Dark Circles under The eyes

You can handle the problem in different ways as desired but also depending on what it depends on. Here are nine different tips on how to deal with the problem.

1. Lifestyle

Lack of sleep is common today and in many cases a cause of dark circles under the eyes. More rest actually helps.

But then it can be about medical problems such as. allergies, metabolic problems (thyroid) that may need medical treatment.

In some cases, dark circles under the eyes are genetically determined within the family or even ethnic as certain skin types are more likely to have problems. For them, sun protection is especially important as the sun's radiation often triggers pigments and aggravates these discolorations.

Smoking affects blood flow and sleep which is not good. Alcohol can also contribute to the problem as it sucks water out of the tissues and you can become more hollow-eyed.

2. Antihistamine

There are those who get dark circles under the eyes from allergies, for example to food that they are unaware of. You can try, for example, an antihistamine such as Zyrlex 10 mg at night and then wake up and look fit and fresh under the eyes.

3. Concealer

With  good make-up  , you can get far where you either cover or think of opposite color combinations such as orange counteracting blue, black and gray. If the concealer works without major worries, it is the simplest treatment.

4. Good cream / skin care

Cream with Caffeine constricts blood vessels and preferably in combination with vitamin C and can work wonders with some dark circles under the eyes. Creams such as  Hydrafirm  that we have via  ZO skin care,  stimulate collagen which gives a thicker healthier skin with fewer wrinkles, creams with  Retinol  are very good in the same way but can make the skin more sensitive to the sun. It is important to use good  sun protection  SPF 50.

5. Filler injection

Not infrequently, the dark circles are due to too thin skin or that the fat / muscle layer has thinned out. You then get cavities where there is no tissue under the skin. We use fillers such as  Restylane  to counteract the thinness and sagging of the skin. The nice thing about this treatment is that it also gives immediate results. It is important which material you choose. The cost for 1 ml filler is usually about $400. If it is cheaper, it is often because there is doubtful quality of the filler material or the one who gives it.

6. Thermage

The use of energy in the form of heat with eg  Radio Frequency  (RF) to the underlying tissue counteracts sagging, loose and wrinkled skin through collagen stimulation that improves skin structure.

7. Microneedling (Dermapen) with or without PRP

With needles ( Dermapen ), collagen formation is stimulated in the skin.

PRP  (taken from your own blood) adds growth factors that further promote healing and provide healthier skin.

This may not be the most effective method against dark circles under the eyes but it provides a general improvement of the skin in the area. These treatments should be repeated every month 3-5 times. The advantage of this method is that it is a physical stimulus and limited trauma so there is a short recovery after treatment.

8. Fraxel laser (CO2)

The use of  CO2 lasers  means treating sun-damaged skin, fine wrinkles and uneven skin structure in the most effective way possible. The controlled damage caused by the laser provides an enormous stimulus to the body's natural healing mechanisms and provides a gradual improvement of skin structure and skin tone. You see a "thawing" of the skin already after a few weeks and then get an improvement that gradually lasts for several months. Again, it is good to repeat the treatment 3 times at one month intervals. Here you can count on up to a week of recovery after treatment, but then you get on the other hand very good results.

9. Surgery eyelid surgery

Eyelid surgery is an operation that is performed under local anesthesia and which gives very good results in cases where it has been agreed that it is appropriate.

For the upper eyelids, it is a matter of removing the right amount of skin, muscle and fat and then sewing it together nicely.

For the lower eyelids, we usually take fat that is in excess under the eye and shift it (transpose) to the tear duct to counteract dark circles and sagging in the area. In both cases, you get scars that are usually invisible after a period of healing.

Sun protection - How to choose the right protection for your skin type?

Choosing a sunscreen product based on your skin type can be as difficult as finding the right skin care. But in the same way that it is possible to choose a cleanser or face cream according to your skin type, you can tailor your choice of sunscreen. We guide you below about the differences between different sunscreens and how to choose the right one based on your skin type.

Physical and chemical filters

First and foremost, sunscreens are usually divided into categories according to which UV filter they contain. These are called physical and chemical sun filters. In many sunscreens, it is also common to have a combination of these two as they work in different ways to protect and repel the dangerous UV rays.

Physical filters, with the help of small particles, reflect away the sun's rays that meet your skin. One can imagine a mirror on which the rays bounce. Physical UV filters contain, for example, titanium dioxide and zinc oxide and generally suit sensitive skin. Chemical UV filters instead capture and convert the rays into a less harmful form. There is a chemical reaction and it is absorbed immediately. Be sure to apply the chemical sunscreen 20-30 minutes before exposure.

Sunscreen for your skin type Sunscreen

with a physical sunscreen is usually recommended for people with sensitive skin, if you suffer from impurities, pigmentation or acne. Physical sun products are also recommended for children. The chemical sun filter is instead recommended for most skin types, but especially for people with oily and impure skin as these are usually perceived more easily in consistency. However, the development of filters has meant that there are now lighter physical filters to suit more skin types and also oily skin, and chemical filters that also suit sensitive skin. Below we have listed a sunscreen for each skin type.

We recommend:

Normal skin: Clarins Dry Touch Sun Care Cream Spf 50+ Face

A light sunscreen with antioxidants with high sun protection that suits normal skin. The sunscreen has a combination of physical and chemical sunscreen for optimal protection. Gives a matte finish!

Sensitive skin: Evy Technology Sunscreen Mousse SPF 50

This sunscreen is in a lovely mousse that suits everyone but especially those with sensitive skin. The sunscreen protects the skin against UVA and UVB and also heat, wind and water. Evy's sunscreen is fragrance-free and the formula is waterproof and smudge-free.

Dry skin: Mesoestetic Mesoprotech Nourishing Antiaging Oil 50+

This sunscreen protects the skin against UVA and UVA as well as IR and HEV. It is a combined physical, chemical and biological sun protection. The sunscreen melts nicely into the skin and becomes an oil when it is massaged into the skin.

Oily skin: SkinCeuticals Mineral Matte SPF30

Sunscreen for you with an oily skin type that does not clog pores and that protects against UVA and UVB. The sunscreen leaves a matte finish and a smoother skin tone. This sun protection is based on 100% mineral UV filters and is thus a physical protection.

Combined skin: Heliocare 360 ° Gel oil free SPF 50

A thin, oil-free sunscreen that suits a combination or oily skin. The sunscreen leaves a matte finish without a white film. This sunscreen is combined physically and chemically, protects against UVA and UVB as well as HEV and IR. Fits well during makeup or as a final step in your morning routine.

Pigmented skin: Dr. Dennis Gross Dark Spot Sun Defense SPF 50 Sunscreen

A physical sunscreen with a wide protection against UVA and UVB. Despite its high protection, the sunscreen has a light texture that quickly penetrates the skin and keeps it matte. It also contains a powerful antioxidant that counteracts pigmentation and other dark spots.

Impure skin: Priori TETRA fx250 Broad Spectrum SPF 45 Universal

This sunscreen is a multifunctional broad-spectrum mineral-based protection that protects against the sun on four different levels. The sunscreen adapts to the needs of your skin and does not give rise to impurities. It does not clog and allows your skin to breathe all day.

Myths About Acne, True Or False?

Blackheads are the precursor to acne. No blackheads - no pimples!

A successful treatment for acne (also called acne or pimples) focuses on getting rid of blackheads.

How is a blackhead formed?

The sebaceous gland produces the body's own emollient, sebum, after stimulation of the sex hormone testosterone. The sebum passes through a canal and out through an opening on the skin surface. In patients with acne, sebum production is higher than in others, and opening on the skin surface is smaller than in others. This combination of high sebum production and narrow opening leads to sebum clogging
- a blackhead is formed!

Where do you have acne?

Face, chest and back are typical areas of the body where acne occurs. Less well known is that it also occurs in the scalp. Another disease called acne inversa or hidradenitis suppurativa is localized as abscesses in the armpits, groin, abdomen, and buttocks. Acne inverse is similar to acne but should be treated in a completely different way.

Why take antibiotics for acne?

To answer the question, we must understand how a blackhead becomes a pimple. Our skin is home to a myriad of bacteria that are part of an ecosystem and interact with our skin suit. Blackheads upset this ecosystem - the normal skin flora multiplies rapidly in the blackheads that contain "food" in abundance for the bacteria. The bacteria multiply uninhibited. Finally, the body's immune system reacts to bacterial growth - white blood cells arrive and fight the bacteria. Every now and then what we call inflammation is created - it turns red and yellow where it is formed - and the pimple is a fact!
In this situation, antibiotics are a welcome treatment - locally such as Acnatac, or as capsules in the form of Tetralysal.

