Acne is a common skin disease, especially among teens and young adults.
Acne vulgaris (acne vulgaris) occurs in more than 80% of adolescents, with 15-20% of the disease progressing in moderate or severe form and does not stop after 25 years in 3% of men and 12% of women.
Although acne is not fatal, it often causes significant physical and psychological complications such as permanent scarring, low self-esteem, depression and anxiety.
Read more about the new approach to treating acne patients at estet-portal.com in this article.
- A new approach to acne treatment
- Skin Care Recommendations
- Finding Solutions During Acne Treatment: Practical Recommendationsand
A new approach to acne treatment
According to clinical experience, a faster, though as yet little known, method to clear acne without the use of medications such as antibiotics or retinoids is to physically extract the acne from the skin.
This is a very simple method to eliminate the cause of infectious acne while restoring good skin texture.
|
Action |
Materials |
Comments |
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Skin Disinfection |
Alcohol or chlorhexidine |
|
|
Removal of "acne elements" |
Comedone Extractor Needle 18G Scalpel Blade #11 |
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Applying the peeling solution |
Easy TCA Peeling |
Immediately after removing acne, apply solution Easy TCA all over the face, allow it to dry completely before applying subsequent layers. Endpoint: appearance of pinpoint frost (white areas), or at most localized cloud frost. |
|
Application of a post-peeling cream mask |
Post-Peel Mask |
The components of the Post-Peel Mask
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| Course-4 peeling procedures with an interval of 1 week
| Final extraction of comedones and opening of other acne elements before each peeling
| Correct repetition of the peeling procedure ensures good results and reduces the risk of side effects.
The doctor determines the interval between peeling sessions depending on the condition of the patient's skin. Minimum intervalbetween two peels: 5 days (if the interval is less than 5 days, the peel may be too deep). Maximum intervalbetween two peels: 15 days (if the interval is more than 15 days, the results will be less satisfactory). |
| Supportive care
| Skin Tech Cleanser
Skin Tech Purifying Cream Skin Tech Purigel
| Cleanse your skin every morning and evening with Cleansing Foam Skin Tech Cleanser (balances skin pH to 5) Remove comedones/whiteheads and microcysts once a month. Repeat course of 4 sessionsEasy TCA peel once a year After peeling procedures, apply Cleansing CreamSkin Tech Purifying Cream twice a day. Two weeks after your last peel, stop using the cleansing cream and use Purigelonce a day instead to maintain the long-term effect. |
. Pustules and microcysts (closed comedones) are removed by cutting the thin epidermal layer that covers them and applying gentle pressure to the skin to push them out.
The epidermal incisioncan be made with a #11 scalpel blade or simply with a 18G needle. The doctor will draw up a treatment plan and determine the exact time to extract all comedones; before the first chemical peel or during subsequent sessions.
With a small number of lesions, all comedones can be extracted at the same time; multiple items should be removed gradually.
The most recommended are 15-23% chemical peels based on
trichloroacetic acid(TCA). Peeling
EasyTCA (ETCA) provided by « The Academy of Scientific Beauty», is the classic standard to be applied as the best available.
Indications forcombination procedure
(extraction + TCA) are:
comedonal acne;- microcystic form;
- teenage acne;
- papulo - pustular form of acne.
- Once the comedones have been removed,
(ETCA) is applied according to standard protocol. The solution penetrates and disinfects the holes that have formed after the extraction.
There is no evidence of any negative impact of such localized penetration.
Get closer to the ideal: aesthetic correction of the lips and their contour However, irritation caused by comedone extraction may result in
deeper penetration of thesolution and the formation of a "cloudy" rather than a "spotted" frost. To reduce the risk of cloud frost, cotton swabs should be thoroughly wrung out before useeat.
A special home treatment should be recommended in the morning after the peeling procedure.
Skin care tipsBetween Treatments:
In the morning, apply Cleansing Cream
- cream
- over the entire face. Evening Cleansing Cream Purifying cream
- should only be applied to acne-prone areas. After treatments:
Purigel (oil-free) should be used once or twice daily as directed by a physician.
