Acne is a nightmare for many teenagers. Let's find out together with the expert how to recognize and treat it successfully
Juvenile acne is a real problem for many young people. When the infamous pimples start to appear, not only do you fall into despair but often you don't even know what to do. Stop eating salami, chips and chocolate? Wash your face with "something strong"? Put toothpaste or use specific creams?
To bring clarity (and hope) to the acne universe, we spoke with Dr. Stefano Veglio, Specialist in Dermatology.
- What is meant by juvenile acne
- At what age does it occur and who it affects
- Treatment and remedies
- Chocolate yes or no?
- How long does it last?
- How to treat acne scars
What is meant by juvenile acne
A pimple isn't necessarily acne. Or maybe it's the debut. We asked the expert to explain what exactly is meant by juvenile acne.
"Juvenile acne is an extremely common problem that causes a rash mainly on the areas with the most sebaceous glands, therefore the face and trunk. From the dilated pore, pustules, nodules and even small cysts (comedones) are created "explains Dr. Veglio" It is an eruption that fluctuates over time: it starts with adolescence and with hormonal stimuli presenting particularly highs and lows. boring and annoying for the kids who obviously want to solve the problem as soon as possible ».
But what are the first signs of acne?
«The skin tends to become more oily, black points begin to form which are small open cysts in which you can see this black dot, which corresponds to oxidized keratin. Skin impurities evolve into small papules which then turn into pustules that can enlarge and therefore become more and more visible »explains Dr. Veglio.
At what age does it occur and who it affects
Acne has a preference for young faces. In fact, it is one of the torments of adolescence.
"Normally, the age of onset of acne corresponds to the onset of adolescence, a time when hormones peak: testosterone in particular, a typically male hormone but also present in girls, shows an increase in secretion. So we can say that it has an onset around the age of 12-13 but obviously follows what is the development and pubertal evolution of each individual "specifies the expert.
If there is a genetic component for which it seems there is more chance of developing acne if a close family member has suffered from it, compared to the preferred sexual gender, however, it is a false belief that it affects males more. On the other hand, however, it is true that it can "rage" more on males.
“The sexes are both equally affected, so the frequency I could say is the same. But the intensity with which the face and trunk are most affected is often more marked in males due to the higher levels of testosterone present in humans, "explains Dr. Veglio.
Treatment and remedies
"There are several useful means that can give excellent results: they range from local treatments with creams, lotions and detergents to treatments that the dermatologist can carry out in his office such as peeling, pulsed light to reduce inflammation and even laser tools to reduce the scars that acne can sometimes generate. However, the treatment must be chosen by a dermatologist based on the type of skin of the subject and the type and manner in which the acne occurs, "says the expert.
«Specifically, the dermatologist can use sebum-reducing and keratolytic substances such as derivatives of vitamin A (retinoids) and alpha hydroxy acids, antibiotics and local antiseptics. In this way it is possible to open the sebaceous pores, thanks to a pool of therapies that must always take into account the tolerability of the skin and that must never be improvised »concludes Dr. Veglio.
Chocolate yes or no?
For generations and generations, acne has always been linked to a wrong diet. So, on the dock went up: chips, chocolate, salami. But is it true that the wrong diet causes acne?
"We almost all grew up with the idea that a wrong diet was the cause of acne, but it is now understood that the causes are to be found elsewhere. Mainly in hormonal imbalances typical of adolescence, in emotional factors and in a genetic predisposition ", explains the expert," Nutrition plays an absolutely limited role. It must therefore be ruled out that chocolate is the cause of the problem. However, there are dietary indications aimed at avoiding worsening of acne, such as avoiding very unbalanced diets towards rapidly absorbed carbohydrates that increase skin inflammation. But it should be noted that acne is not a liver-related problem or that it can be treated by changing dietary regimes. These are just clichés that do not help to solve the problem but, on the contrary, demotivate children and families who see the results move away from them ».
How long does it last?
"This disease generally tends to resolve spontaneously when the boy reaches a greater hormonal balance, therefore at the end of adolescence and at the beginning of adulthood. However, it should be noted that often people who have a strong genetic predisposition to have the problem can show acne manifestations even up to the age of thirty and beyond "explains Dr. Veglio.
«In particular, an acne problem is common in women who have hormonal imbalances resulting from a polycystic ovary or other situations in which the hormones are not well balanced. I always recommend performing a gynecological check-up with an ovarian ultrasound in cases of persistent acne, to try to get to the bottom of the problem. Often, in fact, hormone therapy agreed with a good gynecologist helps to obtain excellent results "concludes the expert.
How to treat acne scars
Unfortunately, acne can leave marks on the skin. But relying on a good expert can help a lot and really make a difference.
"As for permanent signs, unfortunately in many cases these occur if acne is not treated in time and effectively. However, it is possible to avoid them when effective and intense treatments are put in place, especially in moments of greatest flowering. Fortunately, we also have excellent responses to the scarring results from lasers and aesthetic dermatological treatments that have helped to greatly reduce the impact of these scars, which also mark so much in the soul of the people who are affected "he concludes. Dr. Veglio.
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