WHAT IS ACNE? WHY DOES IT CREATE?

Acne vulgaris, or acne for short, is commonly known as acne. Acne vulgaris, a chronic and inflammatory skin disease, is quite common. Although the etiology is unclear, there is a multifactorial pathogenesis with a combination of genetic and environmental factors. Excessive keratinization of hair follicles, excessive sebum production, Propionibacterium acnes increased colonization and inflammation formation are effective. It is more common especially in adolescence. It affects areas of the body where sebaceous glands are densely located. These are especially the face, back, chest and shoulder areas. Open and closed comedones (blackheads), papules, pustules, nodules and cysts can be seen.

HOW IS ACNE TREATED?

Acne is a very common disease that affects people badly, especially psychosocially. First of all, it is necessary to accept that acne is a disease despite its common occurrence. Especially acne that is left untreated for a long period of time must be treated in the early period because it can leave scars. Acne treatment is regulated by various guidelines prepared in our country, in Europe and in the USA and updated over the years. These treatments are basically determined according to the type and severity of acne. Cream treatments are preferred for mild and moderate acne, and systemic or oral treatments are preferred for severe acne or acne that recurs or does not go away despite topical or cream treatments. The effect of any treatment starts in an average of 4-6 weeks, and treatments are used for at least 2-3 months. Patients who do not benefit from a treatment during this period are offered a new treatment option.

TREATMENT OF ACNE SCARS

Patients may have acne scars due to reasons such as nodulocystic acne, acne that has been untreated for a long time, irregular treatment use. There are many different types of acne scars. Usually more than one type of acne scar is found in the same person. Intervention in the early stage of the disease and the initiation of systemic treatments such as vitamin A derivatives in appropriate patients, if necessary according to the type of acne, reduces the possibility of acne scarring or less acne scarring remains.

Scars may be at the skin level, raised or sunken into the skin. Scars at the skin level may remain red or as hyperpigmentation, that is, dark spots, especially in patients with dark skin color. Genetically based raised acne scars, which we call keloids, may rarely remain. The most common are atrophic, that is, sunken acne scars. These are Rolling, icepick and boxcar type acne scars. Although Rolling acne scars respond relatively better to treatments, icepick and boxcar acne scars are very difficult to treat and generally do not respond well.

ACNE SCAR TREATMENTS

-Subsection

-TCA cross

-Golden needle radiofrequency (fractional radiofrequency)

-Fractional laser

-Chemical Peeling

-Collagen stimulating (mineral) fillings

-Fillers containing hyaluronic acid

-Dermapen

-Plazmapen

-Surgery

-Punch excision