Acne is a condition that affects adolescents and adults alike; acne is a skin condition caused by changes in skin structures which consists of a hair follicle and its associated sebaceous (oil) gland.

Common during adolescence but present as well in adult skin such as in baby boomers the location and extent of lesions related to the presence of oil gland activation – face, chest, and back.

More commonly in adults, cysts develop where there is a deeper obstruction and occlusion of an oil gland. Without treatment, scarring may result and even in adults emotional scarring may be a result, such as social conflicts, lessened self esteem, depression and even suicidal thoughts.

A result of a complex interaction of hormones, oil glands, blocked pores and bacteria bring about the process. Acne can be genetic or aggravated by physical activity, clothing constriction, hot humid weather and certain medications. Food is not a factor. Powder and oil cosmetics may aggravate, pancake definitely so, as it will cause ductal occlusion. Remove cosmetics at bedtime. Shampoo often to reduce oil and scaling. Do not rest your face in your palms.

The object of treatment is to reduce oil, remove plugging and eradicate bacteria. The retinoids are the most common crucial dominator in the successful treatment of acne. They unplug the oil ducts by reducing the amount of oil secretion. Benzyl peroxide targets and destroys bacteria that grow within the affected skin. Internal and or external antibiotics also act to inactivate and destroy associated bacterial culprits. Accutane is reserved for the cystic components not resolved with conservative treatment, but is never used in pregnancy due to fetal harm.

If scarring occurs, tissue fillers, dermabrasions or laser resurfacing are treatment options. “Treating acne is an art form and dermatologists are the artists” so states Dr. Steven Mandy, clinical professor of dermatology at the University of Miami.

Contact Dr. Cohen at (248) 335-6725 or via email at carljcohenmd@yahoo.com. Visit Dr. Cohen's website at www.carljcohenmd.com.