How I Treat Acne: An Overview of Treatment Options
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- čas přidán 5. 05. 2020
- I chose to break up the topic of Acne into multiple parts. Dermatologists do more than "pimple popping" but we do pride ourselves on being the ultimate experts at treating moderate to severe acne in kids/adolescents, teens and adults (adult acne or acne rosacea). Here I will go over the treatment options depending on the type of acne, the severity and the location of acne (jawline and chin distribution hints at hormonal acne). At the end of the video, I review over the counter options that are okay to consider before seeing a dermatologist. But remember that if you are having scarring from your acne, do not delay seeing a skin doctor to get your acne treated as scarring can be permanent and disfiguring.
We also discuss acne scars and scar treatments as well as chemical peels by Skinceuticals (Micropeel 30 plus and Advanced Corrective Peel)!
This is a very important topic as acne can affect self esteem and even cause depression. I love seeing my patients improve immensely from treatment and can regain their confidence after achieving their skin care goals!
Products mentioned:
1. Differin gel: an OTC retinoid that may help with acne (better tolerated than tretinoin or tazorac but it is low potency); adapalene 0.1% is over the counter vs adapalene 0.3% is prescription (you need to see a dermatologist to get this strength)
Moisturizers:
2. EltaMD PM Therapy: with niacinamide amzn.to/2yqfOHO
3. CeraVe PM lotion: with niacinamide amzn.to/2L55Gqj
Cleansers:
4. Neutrogena salicyclic acid cleanser: great for clearing out black heads amzn.to/3fs3F5B
5. Clean and Clear BPO cleanser: anti-bacterial amzn.to/2WD7UCI
6. Panoxyl BPO Cleanser: anti-bacterial amzn.to/2YIiVoT
7. Vanicream facial cleanser (great for sensitive skin!) amzn.to/2SIhByJ and Free and Clear cleanser amzn.to/3fv0r19
8. La Roche-Posay Purifying Foaming Cleanser: with hyaluronic acid amzn.to/3dqSx74
9. Cetaphil cleansers- two types that are great (alternate with your BPO or salicyclic acid wash): FOAMING amzn.to/2zcyyKJ and NON-FOAMING amzn.to/35ORlbr
10. Neutrogena HydroBoost Cleansing Lotion: cannot go wrong with this one. amzn.to/3cf4zR8
Spot treatment:
10. La Roche Posay Effaclar Duo as a spot treatment amzn.to/35DZvmy
See a dermatologist if you are having acne scarring from your flares or if your acne is worsening quickly.
Please check with your physicians BEFORE starting any over-the-counter treatments (especially salicyclic acid or benzoyl peroxide) if you are pregnant.
I hope that this is helpful in ensuring that you skin stays clear and protected during this pandemic. I also hope that these videos are helping you understand various skin care issues and are helping you formulate your skin care goals.
Please stay healthy and safe while being quarantined at home. We will pull through this together!
Follow me on Instagram for more skin care tips and education: / danielsugaimd
Please binge-watch my other skin care videos:
Acne • Can Junk Food Cause Acne?
Serums Vs Moisturizers www.youtube.com/watch?v=2m-nu...
Retinoids www.youtube.com/watch?v=hu2UZ...
Sunscreen www.youtube.com/watch?v=984kA...
The Moisturizers I Can't Live Without www.youtube.com/watch?v=-bjcI...
Shaving 101 www.youtube.com/watch?v=U08KU...
Pandemic Skin Care Emergencies! • Pandemic Skin Care Eme...
Can Mask Use Cause Acne? • How To Wear a Mask and...
Music: That Day
Musician: Jef
Disclaimer: This video is not intended to be a substitute for medical advice, diagnosis or treatment with your healthcare professional. This is for medical educational purposes only.
I am not sponsored by any of the companies mentioned in this video. As an Amazon Associate I earn from qualifying purchases.
Dr. Daniel Sugai
Board Certified Dermatologist
I really enjoy watching you and all the dermatologists here on CZcams. Thanks for the useful information. Sometimes it’s hard for people to have access to a dermatologist, so it makes me happy there is a lot of information out there.
