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Posts Tagged ‘acne treatments’

Acne is a disease state in which skin cells that line a hair or sebaceous follicle are shed, but fail they to make it to the surface of the skin to be sloughed away. An acne lesion begins when sebum (oil) causes skin cells to stick together and clog a follicle. When oil and dead skin cells collect in the follicle, bacteria quickly multiplies, specifically Propionbacterium (P.acne bacteria). The bacteria causes the release of free fatty acids, which irritate the follicle and cause inflammation.

Acne Lesions

We usually refer to acne lesions simply as blemishes or pimples, however there are specific names used for acne lesions. A non-inflammatory acne lesion is known as a comedo that develops when a hair follicle has become clogged with dead skin cells and oil. When bacteria infects an acne lesion and the follicular wall ruptures it is known as an inflammatory lesion. An inflammatory lesion is elevated and the skin surrounding it is usually red and sensitive.

Micro-comedones
A non- inflammatory, very tiny hard blockage under the skin. It is the smallest acne lesion and is not visible at the skins surface. This is the beginning stage of a blocked follicle. Micro-comedones develop into open or closed comedones as trapped sebum (oil) increases.

Closed Comedones (Whiteheads or Milia)
A small non- inflammatory bump at the surface of the skin. Dead skin cells and oil become trapped inside the follicle, and the opening to the follicle is closed.

Open Comedones (Blackheads)
A small non- inflammatory, plug at the surface of the skin. Dead skin cells and oil block the opening to a follicle creating a plug. Unlike a whitehead the opening to the follicle is open, allowing the dead skin cells and sebum at the opening to be exposed to oxygen. When exposed to oxygen the dead skin cells and sebum (oil) will oxidize and appear black. Blackheads develop in follicles that are large.

Papules
Inflamed small red or pink bumps on the skin with out an opening. Papuals do not contain pus, however they can develop into a pustule or a nodule. As a papule becomes more inflamed pus will form and it will develop into a pustule, if the lesion is deep it will develop into a nodule.

Pustules
An inflamed, pus filled acne lesion. Pustules are what are commonly called pimples and the white or yellow center is often called a “head”. A pustule is surrounded by a circle of red inflamed skin.

Nodules & Cysts
Nodules and cysts are large inflamed acne lesions that develop deep within the skin. They are severe forms of acne that often cause scars. You should never attempt to pop or extract cyst or nodules, they need to be treated medically.

Nodule
A large, solid, inflamed, pus- filled lesion that is located deep within the skin. A nodule will feel firm because the puss hardens inside the lesion. The body’s immune system responds by trying to keep the bacteria from spreading and skin cells will grow or wrap around the follicle. Nodules are often referred to as cysts.
Cyst
A large, soft, inflamed sac -like lesion that is located deep within the skin. Cysts are filled with fluid or a semi-fluid that consists of white blood cells, dead skin cells, and bacteria.

Treating Acne

The main objectives in treating acne are to reduce oil production, bacteria, inflammation and to alter keritinization (build up of skin cells). The exact treatment will depend largely on the degree of acne being treated. The treatment for acne will depend on the grade or severity of the condition.

Keratinization
Dead skin cells called are shed into the follicle and are then carried to the skins surface and are sloughed off. Sebum (oil) can cause the skin cells to become cohesive or sticky and then they clump up in what is known as cohesion. The follicle will become blocked when skin cells are not shed properly, this is why treatments that exfoliate dead skin cells and increase skin cell turn over are recommended for acne. The goal is to exfoliate dead skin cells and prevent and break up existing cohesion “clump of skin cells”.

– Microdermabrasion: Not recommended for “active” moderate to severe acne
Chemical Peels
Tretinoin ( Retin-A)
– Topical AHA/ BHA: Retinols/ Vitamin A, Glycolic Acid, Salicilic Acid
– Azelaic Acid, also has an antimicrobial effect

Sebum (oil) production
Those prone to acne often produce excessive amounts of sebum (oil). When there is an increase in Androgen hormones such as testosterone, the oil glands become larger and produce more sebum (oil)

– Oral contraceptives can help to reduce the effects androgen hormones in women thus reducing oil
-Isotretinoin (Accutane)
– Acne laser treatments
Blue Light RF: When Blue light is combined with RF energy it causes sebaceous gland atrophy (shrinks the oil gland) which decreases oil production.
PDT Photodynamic Therapy With Levulan ALA: When used with IPL will also treat hyper-pigmentation, rosacea, broken blood vessels

Bacteria
Some bacteria is normally present on the skin, including P. acne bacteria (Propionibacterium acnes). There is an increased level of bacteria in acne. Bacteria thrives in an eviroment that is deprived of oxygen so products that intoduce oxygen into the skin work to fight bacteria, this includes benzoyl peroxide. The use of oral antibiotics for acne is usually only recomended for short term use because the body can become tolerant to antibiotics. It is also believed that long term use of oral antibiotics contributes to acne cysts.