How to get rid of blackheads?

Some creams for acne such as Differin or Skinoren can widen the pore opening so that the sebum comes out on the skin surface. Isotretinoin (also called Roacutan) is a medicine that is taken as capsules and contains vitamin A acid which causes the sebaceous gland to shrink and at the same time opens up the pore opening. Isotretinoin causes acne to heal in the majority of patients with acne. The free testosterone that stimulates the sebaceous gland can be reduced in women with combined birth control pills that contain the sex hormone estrogen. Yasmin or Diane are birth control pills that have a good effect on acne by reducing sebum production.

Symptomatic treatment

When we have a cold, we sometimes take Alvedon to feel good until we are healthy by ourselves. Acne is a skin disease that has a beginning and an end. To feel good without cosmetically disturbing pimples, or the development of scars, symptomatic treatment with birth control pills, Differin / Skinoren and antibiotics such as Acnatac / Tetralysal can be given. You do not get well but you feel good! The treatment must be given until you recover by yourself, which can mean several years.

Curative treatment

Capsules with Isotretinoin make 9 out of 10 healthy after a treatment that lasts about 6 months. Of those who recover, 20% have a recurrence of acne and need further treatment to recover.

Can I do something myself to reduce acne?

Let go of the skin. Do not touch - remove fingers from face.

Do not lubricate with creams. Acne in 25-year-olds and older, is about 4 times as common in women compared to men. At the same time, we know that currently 95% of all face creams are used such as moisturizers, day and night creams by women. It is enough with the skin's moisturizer - sebum - which is abundant in those who have acne.

For some, acne gets better with less sugar and milk.

Anabolic steroids can cause a pronounced acne.

Mini-pills, cortisone, lithium, treatment with vitamin B12, epilepsy medication are examples of medications that can cause acne.

Sunscreen during holidays can activate acne and is called "Mallorca acne".

Polycystic ovary syndrome (PCOS) is a condition in 5-10% of women of childbearing age, with symptoms such as irregular menstruation, acne, unwanted hair growth, difficulty ovulating and thus difficulty getting pregnant. Many people suffer from obesity. The condition can be set and treated during a visit to a gynecologist.

Can scars be treated?

Scars are difficult to treat and should not be treated until the acne has healed. Thick scars, called keloids, can sometimes be flattened by cortisone injections into the scars. Sanding, also called dermabrasion, can also improve cosmetics. Submerged scars, can be symptomatically treated with expanders such as hyaluronic acid.

Myths About Acne, True Or False?

"Acne is due to exhaust fumes clogging my pores"
[FALSE!] The blacks you see in blackheads are oxidized fatty acids. It does not matter for the blackheads if you walk on Hornsgatan or in the forest.

"If I eat a gluten-free diet, acne decreases"
[FALSE!] There is no scientific evidence that gluten has an effect on the skin. However, an extremely carbohydrate-rich diet can increase insulin secretion and secondary to more sebum production.

"Smoking worsens acne"
[TRUE!] Acne is more common in people who smoke.

"Acne is a sign of impure skin, so the most important thing is that I clean it properly"
[FALSE!] Unless you need to wash off makeup, there is no need to wash your face. On the contrary, there is scientific evidence that irritation of the skin with washing and masks increases acne.

"If you have acne, it is good to change pillowcases often and to have a separate towel for your face"
[FALSE!] The bacteria found in the sebaceous glands can not infect yourself or others. It can also not be washed off.

"Acne is due to my skin being dry and compensatingly producing more sebum."
[FALSE!] Acne is due to increased sebum production and you do not need a moisturizer on your face. You have enough of your own moisture!

"Pizza, chocolate and french fries do not affect acne"
[TRUE!] There is no scientific support for fatty foods or chocolate itself giving more pimples.

"It's good for acne to drink a lot of water"
[FALSE!] It is great to drink water if you are thirsty. However, it does not affect your acne.

How to Treat Adult problem skin

Do you still use the same products for blemishes as when you were a teenager? They probably do not work as well as before. This is because there is a big difference between the acne you get as a teenager and the one you get as an adult.

Adolescent pimples depend partly on genetic factors and partly on hormones. There is a clear
connection with the increased sebum production that occurs in connection with puberty. In
adolescence, the pimples often sit all over the face, even on the neck and neck and
at the top of the torso. In most people, the pimples eventually heal, but it can
be a cumbersome and lengthy process.

Pimples and blemishes in adults, on the other hand, tend to be more isolated, sit
deeper, be more sore and are recurring during certain periods. The cause is
usually stress and hormone changes - but there are more factors that can
be decisive. The fins sit mainly around the mouth, chin and along the jaw line.
As cell turnover slows down with increasing age, it takes longer
for the skin to heal. One of the most characteristic side effects of
healing is that the redness that occurs during the inflammation itself is transformed into a persistent and often deep-seated pigmentation.

treatment tips

The most important thing is to tackle the problem from several angles. Look out for multifunctional products that
contain problem-solving ingredients:

• Salicylic acid: removes dead skin cells and dissolves sebum clots.
• Niacinamide: counteracts pigment spots and regulates sebum.
• Retinol: stimulates cell renewal, inhibits pigmentation and improves structure.
• Thymol and Terpeniol: botanical extracts from thyme and pine that balance the microflora on the skin and effectively counteract acne bacteria from gaining a foothold.

good skin care routines

Whether you are young or more experienced, daily skin care routines are a great help in balancing and managing problem skin.

• thorough cleaning routine with skin-friendly cleaning
• regular exfoliation to counteract the buildup of skin cells and sebum
• use of point treatment serum
• finally moisturizing emollient .

Here you can read more about Active Clearing, which is Dermalogica's product series for
balancing problem skin. Contact a professional dermatologist to find out what products are
optimal for your skin.

in addition, here are some additional tips:

• If you use makeup: use skin care makeup with non-clogging, ingredients.
• Clean makeup brushes regularly and change pillowcases a couple of times a week to reduce the risk of acne bacteria thriving and gaining a foothold.
• Avoid ingredients that can cause clogging of the pores: lanolin (wool grease), isopropyl myristate (commonly used in cosmetics), mineral oil (can prevent skin cells from being rejected) and perfumes (can trigger inflammation).
• Avoid drying soaps, for hot water and do not use barley peels. Any form of dehydration of the skin surface can lead to the skin starting to produce more sebum (fat). Then you get more blackheads.
• Finally: because pimples often flare up during periods of stress, try to reduce your everyday stress. Also, make sure you get proper sleep, eat a balanced diet, drink more water, exercise and avoid smoking. With these measures, you are well on your way to a healthier skin.

Can you cure acne? - we present the treatments

Can You Get Cured From Acne? What is the most effective treatment for acne? Do the stores' ointments work?

Acne is one of those skin diseases that it can sometimes feel impossible to avoid. In reality, there are a lot of ways to significantly improve and even get rid of acne.

Can You Get Cured From Acne?

One would think that medicine has found a solution to the western world's probably most common skin disease. Still, you often hear how the acne came back after that one cure and how the ointment just dried out the skin.

- There are few skin diseases that have as effective care methods as acne. But there are always people who are not cured, also by acne, and they are the ones you hear about the most.

The people who avoid their acne do not have the same need to share, quite simply. Those who get rid of acne, it is often with the help of a powerful drug called isotretinoin.

- About 15 percent are not cured by isotretinoin. If you turn the cake, 6 out of 7 will be cured and there are lots.

But what does cured really mean? Are you cured if you have half as many pimples? Or should the acne disappear without a trace?

- Cured means that you no longer have such acne that is a problem for yourself. You can get occasional pimples like anyone. Basically, it means that the acne you had before the medication ceases.

Acne treatments can be divided into two groups: oral medications, such as those taken by mouth, and topical medications such as creams and gels. We start with the oral medications.

Medications by mouth

Isotretinoin

As we already mentioned, isotretinoin is a particularly powerful and effective drug. It also means that the medicine has a long list of possible side effects. Dry skin and mucous membranes are one of the most common.

Some patients have also reported depression and even suicidal thoughts and attempts. This side effect is still disputed. Many specialists believe that it is the acne itself that causes the mental problems. Research has also confirmed that acne has a major impact on mental health .

The medicine can also cause birth defects. Therefore, female patients must commit to using a safe contraceptive during the course of the course and one month afterwards.

An isotretinoin treatment is usually 5-6 months during which the sun's UV radiation should be avoided. Regular blood tests are also taken along the course to check that the liver can handle the medicine.

