts and molds. Its mild foaming action removes oil, dirt and make-up without drying skin. Moisturizes and leaves skin feeling soft, supple and clean. Oil-free, soap-free, perfume-free and alcohol-free.

Top 3 Acne Treatment Kits In 2013

 I’ll admit it: there was a time during my teens where my acne held me back from being truly happy. When I younger I didn’t have the options that teenagers have available to them today. In fact, I kind of hate you guys for having so many ways of treating your acne.
Okay I don’t hate you but I am a little jealous!
Here’s what you should be looking for in an acne treatment:

Top 8 Acne Treatment Mistakes

Common ways people go wrong in treating their acne
It's easy to make mistakes treating acne or even make it worse, despite the best intentions.
Here, experts list the most common mistakes people make while treating acne. In most cases, a dermatologist can help undo the damage.

Mistake No. 1: Not trying an acne treatment long enough
Skin reacts slowly to treatment. Even if the acne came on fast, it still requires time to heal. That usually takes between two to six weeks, says Barbara R. Reed, MD, a dermatology professor at the University of Colorado Hospital in Denver.
“It's not an infection, it's an inflammation. It can even get worse before it gets better

5 Tips for Reducing Acne Scars

1: Professional Help
You may resort to professional help to reduce severe acne scars or if you've tried less aggressive methods without success. Certain treatments require a licensed health professional like a dermatologist or plastic surgeon, and others may be performed by a trained professional like an aesthetician.
Collagen or fatty tissue injections make acne scars less visible. This procedure is a temporary fix, so you'll have to get it redone every so often. Certain types of acne scars respond well to massage
Dermabrasion is usually reserved for more severe acne scars [source: Mayo]. It involves using a special brush to polish the affected areas. Dermabrasion removes most surface scars, and reduces scars below. A newer and less intense version of skin resurfacing, microdermabrasion involves a small device that blows crystals onto the skin, dusting off cells on the top layer of the skin, then using suction to vacuum up the sanded off particles.
Laser and light-based therapies zap certain areas and layers of skin tissue. When these wounds heal, the new skin appears minus the acne scars [source: Mayo]. Laser treatments require the patient to the office for repeated treatments.

The Use of Spironolactone To Treat Acne

Spironolactone: (Aldactone 50-200mg)
This drug is used as a diuretic and has weak anti-androgen effects, it may be of value if your patient combines it with a birth control pill and uses it for one week before their period to minimize a premenstrual flare of acne.

Uses for which this drug have been found to be effective, but which have not been recognized by government regulatory agencies:
  • Acne
  • Androgenetic alopecia
  • Hirsutism
  • Hidradenitis
  • Suppurativa
Side Effects:
  • Menstrual irregularity
Patients Should Not Use This Drug If They:
  • Are pregnant
  • Have renal insufficiency
  • Have abnormal menstrual bleeding
Your patient should avoid ACE inhibitors – because this increases the risk of hyperkalemia (high potassium). Or if they have a personal or family history of the following:
  • Ovarian cancer
  • Breast cancer
  • Uterine cancer

Acne Treatment: Birth Control Pills And Other Hormone Therapy

Oral contraceptives (OCs) have been available since 1960, and have been modified since then to reduce their risk of side effects. They are the favoured method of contraception by most young couples. Oral contraceptives prevent ovulation and make conditions difficult for a fertilized egg to implant on the uterus wall.
Oral contraceptives can either be made up of progestin alone (called the minipill), or of a combination of synthetic estrogen and progestin. The combination pill has estrogen, which is usually in the form of ethinyl estradiol, or mestranol (only occasionally).
The vast majority of contraceptive pills use ethinyl etradiol as the estrogen, which acts to lower levels of luteinizing hormone (LH) and increase the sex hormone binding globulin (SHBG). This in turn lowers testosterone, thus reducing the drive of the oil glands that are responsible for acne to produce excess oil.
The level of testosterone in women with acne is within the normal range, but the level is lowered in those on OC’s. Some experts believe that the normal range of testosterone for women that is set by laboratories is higher than it should be. If this is true, it could mask the results for some people whose level, although considered to be within the normal range, is actually high for them individually. In such women, their acne improves when their testosterone is lowered by taking the OC pill.
A number of different forms of progestins are used depending on the brand. The progestins can be used at a constant dose throughout the cycle (monophasic), or the daily dose can vary (biphasic or triphasic). Progestins are hormones that have a differing influence on your body, depending on their molecular structure.
Some progestins have effects that can be androgenic (acting like male hormones), while others are anti-androgenic (blocking the production of androgens or blocking androgen receptors, which allow your body to absorb and use the androgen), and some are even estrogenic (estrogen-like). These different actions certainly can influence the side effects as well as the effect on your patient's skin and acne. For treating acne, those pills that produce little or no androgens, or even those that block androgen production (anti-androgens) are best.

