Acne grade 1: learn to identify the less severe stage of the disease
It bothers and is a cause of desperation for many people. However, acne is not always as severe as it looks. There are many degrees of this disease, as defined by the medical literature, which depend on how it manifests itself. They are five in all, the first being the least aggressive.
Unifesp's dermatologist Solange Teixeira explains that acne is a pathology originating from the sebaceous gland, the structure of the skin responsible for the production of natural oil. The disease arises when there is hyperkeratinization of the skin, that is, it becomes thicker, leaving the sebaceous follicle (another structure of the skin) narrower. With this, the material produced by the gland can not get out under the skin and builds up. Another reason is the exaggerated production of sebum by the sebaceous glands.
If you have acne, notice that by stretching the skin there are some apparent "bubbles", but still under the skin. They are the comedones or blackheads closed - that is, the material produced by the gland that could not get out to the outermost layer of the skin, the epidermis. Other times, this material condenses and ends up dilating the pore and appearing on the outside of the skin. These are the open comedones.
Grade 1: free of inflammation
In the case of grade 1, these blackheads are not inflamed - and this is the main feature that defines this level: the absence of inflammation, either in open or closed. The carriers have few pimples, that is, the comedones rarely ignite. "There may even be a small papule or pustule, but it is rare in this degree," says Solange.
Contrary to what one might think, it is not the amount that will define acne grade. What it indicates are sub levels of the same degree. People with mild grade 1, for example, have few comedones. In grade 1 moderate, there is a larger amount, but not as much as in the severe level, where the presence of blackheads is great.
Degree carnations in general can appear in various parts of the body - where the sebaceous glands are such as the face. Although the face is the most common site, says Solange, there are patients who also have comedones on the back and chest.
Treatments for the first grade
The treatment of this degree of acne is simpler, since there is no inflammation . According to the Unifesp dermatologist, care is merely local and rarely extends to oral medications.
The doctor usually prescribes topical (skin) medications that will decrease the excessive formation of keratin that, as we have seen, is one of the responsible for the onset of acne. They are composed of retinoids, which include retinoic and salicylic acid, adapalene and sulfur, plus azelaic acid, glycolic acid, isotretinoin and benzoyl peroxide. There are also peel treatments, which remove the superficial layer of the skin, and the classic skin cleansers, where a professional removes the blackheads so as not to leave scars.
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Between the lasers, Solange cites the so-called Isolaz , which performs a suction on the skin, helping to remove the blackheads. In addition, its light helps to sterilize the area, which is also very useful in case of inflammation of the comedones. In cases where acne resists, even with topical treatment, or when the skin begins to form scars, the dermatologist usually indicates an oral medication, such as Roacutan (whose scientific name is oral isotretinoin). However, its use should only be indicated by a dermatologist after a battery of tests. The care is due to the fact that this medication is associated with several side effects, which includes increased cholesterol and muscle fatigue, and may be even teratogenic, that is, cause poor formation of the fetus if used by a pregnant woman. Therefore, among the tests done before the medical recommendation, we can find cholesterol, triglycerides, liver function and pregnancy.
In addition to treatments, the secret to decreasing and even getting rid of comedones is daily care. Wash your face morning and evening with a soap that is usually indicated by the dermatologist himself. It will remove impurities such as makeup and dust, and will control oiliness. Then, if your skin is very oily, the pair of dermatologists advise an astringent tonic, such as one with benzoyl peroxide, which will wipe the skin deeper.
Finally, sunscreen dispenses moisturizers. Some already have keratolytic action, that is, they decrease the production of keratin, so that the pores have more difficulty to clog. The scrub can not be very thick or oily, and oil-free or gel-like is recommended.
Exfoliation varies from person to person, but can usually be done one to three times a week depending of acne severity. Nor should it be aggressive, and should be done with delicacy. "Today there are exfoliating soaps with small, regular grains that do not hurt the skin," says the expert.
Another important measure is not to wash your face with hot water. Although this habit reduces natural oiliness, this only happens temporarily. Then, Solange explains, there is the so-called rebound effect. In it, body understands that the skin is very dry and starts to produce more fat, worsening the situation. Therefore, the natural oiliness of the skin should be balanced.
If you are adept at makeup, you should also take care. If it is comedogenic, that is, facilitating the formation of comedones by clogging the pores, it may worsen the condition. In addition, makeup removal should be done very well, so as not to mitigate pore clogging. And do not even think about burying your weevil alone! According to the dermatologist, this may aggravate the condition, which can cause a nail to ignite, leave scars, and increase the chances of a grade 1 acne developing to a more severe degree.
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