Acne

Acne is a really common skin condition affecting both adolescents and adults. Understandably, it can be a great source of upset for people. Unfortunately, it can result in unnecessary scarring for some.

If you are upset about your acne or theover the counter treatments have not helped you within a couple of months, feelfree to make an appointment with me so that I can help empower you to takecontrol of your skin.

Watch, Listen

Here are is some useful content, well worth a watch or listen.  

Your Skin Questions, Answered

Find clear answers to common dermatology and clinic questions below.

Is it something I am eating that is resulting in my acne?

Diet is not the main cause of your acne. Rarely will a change in diet impact on your skin. im for a healthy balanced diet

NICE guidelines state : “Advise people thatthere is not enought evidence to support specific diets for treating acne.”

The British Association of Dermatology and American Academy of Dermatology advocate a healthy, balanced diet.

www.safefood.net is a good resource to guide you further in learning about healthy diet.

Do I have excess hormones that are causing my acne?

Acne tends to start in adolescence whenhormone levels rise with puberty. People who suffer from acne do not tend tohave higher levels of hormones than others resulting in more sweat/sebumproduction. It is more that the sweat glands in their face and trunk are moresensitive to circulating hormones. 70% of femaleswill notice an aggravation of the acne just before or in the first few days ofthe period

Should I get a facial to help treat my acne?

I thinkit is always best to refer to reputable guidelines when trying to decipher if atreatment is worth doing. The American Academy of Dermatology states that thereis “limited evidence to recommend the use and benefit of physical modalitiesfor the routine treatment of acne, including pulsed dye laser, glycolic acidpeels and salicylic acid peels.”

When should i see my GP about my acne?

It is generally recommend to visit you GP when : 

  • If you are upset by your acne.
  • Not responding to over the counter treatments within 2-3 months.
  • Acne is scarring your skin.
How do I book or reschedule an appointment?

Appointments can be booked or rescheduled online or by calling our clinic directly during business hours.

What might I be prescribed by my doctor?

The following are common evidence based prescriptive treatments for acne: 

  • Retinoid cream- Good for treating blackheads, white heads, pimples and also for preventing recurrence of acne. Will take 3 months to appreciate full effectiveness and often prescribed for a number of years during adolescence to prevent recurrence.
  • Antibiotic/benzoyl peroxiede cream- good for red pimples and pustules
  • Antibiotic tablets- good for treating red pimples, pustules and nodules. Usually prescribed along with retinoid cream as they work synergistically together. Usually prescribed for three months. Aiming for 50% improvement within two months.
  • Isotretinoin- 6-7 month course of tablets which are often prescribed when first line treatments fail, if acne recurs on cessation of first line treatment, skin scarring due to acne or acne associated with psychological stress
Would sun exposure be good for my acne?

A sunburn that reddens the skin,or suntan that darkensthe skin may make the acne less visible and make theskinfeel drier. However, these perceived benefits are temporary. Therefore , we donot recommend sun exposure to treat acne.

Risk of skin cancer andpremature ageing associated excess UV/sun exposure

I recommend patients to use anon-oily (non-comedogenic) broad spectrumsunscreen offering protection fromboth UVA/UVB, with a minimum SPF 30.

Any tips on creams and cleansers I should use when applying/taking prescribed treatments?

While your skin may typically have been oily, it will usually become dry with prescribed treatment. Therefore, you will need to use a different moisturiser and cleanser to support your skin in tolerating the prescribed treatment.

Avoid creams/cleansers that advertise their ability to treat acne or blemishes as they are likely to contain salicylic acid or benzoyl peroxide which will dry out your skin and make it harder for you to tolerate your prescribed treatment.

Choose a gentley dyhyrating cleanser

Choose a facial moisturiser for normal to dry skin

Topical retinoids, acne antibiotic tablets and isotretinoin make you more sensitive to the sun so you need to use a facial SPF daily when taking/applying these treatments

Have more questions? Book a consulation

Tackling the myths!

Misinformation in social media regarding acne

"Isotretinoin falsely being linked with infertility, erectile dysfunction and sexual dysfunction."

Blogs also exaggerated the riskof organ injury with isotretinoin, saying that the drug often caused liver orkidney failure, whereas laboratory abnormalities are extremely rare in patientson isotretinoin.

There is no increased risk of InflammatoryBowel disease with isotretinoin



"Veganism is a natural and rapid cure for acne"

Although veganism has many tangible benefits such as reduced risk of cardiovascular disease, decreased environmental impact and ethical considerations, there is no supportive evidence for veganism in reducing acne severity.

"Acne is caused by dirty skin."

Acne is primarily driven by hormones, excess oil (sebum), clogged pores, inflammation, and bacteria — not poor hygiene.

Over-washing can actually make acne worse by irritating the skin and increasing oil production.

"Sun exposure is good for Acne."

A sunburn that reddens the skin, or suntan that darkens the skin may make the acne less visible and make the skin feel drier. However, these perceived benefits are temporary. Therefore , we do not recommend sun exposure to treat acne.

Risk of skin cancer and premature ageing associated excess UV/sun exposure

I recommend patients to use anon-oily (non-comedogenic) broad spectrumsunscreen offering protection fromboth UVA/UVB, with a minimum SPF 30.

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Daily Skin Routines

Daily skin routines are critcial when it comes to managing acne

Tips on how to manage first signs of acne

  • Wash face twice daily
  • If your skin is oily, use a foaming facial wash/cleanser which is good at removing excess oil
  • Wash hair regularly especially if you have oily hair
  • Try to keep your hair out of your face
  • Choose creams, sun creams and cosmetics that do not block your pores. Often termed as “non-comedogenic"
  • Resist! Resist! Resist! Do not poke, squeeze or pick spots as this can cause scarring.
  • Wash make up brushes regularly

How to Manage First Signs of Acne Using Over the Counter Products

You could consider using some of the following

  • Salicylic acid containing products e.g. moisturisers/cleaners-wide price range
  • Nicacinamide-reduces redness, helps regulate oil production, look for 3-5% concentration  (located in cleansers, moisturisers etc)
  • Benzoyl peroxide 5-10% products – antibacterial, works on blackheads and white heads, effects seen within a week, best results within 12 weeks. Can be found in face washes and gels.