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  • 1.
    • Dr. T.A. RANA
    • MBBS, M.D. (Skin & VD)
    • Dermatologist & Cosmetic Laser Surgeon
    • Consultant at Shri Ram Hospital & Heart Institute, Delhi
    • Vinayak Hospital, Sec-27, Noida (U.P.)
    • Panchsheel Hospital, Yamuna Vihar, Delhi
  • 2. Acne
    • Acne is a skin condition, which is most common in adolescents but may
    • persist into late adult life.
    • Acne results in pimples, redness, swelling & scarring, which
    • could be painful & discomforting.
    • It particularly affects the face, back, and chest.
    • Both male & female are affected by Acne.
    • Acne cannot be avoided
    • BUT
    • can be controlled & managed.
  • 3.
    • Acne not only affects the skin but also mind.
    • Study shows that –
    • 39 % of teenagers avoid going out with friends owing to the embarrassment of Acne.
  • 4. How do Acne occur?
    • In people with acne, oil glands produce too much oil (sebum).
    • The cells in the pores of the skin become
    • abnormally sticky leading to blockage of the pore.
    • The trapped oil becomes infected, leading to
    • pustules (pus spots) & pimple formation.
    • To avoid scarring,
    • it’s best not to squeeze Acne.
  • 5. How do we visually identify Acne ?
    • Excessively greasy skin
    • Enlarged follicles
    • Small pimples
    • Large pustules (pus spots)
    • Painful swollen cysts
    • Comedones : Whiteheads
    • Comedones : Blackheads
    COMEDONES are the primary sign of Acne, consisting of a dilated (widened) hair follicle filled with keratin squamae (skin debris), bacteria, and sebum (oil). When the follicles are open, these are called " blackheads . When they are almost closed, they are called " whiteheads .
  • 6. Enlarged pores in Acne
    • Larger pores indicate larger oil glands & more oil.
    • Skin surface sebum increases with pore size.
    • Sebum breakdowns to Free Fatty Acids causing skin roughness, inflammation & acne.
    • Skin with enlarged pores has increased TEWL (Trans Epidermal Water Loss).
    • Thus invariably oily skin in acne gets prone
    • to dryness & further damage.
  • 7. What causes Acne? Usually Acne are caused by increase in the Male Hormone called Androgen, which stimulates the Sebum (oil) production; resulting in Acne. But there are lot of other reasons, which could cause or stimulate Acne. Like; Medical –Genetics, Skin type, level of Immunity, Menstrual cycle, Steroids, etc… Environmental –Heat & humidity, seasonal changes, etc… Psychological –Stress, etc…
  • 8. Managing Acne
    • Lifestyle modification –
        • healthy balanced diet ensuring intake of required nutrients,
        • good sleep, and protection from UV rays can do wonders for
        • your skin etc…
    • Good compliance -
      • Regular Skin Care Routine is extremely important & helpful in managing Acne. Regular skin care will not only ensure cleaned skin but will also help
        • reduce sebum production
        • presence of harmful bacteria
  • 9. Managing Acne -Cleansing
    • It is very important to keep Acne prone & oily skin clean.
    • Proper cleansing regime controls, manages & help
    • avoid occurrence of Acne & pimples.
    • Dirt and oil on the surface of the skin do not
    • cause acne, but clogging of pore openings.
    • Warm water dissolves skin oil better than lukewarm or cold water. But avoid hot
    • water.
    • Face washing should be limited to two or three times a day.
  • 10. Managing Acne - Cleansing
    • Too much washing stimulates the skin to produce more oil due to severe
    • depletion of oil.
    • Don’t forget to moisturize after washing.
    • Select right kind of skin care products, meant for Acne, Acne prone
    • skin, which help control & manage oily skin, Acne, pimples.
    • For instance, There are products available in the
    • market meant for oily skin.
    • Like face wash, moisturizer for oily skin,
    • acne control cream / lotion, etc….
  • 11.
    • Acne is related to sexual activity - FALSE
    • Frequent scrubbing will keep the –skin clean - FALSE
    • & remove bacteria
    • Too frequent face washing will help keep - FALSE
    • skin clean
    • Hot water helps wash away dirt properly- FALSE
    Acne - Myths & Misconceptions
  • 12. Myths & Misconceptions
    • Oily skin doesn’t need any – FALSE
    • moisturizer
    • Oily food consumption causes - DEPENDS
    • acne
    • Complete oil removal is - FALSE
    • mandatory
    • Chocolates worsen acne - DOCTORS DON’T SUPPORT IT
  • 13. Caring for Dry & Combination Skin
    • Hot water should be avoided.
    • Harsh soaps are potentially dangerous.
    • Moisturizing soaps are recommended.
    • Moisturizing the skin regularly is very
    • important.
    • T Zone to be thoroughly cleansed, in case of
    • combination skin.
    • T Zone to be toned with the toner as it is more
    • prone to acne.
  • 14. Oily Skin
    • In case of oily skin, the oil oozes out and gives
    • the skin greasy & unwanted shine.
    • The enlarged pores & the skin has a coarse look.
    • Oily skin is prone to black heads, Acne & pimples.
    • Factors, which could aggravate or stimulate oil production:
    • Medical – Genetics, medicines, hormonal imbalance, Periods etc,
    • Environmental – Heat & humidity, seasonal changes, etc…. Diet,
    • wrong cosmetics, etc..
  • 15. Soaps & Skin
            • Most commonly used method to cleanse face
            • or body.
            • General soaps can be very harmful
    • owing to the chemicals used in them.
    • Soap can dry out your skin and can aggravate
    • skin problems.
    • It can be very harsh and cause your skin to
    • age prematurely.
  • 16.
    • To avoid any further harm use soaps bars, which are meant for
    • face skin.
    • Always read the label of the soap bar to find out it’s ingredients.
    • It’s best to avoid soaps containing chemicals like, DEA, etc.
    • Select soaps, which are specifically designed for
    • particular skin type & are meant for face cleansing.
  • 17.
    • Excessive Exposure to sun rays as a damaging
    • effect on the skin. Like;
    • Skin ages faster.
    • Dry skin gets drier & Oily skin gets oilier.
    • Sunrays can lead to outburst of Acne.
    • Harmful UV rays can cause sun burn marks, pigmentation & blemishes.
    • In extreme case, sun exposure can also lead to skin cancer.
    • Protect from Sun rays as much as possible.
    Exposure to Sun - U V Rays
  • 18. Cleanse Daily Tone Daily Exfoliate Weekly Moisturize Daily Mask Weekly Special Skin requirement Skin Care Regime
  • 19. It’s essential to cleanse daily to remove dust & dirt to avoid clogging of pores. It’s important to select cleanser carefully to ensure that it doesn’t damage Keratin protein & lipids in the skin. Moisturize daily. Exfoliate weekly to remove dead cells but avoid using rough products. Most Important - Do follow a routine. Skin Care Regime
  • 20. Reference slide Comedones
  • 21. THANK YOU