To get the medicine, you must always go to a specialist dermatologist's clinic. Although the cure is effective, it is often a last resort for many patients due to the side effects.

- Patients are probably usually very satisfied with the isotretinoin treatment. Only a small minority do not get good results from the cure. Then, of course, you have to think about different alternatives.

One of these alternatives is to repeat the course, if the course otherwise felt good.

antibiotics

Another way to deal with acne is with antibiotics. In such cases, the antibiotic group tetracyclines is most often used. The advantages of the cure are that it gives a fairly quick response and does not dry out the skin.

The biggest disadvantage is that the cure only helps temporarily. It can also upset the bacterial flora in the stomach, which can cause stomach upsets and fungal infections.

- Tetracyclines are very elegant because it is a fairly cheap medicine. They require no medical examination, no blood tests, and are usually quite well tolerated. The biggest problem with antibiotic regimens is that they help while using the medicine and maybe a few months after that.

The treatment is usually 2-3 months and, like isotretinoin, makes the skin more sensitive to the sun.

Despite the disadvantages, there are still patients who are satisfied with the results of the tetracycline regimen. It depends from person to person what pays off.

- If the patient's acne is not as severe as it has been a few years ago and is going away, a course of antibiotics can calm down the acne. If you combine the treatment with a local medicine to prevent the acne from returning, the patient can already be satisfied with the result.

Antibiotic regimens should always be combined with local medicines.

- Antibiotics probably have their place. For example, if you have a young patient with severe acne, you must always tell the patient that the treatment only gives a short-term effect to avoid unrealistic expectations.

Pill

Some birth control pills have been shown to be particularly effective against hormonal acne. They work by counteracting the excesses of the male sex hormones in the body which are often the cause behind acne. In Finland, such pills are sold under the names Diane nova, Cypretyl and Vreya. These pills also come with both pros and cons.

- They are quite cheap, they do not dry out the skin, you do not burn more easily in the sun and you do not need to take blood samples as with isotretinoin. They also have the advantage that it is possible to eat them for several years if you want, unlike for example a course of antibiotics.

Among the disadvantages, the most obvious is that birth control pills are meant only for women. It also takes a little longer to notice any difference.

- The effect starts a little slower than with antibiotics. You sometimes have to wait up to three months before you see the effect of the contraceptive pill.

Birth control pills have been a fairly controversial topic both in the treatment of acne and in general. Some have noticed that they get acne after stopping taking birth control pills, while others fear dangerous side effects such as blood clots.

- It is quite common to hear such things. "Then when you stop using birth control pills, you get acne,"

And that's actually true in some cases.

local Medications

Acne can also be treated with topical medications, ie gels and creams specially developed for the treatment of acne skin. In today's situation, many of these work really well. In addition, new preparations, so-called combination gels, are constantly being developed. They contain several different active substances and are therefore more effective than their representatives.

- The most relevant substances are retinoid, a vitamin A-related substance, antibiotics and benzoyl peroxide - a dehydrating and antiseptic medicine.

For example, these substances are combined in local acne medications. While one product contains benzoyl peroxide and retinoid, another consists of antibiotics and retinoid. Together with the dermatologist, you arrive at the best combination for your own skin.

- The medicines have a slightly different effect depending on the skin type. For example, for Scandinavian skin type, benzoyl peroxide can be quite dehydrating, while darker skin types tolerate it better.

However, it is not always so practical or cheap to use local medicine. If you have acne on the back, for example, or on several body parts, it can be difficult and expensive to lubricate yourself. In addition, benzoyl peroxide bleaches textiles.

-If the patient has acne on his back, I do not usually prescribe benzoyl peroxide. With acne on several body parts, I would probably consider an internal medicine.

Different treatments for different situations
When choosing acne treatment, whether it is pills or ointments, it is not possible to pull all patients under the same comb. There are many factors that need to be considered.

- It is completely individual on the basis of the patient's situation. You choose one of these treatments or a certain combination to achieve a good result.

Many people, for example, have obstacles to eating birth control pills.

- Then they are not an option. You may also not be able to use antibiotics.

Which treatment you choose also depends a lot on how the patient himself experiences his acne and whether the local treatment would give the desired effect. How a person experiences their acne is not related to how mild or severe the person's acne really is.

You could still say that in mild acne you usually start with some local treatment.

- If you have mild and superficial acne, I would advocate starting with some local medicine and see how far you get with it.

But you do not have to start with a local medicine.

- Especially if the acne is severe, deep or scarring, you can start with internal medicine immediately.

The stores' acne products

Ordinary department stores also have a lot of skin care products that are marketed for oily and acne-prone skin. It pays to have realistic expectations with these.

- They are quite gentle. For oily skin, there are absolutely great products that make the skin not glow.

- If, on the other hand, you have inflamed pimples, there is quite a bit that these products can do.

If you want to buy a non-prescription product, would recommend something that contains benzoyl peroxide, which can be found at the pharmacy.

- It is the most effective local medicine that is not prescription-only.

Tips for everyday life

There is a lot you can do, and not do, to treat your acne at home.

- I think that many people take care of their acne so that the skin becomes completely powder dry,

Then the skin can blush and it just looks worse. It pays to be careful and use mild products when taking care of your skin.

- If you want to moisturize the skin, the pharmacy's acne products are completely good enough.

- You should not squeeze the pimples because it only makes things worse. Then they can turn red and scars can form.

If the acne is bothersome, it is still always recommended to consult a dermatologist.

Acne - not just a youth problem

If you are over 30 and suffer from acne, it is called adult acne, acne tarda. A common reason for adult acne is changes in your hormone balance.

Sometimes even certain drugs that contain steroids can cause acne in adulthood. It is then called steroid acne.

Adult acne can sometimes be confused with rosacea. Having acne can be psychologically stressful but it is important to know that all acne regardless of severity can be treated. All forms of acne can be treated, but it is not enough to just wash "properly", you also need to treat with medication. A combined effort with cleansing, treatment and moisturizing is an effective way to get rid of your acne.

Common skin disease - but untreated

Acne is the most common skin disease but also one of the most subtreated even though there is help available. Nearly 85 percent of all people have acne at some point in their lives. Although awareness of acne is high, it is common that the condition is not treated properly and the physical and psychological effects of acne are often underestimated.

You can get acne at any age, but it is most common in adolescence when you get more hormones and sebum production increases. During puberty, the body's production of male sex hormone increases in both sexes. It stimulates the sebaceous glands to increase the production of sebum. Sebum is there to protect the skin, but when the body produces too much, it clogs the pores. If the pores become inflamed, a pimple appears.

You can also get acne-like symptoms from certain medications, such as cortisone, or from working in a humid and hot environment. Acne is not due to poor hygiene. Sometimes acne can occur if you have clothes that rub or smear on a certain part of the skin. Some medicines can cause acne.

Inflamed sebaceous glands under the skin

Acne, often called pimples, are inflamed sebaceous glands under the skin that appear as various rashes. Acne begins as a rash, a small superficial blister, or as a slightly deeper and sore pimple. In the face, on the chest and on the back, the sebaceous glands are large and you more often have problems there. It is very common to have both dry and oily skin on the face at the same time. The skin is often fatter on and around the nose and forehead, areas where sebaceous gland production is greatest. Most often, the acne rash is on the face, but sometimes also on the chest or back. They mostly heal without leaving scars.

A more severe form of acne causes large and sore fluid-filled cysts in the skin that can swell and ache. This form of acne often leaves scars when it heals. There are a few different types of acne and rashes.

Different types of acne and rashes

Acne vulgaris or common acne is a form that affects all ages and can range from milder to more severe. It consists of white and black blackheads and infected pimples that become dark red spots on the skin. The spots under the skin are infected and therefore you should avoid squeezing them. The cause of acne can include hormones, various products that cause acne or in some cases even drugs.

White blackheads appear in blocked pores. The blockage gives rise to nodules as in the picture and can be inflamed. Avoid squeezing these as well as it can always involve a certain risk of infection.

While blackheads because the pores are blocked and appear as small blackheads on your skin. The blockage is only partial, the black dots are due to the skin coming into contact with oxygen. Blackheads can be difficult to get out and are usually just as good not to.

Occasionally there may be "crater-like" scarring after acne. In some cases milder and not so widespread and in other cases more severe acne scars. There are different treatments if you have severe acne scars, talk to your doctor who can give tips and advice.

Treatment for acne

For mild acne, topical treatment is usually sufficient. At the pharmacy, there are over-the-counter medicines that contain the active substance benzoyl peroxide (BPO) which is applied to the entire affected skin area. Benzoyl peroxide has three main effects; antibacterial, anti-inflammatory and keratolytic (opens up clogged pores) and is widely recommended for the treatment of acne. It is also the only over-the-counter alternative to mild acne that is included in the Medical Products Agency's new treatment recommendations from June 2014.

