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Acne Skin Care Regimen

The basic tenants of skin care for acne patient is to keep the skin clean, prevent the follicles from being occluded, control surface oil and bacteria, and minimize inflammation. The minimum skin care regimen can be accomplished with over-the-counter products in some cases, but does require prescription products from a dermatologist or primary physician in many cases as well.

Acne skin care must start with a cleanser. The best agents tend to have 2% or more salicylic acid or 3-10% benzoyl peroxide. A suitable agent for acne prevention may also have glycolic acid in concentrations of 2-12% and be in combination with salicylic acid or benzoyl peroxide. Cleansers must be used 2-3 times daily to be optimally effective.

Astringents/Toners may also be used in patients with acne and oily skin. These agents are used after a cleanser and a more thorough cleansing agent. While they may be regularly used once or twice a day, care must be excised not to overuse astringents as they may remove an extra degree of skin surface oil and cause dryness.

For those with body acne on the chest and back, body washes in the shower are an effective way to help prevent further acne development. As stated above, ingredients such as salicylic acid and benzoyl peroxide are excellent for body acne as well as facial acne.

After application of these medicated cleansers, further care may be obtained through the use of prescription retinoids, topical/oral antibiotics, or other topical agents such as sodium sulfacetamide and azeleic acid.

Don Mehrabi MD, FAAD
Dermatologist, Certified by the American Board of Dermatology
Los Angeles, California

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