By reducing the effect of the androgen hormones on the sebaceous glands, OC's can reduce the amount of oil glands produce, which means that pores are less likely to get blocked. Recent studies have shown that some contraceptives are also effective for treating acne.
Many women who have minimal to mild acne and who are also looking to use some form of contraception would find this very useful. As well, women who have moderate to severe acne can consider this as the primary treatment along with topical therapy. It is also considered to be one of two preferred methods of contraception for women, using oral isotretinoin (Accutane®) for treating severe acne. Mini pills may not offer adequate protection for this purpose.
Acne Approved Hormone Therapy:
Alesse® - 0.020mg EE + 0.10mg levonorgestrel
This has been shown to have a superior anti-acne effect when compared to placebo. It has a lower estrogen dose (0.020mg) than most other oral contraceptives, which may reduce the potential cardiovascular side effects of estrogen. Furthermore, trials show that weight gain does not appear to be a side effect with this pill.
Two placebo controlled parallel double blind randomized trials involving 700 women in the reproductive age group treated for 6 months, showed a 46% reduction of inflammatory lesions when compared to 29.3% for the placebo group.
In: Gynecological Endocrinology 24:RT61 (2000).
Ortho-Tricyclen® - 0.035mg EE + norgestimate
This is a combination of ethinyl estradiol (0.035mg) and norgestimate in increasing doses of 0.180mg, 0.215mg, and 0.250mg. Two clinical studies, involving 507 women with moderate acne, showed that this medication provided significant improvement of their acne after 6 months of therapy compared to those using a placebo. Orhto-tricyclens are approved in the USA and Canada for acne.
In another study, 256 women with moderate acne were given Ortho-Tricyclen® or placebo for 6 months, among the women taking Ortho-Tricyclen®, 53.1% had their acne completely cleared up compared to 26.8% of those using the placebo.

Diane-35® - 0.035mg ethinyl estradiol (EE) + 2.0mg cyproterone acetate (CPA)
Cyproterone acetate acts as an anti-androgen, multiple clinical studies have shown that this medication is effective for the treatment of acne. Diane-35® is approved in Canada, and has been approved for two decades in Europe (Note: This product is not approved by Health Canada for the indication of oral contraception).
Results have shown, that Diane-35® is as effective as oral tetracycline or minocycline after 6 months of use. The largest study to date (on 1,161 patients) showed that 192 patients had 100% improvement after 18 months.

Skin Cleansers For Different Skin Types

Oily Skin:
The selection of cleansers for oily skin should involve using products that rinse off well, both bar soaps and liquid cleansers have been formulated for this purpose. Many of the soap gels and stronger liquid cleansers are helpful for oily skin. Because the skin on the face, chest and back is oilier than the rest of the body, it may be necessary to use one product on these areas, and a more moisturizing product on the arms, legs, hands and feet. Many of the cleansers which are appropriate for acne-prone skin, would be suitable for oily skin.
Dry Skin:
The use of hard-milled face soaps and gentle synthetic detergents are very appropriate for dry skin. It may be necessary to only use cleansers on the face and body folds, when the ambient humidity is low for example, in the winter or in the south-western United States. There are many liquid cleansers formulated by cosmetic houses as well as products like Cetaphil or Aquanil which are very useful. There are some new products, which incorporate a liquid cleanser in a cleansing sheet, these act to leave on a modicum of petrolatum after the final rinse and have been demonstrated to be effective.
Normal Skin:
Most people can cleanse with bar soap daily. The synthetic detergent soaps react better with hard water. Liquid cleansers and soap gels are popular at this time, the advantages, being cleaner dispensers in the bathroom. The cleansing sheets may be used for normal skin as well, the petrolatum is suspended in the water by crystals that dissolve in the last rinse leaving the skin feeling smooth and moist. People with normal skin may enjoy using a loofah-type sponge to clean themselves, these have been sold with some liquid cleansers.
Sensitive Skin:
People with sensitive skin can react easily to fragrance and preservatives, and should avoid mechanical cleansers such as cleansing grains, brushes and loofahs. Most synthetic detergents have the pH balanced favorably for the skin and are well tolerated by sensitive persons. A few liquid cleansers are not irritating, but many interact with the skin because of their additional surfactants. Two non-irritating cleansers are Cetaphil and Aquanil lotions, many of the hard-milled soaps are well tolerated also.
Antibacterial Cleansers:
These products were introduced in the 1960' s and have been used by many people since. They initially contained photosensitizers, which have since been removed. Triclosan is currently the most common active ingredient. For persons in occupations, which demand extra precautions, these products have been helpful. However, for many dermatologists, these products are very drying to the skin and they often contribute to hand and body eczema. Various antibacterial cleansers are available that are of benefit to acne patients, such as Tersaseptic.