Good to know when treating with benzoyl peroxide is that your skin can sometimes become dry and irritated, which is often proof that the treatment works. You can then step down and treat every other day every three days until the skin has got used to it. If the irritation becomes severe or in an allergic reaction, discontinue treatment and consult a physician.

It is not always enough to treat with over-the-counter gel containing benzoyl peroxide. There are also prescription gels and creams containing several active substances that together attack the acne from different directions and in more severe acne you may sometimes need long-term treatment with antibiotic capsules (max. 3 months at a time) or stronger drugs. The purpose of the treatments, over-the-counter or prescription, is to treat existing acne and prevent more acne from occurring. If you suffer from acne, do not hesitate to contact your healthcare center or school health service for the best treatment.

Good advice for acne

• The only way to get rid of acne is to treat it with drugs. However, there are some tips on how to prevent and to some extent avoid getting more pimples.
• Wash your face once or twice a day with a gentle and skin-friendly facial cleanser specially adapted for your skin type.
• Initially, use over-the-counter medicines available at pharmacies.
• During acne treatment, you can become dry and irritated in the face, which is often proof that the treatment works. However, the skin usually gets used to the treatment after a couple of weeks. In connection with drug treatment, it is also important to use a mild, non-drying face cleanser and a moisturizing face cream specially adapted for you with sensitive acne-prone skin, preferably with a sun protection factor. Avoid greasy creams and ointments, which can clog the skin's pores and aggravate acne. 
• Do not pinch your pimples. It only worsens the acne.
• In addition to using these tips, it is good to start treatment daily and feel that it has an effect. If your acne affects you so much that you feel mentally ill, it is good to contact healthcare or school health to get rid of your acne. You should definitely not feel bad and your acne and your ailments should be taken seriously. There is treatment to be had!

Acne Treatment

During puberty, about 80-85% of all adolescents suffer from acne at some point between the ages of 14-19. Acne is a benign skin disease that is not life threatening but for many can cause psychological problems that affect one's self-esteem and quality of life. Acne can be difficult to treat and be completely free from, but there are many treatment options that you can test and apply depending on the degree of acne you suffer from. In most people, it takes from several weeks to months to treat acne.

In acne treatment, the basic idea is to influence as many as possible of the four factors that contribute to the development of acne; increased sebum production (sebum), narrowing of the sebaceous gland, growth of acne bacteria and minimization of inflammation. Unfortunately, there is no one drug that works against all of these building blocks. Therefore, you get the best effect when combining two or more acne medications that work against different factors.

Cleaning

Always clean your skin with a custom cleanser for your specific skin type both morning and evening. There are face washes for different oily skin types and for fine skin. Always moisturize after cleaning with a mild moisturizing cream. In the best worlds, let the inflamed acne heal itself. Avoid squeezing acne. This minimizes the risk of infection and the spread of bacteria from the hands. An infected pimple takes longer to heal and is at risk of being exposed to bacteria. If you have pinched a pimple, the wound after the pimple can be treated with antiseptic cream that counteracts infection and allows the wound to heal in peace. Read more under wounds after acne.

Local treatment

The basis of all acne treatment is local treatment with cream, ointment or gel. Topical treatment is mainly suitable for people suffering from non-inflammatory acne where the acne is dominated by blackheads, or for those suffering from mild to moderate inflammatory acne. Some topical treatments for non-inflammatory acne are based on vitamin A. These preparations must not be used by pregnant women as they have been shown to be harmful to the fetus and may be absorbed into the bloodstream. For moderate inflammatory acne, you can use agents that contain tretinoin, azelaic acid which has antimicrobial effect and clindamycin which is a bactericidal antibiotic.

Oral treatment

Oral treatment with tablets is used when local preparations do not help enough and when people suffer from moderate to severe inflammatory acne that can lead to scarring and pigment changes. Oral preparations are usually antibiotic-based. To start an oral treatment, you need to see a doctor to get the drugs prescribed.

Retinoids, which are chemical derivatives of vitamin A in tablet form, have shown good effect against severe acne with, among other things, cyst formations. A treatment usually lasts up to 6 months and can usually cure acne completely. Retinoids reduce the sebum in the skin and are prescribed only by licensed dermatologists. They must not be used by pregnant women as it may lead to birth defects. After the treatment has ended, it must take at least another 2 months before any risk of birth defects is excluded. Common side effects of retinoids are dry skin and dry mucous membranes, such as lips.

Some women with severe acne problems get help by getting special birth control pills prescribed with anti-androgens. Other long-term treatments for severe acne include antibiotics containing tetracyclines. These preparations should always be combined with local treatment that does not contain antibiotics as tetracyclines have shown a risk of developing antibiotic resistance to the acne bacteria. In addition, children under 12 years of age should not use tetracyclines, nor should breast-feeding or pregnant women in the final stages of pregnancy. Common side effects of antibiotics for acne are nausea, diarrhea, and secondary fungal infections. Most side effects come at an early stage of treatment.

phototherapy

In recent years, some light treatments have begun to be used against acne. These are intense blue light, PDT / photodynamic therapy and laser therapy. This form of treatment works by attacking the acne bacterium. In Sweden, light treatment is not recommended because there is no scientific support for the method. In addition, discussions have been raised about exposing the sebaceous glands to such severe damage and that it can cause problems at a later stage.

Surgical treatment

After severe inflammatory acne, deep scars can be left on the face. These scars can be reduced or removed completely by filling in the collagen in the skin and thus smoothing out the acne scars. This should be done by a doctor as injections in the wrong place can lead to major problems and consequences.

Dermabrasion is a form of mechanical peeling that grinds away the skin. This form of treatment severely affects the skin and takes several months to heal. During the healing process, it is common to become very dry and sensitive to the sun. Another form of peeling is chemical peeling done with salicylic acid and tea tree. This is a mild and antibacterial form of peeling that is intended for mild to moderate acne.

Which Acne treatment is right for you?

Which treatment is right for you?

Over-the-counter acne medications

Basiron contains benzoyl peroxide and has a proven and well-documented effect against pimples. Benzoyl peroxide works by opening the pores of the skin while reducing the number of bacteria (P. Acnes). Basiron is alcohol and perfume free. Benzoyl peroxide is classified as a medicine and can therefore only be bought without a prescription at a pharmacy.

Prescription drugs for acne

If your skin does not get better with the over-the-counter remedies, you should contact your school nurse or health center and ask for an appointment with a district nurse or doctor. Based on your ailments, they can help you by prescribing a stronger, prescription gel or cream - but also antibiotic tablets, which can give an even more powerful effect. The more of the factors that cause acne the treatment is effective against the better. Below you can read more about some of the substances included in this category of treatments and how they work.

The basis of all acne treatment

Prescription creams and gels that contain retinoids / vitamin A (adapalene, tretinoin) treat pimples in two ways; partly by reducing the inflammation in the skin and thereby treating the pimples and partly preventively by preventing clot formation that can give you new pimples. Retinoids are the basis of all acne treatment and are important to prevent you from getting new pimples and blackheads. Adapalene is available as a gel together with benzoyl peroxide for increased effect. Tretinoin is available in combination with clindamyxin (antibiotics).

Antibiotics

Topical antibiotics (clindamycin) work by reducing inflammation and reducing the amount of bacteria (P. Acnes). Clindamycin is available as a gel in combination with benzoyl peroxide or tretinoin.

If you have a little more pimples, you can for a while get antibiotics in the form of tablets or capsules. The tablet treatment should always be combined with an topical agent (such as a gel) to reduce the risk of antibiotic resistance. You can continue with the gel when the tablet regimen is completed.

Other treatment

Girls can sometimes get rid of their pimples by using birth control pills (not mini-pills) which help by affecting the hormone balance in the body.

Azelaic acid is another substance found in gels and creams that has some effect on inflammation and the amount of bacteria.

Gollnick H. et al. Management of Acne. A Report From a Global Alliance to Improve Outcomes in Acne. Supplement to J Am AcadDermatol. Vol 49 No 1, 2003.

Isotretinoin - when nothing else helps
In some cases, it is best to consult a dermatologist. This may be when regular prescription treatments have not yielded any results and the symptoms are still extensive. Then you can treat with tablets that contain isotretinoin - the only substance that acts on all the causes that cause you to get pimples. The tablets are effective but give some side effects, so they should be used with caution. Tablets containing isotretinoin should only be prescribed by dermatologists (dermatologists).

