Taking Charge of Your Health

I’m doctor Mike Evans my question
is work is the best way to treat acne acting vulgarities a skirt a clue your auger send bad but in fact it’s an
old word that means common which acne certainly is acne is
fascinating in the pantheon of diseases many ways trivialize it is simply part
of teenage life that faith and and really doesn’t have any health
consequences but what if I framed in a different way
acne is a disease that makes people feel bad often very bad about themselves just
when it was critical that they feel good about themselves it’s a disease that can scar for life
but that could have been prevented a disease that research shows this is
damaging the quality of life is chronic distressing condition such as
as per epilepsy or diabetes and the timing is so unfortunate just as
we start to be more where her parents oil geyser center located near upper
chest back neck and face all highly visible areas begin pumping
out skin Greece adults can get acne about 10 percent
still have a 25 but almost all teenagers do get acne
which 15 having a more severe case it tends to come on earlier in women but
do to get a little bit works unlike most likely resources on the
internet I’m not gonna offer you 100 percent here there really is no cure for acne most to
the therapies and gonna discuss have about a 40 to 70 percent success rate getting to a higher success rate really
depends on you finding your own special recipe that often requires you combine different agents what we
call step up their p okay the first piece advice is to talk
to a doctor about it repeat after me my doctor has see more
embarrassing things and whatever I show him or her so bring acne up and go back if your
team isn’t working now I bet I can guess the current approach
them if you’re taking who are suffering from acne perhaps you wash your skin vigorously to
keep like it to a minimum maybe put people claim or
whenever you have an outbreak any made even avoid certain foods you
think worsen your me well actually the black and black
kids is really just melanin in oxidized
lipids not there so cleaning vigorously or picking can
actually inflamed pimples washing once daily with the mild soap
for so close Kinder’s fine pretty people came under existing
actually doesn’t actually make much a difference a key key learning is that when you
treating acne you’re actually not doing much for the current pimple you’re preventing the next round so if
you are playing the cream NEC going where you get pimples for most
people this is in what we call the T-cell it takes 60 weeks and sometimes longer
to see if acne treatment is working diet and acne is interesting most research shows no connection but
the trial quality is generally poor for example studies trying to provoke
acne with large amounts of chocolate show expect but the trials for to
shorten too small to be definitive a small trial using a low-glycemic diet
showed some improvement but I I’d say there’s not enough evidence at
this kinda recommend one way being over another the answer is likely just eating
healthfully and if a patient find a big difference with a food I say if I so that food that understand
the best treatment for acne we need to start with the biology lesson than a mere test then step up their p I
think if you comprehend the biology Lackie it makes treatment a lot easier
to understand when you hit puberty many things happen
but two things in particular at your skin
first we get more plugging this is because the hormonal changes
appear ready cause more oil production what we call see them and
the surface of the skin becomes a bit more crusty what we call karen is a sin the second
thing that happens as we get more information this is mostly because the bacteria to
colonize is our skin called P acnes the P acnes mixes with this evil man oil
and causes an inflammatory reaction which gives redness and swelling now acne confuses as I think because
there are so many treatments 1 review indicated a hundred and forty
different treatments in into engine 50 combos so kicker for the mall but we can ask
what the clinical research says is the most effective all these treatments and I think it follows our biology
lesson it’s developing a strategy to a reduce plugging Mb minimize
information we just have acne treatment is to start
with one therapy if it works great if if it only works
personally or not at all then you need to step up to the next level by changing
or adding a therapy okay let’s take a bit of a detour into a
topical 101 total cals are r medicine see you apply
your skin like a cream or gel or lotion jails had to be stronger and more drying
cream so if you have oily skin and a gel might be a good idea if you
have less oily skin the cream would be better and we all
react differently to different topic or so it’s a good idea to experiment with a
topical in one area before you apply everywhere mister with a lower strength and then
ramp it up if you need more effectiveness now let see look in the mirror and now
by the way is a good time to take a picture of yourself pre-treatment leader for comparison
let’s see you see mostly red and inflamed pimples then you need to do something about the
information which means you need to try to reduce the bacteria P acnes benzoyl peroxide or BP is first line
here and it’s available over the counter at any pharmacy it’s good to go graduate bps as he
didn’t seem to be much difference with the different strengths I tell people to
start with los drinks like 2.5 percent and and start putting on for
two hours for four nights in for four hours for four nights and then the whole
night and then wash it off in the morning if
you tolerate that well but you want more fact than you can try switching to a
stronger version remember you have to give it a few
months to see if it works alright back to the mir look in your
face if you see plugin on your skin which would be small bumps blackheads or
whiteheads then you need to focus on unplugging the classic can plug in agent
in acting cares called the retinoid retinoids work by making your skin less
Christina and you need a prescription to get this treatment sometimes you can make your skin a bit
red and dry so again experiment dryness can be helped with a moisturizer
so if you look in the mirror and see both red spots and black or white heads on your skin
they need to both unplugged and reduce information by
using a combination of both retinoid NPP but I suggest you start with one to see
how your skin reacts there’s some debate about which one
should be first but usually most people start with BP as its over
the counter okay if these first-line agents have
worked it’s time to look at the NEX options for step up therapy if your women you can consider using a
birth control pill as it reduces the hormones that cause plugging in the
first place this is an especially effective approach
if you can have flare-ups have acne around your period you can also consider a topical
antibiotic to reduce P acnes and information these can be prescribed to pre mixed
with BP or retinoid if you already know you tolerate these
next we often step up to antibiotics take by mouth now we do you worry a bit about over
using antibiotics so it’s good to take a break every few
months to see if you still need it if your step up their peers not worked
after all these treatments your doctor has other options that you can discuss
finally if you’ve exhausted all your options there is a very strong
right now I taken by mouth called isotretinoin it is the supreme employer and and it’s
incredibly effective for severe acne been a mixed message here though
isotretinoin has some potential side effects and and a powerful drying
effects are you really need to pack your lip balm and moisturizer and so on and including the fact it absolutely can
not be taken by women that is pregnant so you need to be monitored closely when
you’re on this medication having said that I have seen
isotretinoin change the lives of more severe acne sufferers in and if you think scarring is likely
then this may be a reason to consider it a try no in some sense acne treatment a simple
reduce plugging information but it’s all so complicated
as there are many many agents that do these two things treating acne is a bit like basketball
have to experiment with various players in combinations the score can fluctuate initially and it
takes a little while to figure out who will win but you can win if you stick with I made a card to help you sort out all
the different treatments it’s free at my favorite medicine DICOM I really hope this helps take care just