– Oral Antibiotics: Tetracycline, Minocycline
– Topical Antibiotics: Tetracycline, Erythromycin, Clindamycin
– Benzoyl Peroxide
Blue Light Therapy
High Frequency ( not as effective as blue light, often used after acne extractions)

Inflammation
The P. acne bacteria releases lipase which converts the lipids in the sebum (oil) in to free fatty acids which irritant the skin and cause inflammation. Reducing bacteria will in turn reduce inflammation, because the bacteria contributes to the free fatty acids that irritate skin.

– Salicylic Acid: Topical salicylic acid treats acne by reducing swelling and redness
– Nicomide: A member of the Vitamin B family, also used for rosacea. Topical version available over the counter.
– Zink Oxide: Look for sunblock and mineral makeup with zinc oxide, it has anti-inflammatory properties in addition to being a physical UVA/ UVB
- Croyo-Slushy: anti-bacterial, anti-inflamatory and mild exfoliation properties

Acne Scars

“It is easier to stay out of trouble than get out” Mark Twain

Corecting acne scars can be very challanging and expensive, you are always better off treating and controlling acne thus preventing acne scars. Acne cysts are most likely to cause scars, a diluted corticosteroid injection can be used to reduce cysts and inflammation.

Post Inflammatory Hyper-pigmentation (PIH) is name used for the dark spots left by acne or other skin lesions. The skin responds to inflammation by stimulating the melanocyte to over produce pigment cells. PIH can be prevented, treated and controlled with the use of topical products like hydroquinone and tretinoin. Topical Hydroquinone 4% is a prescription strength cream used to “suppress” the melanocyte which can help to prevent PIH and treat existing hyper pigmentation.

Depressed and ice pick scars are usually treated with a “leveling treatment” such as laser resurfacing or a deep chemical peel like the Obagi Blue Peel. Injectable fillers are also used to plump skin and reduce acne scars. Combining a leveling treatment with fillers will provide better results. As the skin ages, the loss of elasticity and collagen will cause acne scars to look worse. Anti-aging treatments and good sun protection can help slow this process. A facelift will also improve the appearance of acne scars because it tightens the skin.

Before you start an acne treatment

Many of the treatments and products mentioned in this post are prescription strength drugs or medical treatments. There are contraindications for some acne treatments, so it is important to consult with your doctor or skin health professional before starting an acne treatment program. Woman that are pregnant or nursing need to consult with their doctor before using ANY acne treatments, as many are not approved for use in pregnant or nursing women. The content provide in this post is intended to be informative and does not replace medical or professional treatment.

Thank you for visiting Best of Both Worlds Az
You can follow us on Facebook, Twitter, Tumblr and on our blog site
www.bestofbothworldsaz.com

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Read MoreOctober 15, 2011 1:47 pm - Posted by Kristy

skin medica, three girls

Skin Medica’s Vitalize Peel has been a popular skin treatment for many years, however you may not be familar with Skin Medica’s newer Illuminize and Rejuvenize Peels.
SkinMedica Rejuvenize Peel™ launched in October 2009.

Skin Medica’s Vitalize Peel In The Press
vitalize peel, press
vitalize peel, in press

Level of Skin Medica Chemical Peels
Illumenize Peel, Very Superfical with little to no peeling
Vitalize Peel, Superficial with 2-3 days peeling
Rejuvenize Peel, Superficial with 2-5 days peeling

Rejuvenize Peel
Rejuvenize Peel™ is a blend of Salicylic Acid, Lactic Acid, Resorcinol, Panthenol and Isoceteth-20 with the addition of .3% Retinoic Acid. Deeper than SkinMedica Vitalize Peel®, Rejuvenize Peel™ produces a moderate amount of peeling for 2-5 days, and can be repeated every 4-6 weeks.

Rejuvenize Peel is an advanced formulation of peeling agents, with a built-in anti-irritant and penetration enhancer that provides controlled exfoliation of the uppermost damaged layers of the skin to reveal fresher and healthier skin. Provides predictable results with minimal down time.