Skin irritation is a common sign that the medicine has an effect

All medicines give more or less side effects and it can also differ between tablet treatment and creams / gels. The most common drug treatment for acne is in the form of a gel or cream that you can apply to the affected skin area.

Talk to your doctor about how to do it and what you can expect from the treatment. It's nice to be prepared!

If you become red and / or irritated at the beginning of the treatment at the beginning of the treatment, it is often a sign that the medicine has an effect. The irritation usually subsides after 1-2 weeks of treatment. Be patient with the treatment! Already after a couple of weeks you can see visible effect, ie the pimples become less red and irritated and decrease in size. It usually takes at least 10-12 weeks before they disappear completely. If you have any questions or concerns about your treatment, you should always contact your doctor.

** 1st Gollnick H. et al. Management of Acne. A Report From a Global Alliance to Improve Outcomes in Acne. Supplement to J Am AcadDermatol. Vol 49 No 1, 2003

Basiron AC gel (benzoyl peroxide) is an over-the-counter acne treatment. Basiron AC gel should not be used on damaged skin. Read the package leaflet carefully. Galderma Nordic AB, www.galderma.se, 2017-07-28.

Cleaning and moisturizing

Both in pharmacies, in stores and on the Internet, there are many products that can feel fresh to use for cleansing or moisturizing the skin. Here you will also find remedies that can help you hide pimples and dry out oily skin. Basiderm, Clearasil, Proactive, Neutrogena, ACO Spotless, Normaderm, Demons & Angels and Acnicyl Cleanser are all well-known brands in this category but so far there is no medically documented evidence that they have any effect on what actually causes pimples.

When using acne medications, it is important to have a functioning skin care routine. Wash your skin with a mild face wash before applying your acne medicine and moisturize the skin after treatment

ACO Acne Solution, ACO Acnegel and Acnicyl Cream are agents that have limited documentation of the effect on the bacteria that cause pimples. *

* Classified according to the Medical Products Agency as VUM (certain external agents) or has CE marking (medical device).

How to hide red tones - from acne, rosacea and sensitive skin

Rosacea, sensitive redheads, acne or acne scars. Being red in the face can be hard, but there are effective products and help to get. We guide you right.
It's hard to be red in the face, there are many of us who can sign on after flaring up from giving an oral presentation or a wedding speech. In addition, constantly having a reddish tone on the face can be very stressful - but alas, so common.

Red tones and areas of the skin are often due to sensitive skin with many superficial, dilated blood vessels. But it can also be due to acne, acne scars or the skin disease rosacea. Whatever the red tones depend on, there is help to be had.

We have gathered our best tips and list the most effective beauty products and skin care to reduce redness, rosacea and acne.

Contents: Red skin on the face - this will reduce the redness
• Rosacea
• Adult acne
• Skin care that reduces red skin and redness
• Makeup that covers red skin and redness
• Ingredients that can help with red skin

rosacea

Rosacea is an inflammatory skin disease that causes redness and rashes, usually on the face. About five to ten percent of all adults suffer from the disease, sometimes without even knowing it. Contact a healthcare center if you suspect you have rosacea.

Tips to reduce rosacea redness
• Wash your face with water or mild unscented cleansers. Avoid strong soaps, peels and toner with alcohol as it irritates the skin.

• Use unscented emollient cream.

• Do not use cortisone cream, it may aggravate the problem.

• Use sunscreen that is not greasy and that has a high sun protection factor, 30–50, because rosacea is triggered by the sun.

Treatment for rosacea

Creams
There are prescription drugs to lubricate the skin. This could be Finacea or Soolantra, for example.

Gel
Redness can also be treated with a gel containing brimonidine. The effect is temporary because the drug contracts the vessels for about a day.

Capsules
The active substance isotretinoin can sometimes be used in the form of capsules if you have very serious problems.

Note Do not treat yourself with the above products unless you have been diagnosed with rosacea by a doctor.

Adult Acne

Acne in adults is common and can vary from getting pimples from time to time to having a constant problem. Why you get acne in adulthood has not been fully mapped, but research shows that it can be caused by stress, sunlight, seasonal changes, makeup, pregnancy and menstruation.

Treatment for adult acne

Adding moisture
A common misconception when it comes to pimples is that you are too oily in the skin. But on the contrary, the skin often compensates by overproducing sebum and fat if you are too dry. Therefore give the skin a real moisture boost in the form of, for example, Jojoba oil, it is perfect for oily or acne-prone skin and also has anti-inflammatory properties

Probiotics
In recent times, several research reports have shown a clear link between intestinal and skin health, especially skin problems such as acne. Testing probiotics, ie good bacteria, in combination with prebiotics, which feed the good bacteria, is a good recipe to test for a happy stomach and problem-free skin.

Skin care that tones down red skin

Here we have collected a range of products that contain substances that reduce redness, have anti-inflammatory pain and are gentle on sensitive skin.

Avoid peeling the skin with whole grains, rather use enzyme peeling, which exfoliates the skin effectively but gently. BHA acid is both mildly exfoliating and at the same time has an anti-inflammatory effect, which makes it a good alternative for sensitive skin.

Makeup that covers red skin and redness

If you have a red, sensitive skin or rosacea, you can definitely use makeup to even out the skin surface and hide the redness. Just be careful what products you use. A safe bet is to stick to mineral-based makeup, it is gentle and works healing on a reactive skin.

Do this:
For those of you who want to cover red tones, it is important to know how different colors fool the eye.

• Green is a contrasting color to red. Fits well in the form of a primer or concealer.

• Yellow also neutralizes red. If you have a red-toned complexion, you should therefore use products in yellow shades when choosing foundation, concealer and powder.

Reducing substances - Retinol, Niacinamide and Licorice root

Some specific substances reduce redness and prevent acne. Look for these three ingredients when buying skin care.

Retinol The
substance is a type of vitamin A. It is said that there are few skin problems that retinol can not affect for the better, such as acne, redness, pigment spots and acne scars.

Niacinamide (vitamin B3)
Cell renewal is stimulated and the skin barrier is strengthened while redness is reduced.

Licorice root
Has a smoothing and soothing effect on skin tone. The antioxidants in licorice root are glabridin, which helps to strengthen the skin and minimize redness.

Acleara Acne Therapy

Acleara Acne Therapy is an effective acne treatment that combines vacuum with a specially filtered light that cleans and empties the pores and treats acne in depth. The skin is cleansed free of sebum, dead skin cells and bacteria. Often, the pores also decrease in size with Acleara Acne Therapy. For best results, we recommend that you book a course of 4 times. Of course, it is also possible to book a single treatment to refresh the skin. We would like to meet you for a free consultation to give you an individual treatment plan tailored to your wishes and needs.

ACLEARA ACNE THERAPY TREATS
acne
Oily skin and / or large pores

ACLEARA ACNE THERAPY SUITS YOU LIKE

• Suffers and feels bad about your acne.
• Tested creams and other acne products but did not get results.
• Want to avoid prescription treatments such as antibiotics.
• Feel that your acne does not respond to antibiotics.

THIS IS HOW THE TREATMENT WORKS
A combination of vacuum and pulses from specially filtered light cleans the pores and treats flowering acne.

HOW DOES IT FEEL?
Most people feel nothing at all. A few may feel some discomfort.

EXPENDITURE OF TIME
The injections are fast. The time for the consultation can vary as it is important that the expectations are in line with the results that can be achieved.



ACLEARA ACNE THEARPY


Acne is a skin condition that often affects the face, neck, shoulders and back. Having acne is not something that is physically dangerous but the person who suffers can feel very bad and therefore acne can have social and psychological consequences. Everyone can be affected, regardless of age and gender, although the most common is acne blooming during adolescence. We treat most types of acne and tailor a treatment to suit your skin. An example of a treatment plan can be that we plan a course with 1 treatment / week for 4-6 weeks and then see each other once a month until the desired result is achieved. Then you are welcome to come for a "maintenance treatment" if necessary.

For best results and treatment approach want to meet you for a free consultation before a treatment with Acleara Acne Therapy. During the consultation, our certified dermatologists will review your expectations and wishes, lay out an individual treatment plan and tell you what we can do for you. You will also receive tips and advice regarding complementary treatments such as  Microneedling to get rid of any acne scars and / or chemical peels .

How does the treatment work?

Acleara Acne Therapy is an effective treatment that combines a vacuum with pulses from a specially filtered light to help cleanse your pores and treat flowering acne. Through the vacuum, Acleara sucks out the contents of pores and pimples while short light impulses kill the acne bacteria and close the pores. Often the size of the pores is also reduced with Acleara.