Thank you so much for watching! Appreciate it and yes- access can be a huge problem in many parts of the country. Take care 🙏🏼🙏🏼🤙🤙
Great and thorough video!! So glad you also discuss acne scarring
Hi from AHN! thanks for the advice doc. i haven't seen a lot of medical professionals in your avenue posting accessible advice like this. my brother has been struggling with acne problems for some time now so I'll share your vids. Keep up the hustle!
kickitwithdang hey fellow hustler! Thanks so much for saying that and for sharing my videos. I hope to give credible advice to the public. There’s a lot of bad information out there so hope to breaks some myths too. Take care and thanks again!
Yessss I loved this video! I’m about to be 25 and I’m dealing with the worst breakout of my life! It’s so frustrating but this helped me a lot and I will give some products a try 👍🏼
Haidee Av. Thank you for watching and you made my day saying that it was helpful to you! Hope you get improvement with the products.
This should be a go-to channel for anyone seeking expert advice on skin matters.
Wow- thank you so much for saying that! Appreciate the support.
Great to have these expert insights so well explained
Recalibrate Melbourne thank you so much for watching my new channel; really helps motivate me to provide more skin education to everyone! Appreciate it 🙏🏼🤙
I truly appreciate the great content of your video. Thank you for being generous with your time and expertise. I have a question about discoloration on the armpits. What would you recommend? Thanks.
Good information on available options for acne treatment. Your suggestion on showing your dermatologist your list of medications and for how long is a good idea. I’ve used otc stuff that caused me to break out but didn’t know which ingredients caused the bad reaction
Susan Sugai thank you so much! Yes- for any doctor visit, the list of meds used or currently using is crucial. Take care!
Very helpful and vital information! Great tips Doc and appreciate your personal preferences which helps with such vast choices to choose from! Cute children!
ayame Naka thank you so much! You’re right- so many options that it can be even difficult for me to narrow it down to just a short list. The kids are hams like their dad 😂
Another excellent video! Your advice on acne is applicable to this 29 year old! 🙋🏻♀️
Lisa Sugai thank you for watching and hope this helps you in forming a good plan regarding your skin care goals! Take care!
Great video, thanks doc!
But I have a question: I'm on Adapalene (0.1%) since 3 months against my acne. After this (long) time my acne gets better, but it feels like it's not enough. I still get pimples in areas where I usually get them and they appear again and again. My skin is sensitive/dry so I use twice a day the LRP Gentle Cleanser, sometimes Vichy Mineral 89 HA and always moisturizing cream (and yes now I want to add a sunscreen ^^). So I'll see my doctor soon, but does my situation sounds like a case where Tretinoin could be the better option? Thanks for sharing your opinion!
Great info! So helpful!
Erina Sugai thank you for watching!
Great video doc. How important is a toner in the skin care routine? I just started using Retin-A for acne and I'm worried that using a toner will irritate my skin.
khonelihle Z thanks so much for watching! Great question. I think toner is not super important but it can help to help remove excess dirt during this time while we use more face masks. But you’re right that certain toners with a lot of AHA can irritate the skin further especially with a retinoid. Take care!
That "thanks for watching!! See you next time"😂❤️ Here from india👋. One month in on Isotretinoin (20mg). I have moderate acne and had oily skin. Lots of discolouration here and there. Your videos are really informative. It had really be awesome if you share some skin care tips while on Accutane.🤘
Siddhesh Dhuri amazing!! Greetings from Seattle, WA, USA! Thank you so much for watching and thank you for the suggestion. Good luck on your treatment and take care 🤙🙏🏼🤙🙏🏼
Thank you for such an informative and clear video! I wish I lived in Seattle so I can get an appointment with you, but I’m from Canada.
I am wondering, Is it better to use benzoyl peroxide as a leave on treatment or in wash form to prevent new breakouts? Also, is it okay to use glycolic acid lotion after benzoyl peroxide? What is a good drugstore sunscreen for acne prone skin? Thank you for your time!