45 thoughts on “What is the Best Way to Treat Acne?

  1. I used to have mild breakouts during the menstrual cycle period, but I used 2% Salicylic acid and 2% benzoyl peroxide products from Neutrogena and they work really well on removing as well as preventing my acne. Now I rarely get acne even with makeup, perhaps this is because of my routine facial-care: I use sunblock, hydrating gels, acne face wash etc and my eating habits: low cholesterol and non-greasy food. I love the video, thank you!

  2. The best remedy: let cat thoroughly lick my face, it takes all the oil thing off and then wash your face with soap and hot water. The next day I see improvements.

  3. I use the salitic solution by Mary Kay and it dries up the pores and clears them up, but is this a good method for treatment?

  4. Wonderful video! I wish teachers could educate this way!! I can only imagine the success rate of an academic system in which visual learning is used. Everyone would benefit from being shown what to do as well as being told what to do.

  5. I just read on the net that milk causes acne. How far is that true according to you? Because I take it everyday!!!

  6. Isotretinoin works I took it 4 months before prom and all my acne went away. Just have to take a month to month blood test to see how your doing. I recommend it for those who have horrible acne.

  7. There is a studies involving 2 groups, one who only ate low GI foods and one who ate normally. The first group significantly improved their skin over the second. I would not say there is no link between food and your skin (like was thought at first as people looked at some old chocolate studies). Might very well help, you could simply try it out for two months and report back. Might also be that its other food that is causing it, but there is not much research on the topic.