The Acleara equipment is FDA approved to treat a wide range of acne on all skin types. How long the treatment takes depends on how large the area to be treated is. In connection with your free consultation , your dermatologist will give you all the information about the acne treatment and the treatment time.

What happens after a treatment?

Immediately after an acne treatment with Acleara, most people experience a slight feeling of sunburn in the skin. A slight swelling and small bruises can occur but usually subside after a few hours. After a treatment with Acleara, the skin is sensitive and we therefore recommend that you use sunscreen on the treated area.

Results with Acleara Acne Therapy

After a treatment with Acleara, you will quite quickly notice that your skin becomes a little drier, less oily and that you get a fresher feeling in the skin. Your current acne usually starts to go away after a few days. For each treatment you undergo, the result will improve. You choose when you are happy with your treatment. After completing the treatment with Acleara, your certified dermatologist will recommend any maintenance treatment. This is to maintain your fine result and prevent your acne from blooming again.

Chemical Peeling

A chemical peel is not the name of a treatment, but a collective name for many different forms of treatment. With the help of various acids that are applied to the skin, for example TCA and AHA, the skin gets a little lift as the outer layer of skin is removed. In connection with the removal of the dead skin cells, the formation of new skin cells is stimulated at the same time. The older you get, the slower the cells renew. What you want to achieve with a chemical peel is an improvement and "rejuvenation" of the skin.

CONTRAINDICATIONS FOR A CHEMICAL PEELING:

- No laser treatments on the face at least 21 days before treatment with a chemical peel
- Pregnancy and breastfeeding
- Strong medicines such as «Roaccutane» or other retinoids
- Hypersensitive skin
- Active local infections in the skin
- Active herpes or other skin viruses
- Allergies, skin damage, inflammation and other skin conditions




SALICYLIC ACID (BHA)


In this treatment, we use superficial chemical peels with salicylic acid that have antibacterial and anti-inflammatory properties and are fat-soluble, which makes it suitable for a slightly oily skin with clogged pores. The salicylic acid is exfoliating and dissolves sebum clots that can otherwise lead to inflammation in the skin. Has a pore-contracting effect on the skin.
INDICATIONS:
- Acne and acne scars
- Oily skin
- Impure skin with enlarged pores
- Comedones (blackheads)
- Seboree
- Hyperkeratosis (hardening and thickening of the epidermis)

For best results, it is recommended to do the treatment in a course of 3 to 6 treatments, with 3-4 weeks between each treatment.



AZELAINSYRA

In this treatment we use superficial chemical peeling with azelaic acid which has antibacterial and anti-inflammatory properties, it regulates sebum production and very good brightening effect on the skin
INDICATIONS:
- Rosacea (a condition characterized by red spots on the cheeks, nose, chin and / or in the forehead - often in combination with visible veins and / or small abscesses)
- Pigmentations
- Sensitive skin
- Acne (pimples);
- Hyperpigmentation (especially in darker skin types)
For best results, it is recommended to do the treatment in a course of 3 to 6 treatments, at 2-3 week intervals.





MANDELSYRA
45 MIN
In this treatment, we use a superficial chemical peel with mandelic acid that effectively exfoliates dry and old skin cells, stimulates cell renewal, reduces fine lines and wrinkles and improves sun-damaged skin, refreshes the skin and reduces pores. The safest peeling for Asian and African skin, also suitable for sensitive skin.
INDICATIONS:
- Acne
- Oily, impure skin
- Rough skin with enlarged pores
- Comedones (blackheads)
- Seboree
For best results it is recommended to do the treatment in a course of 3 to 6 treatments, with 3-4 weeks between each treatment.




GLYCOLSYRAN
45 MIN
In this treatment we do chemical peels with glycolic acid which has a rejuvenating and lifting effect on the skin. It reduces fine lines and wrinkles, stimulates cell renewal, increases skin moisture and collagen production, leading to a younger and healthier skin.
INDICATIONS:
- Dry skin
- Fine lines and wrinkles
- Actinic keratosis (thickening of the stratum corneum caused by excessive sun exposure for a long time)
- Acne scars and uneven skin
For best results it is recommended to do the treatment in a course of 3 to 6 treatments, with 3-4 weeks between each treatment.



LACTIC ACID- LACTIC ACID
45 MIN

In this treatment we use a chemical peel with Lactic Acid (AHA) which is used in skin care to moisturize the skin. Lactic acid is part of the epidermis' own natural "moisture factor" (NMF), which attracts moisture and thus acts as a moisturizer by binding moisture to the skin, also has rejuvenating properties. Chemical peels with lactic acid are good for reducing age signs such as wrinkles, fine lines, improving and strengthening the skin's structure and it has an enlightening property.
INDICATIONS:
- Dry, dehydrated skin
- Fine lines and wrinkles
- Pigments and age spots
- Melasma
For best results, it is recommended to do the treatment in a course of 3 to 6 treatments, with 3-4 weeks between each treatment.




TRICLORETIC TEXTILE (TCA)
45 MIN
In this treatment, we use a medium-depth chemical peel with TCA acid, which is used to even out and rejuvenate the skin on the face, hands or décolleté. It is especially popular for the treatment of signs of aging associated with sun exposure. You get a smoother skin with a smoother color and a healthier surface. Since the old skin disappears and is replaced with "newborn" skin, you also look naturally younger.

GOOD FOR:
- Signs of age
- Photo aging and pigmentation
- Wrinkles and fine lines
- Uneven skin
- Acne and acne scars

HOME CARE PRODUCTS THAT YOU BRING:
- Mild cleansing milk 200ml,
- Soothing toner 200ml
- Deep moisturizing, soothing face cream 50ml

For best results, it is recommended to do the treatment in a course of 3 to 6 treatments at 3-4 week intervals.

NOTE. This treatment is performed only after a free skin consultation!





PURPLE PEEL - RETINOIDSYRA + TCA
45 MIN
In this treatment we use a mixture of Retinoid and TCA acids.
Purple peel line with medium depth peeling for a little more advanced skin problems. The results are often as good as the more aggressive peels, but in a more controlled and comfortable approach.
Retinoic acid acts as a powerful antioxidant counteracts the formation of free radicals, a molecule that breaks down the body and skin from within. Free radicals are formed during stress, poor diet and smoking, among other things.
Stimulates and repairs the skin's collagen and elastin production.
Reduces and regulates the skin's sebum production, which makes the skin less oily.
Reduces bacterial growth in the skin and is therefore an effective treatment for acne.
Reduces pigmentation caused by sun damage by increasing cell renewal.
PRODUCTS FOR HOME CARE INCLUDED!

INDICATIONS:
- Acne and acne scars
- Photo-aging and pigmented skin
- Melasma
- Wrinkles and fine lines
- Tired skin with uneven skin tone
For best results, it is recommended to do the treatment in a course of 3 to 6 treatments at 2-3 week intervals
NOTE. This treatment is performed only after a free skin consultation!

6 tips for acne

Most people who suffer from acne do so in their teens, the time when our self-esteem is often at its most sensitive. Therefore, we should take acne more seriously.

- Acne is a nasty disease in that way, it affects us during a period when we are most sensitive. In addition, it settles in the face where everyone sees it. Therefore, acne affects not only the skin but also how one feels. It can shape one's identity. We know that acne can affect our mental state as much as many other more serious diseases,.

Treat acne right away

Therefore, he thinks that the comment that "acne goes away and therefore you can live with it", is not a consolation. Instead, treat acne immediately. There are tricks to try at home, and if they do not help, you should seek care.

- Acne is a disease that is due to an abnormal function of the sebaceous glands, often during a period in adolescence when hormones are produced. The sebaceous glands are differently sensitive to hormones that cause them to start producing more sebum, while at the same time clogging the ducts. Then the sebum solidifies, which is normally a transparent lubricant for the skin. The glands close, become tense and may crack a little. Bacteria enter and there is an inflammation that can cause rashes and boils.

Prevent scars from occurring

We get different types of acne, from small pimples to boils that in unusual cases can even cause fever. Some get occasional pimples on occasion, others get several different types of pimples and get them often.

- Many people want to treat scars from acne, which is usually very difficult. The best way to treat scars is to prevent them from occurring, by treating the acne directly, says Daniel Brännström.