Effective for use on skin with sun damage, melasma, pigmentary changes and acne scarring
Noticeable improvement with just one peel
Recommended for Skin types I-VI
Well tolerated with minimal “down time”
Isoceteth-20, creates more uniform peeling while controlling penetration of salicylic acid, and reduceing skin irritation associated with the stronger chemical peels without diminishing peeling effect

CLINICAL STUDY:
A recent clinical study of female subjects, aged 23-62 years, with mild to moderate facial photoaging, melasma, hyperpigmentation, or mild acne receiving three consecutive peels (once every four weeks) discovered the following results:

80% felt it improved evenness of skin tone and appearance of age spots and pigmentation
85% felt it made skin look healthier and more youthful
90% felt it improved smoothness of skin
90% felt it improved overall condition of skin

Vitalize Peel
Blend of Salicyclic Acid, Resorcinol, Lactic Acid, Panthenol, Isoceteth-20 and Retinoic acid.

Vitalize Peel helps fight the effects of time, sun damage, and environmental assaults. This powerful yet non-damaging peel can take years off aging skin.
Vitalize peel, before and after, acne
vitalize peel, before and after

Addresses various skin conditions, such as acne, pigmentation abnormalities, post-inflammatory hyperpigmentation, melasma, and photodamage
Effective (achieve visible improvement after one treatment, significant results after a series of treatments)

Can be customized for the treatment of each specific condition
May be performed on Skin types I- VI
Little or no or down time
Peeling solution combined with Retinoic acid creates more exfoliation than other chemical peels same depth
Well tolerated (minimum or no burning)

Illuminize Peel

This non-invasive very superficial chemical peel utilizes a novel approach to chemical peeling with a newer generation of alpha-hydroxy acids (mandelic acid and malic acid) in combination with phytic acid and commonly used peeling agents (salicylic acid and resorcinol) to maximize skin rejuvenating effects with low irritation.

Increase skin glow and radiance
Tightens the skin and restores a more youthful appearance
Improves clarity, color and skin texture
Patients achieve enhancement of skin appearance with minimal downtime and discomfort
Appropriate for first-time chemical peel patients or patients looking for a gentle, very superficial peel
May be performed on Skin types I- VI
Little or no visible peeling

Paradise Valley Skin Klinic, logo

Paradise Valley Skin Klinic offers all of the Skin Medica Peels as well as Skin Medica products.
Call to schedule a treatment or consultation. 480 421-1701
www.shapiroplastic surgery.com

You can follow Paradise Valley Skin Klinic on facebook.

Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read MoreSeptember 23, 2010 7:37 pm - Posted by Kristy

superficial chemical peel

Very Superficial

Penetrates to Stratum Corneum, Peeling is complete in 0-3 days. Very superficial peels can usually be done as often as once a week. This type of “peel”, generally produces little to no peeling and is ideal for anyone that can’t afford any downtime.

Vivte glycolic peel

VIVITÉ® Glycolic Chemical Facial Peel is a buffered 70% glycolic compound. This is a very superficial peel, with little to no visible peeling. Its advanced formulation helps improve overall skin clarity and smoothness and helps reduce the appearance of fine lines and wrinkles. This peel is also ideal for
mild – moderate acne.

Dermaplane

MICRO PEEL/AHA
The mildest of peels that corrects minor problems such as rough or dry skin and sun damage. A gentle, three step exfoliation rehy- drates below the skin’s surface to stimulate collagen production. This treatment begins with (dermaplaneing) gently scraping the skin with a surgical blade to exfoliate skin and remove hair. After dermaplaning the skin, a light AHA peel is applied. This is a very superficial peel with little to no peeling. Ideal for most skin types, not recommended for skin with active acne.

PCA peel

Sensi Peel® Exfoliating Treatment
This gentle TCA solution is formulated primarily for ethnic skin, and other extremely sensitive skin types. Sensi Peel® will strengthen and brighten the skin while helping to treat sun damage and other forms of hyperpigmentation (skin discoloration). This multi-faceted treatment also provides anti-inflammatory, anti-acne and antibacterial action, making it an excellent choice for helping calm rosacea, as redness and inflammation can subside substantially after treatment. This peel creates very mild peeling.

Key Ingredients
Lactic Acid
Trichloroacetic Acid (TCA)
Azelaic
Kojic Acid
Arbutin

superficial peels

Illuminize Peel

This non-invasive very superficial chemical peel utilizes a novel approach to chemical peeling with a newer generation of alpha-hydroxy acids (mandelic acid and malic acid) in combination with phytic acid and commonly used peeling agents (salicylic acid and resorcinol) to maximize skin rejuvenating effects with low irritation.

