Wednesday, December 11, 2013

Acne Diagnosis and Treatment

Acne

Acne vulgaris, or acne, is a very common skin infection problem that starts when the oil and dead skin cells clog up the skin pores. Some people refer to the problem as blackheads, whiteheads, pimples, or zits. When you have just a few red spots, or pimples, you may have a mild form of acne. Severe acne can mean hundreds of pimples that can cover the face, neck, chest, and back area. Acne can be bigger or solid, red lumps that are painful cysts. This is called cystic acne. Often young people get at least mild acne at some time in their lives even possibly in their 20's. Acne usually gets better after the teen years. Many adult women still do have acne flares in the days just before their menstrual periods. It may cause severe scarring of the skin and pigmentation.

How you feel about your acne may not be related to how severe the disease. Some people with severe disease are not bothered by it. Others are embarrassed or upset even though they have only a few pimples. There are many treatments that can help treat and control its symptoms. There is no fast, quick, or permanent cure but it can be consistently, progressively and effectively treated and improved on with modern soaps, washes, antibiotic creams, and laser in the 21st century. It starts when excessive oil products and dead skin cells clog the skin's pores. The pores retain oil & sweat. If germs get into the clogged pores, the result can be infection from propion bacterium acnes and staphylococcus aureus and epidermis. Swelling, redness, and pus then form the infection. The infections maybe slow a few days to only hours.

Often in most people it starts during the early teen years. This is because of hormonal changes at puberty making the skin produce more oil. The pores get bigger and open more letting bacteria into the skin. The rate of flow of the oils in the pores from the bottom to the surface slows by the widening of the pores size. You usually do not get acne from eating chocolate, cakes, nuts, or greasy foods. You can make acne worse by using oily skin products that can clog your pores. Acne is made worse by constantly putting your hands on your face or letting oil sit in the skin.

Acne can genetically run in families. If one of your parents had severe acne, you are more likely to have acne than the general population. Symptoms of acne may include whiteheads, blackheads, and pimples. Acne can be painful if it becomes infected and it may permanently scar hypopigmant or hyperpigmant the skin.

To help control acne, and prevent permanent scarring keep your skin clean. Keep all hair off of your face. Avoid all oily skin products that clog your pores. Avoid oily hair conditioners and products. Use products that are noncomedogenic. Wash your skin once or twice a day with a gentle soap or acne wash. Use a new clean washcloth gently washing your hands first before use. Use a clean towel every time. Change your pillowcase daily and your sheets every few days or every day. Try hard not to aggressively scrub or pick at your pimples at all. This may make acne worse and usually can cause scars. Do not squeeze your pimples, whiteheads or blackheads.

For only a few rare pimples, you could purchase an acne cream without a prescription. Look for one that has benzoyl peroxide or salicylic acid. These work best when used just as the label directs. It can take time to get acne under control. Keep using the same treatment about 4 weeks. You may even notice that acne may get worse before it gets better. If your skin is not better or worse after approximately 4 weeks, try another product. If your acne is really bothering you or you are noticing scarring on your skin, see your doctor. A prescription gel or cream for your skin may be all you need. Your doctor may use antibiotic pills, creams, soaps, and medication or laser procedures. A mixture of treatments or acne washes may work best. If you are a female, taking certain birth control pills may help to improve your acne or could make it worse. You may have a flare of acne due to stress or your menstrual period.

If you have painful or large acne cysts, quickly talk to you doctor about a stronger medicine. Certain medications work very well, but others can cause depression, birth defects, suicidal tendencies, or high cholesterol. This is not a great choice and is usually a last resort. Special laser treatments may work very well with an antibiotic oral and wash. Let your doctor know if you have had depression before taking these medicines. If you are female, you must protect against pregnancy by using two forms of birth control. Even one dose of this medicine can cause birth defects if a woman takes it while she is pregnant.

There are skin treatments and acne makeup that can help acne scars look better and help the skin to feel smoother. Ask your doctor about them. The best treatment for you depends on how severe the disease has become and how severe you're scarring. You may need to have scar tissue removed and possibly an injection of hyaluric acid. Hyaluric acid smoothes pitted scars by plumping up the base of the skin volume underneath the pit or scar. You may get the best results with a combination of treatments. The best way to get rid of scars is with a computerized erbium laser dermabrasion. The resurfacing of the skin with an erbium removes all the surface and deeper scars and pits are removed and the new skin will regrow beautifully without pits and/or scars. This is not microdermabrasion. Microdermabrasion erodes the superficial dead tissue that leaves the deeper scars. You look great for a few weeks. In about one month everything is back again and you do it again and again. The results of computerized erbium dermabrasion are quite impeccable and usually last a lifetime often completely removing the infections or scars.

John Drew Laurusonis M.D.

Doctors Medical Center








Dr. Laurusonis was conferred his Doctor of Medicine degree in 1983 and has been actively taking care of patients since completing his Internal Medicine residency in 1987 in the Garden State of New Jersey. Dr. Laurusonis has been licensed in four states but ultimately chose to permanently relocate to Georgia with his family and begin a private practice. Through his extensive experience in Internal Medicine, as well as in Emergency Rooms throughout the United States, Dr. Laurusonis saw how traditional Emergency Rooms were often overwhelmed by patients suffering medical conditions that were urgent but may not need the traditional "Level I Trauma Center". Patients often waited six to twelve hours to be seen by a physician, were riddled with thousands of dollars in medical bills, and were generally unhappy with the system.

Dr. Laurusonis decided to open an Urgent Care Center instead of a 9-5 doctor's office. Through the last fifteen years he has received accolades from the community and his patients. He has expanded his practice to include many cosmetic therapies that have previously been treated with painful and extensive plastic surgery. He has been invited to the White House numerous times, has been named Physician of the Year from GA, as seen in the Wall Street Journal, and has served as Honorary Co-Chairman on the Congressional Physicians Advisory Board Dr. Laurusonis and his practice, Doctors Medical Center, is open 7 days a week from 7:30 am to 9:30 pm offering such services as lab, x-ray, EKGs, aesthetics (Botox, dermabrasion, sclerotheraby and veins etc.), cold/flu, sore throats, fractures, sprains, lacerations, GYN, Pediatrics, Phlebology Anxiety/Insomnia/Depression Treatment, skin tag/mole removal, veins, allergies, asthma, physicals.

John Drew Laurusonis, MD
Doctors Medical Center
3455 Peachtree Industrial Blvd
Suite 110
Duluth, GA 30096
770-232-1101
www.doctorsmedicalctr.com www.doctorsmedicalctr.com

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