INDIAN MAKE-UP (IMAGES)

INDIAN MAKE UP(IMAGES)

Types of acne

There are many variations of acne, ranging in severity from mild to severely disfiguring.

Acne Vulgaris - mild/moderate

Acne Vulgaris is the most common form of acne. Acne vulgaris lesions include blackheads, whiteheads, papules, pustules, nodules and cysts.
Mild to Moderate acne vulgaris consists of the following types of acne spots:

Whiteheads: Whiteheads result when a pore is completely blocked, trapping sebum (oil), bacteria, and dead skin cells, causing a white appearance on the surface. Whiteheads are normally quicker in life cycle than blackheads. You can view a diagram of a whitehead on the what is acne page. The Regimen provides a step-by-step program on how to treat whiteheads.

Blackheads: Blackheads result when a pore is only partially blocked, allowing some of the trapped sebum (oil), bacteria, and dead skin cells to slowly drain to the surface. The black color is not caused by dirt. Rather, it is the skin's own pigment, melanin, reacting with the oxygen in the air. A blackhead tends to be a stable structure, and can often take a long time to clear. You can view a diagram of a blackhead on the what is acne page. The Regimen provides a step-by-step program on how to treat blackheads.

Papules: Papules are inflamed, red, tender bumps with no head. Do not squeeze a papule. It will do no good, and may exacerbate scarring. The Regimen provides a step-by-step program on how to treat papules.

Pustules: A pustule is inflamed, and appears as a red circle with a white or yellow center. Pustules are your garden variety zit. Before you pop or squeeze such a lesion, be sure to read about how to pop a pimple. The Regimen provides a step-by-step program on how to treat pustules.

Acne Vulgaris - Severe

Severe acne vulgaris is characterized by nodules and cysts:
Nodules: As opposed to the lesions mentioned above, nodular acne consists of acne spots which are much larger, can be quite painful, and can sometimes last for months. Nodules are large, hard bumps under the skin's surface. Scarring is common. Unresolved nodules can sometimes leave an impaction behind, which can flare again and again. Absolutely do not attempt to squeeze such a lesion. You may cause severe trauma to the skin and the lesion may last for months longer than it normally would. Dermatologists often have ways of lessening swelling and preventing scarring, such as injecting the lesion with cortisone.
Cysts: An acne cyst can appear similar to a nodule, but is pus-filled, and is described as having a diameter of 5mm or more across. They can be painful. Again, scarring is common with cystic acne. Squeezing an acne cyst may cause a deeper infection and more painful inflammation which will last much longer than if you had left it alone. Dermatologists often have ways of lessening swelling and preventing scarring, such as administering a cortisone shot.

Acne Rosacea

Acne Rosacea can look similar to the aforementioned acne vulgaris, and the two types of acne are sometimes confused for one another.
Rosacea affects millions of people, most of whom are over the age of 30. It appears as a red rash which is normally confined to the cheeks, nose, forehead and chin. The redness is often accompanied by bumps, pimples, and skin blemishes. Blood vessels may also become more visible on the skin. Blackheads are not part of rosacea. It is more prevalent in women, but often more severe when found in men. Left untreated, it can cause swelling of the nose and the growth of excess tissue, a condition called rhinophyma. Treatment is often different for rosacea than for acne, and it is important that you consult a dermatologist if you suspect you are experiencing rosacea.
Acne Rosacea message board

Severe forms of acne

Severe forms of acne are rare, but they inflict great hardship to the people who experience them.
Acne Conglobata: This is the most severe form of acne vulgaris and is more common in males. It is characterized by numerous large lesions, which are sometimes interconnected, along with widespread blackheads. It can cause severe, irrevocable damage to the skin, and disfiguring scarring. It is found on the face, chest, back, buttocks, upper arms, and thighs. The age of onset for acne conglobata is usually between 18 to 30 years, and the condition can stay active for many years. As with all forms of acne, the cause of acne conglobata is unknown. Treatment usually includes isotretinoin (Accutane), and although acne conglobata is sometimes resistant to treatment, it can often be controlled through aggressive treatment over time.

Acne Fulminans: This is an abrupt onset of acne conglobata which normally afflicts young men. Symptoms of severe nodulocystic, often ulcerating acne are apparent. As with acne conglobata, extreme, disfiguring scarring is common. Acne fulminans is unique in that it also includes a fever and aching of the joints. Acne fulminans does not respond well to antibiotics. Isotretinoin (Accutane) and oral steroids are normally prescribed.

Gram-Negative Folliculitis: This condition is a bacterial infection characterized by pustules and cysts, possibly occurring as a complication resulting from a long term antibiotic treatment of acne vulgaris. It is a rare condition, and we do not know if it is more common in males or females at this time. Fortunately, isotretinoin (Accutane) is often effective in combating gram-negative folliculitis.

Pyoderma Faciale (Rosacea Fulminans): This type of severe facial acne affects only females, usually between the ages of 20 to 40 years old, and is characterized by large painful nodules, pustules, and sores, all of which may scar. It begins abruptly, and may occur on the skin of a woman who has never had acne before. It is confined to the face, and usually does not last longer than one year, but can wreak havoc in a very short time. Doctors often prescribe isotretinoin (Accutane) and systemic corticosteroids are sometimes use an an adjunct.

