Acne develops when there is an excess production of sebum, or oil in the skin, leading to pores becoming clogged, proliferation of bacteria and inflammation. This results in breakouts on the skin in the form of blackheads, whiteheads, pimples or cysts. Once a breakout clears, it can leave long-lasting spots on the skin such as discoloration or scarring. Acne most often occurs on the face, chest or back and can affect people of all ages. Newborns may develop a form known as neonatal acne; teenagers undergoing hormonal changes of puberty are frequently faced with acne; athletes develop breakouts in areas of increased sweat or friction; adult men and women can develop acne around the hairline from certain hair products clogging their pores; and young adult women may develop adult acne on the jawline and around the mouth for the first time, as a result of hormonal influences such as circulating androgens in the body.
In some people, acne can be exacerbated by dietary factors. Studies have shown that switching to a low glycemic index diet can reduce acne, while high glycemic index foods that cause spikes in blood sugar lead to worsening of acne. When blood sugar spikes, there is an increase in inflammation throughout the body, as well as increased sebum (oil) production in the skin, both of which contribute to acne. High glycemic index foods include white bread, potato chips, doughnuts and pastries. Low glycemic index foods include fresh fruits, oat bran, whole grains and non-starchy green vegetables. Dairy products, in particular cow’s milk, have also been shown to contribute to acne based on the theory that hormones in milk lead to inflammation in the body.
With the right skin care acne evaluation, acne treatment and care, virtually everyone can have clear skin. The proper treatment and acne regimen depends on the underlying cause of the breakouts, a person’s age, gender, skin type and unique complexion, and the type of acne lesions occurring. It’s important to treat acne in the early stages, before it leads to long-lasting scarring. Daily facial cleansing and use of non-comedogenic products forms the foundation for a skincare regimen. There are several topical over-the-counter and prescription medications which can be used in various combinations for long-term acne control. These include benzoyl peroxide, clindamycin, retinoids, salicylic acid, sulfur and dapsone. For more severe hormonal or cystic acne, oral (systemic) medications are often recommended, such as antibiotics, anti-androgens (including birth control pills and spironolactone) or isotretinoin. For patients who are not candidates for systemic medications or who prefer alternative treatment options, chemical peels and Intense Pulsed Light (IPL) therapy are effective and safe modalities. Chemical peels are applied topically and can be customized with a blend of ingredients and different ranges of stren. Intense Pulsed Light penetrates into the hair follicle and targets the bacteria responsible for acne (P. acnes), thus reducing active inflammatory acne lesions.
Acne varies in severity and type, each with unique characteristics:
Knowing the specific type of acne you have is essential for choosing the right treatment.
Acne symptoms can range from mild to severe and typically include:
These symptoms are often most noticeable on the face, chest, back, and shoulders where oil glands are most prevalent.
Preventing acne involves a combination of lifestyle changes and skincare practices:
These steps can help minimize the occurrence of acne and improve your skin health.
Even with prevention, breakouts might occur. Here’s how we can help:
Remember: Consistency is key! Following your prescribed regimen for the recommended duration is crucial for achieving clear skin.
Take the first step towards healthier, more radiant skin by contacting Ayana Dermatology & Aesthetics. Our team of experienced board-certified dermatologists is ready to craft a personalized treatment plan that addresses your unique skin concerns. Don’t let acne control your life—reach out now and discover how we can help you feel confident and beautiful in your skin. Call us or visit our website to schedule your consultation today!
The best derm experience I’ve ever had, truly. I felt well taken care of by the entire team. Dr. Levi is warm, caring, and incredibly knowledgeable regarding all aspects of dermatology. She took her time to explain everything from A-Z so I didn’t leave with any worries or concerns. I highly recommend this practice! I […]
I can’t even begin to explain the warmth of this office! It’s new, clean, stylishly white, and full of nice people. I was asking around for recommendations for months, doing an extensive web search, and panicking a bit while a spot on my back became increasingly itchy. The boyfriend said why don’t you just call […]
Beautiful office great staff very professional the doctor comes with a magnificent history in the industry in NYC she makes you feel very comfortable and i have total confidence in her decisions and advice so glad i found her!
This was my first time visiting a dermatologist for cosmetic purposes and the experience was top notch. Dr Levi answered all my questions and explained everything easily. She took her time and was incredibly thorough. The best part is I love my new face! I got botox and lip injections and my only regret is […]
I just started going to Dr Levi recently after moving to the area, and she is by far the best dermatologist I have had (and I have had many). She’s really thorough and great at explaining conditions and treatments. She is also a really good listener, which seems sadly rare in doctors these days. I […]
Thank you for the knowledge, explanation and special treatment Dr. Cherise M. Levi you’re the best! Beautiful place, so peaceful & great team! Definitely going to see you soon again 🙂


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