Acne in adulthood

Under the influence of sex hormones - androgens, there is an overproduction of sebum and hyperkeratinization - the formation of scales and clogging of the hair follicle. These conditions lead to an overgrowth of bacteria, inflammation and the surrounding tissue. According to the severity of the acne condition, several forms are distinguished:

  • Acne comedonica - mild acne; occurs mostly on the face but also on the back
  • Acne papulopustulosa - mild to moderate acne; papules, pustules, inflamed and reddened skin are present
  • Acne conglobata - a severe form of acne; there is a high risk of pigmentation and scarring, most common on the face, neck and back, with papules, pustules to cysts and subcutaneous nodules
  • Acne fulminans - is the most severe and, in terms of occurrence, the rarest form of acne; it may be accompanied by temperatures

Why do I get acne as an adult?
Acne can be inherited, but internal and external factors such as various medications, but also the disease itself, diet - especially foods with a higher glycemic index, excessive consumption of dairy products, certain medications, smoking, stress, mechanical irritation and excessive squeezing, inappropriate clothing (airtight, tight), certain chemicals in contact with the skin (fluorine, chlorine, tar), comedogenic cosmetic products can also stimulate its formation and worsen the symptoms.

When should I no longer wait to see the doctor?
The professional help of a skin doctor should be sought if, despite regular care, acne develops or if the condition worsens significantly. He may recommend additional examinations, scrapings or scrapings, taking into account the patient's medical history and clinical condition.

How can non-pubertal acne be treated?
We always treat each patient individually. It is necessary to assess the extent and degree of severity of the disease. Treatment is divided into local, general and complementary.

If acne needs to be treated topically, benzoyl peroxide or topical antibiotics are particularly effective, but also azelaic acid, retinoids or combination preparations. Complementary drugs are chemotherapeutic agents such as metronidazole with bacteriostatic effects. In more severe cases, we resort to general antibiotic treatment, and in nodulocystic acne or after previous failure of antibiotic treatment, we also consider treatment with retinoids. Hormonal contraception is recommended for patients with hormonal acne.

Complementary treatments include photodynamic therapy, chemical peels and methods of corrective dermatology. We will also advise you on the selection of suitable dermocosmetics, i.e. skin cleansers, moisturisers with a more fluid texture or corrective make-up.

I play sports and acne makes my life difficult. Is sweat the cause?
Increased sweating creates optimal conditions for bacteria to multiply. For active people, the most common problems are caused by wearing tight, breathable synthetic clothing, bras, helmets and increased sweating and, of course, the use of steroids. They form mainly on the torso, shoulders but also on the face and neck. Regular hygiene, a balanced diet, wearing airy cotton clothing and of course regular skin cleansing are important. If even these measures do not help, we recommend a professional examination in a dermatovenerology clinic.

Will sunbathing help me?  
The skin's reaction to sunlight is individual. Some patients say that their skin condition improves after sun exposure, while others experience a deterioration in their skin condition. Either way, the risk of pigmentation should be borne in mind.

The cause of acne aggravation may be the drying of the skin after sun exposure, which leads to overproduction of sebum in acne-prone patients. The dead skin cells clog the hair follicles and prevent the sebum from draining away. In summer, you may also develop 'Mallorca acne' due to the reaction of UV free radicals with chemicals in some cosmetic products.

After the treatment I have a problem with post-acne in the form of both pigmentation and scarring. Can you help me with this?
At Dermarevolt, we offer consultations and aesthetic and corrective dermatology options to address acne marks. The recommendation and choice of the appropriate method is individual. The doctor will evaluate your skin condition and can recommend an effective treatment just for you. Options include chemical peels, microneedle radiofrequency, photodynamic therapy or dermapen.

The best time to address these imperfections left behind by the skin disease is autumn and winter. In addition to the methods mentioned above, regular professional cosmetic care is also part of the care of problematic skin. At Dermarevolt, you can also rely on a professional with a medical background and medical cosmetics. Regular skin cleansing is an essential and necessary prerequisite for maintaining clear and healthy skin.

Dermarevolta is at your service.