Sil R hello and thank you so much for watching! I like benzoyl peroxide wash for maintenance and the leave on spot treatment for active breakouts. I usually tell people to separate glycolic acid and bpo use to avoid irritation and rash. I like niacinamide in sunscreens: Cerave face lotion spf 50 and EltaMD uv clear are the best
Thank you for your reply, it is very helpful! I will incorporate your advice and continue watching your. videos:)
Hello! amazing video--do you think you could address moisturizers free of silicone? Every moisturizer seems to have it in it.
Also, what is the main difference between Elta MD Am and Pm therapy? I see so many more recommendations about the am formulation.
Thank you so much again, appreciate all of this free information!
By the way, I am on tretinoin and dapsone gel 7.5 in the morning.
Krisx thanks for watching and love the comments! Thanks for sharing your thoughts. I think your acne regiment with tret and dapsone shows that you are fairly optimized with some of the best topicals. I agree that almost all big name moisturizers have some form of silicone. Many of the silicone free moisturizers I am not familiar with their brands but I believe eltamd PM therapy does not have silicone whereas the AM does. I like that AM and PM are both niacinamide containing but AM has some additional theoretical benefits (in the real world, I’m not sure if they are doing what they’re supposed to): caffeine for helping with redness and maybe tightens skin (?) and its willow bark extract which supposedly exfoliates. If both of these ingredients do what they’re supposed to, I can see why AM is more appealing than PM therapy. Take care!
Dr. Sugai, could you please make a video on treatment for Rosacea Flare up. I have so much faith in your videos as these are not to market any product. Would be grateful.
Could you suggest makeup removers for dry but acne prone skin? Is the makeup eraser microfibre cloth ok to use, or oil cleanser followed by one of the washes you recommended?
I had lots of acne growing up since 11 yo. Thank goodness to my acne doc I turned out okay now. I likely have trace rosacea.
DrLiang Optometrist good to hear you had help so early on to prevent scarring! Thanks for the comment!
Please can you do a video on hyperpigmentation for poc, preferably without laser/peels. Thank you
Thank you for the info! I Def have some scars I need to get rid of.
Maybach Hong thank you so much for watching and I hope my videos are helpful. If you’re in Seattle, would be happy to see you! Take care!
@@danielsugaimd I am not in Seattle but I have friends there, that may need! I will def refer!
Which birth control (brand ) to you generally recommend to treat hormonal acne? TIA!
Thanks for this informative video! I think my skin might be sensitive to Niacinamide (amongst lots of other ingredients). Do you think it will be ok for me to use a cleanser with Niacinamide in it since it will be washed off? Or should I avoid it all together? My sensitivity presents as itchiness and small bumps (looks like pimples that never come to head). Thanks!
kloujiko thanks so much for watching! Why do you say niacinamide specifically causes irritation? Just to throw it out there, I have been seeing quite a few patients getting irritation from The Ordinary niacinamide serum. Even if you have irritation from that product (could be a non active ingredient responsible for irritation), I would still keep an open mind to gentle cleansers with vitamin b3 in it.
Dr. Daniel Sugai thanks for your quick reply! I was using cerave cream and found it a bit heavy so switched to cerave PM. It was amazing the first time I used it - woke up to really soft skin, and my t zone wasn’t oily like normal. Then I put it on for the day and my skin started getting itchy and started getting little bumps :( my skin still felt itchy for a few days when I switched back to cerave cream. It was also the first time I got the bumps. Usually I get a couple of hives when my skin is sensitive to a product.
kloujiko definitely see people getting irritation from Cerave. I wouldn’t blame the niacinamide still and would try a cleanser with it. You could see your derm for a sample size before committing to purchasing it. Lmk how it goes! Take care 🤙
Dr. Daniel Sugai thank you! Will definitely keep giving it a try then :)
Hey your videos are really helpful. I just wanted to ask is there any product that can help reduce acne scars, i don't have acne issue now just the scars, and i don't want to go for any peel or laser treatment for now. so can you help regarding this? Also i have a really sensitive skin.