  8. my face has been really messed up because of this shit.. but it's better now.. although it seems like what i had on my face, multiplied by 100 and went to my back >:/

  9. salicylic acid is not for real acne, it'll just lightly dry your skin. This video is to inform those with real acne.

  10. True,IF the milk products are pasteurized.Only milk products that don`t cause acne are the ones, that are NOT pasteurized.

  11. Diet, guys, Diet! Your doctor may know nothing about it, but with a low-fat, no-oil vegetarian diet, you will diminish the problems quickly and very substantially. Don't take my word for it. Try it!

  12. Funny you should mention that. Every single time I eat chocolate, my skin breaks out in spots in my t-zone. It is an obvious pattern and not a coincidence.

  13. Great videos!!!! I'm an NP student and even though I already have a lot of medical knowledge your videos definitely help fill in the blanks!!! I will be referring my patients to your youtube channel! You're a great teacher!

  14. It agree it takes a bit of experimenting as what works for one person might not work for another. What I found worked for me was altering my diet to eat more healthily and not eat too much sweets, keeping my face clean and using BP minimally when I did have a breakout.

  15. You speak about exactly what I did as a teenager! I thought that my skin was greasy so I would keep washing it several times a day. This just made my face red and it didnt help clear up the acne. Luckily I found several methods that worked for me after experimenting for a while.

  16. This was an amazing and informative very informative video. Thank you. You've changed my perspective and helped educate me on my acne. Reduce plugging reduce inflammation got it 🙂

  17. @Meefy
    Same as me man around 13, 14 is when i first got it. An I'm 16 an still got it. An I know 16 is like the middle age of a teen an that's when it gets the worst but still it used to come an go an now it's just always looking the same no matter what. Like I get so tired of seeing it there. Like just imagine the last time u had clear skin when u were12 an now you've had acne around u for about 4 or 5 yrs straight fucking sucks. Makes u look dirty too. Try everything I could do from eating healthy to trying out proactive. Think clearisal works better though. But yeah I might have it my whole fucking life an that just stressed me out thinking that.

  18. In my experience, the only things that really work are benzoyl peroxide and Accutane. Benzoyl peroxide will severely stain all of your clothes if you're not careful, though. I spent years avoiding Accutane because I was afraid of the side effects, but eventually went on it. In retrospect, I probably should have just gone on Accutane earlier. 

  19. I'm 55 and experienced terrible acne in my youth and still had trouble the rest of my life. I still struggle a bit. I don't have the perfect cure, but I can tell you what helped.
    Number one was surfing. The sun and saltwater did wonders for my skin. 
    2. Bleach! Bleaching my clothes and changing clothes often helped a lot. I wore 2 or 3 fresh T-Shirts a day. A fresh T-Shirt to bed as well. Add some Dawn Dishwashing soap to your clothes washer as well. It helps to remove the oil from your clothes. 
    3. When drying off from a shower, I never rubbed my skin with the towel. I only patted my skin dry. The rubbing smears the oil and bacteria around and creates more pimples. 
    4. A fresh pillow case before bed. I tried to use more than one pillow through the night as well.
    5. Lots and lots of water! Rest and vitamins as well. A strong immune system helps! 
    6. Try to never touch a pimple, or even your skin. Fingers are just terrible bacteria spreaders. Wash your hands with antibacterial soap several times a day.
    7. Use a good scrub brush in the shower. One that hurts a bit, and use a lot of antibacterial soap with it.
    8. Keep your hair off your skin. Hair just spreads that bacteria around.
    9. When I began to shave my face my acne problem got much better. I believe the hot water and shaving cream helped to lift the bacteria from my pores. 
    10. I'm using a facial scrub now that is doing miracles. It's called Pre Shave Nivea For Men Revitalizing Face Scrub. I use it just once a week and it's amazing. Benzoyl Peroxide never helped me at all. 
    Lastly I want to warn against using Accutane. My girlfriend used it and she now has Crohn’s disease. It's destroyed her life permanently.   

  20. For scarring there are alot of different ways to go. But first you have to make sure your acne is under control, or you will end up having to pay for more treatments. There are natural treatments like püre argan oil . You can rub the oil directly on the scars .My choice is argan rain pure argan oil.

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