Dermatologist's 6 tips for acne

• Clean. Always wash your face morning and evening. Use a suitable face soap or face wash, it may contain salicylic acid.
• Let the face be. It is important not to pinch or tear, it spreads bacteria, irritates the rash and can create scars. A rule of thumb can be to always have at least an arm's length distance to the mirror and preferably a little dim lighting, then it is easier not to.
• Over-the-counter drugs. Try over-the-counter medicines available at pharmacies, preferably with benzoyl peroxide. Do not go online and buy expensive miracle creams, they promise more than they keep.
• Treat continuously. Continue to treat with cleansers and creams even when it gets better, and do not change creams too often.
• You can seek help if it does not get better. The best way to deal with acne scars is to prevent them.
• Some medications can worsen acne , such as cortisone and some birth control pills (but there are also birth control pills that reduce problems with pimples). If you have problems with acne and plan to get birth control pills, talk to your midwife about it.

Questions and answers about acne

Acne on the nose

Question 1 from Map: My son, 9 years old, has two serious acne attacks on his nose, has been to a dermatologist who thought we should use "Clerasil" from the pharmacy. At the pharmacy, they do not want to sell any acne medicine to him as he is so young. Have had this for 1 year now. Is like an encapsulated inflamed sebaceous gland, black, hard and large. GPs do not want to pinch / puncture it due to the risk of scarring. How long can you expect this to last? Is there anything besides cleaning you can do?

Mats Berg answers: Medicines are always first-hand treatment, I think. Start with Basiron, which is non-prescription at the pharmacy, otherwise he can get a prescription for, for example, Skinoren.

Oily skin, blackheads and pimples

Question 2: Hello! I am a woman of 43 years who has always suffered from oily skin, a lot of blackheads and small pimples. I spend a lot of money on good creams that should be good for my skin type. If I go for a facial, the blackheads are back after a few days again. Do not think it matters what I do! Have undergone 2 roaccotane treatments many years ago, received antibiotic regimens, prescribed strong creams, but nothing helps in the long run, becomes a relief just when I take the treatment only. Want some help./Malin

Mats Berg answers : Sad, oily skin, there is unfortunately no treatment that has a permanent effect on. Roaccutane only helps temporarily. The dermatologists probably have as much to add there as the doctors.

Pimples all over the face

Question 3 by Bellen: Hi Mats, I'm the mother of a 14 year old girl. She has many small pimples all over her face. It's more like tiny little bubbles and sometimes some can become pimples so to speak. But she covers them with a lot of powder and it really does not look good. I try to make her understand that makeup does not help. But what should we do? She feels really bad and always compares herself to friends who do not have a single thing on their face.

Mats Berg answers: Start with over-the-counter Basiron at pharmacies. If it does not help, there are many other effective drugs that can be prescribed by a doctor or district nurse.

Inflammation of the hair follicles on the thighs and buttocks

Question 4 by Baravaraunderbar: Hello! My son, almost 18 years old, has for more than 3 years had problems with hair follicle inflammation on the thighs and buttocks. We have been to three different doctors who have prescribed different pencillin preparations, Descutan, Fucidin and Chlorhexidine. None of this has helped him and his thighs and buttocks are full of rashes that sometimes flare up and get even worse. Sometimes some get a purple tone and some cracks and fluids. This has affected his self-esteem a lot. Is there really nothing else to do about this type of problem?

Mats Berg answers: These problems are limited to acne and you can always start with the prescription drugs Dalacinliniment, Duacgel or tetralysal capsules.

Vitamin b5 for acne

Question 5 from Fsklärare: I am a woman who has been battling acne since I was a teenager. Have eaten the contraceptive pill cilest for many years, it has helped well. Now I have stopped using them (soon to be 45 years old) have been advised to eat high dose vitamin b5 for my ailments. Have read a lot about it, and also have an acquaintance who got good results from it. Is it dangerous in any way to "overdose" vitamin b5 like this?

Mats Berg answers: Oh, not fully loaded on B5, do not think so, but there is no scientific evidence of effect. There are effective remedies for acne even at your age. You would probably meet an interested dermatologist.

Son suffering from acne

Question 6 from Maria: Our family doctor downplays me, mother, when I was there with my 16-year-old son who is really suffering from his acne. He has tried most things from the pharmacy. The doctor thinks it will be fine! But hey - without his help I can not turn to the skin clinic in Malmö, where I want to go. What can I do now? Is it through referral that I can get help, but what about when the family doctor ignores my son and me? Feel free to tip.

Mats Berg answers: Sigh, how sorry I am to hear that. If it does not help to complain to the family doctor's manager - try calling Malmö Clinic directly or try one of the private doctors in the area. Do not give up! There is good help!

Problems with adult acne

Question 7: Hello! My adult daughter has had problems with adult acne. Big boils that "go inward" what is the best thing she can do about it? Of course, it's hard in many ways!

How long do you usually have so-called adult acne (I had it myself until I was about 30 years old). With kind regards / Mother of an adult daughter

Mats Berg answers: Acne in adulthood can occur until the age of 30, but there are effective medicines - seek an experienced general practitioner, or dermatologist.

Cold sores in the spring

Question 8 by Killi: Why do I always get cold sores in the spring? Even after a short while in the sun, a quarter or so? It clearly has to do with the sun.

Mats Berg answers: You probably have herpes blisters, which can often be triggered by sun.

Pills in the face and upper arms

Question 9: Hello! My 12-year-old son has had small patches on his face and upper arms for a few years now. What can it be and can you treat them? Worried mom

Mats Berg answers: Probably not. Usually a normal variant (all my 3 children have had it) that passes after a few years. The face itself could be a mild acne (try over-the-counter remedies), but if it looks the same as on the arms, it's the same thing.

Acne is good during pregnancy and in the summer

Question 10: I am 34 years old and have had skin problems for the last eight years. Tried all sorts of different products but think nothing helps. When I was pregnant, the problems disappeared almost completely and in summer it also gets better than in winter? Can I not get this fixed without medication? Do you have to take medication forever with this?

Mats Berg answers: Of course it depends on what kind of problem you have. Much can be improved during pregnancy and in the summer, such as acne and eczema. You will probably need to seek a knowledgeable GP or dermatologist.

Have a lot of acne, but do not want to take medicine

Question 11 from Maria: The son had a lot of acne, the pharmacy's products did not help. Did not want to medicate. Found online Ecnaclyn, all-natural tablets made from a milk protein. The acne disappeared after a few weeks and did not return when he stopped taking the tablets. An acquaintance had extreme acne 40 years old, started with large amounts of vitamin B5. The acne disappeared. Why do doctors insist on taking medication when you can help the body deal with the imbalance itself?

Mats Berg answers: Show me a scientific study on B5 and I can start to believe it. Besides, I do not know what drugs he tried. Acne is not always easy to treat, sometimes it requires a lot of knowledge. Due to coincidences, most things can heal - which is why doctors do not believe in medicines that lack scientific studies. May seem snobby, but believe me - the method of working lasts a long time. Doctors refuse to deceive their patients.

Want to get rid of pimples - but nothing helps

Question 12 by Nathalie: Hello! I have had pimples since I was 14 years old and now I am 19 years old. I have always suffered and my self-confidence is at the bottom because of this. It has decreased a lot in the last year but it is not completely gone. I have never had nice, smooth skin without any pimples and that is all I want! I use products / makeup adapted for my skin and am very happy with cleansing but it does not seem to help. Have had a lot of ointments prescribed but it absolutely does not help. What should I do?! Nobody listens.

Mats Berg answers: You should start by looking for a doctor who listens! Do not give up, change doctor, demand to see a specialist! There are tablets with a stronger / better effect! Acne is a troublesome disease, but can almost always be really relieved!

Acne and rosacea - nothing helps

Question 13 by Chriz: Hello! Has had problems with acne since puberty, is now 41 and has been diagnosed with rosacea. Take Tetralysal twice daily since 2010 - Finacea gel locally on the face and upper body, and Ketoconazole for the scalp. Have been doing this for two years now but I do not think I will get better, nor does it feel good to eat antibiotics for that long. Do you have any advice for me? What should I do? Suffers a lot from not being able to dress the way I want or look nice on the face, neck, shoulders and neck.

Mats Berg answers: Hello! An experienced dermatologist probably needs to look at you and assess your rosacea. As easy to treat as rosacea can be, as difficult to treat it can sometimes be. Rosazole cream may possibly provide a supplement, Oraceat tablets, Tetracycline tablets or Toaccutane capsules sometimes have a better effect and for some only special vascular lasers help. You have to see yourself to understand which!