Acne Cleansers

Acne cleansers are generally used to remove accumulated oil, make-up, sweat, and dirt on the surface of your skin. In doing so, these products generally make it easier for topical acne treatments to be absorbed. However, excessive use of acne cleansers can also lead to irritated dry skin. Most acne patients will only need to cleanse with such products once to twice daily.
Examples Of These Cleansers Include:
Salicylic acid cleansers:

These break down keratin in the blackheads, and can be used for mild acne.
  • SALAC® (Medicis)
  • CLEARASIL® (Procter & Gamble)
  • FOSTEX® (Bristol-Myers Squibb)
  • NOXZEMA® (Procter & Gamble)
  • AVEENO® BAR (SC Johnson)
Benzoyl peroxide cleansers:
Breaks down keratin in blackheads, and has antibacterial effects.
  • BENZAC-W® wash - (Galderma)
  • CLEARASIL® - (Procter & Gamble)
  • CLEAN & CLEAR® - (Johnson & Johnson)
Antibacterial cleansers:
  • TRISAN© (Dermtek)
  • TERSASEPTIC® (Stiefel)

Topical Combination Products for Acne Treatment

Combination therapy can offer a strategy for preventing resistance to the antibiotic. Its synergistic effect can prevent more resistant bacteria, as well as other susceptible acne causing bacteria, from growing during treatment. Often when a combination topical product is used, less antibiotic is needed to prevent the growth of resistant bacteria compared to the amount needed when the antibiotic is used alone. Combination products are all effective for treating inflammatory acne and include:

Topical Combination Products
Combination therapy can offer a strategy for preventing resistance to the antibiotic. Its synergistic effect can prevent more resistant bacteria, as well as other susceptible acne causing bacteria, from growing during treatment. Often when a combination topical product is used, less antibiotic is needed to prevent the growth of resistant bacteria compared to the amount needed when the antibiotic is used alone. Combination products are all effective for treating inflammatory acne and include:

1) Topical retinoid (tretinoin) plus erythromycin (Stievamycin® by Stiefel)
  • It should be applied to the affected areas once/day before bedtime after the skin has been thoroughly washed, rinsed and patted dry.
2) Topical benzoyl peroxide plus erythromycin (Benzamycin® by Dermik)
  • A thin layer should be applied to the affected areas 1 to 2 times/day after the skin has been thoroughly washed, rinsed and patted dry. This product must be refrigerated and may bleach clothing.
3) Topical benzoyl peroxide plus clindamycin (Benzaclin® by Dermik, Clindoxyl® by Stiefel in Canada)
  • It should be applied to skin that has been washed, rinsed and patted dry. This product does not need to be refrigerated.

Aggravating Factors to Avoid

The points below are well documented factors that cause or aggravate existing acne. While there is great individual variability, these are factors that have been well documented in acne studies. While complete avoidance is not a reasonable possibility all the time, minimizing them can help you reduce the chance of flare-ups.
  • Over-cleansing
  • Greasy cosmetics, especially moisturizers
  • Sweating
  • Drugs such as anabolic steroids that increase
  • Squeezing pimples
Possible factors that may aggravate acne
The points below have been not been established as aggravating factors in controlled medical studies, but there is an abundance of anecdotal evidence that supports possible connections. These may be minor factors. As acne is a complex process with a lot of individual variability, it can be difficult to establish causal relationships in a controlled study, as there are many factors to take into consideration. Small sample size is also a big hurdle for factors that only affect a small percentage of the population. Our suggestion is to not be paranoid, but if you know that these factors do affect you negatively, it would be wise to avoid them as much as possible.
  • Certain types of foods (individual dependent)
  • Chronic stress
  • Certain sunscreens and moisturizers
Myths that have no basis in reality
The points below are myths that have absolutely no basis in reality. Unfortunately, these misconceptions can not only be misleading, but harmful in many ways.
  • Sexual activity
  • Dirty skin/poor hygiene
  • Acne is only a teenage boy's problem
  • Acne is a trivial problem

A Look At Topical Treatment Options For Acne

The most commonly used topical acne treatments include benzoyl peroxide, retinoids, topical acne antibiotics, azelaic acid, and combination topical products.
1) Benzoyl Peroxide:
Benzoyl peroxide can improve acne by killing the acne bacteria and by unblocking oil gland pores. There are many different benzoyl peroxide products available to you. The lower concentrations can be obtained over the counter (OTC), while higher strengths require a prescription.
2) Retinoids:
These products are the most effective type of medications for unblocking the pores of oil glands. They are generally considered to be the first choice of treatment for whiteheads and blackheads (comedones). Although there are a variety of topical retinoids, your physician can choose the one that is best suited to your needs.
  • Tretinoin
  • Adapalene
  • Tazarotene
  • Isotretinoin
3) Topical Acne Antibiotics - Antibacterial/Anti-Inflammatory:
  • Clindamycin
  • Erythromycin
  • Sulfacetamide
4) Azelaic Acid - Antibacterial/Anti-Inflammatory:
5) Combination Topical Products:
  • Topical benzoyl peroxide with clindamycin (BenzaClin® by Dermik)
  • Topical benzoyl peroxide with erythromycin (Benzamycin® by Dermik)
  • Topical retinoid with erythromycin (Stievamycin® by Stiefel) - Available only in Canada
  • Topical benzoyl peroxide with clindamycin (CLINDOXYL® by Stiefel in Canada, Duac® by Stiefel in the USA)

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