References
Bettoli, Vincenzo, Alison M. Layton, and Diane Thiboutot. Fast Facts-Acne. Oxford, UK: HealthPress Limited, 2004.
Farmer, Evan R., and Antoinette F. Hood. Pathology of the Skin. New York: McGraw-Hill, 2000.
Fry, Lionel. The Encyclopedia of Visual Medicine Series: An Atlas of Dermatology. New York: The Parthenon Publishing Group, 1997.
Helm TN, Schecter J. "Biopsy may help identify early pyoderma faciale (rosacea fulminans)." Cutis. 2006 Apr;77(4):225-7.
Jansen T, Plewig G, Kligman AM. "Diagnosis and treatment of rosacea fulminans." Dermatology. 1994;188(4): 251-4.
Kligman, Albert M., and Gerd Plewig. Acne and Rosacea. Berlin: Springer, 2000.
"Questions and Answers About Acne." National Institute of Arthritis and Musculoskeletal and Skin Diseases Jan. 2006. National Institutes of Health. 2001. link.

Acne.org - A community organization

beauty skin

The Basic 4-Step Skincare Regimen Step 1: Cleansing

Simple is key here. You need to find a good cleanser that your skin responds well to, and stick with it.

You can find a good cleanser at the drugstore. There's no need to spend $40 on a fancy wash. Avoid bar soaps as they tend to dry out the skin. According to Rona Berg, in her book, "Beauty," a French cosmetics executive once told her, "Soap should only ever touch your skin from the neck down." We agree. Choose a creamy cleanser if you have dry skin or a clear cleanser if you have oily skin.

Be careful not to cleanse too often. Washing at night should do you. If you have dry skin, consider cold cream like Pond's, which the French use. Simply apply cream, then wipe off, no water needed (if you have hard water it can be especially harsh on skin). Most women prefer the water method: Use warm water to loosen dirt and clogged pores. Use a dime-sized bit of cleanser, then rinse with cool or lukewarm water. You'll also want to take off your makeup with a proper makeup remover.

In the morning, a splash of lukewarm water is all you need (we find it's great for removing excess oils from your nightly moisturizing). Never wash your face with hot or cold water (both can cause broken capillaries). Also be careful about overcleansing skin, see signs you are overcleansing your skin.

Step 2: Exfoliate

Exfoliation is the step most people skip in their weekly skincare routine. But trust me, if you start properly exfoliating your skin, you will notice an almost immediate difference. According to Berg, one of the reasons men's skin looks more youthful than women's is because men tend to exfoliate daily when they shave. There are several ways to exfoliate skin: Microdermabrasion, chemical peels and retinoids.

Scrubs work by removing the top layer of dead skin cells that tend to dull your complexion. We find exfoliating skin once a week with a microdermabrasion kit keeps skin glowing year-round. Make sure you use a gentle scrub with tiny grains. Big grains in cheap scrubs can tear skin and cause more harm than good. My favorite microdermabrasion kit is made by Lancome.

In the hour it takes to get a chemical peel, you can take off five years from your face. Can't afford the price tag for a monthly peel? Try some over-the-counter peels that work over the course of a month. I prefer MD Skincare's.

Retinoids (such as Retin-A or the more moisturizing Renova) also work by removing the top layer of dead skin cells while also generating collagen in the skin. "Collagen is the skin's structural fiber," dermatologist Dennis Gross said in O Magazine. "As we get older, it breaks down, creating lines and large pores." Skincare experts disagree on all sorts of things, but most of them consider retinoids to be a miracle skin saver. I'm addicted to Retin-A, which I pick up in Mexico on my yearly jaunts.

Should you use a toner? Some people swear by toners, but many beauty experts do not (I once read a skincare expert claim, "toners are only for copy machines"). Toners are meant to remove all remaining traces of oil, makeup and dirt, but a good cleanser should do this. I firmly believe it's up to you. If you like the way your skin feels with a toner. Buy it. Use it. Enjoy it.

Step 3: Moisturize

While I know of at least one famous beauty editor who swore skin doesn't need moisturizer, basically everyone else I've read disagrees and is an adamant believer in it. A basic law of beauty is that everyone, no matter her skin type, should moisturize. Even if your skin is oily, it will benefit from moisturizers. (The only exception is those with acne). Why? Moisturizers seal moisture into skin (Berg calls this the "Saran Wrap effect"). So how much should you moisturize? Your skin will tell you. When your skin is tight, it's crying out for moisture. Be careful not to overmoisturize -- this can clog pores.

Are eye creams necessary? Well maybe. Some beauty experts strongly recommend eye creams. Why? The skin around the eye contains no fatty tissue and is therefore very thin and susceptible to wrinkles. Special eye creams are formulated to "thicken" this area. Yet other experts (including the beauty editors of Allure in their new book) claim your daily lotion works around the eyes just as well.

Step 4: Apply Sunscreen

O Magazine ran an article featuring interviews with several top skin care experts and dermatologists. Every  single one of them said sunscreen was the most important part of your skincare regimen. It was the secret they would pass on to their daughters.

The number-1 cause of wrinkles is sun damage, so it's important to use sunscreen from your early years on even in winter and on cloudy days. A great trick is to purchase two moisturizers: One for night and one for day that includes UV protection. Don't use moisturizers with sunscreen at night, the ingredients are not meant to be used 27/7 and can aggravate skin. When choosing a sunscreen, make sure it contains Mexoryl (found in my favorite sunscreen La-Roche Posay) or Helioplex, found in Neutrogena products.