45 years old and still has acne

Question 14 by Sassa123: Hello! Is a woman of 45 is still suffering from acne to and fro. I imagine that it follows the menstrual cycle, because it worsens during menstruation, when the face feels more "inflamed". I think this is embarrassing as an adult, feels like a teenage problem. Therefore, I always make sure that there are no whiteheads, above all, but also blackheads. Then squeezing them away, which I understand is not a good method. But what should I do? Is it just giving up at my age? However, acne has never been really severe.

Mats Berg answers: The only thing you must not do is give up! There are many medications that help. You do not have a worse effect because you are your age, but you need to see a knowledgeable and interested doctor.

Acne returned after treatment with Tetracycline 

Question 15 by Lisa L: Hi, Our 15-year-old daughter has been taking the medicine Tetracycline Meda for two winters with very good results. She has just completed a course that has been going on for 6 months. After only a 2 week break, the acne returns. It is very difficult for her as the acne is both on the face and on the back. Her father had major problems with acne in his teens. Is there anything else we can do now during the summer months?

Mats Berg answers: You should always combine tablets with topical agents (for example Basion, Differin or Epiduo), in addition, you should not give cures longer than 3 months. Ask your doctor to read the latest medical journal - there is an article on how to treat acne (in which I myself participated). The answer is that there is a lot to do in terms of treatment!

Acne, oily and impure skin

Question 16 by Makober: Hello! My 16-year-old son has major problems with acne, oily and impure skin. He has previously received 3 monthly doses of Tetralysal 300 mg and has become noticeably better. Now the capsules are gone and the acne has returned. Can he continue to eat Tetralysal - and if so, for how long? He suffers terribly from "being ugly" as he puts it. (His older brother got Roaccutane for his severe acne. He is 21 years old and still has acne, although milder nowadays.)

Mats Berg: You should always combine tetralysal with topical agents and in that case you can repeat the course at this age. If it comes back quickly several times and he has a severe acne, Roaccutane can be considered.

Acne on the face and back

Question 17 by Ninnan: Hello! Both me and my husband had a lot of problems with acne (on the face and back) and suffered a lot from it up to about 17 years of age when it thankfully disappeared. We both got medicine for our acne but do not remember what. We have three children and I worry that they will get double up when both my husband and I had it, because surely it is hereditary? What can be done to prevent it? Our oldest child is only 9 years old but my started at the age of 12 so I would like to be prepared.

Mats Berg answers: You can not prevent (you do not know of a good acne diet that helps everyone), but you can treat when pimples occur. They do not have to get as bad acne as you do, so heredity is not typical and there are always new better acne remedies.

Bumpy skin - what can you do?

Question 18 by Anneliesson: Hello! Bumpy skin, can you do something to make them smaller or less visible on the face, or do I just "like the situation" that I look like I do? I ate Roaccutane when I was 23, am 38 today.

Mats Berg answers: A cosmetic skin surgeon (can be a dermatologist, plastic surgeon or ear doctor) could probably grind the skin or otherwise make it less bumpy. In many county councils, you unfortunately have to pay yourself - ask before about cost.

Acne-like problems since adolescence

Question 19 by woman34: Hello! I have had acne-like problems since I was a teenager. pimples and a smaller type of pimples, on the cheeks most but also in the rest of the face and neck. It feels hopeless! Has been treated with most things but the problems always recur. Roaccutane in adolescence, tetracyclines. It helped but the problems came back after I stopped taking the medicine. Dermatologists say I have a mild form of rosacea, do not know how to think. The tough products can help but also irritate !?

Mats Berg answers: Rosacea has partly a different treatment and sometimes it can be difficult to separate the diseases years, so you probably need to see an experienced dermatologist. Sometimes you may need to give Roaccutane several times, in addition, there have been new acne remedies.

Pimples on the chin and around the mouth

Question 20 by Angelica: I'm not a teenager anymore, I'm 30 years old. Therefore, it is extra annoying to get large purulent pimples on the chin and around the mouth. Before I had my first child almost six years ago, I had moderate acne and never thought it was a problem. Now after two pregnancies, it is starting to feel like a problem. Does it have to do with hormones? Can I do something about it?

Mats Berg answers: With two pregnancies behind you, I would not think it has anything to do with the hormones - you can have a troublesome acne at your age anyway. Admittedly, some birth control pills can get better, but there are many effective acne medications as well.

How to remove demodex?

Question 21: Hi, how to remove demodex, what type of treatments are appropriate?

Mats Berg answers: Demodex is a parasite, the significance of which in rosacea is much debated. In Sweden, there is no obvious readily available parasite (there is, among other things, the veterinary drug Ivermectin).

Recommendation for the US version of Proactive?

Question 22 by Frida: Would you recommend the American version of Proactive, which apparently should contain completely different active substances than the one that may be sold in Sweden? Friends' children who have moved to the USA have got completely flawless skin after using it, but there must be a reason why it is not sold as it is in Sweden.

Mats Berg answers: Sorry, there is no good scientific evidence that this is an important effective medicine.

Can Acne Remedies Cause Depression?

Question 23: Have you heard that acne medicine can cause depression? It is possible? My son has a terrible acne and nothing helps.

Mats Berg answers: Acne causes depression above all. It is being researched whether the medicines can also do this (myself, for example), but there is no good evidence that this is the case (there is a lot of bullshit on the internet as well). Seek a good doctor and treat!

Is surgery the only alternative to atheroma?

Question 24 from Henrik-68: I have had acne before but got atheroma. I am 44 years old and I wonder if there is anything other than surgery to use in my case?

Mats Berg answers: No, against atheroma only a surgeon helps - they are encapsulated.

Is there any other solution than Roaccutane 

Question 25: My daughter who is 18 years old has had severe facial acne for about 2 years. She has taken liquid B vitamins and used various remedies for the skin but nothing helps. We have heard of other young people who have received Roacutan from a doctor and unfortunately have had side effects in the form of severe mood swings. Is there another solution?

Mats Berg answers: Acne gives mood swings and I have heard that young people can also get it just like us adults. Vitamin B has no proven effect, but there are many drugs including Roaccutane that have it. I have given many hundreds of Roaccutane treatments to severely affected patients and I would never have done it if I thought I had harmed them!

How do I address my son's acne problems with him?

Question 26 by karin123456: Hi! I have a son who is 20 years old and has had acne for about 3 years. He does not seem to suffer from it but it is quite a lot and I do not really know how to deal with it with him. Is it to a dermatologist you should go in the first place?

Mats Berg answers: If he does not suffer from it, you can wonder if it is important to him. You must not project your cosmetic ideals on him. If he has abscesses, however, it can be important to avoid scars by treating. But it is enough to go to a general practitioner in the first place.

Acne can heal itself at any age

Question 27 by Snakazoid: A hot tip! I am a 26 year old girl who has had problems with pimples / acne since my teens. Tried everything, creams and pills. Now I eat pantothen tablets and another pill called Pure skin both are herbal remedies and are available at the Health Food store. No side effects and now I will soon be fine.

Mats Berg answers: Sorry if I am a boring killer of joy, with acne can heal itself at any age. If this really helped, one could easily show it in a controlled scientific study, which is not done. Ugh how boring I sound, but there are many effective drugs that almost always help. The worst I know are patients who lose money on expensive products that are not properly researched !!!!

Blackheads on the nose and under the lower lip

Question 28 by Annemone: Hello! Admittedly, I am not a youth (60+) but have always had blackheads on the nose and under the lower lip. Have tried dehydrating agents but they are always there. What is there to do? Is normal / underweight.

Mats Berg answers: A dermatologist can burn / warm away the blackheads and you can always try prescription a-vitamin creams.

Hard to know what skin type I have

Question 29 by student89: Hello! I have a hard time knowing what skin type I have. I have acne and blackheads = which gives me oily skin, rosacea = which makes my skin very sensitive, plus I always get dry after I wash my face or shower and also show skin tests with a device at the pharmacy show I have very dry skin.

I'm completely confused. How do I know which products suit my skin best if I do not even know what skin type I have. Please help, I have to treat my problematic face with the right product and do not have all the value money or time to test a lot of products and also for all skin types: S.

Mats Berg answers: Sometimes it can be just as confusing as you describe and it can have several skin diseases. You will probably need to see a dermatologist. The remedies skinoren and finacea can help with both acne and rosacea and usually do not irritate the skin as much.

What skin type is affected by rosacea?

Question 30 by rosacea: Hi Mats! What skin type do we have that is affected by rosacea?

Mats Berg: Hello! It depends on what you mean by skin type? Most often - but not always - it is light-skinned people who easily burn themselves in the sun and it is believed that rosacea is most common in Sweden and Ireland. I myself am one of two people responsible for a large epidemiological study in seven countries, which will investigate how common rosacea is in other countries and who is affected.