Saturday, July 24, 2010

Should i go to a dermatologist for acne?

i've tried many different things from stores, and proactiv too, it worked for a little while but i have to wash my face two times a day everyday and if i forget one or two days then i get horrible break outs, i just can't keep up with it. right now my acne is really bad, the worst it's ever been. i would rather take a medication then have another thing to wash my face with, which would they more likely want me to do? did going to the dermatologist help you with your acne problems?Should i go to a dermatologist for acne?
If you are not able to control your acne with over the counter meds and have health insurance, it is probably time to make an appointment with a dermatologist. They do have access to some really good prescription medications that they can prescribe to you. The only problem is finding a good dermatologist who can accurately diagnose what is exactly going on with your skin and give you what you need to get it cleared up.





A good combination approach is to use Retin-A micro gel before bed (mix it with an equal amount alcohol/dye free aloe vera gel -retin-a is EXTREMELY drying so you do need to apply at least some kind of moisturizer with it after you have been applying it for awhile but at first when the skin is really overproducing you could probably go with straight retin-a) and use clindamycin in the AM. Both should be applied very sparingly -stretch it out, do not overapply or you will dry the skin and cause excess sebum production and cell turnover that will clog pores worse and therefore make the acne even more uncomfortable for you.





You might have to take your suggestions in to the doc -some do not appreciate this, but if they are wasting your time and not giving you what you know you need, demand it or go online. No one should have to suffer due to a doctor's incompetence or analness.





A good moisturizer to keep on hand is Lac-Hydrin 5. In case your skin has had too much treatment, you still want to apply something to fight bacteria at least. The L-H 5 maintains the normal pH balance of the skin and after some time of treatment you may be able to maintain the effects by just keeping the skin inhospitable to bacterial invasion (by using the L-H 5 and spot treatment with retin-a and clindamycin).





Regardless of the treatment that you decide on, you are going to have to remember to wash your face gently with a mild cleanser in the AM and PM if your skin is oily and you really want to control the acne. I find that washing my face in the morning helps me wake up and I just wash my face in the shower before bed (or vice versa if I get my shower in the AM).





If you do indeed have a severe case of acne that is uncontrollable by any other means, there is a pill called Accutane that is a last resort. It shuts down all of the body's capabilities to produce oil. It is nearly 100% effective for acne treatment, but the entire body can get very dry and the facial skin prone to premature wrinkling. You would need to apply a very heavy moisturizer to most of your body daily for comfort. Accutane can only be taken for a short period of time to get the acne under control and then maintain the effects with other medications. You also cannot have sex while taking Accutane (or if you do and get pregnant, you MUST be okay with the prospect of abortion or raising a severely malformed child since Accutane is highly toxic to fetuses and is known to cause horrible if not fatal birth defects. You are required to maintain a reliable form of birth control while on the medication, but since no forms are completely reliable, abstinence is unfortunately the best option in this case.





I hope that you can get some assistance and relief from the acne. Good luck!
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