Acne vulgaris, also known as pimples, is a disease of the sebaceous glands that generate an oily substance called sebum. Multiple environmental and genetic factors can cause acne. Its manifestations range from minimal (e.g., blackheads, whiteheads, and pus-filled pimples) to severe (e.g., cystic acne).
Acne is extremely common skin condition. Approximately 85% of young people deal with acne sometime during their early to late adolescence (ages 12 to 24). Some still deal with it after the age of 24. Some never have acne during their adolescence but get it in their adult years.
Genetic, dietary, hormonal, environmental, and lifestyle factors can all have an impact on acne.
Genetic factors can impact the development of acne in an individual. Studies show that twins often have acne. Families with acne conglobata, a severe type of acne, also show high rates.
The risk of developing acne increases if a person has hyperandrogenism, XYY chromosome syndrome, or high cortisol or experiences early-onset puberty. This type of acne typically lasts a long time and is resistant to therapy.
Certain foods and drinks have been associated with acne breakouts. Foods that contain a great deal of starch, such as refined grains, have been known to yield excess oil in the skin, resulting in acne flare-ups. Sugary drinks and dairy products can also generate excess oil in the skin.
To reduce or prevent acne, dermatologists often recommend that people consume foods that are high in fiber, such as fruits and vegetables. It has been found that some indigenous tribes who adhere to a plant-based diet the majority of the time do not experience acne. This has led to studies concerning the role of insulin in the development of acne.
Hormones can have an impact on acne. Women with polycystic ovary syndrome have low estrogen and progesterone levels and high androgen levels, resulting in hormonal acne. During a woman’s menstrual cycle, her estrogen and progesterone levels can decrease if her egg is not fertilized, leading to acne formation on the skin.
Meanwhile, hormones like progesterone can increase exponentially during pregnancy, causing excess sebum production (i.e., oily, acne-prone skin). The high androgen levels many people experience during puberty or when they are dealing with extreme stress can also trigger excess sebum production.
Several elements within the environment play a role in acne development. High temperature, humidity, and sun exposure promote excess sebum production. Air pollutants and the halogenated hydrocarbons present in the environment have been known to clog pores and generate inflammation in the skin.
People who smoke tobacco products often have a higher risk of getting acne after puberty. The toxins in these products can lower blood flow to the skin, which can lead to breakouts. Individuals who use pore-clogging skin care or makeup products may develop acne. Not getting enough good sleep can lead to acne. This happens because it can cause hormonal changes, like higher cortisol levels. These changes can result in too much oil production on the skin.
Acne can present with a combination of noninflammatory features, such as blackheads, and inflammatory ones, such as acne cysts, papules, nodes, pustules, and fistulas. The number of inflammatory elements determines the severity of a case of acne.
The main types of acne are as follows:
Acne can lead to significant mental and emotional problems, especially in adolescents. Teenagers and young adults can develop low self-esteem, depression, and anxiety if they have acne. People with acne experience bullying at higher rates and are at a higher risk of being victims of physical abuse. Taking all this into consideration, acne therapy needs to be efficient and widely available and should begin as early as possible for an individual.
Acne is a complex condition that requires a personalized, expert-driven approach and treatment options. At Dermatology Circle PLLC, we offer comprehensive, results-driven acne treatments (prescription medications and cosmetic treatments) designed to to prevent scarring and restore clear, radiant skin.
Mild acne can be managed with advanced topical treatments like prescription-strength retinoids, topical antibiotics, dapsone, clascoterone, benzoyl peroxide, salicylic acid, azelaic acid, and customized medical-grade skincare.
Moderate to severe acne requires oral treatments such as oral antibiotics, birth control pills (oral contraceptives), spironolactone, or isotretinoin (Accutane) to control inflammation and prevent long-term damage.
Post-acne concerns: scars, pigmentation, and textural irregularities are treated with cutting-edge cosmetic dermatology, including chemical peels, microneedling, laser resurfacing, PRP therapy, and subcision for a flawless complexion.
At Dermatology Circle PLLC, we specialize in luxury, evidence-based acne treatments, offering an à la carte approach—whether you need topical solutions, advanced oral therapies, or high-end cosmetic procedures. We understand the unique needs of all skin colors and types, ensuring inclusive, evidence-based care for every patient.
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Tuesday 9AM-5PM
Friday 10AM-6PM
Every other Saturday 9AM-2PM (please, call in advance)