Increase skin glow and radiance
Tightens the skin and restores a more youthful appearance
Improves clarity, color and skin texture
Patients achieve enhancement of skin appearance with minimal downtime and discomfort
Appropriate for first-time chemical peel patients or patients looking for a gentle, very superficial peel
May be performed on Skin types I- VI
Little or no visible peeling

Paradise Valley Skin Klinic, logo

Paradise Valley Skin Klinic offers a wide variety of peels at all depths.
Call to schedule a treatment or consultation. 480 421-1701
www.shapiroplastic surgery.com

You can follow Paradise Valley Skin Klinic on facebook.

Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read MoreSeptember 22, 2010 2:22 pm - Posted by Kristy

Isotrex: This drug is NOT FDA APPROVED!

The FDA has sent out warning letters to company’s that are selling Isotretinoin drugs online.

Isotrex is a topical Isotretinoin drug used to treat acne. There are not any topical Isotretinoin drugs that are currently approved in the US. The only form of Isotretinoin that is FDA approved is Oral Isotretinoin (Accutane), and it is very regulated. Isotrex is a category X drug, in comparison to Percocet and Tretinoin ( Retin-A) that are category C drugs. Do not confuse Isotretinoin with Tretinoin, although they are both Vitamin A derivatives, Isotretinoin can have severe side effects and is a category X drug.

About Isotretinoin

I worked for a doctor that prescribed Isotretinoin ( Accutane) and I was the i Pledge designee for the clinic. Every month I had to schedule patients for lab work, doctor’s visits, and register patients with i Pledge. I can tell you it is a lot of work.

Special Prescribing Requirements for Isotretinoin
Because of isotretinoin�s teratogenicity and to minimize fetal exposure, isotretinoin is approved for marketing only under a special restricted distribution program approved by the Food and Drug Administration. This program is called iPLEDGE™. Isotretinoin must only be prescribed by prescribers who are registered and activated with the iPLEDGE program. Isotretinoin must only be dispensed by a pharmacy registered and activated with iPLEDGE, and must only be dispensed to patients who are registered and meet all the requirements of iPLEDGE.

Isotretinoin is only dispensed one month at a time, so every months patients will need to return to their doctor to have a pregnancy test, and blood work done before you physician can register you for that month. Patients must also go to the i Pledge website and answer a series of questions and reregister every month. After you have met all of the i Pledge requirements you have 7 days from the date on the prescription to get your prescription filled at an approved pharmacy. If you do not fill your prescription within 7 days you are not eligible for another month. You will repeat this entire process every month for up to five months.

Many insurance company’s do not cover Isotretinoin, and the cost ranges from $500 – $900 a month depending on the brand. Patients may also be responsible for covering the costs of monthly lab work and doctor’s fees. You should check with your insurance company to see what they cover.

With all that said:
I believe that Isotretinoin is a good idea for some patients. If someone is suffering from severe or cystic acne and has exhausted all other options, they may want to consider Isotretinoin. There are many acne treatments available, if you are compliant and patient they are very successful. You should discuss options with your doctor.

Brand names for oral Isotretinoin:
Accutane, Claravis, Amnesteem, Stret

Brand names for topical Isotretinoin :
Isotrex, Isotrexin ( not approved in US)

If you suffer from acne, call Paradise Valley Skin Klinic to schedule a free consultation.

Shapiro Plastic Surgery, Paradise Valley Skin Klinic
480 421-1701
www.shapiroplasticsurgery.com

Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read MoreSeptember 1, 2010 4:17 pm - Posted by Kristy

Bacne is the slang term for back acne, this condition can be painful and cause scaring. Both men and women get back acne, however it is most severe in teenage boys and athletes. Back acne is sometimes referred to as athletic acne. Tight fitting cloths and athletic gear trap perspiration, allowing P. acne bacteria to proliferate. Steroids can also contribute to acne. Bacne can range from very mild to severe and treatment protocols are designed appropriately. I strongly recommend professional treatment for back acne, as there are acne products that should not be used together or contraindicated for some people.

In-office Treatments

Chemical peels can be customized to treat acne and PIH ( post inflammatory hyperpigmentation) I find that customized peels are a very effective treatment for back acne.

Back facials can include extractions, acne treatment masks, and topical medications.

Microdermabrasion is appropriate for mild to moderate acne, however treating over pustules, cysts and inflamed skin is contraindicated.