- It is recommended to repeat the course of 4 ETCA peels once or twice a year.
- Combination antibiotic treatment:
minocycline
100mg/day.
- Superficial peels: the beauty of the skin will sparkle with new colors
Post acne: Skin pigmentation after acne should be treated like melasma: combination of 15% TCA solution with an anti-tyrosinase cream (eg,
BlendingBleaching
Cream- ) and sunscreen (Melablock-HSW SPF 30+). Acne pigmentation on the décolleté and back can be treated in the same way, but there is also an abrasive protocol designed specifically for the décolleté area: abrasion plus occlusion of a post-peel mask without the use of acid. Dermabrasion is the optimal therapeutic method for treating acne scars.
- General recommendations
Results should be visible after 
the first few peels
If this does not happen, the physician should make an etiological diagnosis and suggest advisory treatment: antibiotics, hormonal therapy (cyproterone acetate) or a combination of several methods
advanced.
Read the most interesting articles in !Finding Solutions During Acne Treatment: Practical Tips
Comedones
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Special devices may be used to extract comedones. |
Isotretinoin |
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Patients taking oral retinoic acid should not peel deeper than the basal layer. |
Alphahydroxy acids/ topical |
|
These substances reduce skin permeability to varying degrees. There is a risk of increased penetration, so be careful with how much chemical peel is applied. Do not go beyond point frost. |
First Peel = |
| acne exacerbation Give patient oral antibiotics and continue with chemical peels. Usually used oxytetracycline (500 mg/day), doxycycline | or minocycline (100-200 mg/day), erythromycin(500 mg 2 times / day). Peeling + |
| = acne exacerbation Check the patient's hormonal status and whether he is taking birth control pills, continue treating the patient with antibiotics (switch to a different type of antibiotic if necessary) and continue chemical peels.
| Recurrence of acne |
| Roaccutane . |
Supporting Procedures |
|
The cause of acne cannot be treated with them (i.e., peels do not affect 5-α reductase activity). Maintenance treatment should be used for as long as necessary, i.e. as long as new acne breakouts appear. |
No flaking |
| Peeling Easy Phytic | Solution or Easy Droxy: these peels based on AHA acids give good results in acne, without peeling. This is the best choice for teenagers and people with an active social life. Folliculitis of the beard |
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Reveal the "white dots" with the tip of a scalpel No. 11; Remove the contents by gently applying pressure and disinfecting the skin; Apply | ETCA all over the face until pinpoint frost occurs; Apply a post-peel mask.
Deep penetration of acid |
| The ETCA solution disinfects everything. | No side effects have been reported from his deep penetration.
On the contrary, it provides "deep acupressure". Irritation caused by element extraction may cause the ETCA solution to penetrate deeper and cause cloudy frost instead of pinpoint frost. Daily care |
|
Cleansing cream should be applied until the end of the second week after the last peel. Purigel | should be started 2 weeks after the end of the peeling sessions; continue application until acne stabilizes.
Sun protection |
|
Melablock — | HSP, SPF 30 or 50+. For acne, Melablock—HSP SPF30. is usually enough Main goal of treatment acne – this is: |
stimulation of the drainage of the sebaceous hair follicle;
elimination or reduction of inflammation;- decrease in sebum production.
- Established protocols for treating acne with a 15% TCA-based chemical peel should in no way preclude a doctor from choosing the most appropriate treatment for a patient based on their knowledge and personal experience.
- ETCA helps fight the appearance of acne by
- chemical skin exfoliation and the use of
.
Daily care helps maintain the results of dermatological or systemic acne treatments. Applying acid to the skin does not reduce androgen production, nor does it alter sebaceous membrane receptor sensitivity or 5-α-reductase strength. Peeling affects other parameters, such as the strength of bonds between corneocytes or unblocking the orifice of the sebaceous follicle. Sustaining results in the long term is possible with
long-term treatmentusing
cosmetic preparations(Purifying Cream, Purigel), which should be applied twice a day, starting from the first day after peeling and continuing for at least 6 weeks after the last peel.
Long-term results sometimes require continuous use of daily care for several months.
Peelings against hyperpigmentation: what is the point
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