Overuse of Acne Treatments May Lead to Rosacea

Many of the more commonly accepted products used to treat acne can actually cause further damage to the skin resulting in other facial skin conditions such as rosacea. Acne pimples occur in 82% of rosacea patients which may be referred to as "acne rosacea." These products are frequently used to open the pores (exfolients, various acid-based products, and retinoids) but can be very drying and irritating to the skin.

Many products when applied to the facial skin alter the balance of the skin making it susceptible to bacterial growth and infection. Upsetting the skin's natural balance can lead to yeast infections, perioral dermatitis, over production of sebaceous oils, and possibly worsening of the acne condition.

Controlling these conditions and the factors that cause and further irritate them is important in the management of acne and/or rosacea. Factors which can play a role in this include but are not limited to: glycolic-based ingredients frequently found in foundation, anti-wrinkle creams, and moisturizers; cleansers containing salicylic acid, alcohol, or benzyol peroxide. If it has the ability to dry or exfoliate, it can alter the natural balance of the skin. Once this balance is disturbed the skin reacts with pimples, papules, redness, itching, flaking, and/or increased sensitivity.

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Understanding Moderate Stage Acne

In the moderate stage of acne, inflamed red lesions, large comedones and pustules with 0.4-0.8 inches width exist. These comedones and pustules can be viewed easily at the distance of more than 1 inch. Numerous whiteheads, blackheads, papules and pustules appear that cover an area from one quarter to three quarters of the face and/or other affected areas will also be present. Inflammatory or non-inflammatory acne lesions will be visible from a distance of 2.5m. Moderate acne can occur anywhere on the skin, that is, the face, arms, back, thighs, chest or shoulders.

Moderate acne consists of numerous lesions, such as blackheads, whiteheads or pustules, which appear at or near the surface of the skin. Blackheads result when a pore is only partially blocked, allowing some of the trapped sebum (oil), bacteria, and dead skin cells to slowly drain to the surface. The black color is not caused by dirt but is a reactionary process of the skin's own pigment, melanin, reacting with the oxygen in the air. Whiteheads result when a pore is completely blocked, trapping sebum (oil), bacteria, and dead skin cells, causing a white appearance on the surface. Acne Papules are small, red, tender bumps with no head. Do not squeeze a papule. It will do no good, and may exacerbate scarring. While acne pustules are similar to whiteheads, but are inflamed, and appear as a red circle with a white or yellow center.

Moderate acne progresses from mild acne when sufficient care is not taken, and needs to be handled before it escalates to severe acne. Dermatologists recommend early treatment for moderate acne because when moderate acne is not treated, it can progress to severe acne and permanent scaring can occur.