So would you recommend using my gentle cleanser from vanicream once a day and then a foaming one like the cetaphil the other time? What if I workout and sweat a good bit?
That sounds like a great cleanser rotation. If you get body acne from your workouts you may need to incorporate one of the cleansers mentioned in my body acne video. Thanks for watching!
please explain more about acne rosacea
Hi, Dr. I have oily & acne prone skin. I'm using 2% salicylic acid cleanser, non-alcohol toner, azelaic acid serum, differin moisturizer with SPF 30. What is your comment on my daily facial routine? Thank you.
What up from the Asian Hustle Network!
Mitch Lozada AHN represent!! ✊🏻
Aloha from the North Shore of Oahu,
I'm wondering if medium chain triglycerides or caprylic/capric triglycerides can clog pores.
I breakout from nearly every oil or heavy moisturizer that I have tried, so I'm wondering this these triglycerides would also clog me?
I am just starting tazorac cream and MCTs are one of the ingredients.
Thank you!
Is every kind of retinoid good to treat acne or only adapalene?
That Vanicream does work when you are having a peeling day from Tretinoin
Hey, I have a question about retinol, if Vitamin A is fat soluble, would not wetting the face before applying any retinol serum be more effective at absorbing it into the skin? My thinking is that water would block any penetration into the skin. If the reason for use helps more, it's only to see if it reduces some fine lines, so purely cosmetic.
AndrewDaniele87 hello- good question. Old rule of thumb is to wait about 15-30min after washing your face before applying your retinoid!
What’s the best thing for blackheads
Hello Doc, I'm in the 40s with chin acne. Is birth control ok to use? I heard it might cause breast cancer.
Halien Le hello- that’s a question to discuss with your docs in person but in general I do not start birth control over age 40. Thanks for watching!
Hi Doc! Do you do virtual consultations for acne? I’m here in LA.
Hi Dana, sorry- no virtual consultations at the moment but will look into it as the demand is there. Will keep you updated. Take care and thank you for watching!
@@danielsugaimd thanks!
Can I use Panoxyl facial wash and Retinol after? Or Panoxyl and La Roche Posay Effaclar Duo?
what does the la roshe posay cleanser do?
hi doc, can u tackle about acne purging
Dr Sugai, cerave moisturise broke my skin. Its not purging due to niacianamide in it because i have been using the ordinary niacianimide from long time which has done great on my acne prone skin. Please recommend moisturiser for SENSITIVE DRY ACNE PRONE SKIN 😞😞we dont have elta in Australia. 😔
Hi! I'm not Dr Sugai but had a similar issue. I find the La Roche Posay Toleriane Sensitive Fluide moisturizer to be the only one that really doesn't cause me any kind of issues, both short and long term, really recommend it. They do have a thicker formula too if you find you need it.
Hey Doc, I was just wondering, is it good to pop your pimples?
JV Lamsen hello! Good q- never pop a pimple on your own! Your dermatologist can “pop” or extract those that are safe to do so. Many types of acne will cause permanent scarring when traumatized especially if it’s inflamed. Take care and thanks for watching! 🤙🙏🏼
Dr. Daniel Sugai do you mean when it’s yellow? That’s when it’s safe to pop it? Also, is it the same as popping white heads and black heads?
JV Lamsen need to see your derm to get anything extracted or injected and we assess it by different factors besides color (location, swelling/inflammation, type of acneiform lesion, surrounding scarring, etc). Take care.
Dr. Daniel Sugai okay thanks anyway
are you supposed to use acne wash every single day?
Johnny hello! Yes- cleanse face twice a day but only use a medicated cleanse (ie sal acid or bpo) once a day to avoid irritation/dryness. Thanks for watching! 🤙🙏🏼
So using a benzoyl peroxide cleanser twice a day is too much?
Yes- would only do once a day to every other day 👍
🔥
Thank you so much! 🙏🏼