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Acne, Acne Scars, Rosacea

Acne and its effects, like blackheads, pimples and scars, especially on the face, can impair your self-esteem. In acne, sebum accumulates in the sebaceous gland follicles of the skin due to hormone activity.

Where excess sebum accumulates, the follicle bursts and can result in a painful inflammation. Bacteria release fatty acids from these sebum accumulations, further stimulating the inflammatory process. Together, we will develop an effective therapy for long-term results that not only helps to prevent scars, but also makes your skin shine again.

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Your questions.
Our answers.

What are the different forms acne?

In addition to the classic forms of blackheads, whiteheads and pimples with more or less inflamed pustules, there are many different forms of acne. For example, acne can develop through physical injuries to the skin, from certain medications, in infants and adult women and the so-called ‘Mallorca acne’ after sun exposure.

How do hormones affect the skin?

Androgens (male hormones which also play an important role in the body of every woman) stimulate the sebaceous glands. Higher androgen levels (such as DHEA-S, testosterone and dihydrotestosterone) can trigger increased sebaceous gland activity.

What is the connection between acne and the contraceptive pill?

Some birth control pills contain anti-androgens which can reduce sebaceous gland activity. They can, therefore, have a positive effect on hormone-dependent skin conditions.

How should you cleanse and care for skin with acne?

The basic skincare ritual includes a cleansing gel in the morning and evening to regulate sebum production without drying the skin. This should be followed by a toner, for example with salicylic acid, to exfoliate and remove dead skin cells and a non-greasy moisturising cream to protect the skin.

Important: avoid excessively frequent and strong peels. An incorrect peel can injure the skin and spread bacteria at the same time. Enzyme peels are a gentle alternative. Cleaning brushes are also not a good idea for acute acne as bacteria can multiply in the moist brush hair. Make-up may be used as long as it is oil-free.

It is difficult to keep your hands off your pimples. Unfortunately, this can make acne even worse, as only the follicle is damaged while the accumulated sebum remains in the skin. The result the next morning is an inflammation, which, in the worst case, heals leaving a scar. We recommend an appointment with one of our beauticians to professionally clean blackheads and pimpleswithout injuring the skin.

Does diet have an effect on acne?

There is increasing evidence that nutrition is a major influencing factor on acne. Foods with a high glycaemic index (processed sugars, pasta, white bread) and dairy products increase insulin levels and result in a high level of the undesirable insulin-like growth factor. This stimulates sebum production and increases the symptoms of acne.

Does drinking water help with acne problems?

Of course! Three and a half litres of water per day stimulate metabolism in the cells and waste products are more easily transported away, leading to a faster healing of the inflammation.

Which dermatological treatment methods are available?

After precisely identifying the causes, we can determine the appropriate cleansing and care routines and prescribe creams and, if necessary, antibiotics or vitamin A-containing medications. These allow acne to heal more quickly and thus prevent the formation of scars. Parallel cleansing treatments by a trained cosmetician are important.

Treating acne with isotretinoin: what do I need to know?

Isotretinoin is the only medication that can result in a permanent reduction in increased sebaceous gland activity and thus can heal severe acne. Treatment should begin before the onset of scarring.

Tablets should be taken once a day with at the richest mealtime. The treatment is otherwise harmless when performed by an experienced dermatologist. The treatment results in a very dry skin which is more sensitive to light. We check laboratory results regularly.

It is important to note that pregnancy should be prevented during and until one month after the end of the therapy. After the treatment, the risk of malformation of the fetus is not increased and fertility is not impaired.

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