Cryotherapy, also called Co2 slush or acne slush, has been used in dermatology for over a quarter of a century. Co2 slush is created at the time of treatment, liquid Co2 is made into a “snow” ball and wrapped in gauze or cheese cloth and then dipped into acetone. The “slush” is the lightly swiped over the treated areas.

Blue Light RF Acne Treatment

The combined energies of elōs™— natural photodynamic therapy (blue spectrum) with radio frequency (RF) — enable highly selective targeting of the sebaceous glands and acne bacteria. Pulsed Light together with RF energies reduce sebaceous gland activity while blue light simultaneously destroys active acne. Blue light treatment isn’t painful and has no down time.

Home Care


You may be prescribed: Oral antibiotics, Topical antibiotics, or Retin-A ( tretinoin).


Clarisonic developed the sonic technology proven to gently yet effectively loosen dirt and oil to clear your pores. The Sonic Skin Cleansing System uses a patented sonic frequency of more than 300 movements per second to clean, soften and smooth your skin. In just 60 seconds a day, the micro-massage action cleans more than twice as effectively as manual cleansing.

I usually recommend that you apply the Bioglycolic scrub, and leave it on for a few minutes before you wash it off. This will allow the glycolic acid time to penetrate.

Resurfacing Body Scrub combines glycolic acid and polished granules in order to provide an aggressive but safe approach for reaching a noticeably improved level of body skin rejuvenation. This formulation enables patients to immediately address roughened or calloused areas while enhancing overall smoothness and tone. Patients will experience unparalleled softness and results will only increase with continued use.

Obagi Clenziderm M.D. is a 3- step physician dispensed acne treatment. Step #1 is a Foaming cleanser with 2% salicylic acid, to remove excess sebum and cleans skin. Step #2 is Pore Therapy with 2% salicylic acid to help unclog pores, and menthol to remove surface bacteria. Step #3 Serum gel is a 5% solubilized benzoyl peroxide to reduce P. acne bacteria.

Kill acne-causing bacteria and bring back beautiful, healthy-looking skin with the easy-to-use ANSR: BEAM. Just two treatments a day can effectively treat and prevent acne blemishes without side effects. Only the ANSR: BEAM has two light treatments in one device:
BLUE light to kill acne-causing bacteria
RED light to smooth texture and tone, reduce redness and pore size

All of the products and services listed are available at Paradise Valley Skin Klinic.
Call to schedule a treatment or free consultation. 480 421-1701

Paradise Valley Skin Klinic/ Shapiro Plastic Surgery
480 421-1701
www.shapiroplasticsurgery.com

Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read MoreAugust 31, 2010 9:09 pm - Posted by Kristy

My teenage son actually asked me to buy him Proactive to treat his breakouts. I almost, fell over. I reminded him of my profession and pointed out that I have access to the best skin care products available. Why did he want Proactive? Marketing: with endorsements like P-Diddy and Jessica Simpson, it’s no surprise that people would be influenced to try it. So, I asked him if he would rather use a medical product that was dispensed by a physician or something sold in a vending machine in the mall. For a teenager that is better reasoning than any scientific explanation.

Obagi Clenziderm M.D. is a 3- step physician dispensed acne treatment. Step #1 is a Foaming cleanser with 2% salicylic acid, to remove excess sebum and cleans skin. Step #2 is Pore Therapy with 2% salicylic acid to help unclog pores, and menthol to remove surface bacteria. Step #3 Serum gel is a 5% solubilized benzoyl peroxide to reduce P. acne bacteria.

Obagi Clenziderm M.D. is unique because it is the only prescription strength acne treatment that contains a patented solubilized form of 5% benzoyl peroxide BPO, to penetrate deep into follicle and treat acne deep where it start. The BPO in the Clenziderm M.D. system is in a liquid form with macro-sized BPO crystals size that is one tenth the size of other BPO products. Average size of BPO crystals are larger than the size of the skin follicle, so they sit on skins surface.

Clenziderm M.D. Before and After 4 weeks

It is important to see a physician or medical esthetician to set up a treatment protocol. For some patients additional products and treatments may be recommended to enhance results. There are also skin care products,medications and treatments that can be contraindicated with this acne therapy. As with any skin treatment, compliance is key. You can schedule a free consultation at Paradise Valley Skin Klinic, Shapiro Plastic
Surgery.

Paradise Valley Skin Klinic offers a wide variety acne treatments and carries Obagi Products .
Call to schedule a treatment or consultation. 480 421-1701
www.shapiroplasticsurgery.com

You can follow Paradise Valley Skin Klinic on facebook.

Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read MoreJuly 12, 2010 11:26 am - Posted by Kristy