Acne - when your skin becomes your enemy

Acne is not just a cosmetic issue—it is a disease that can profoundly affect the quality of life and self-esteem. Although it’s most often associated with the teenage years, it can persist well into the 30s or 40s. It is like an unwanted imprint on the skin that is not only visible to others but often leaves lasting marks in the form of post-inflammatory hyperpigmentation and scarring.

What causes acne?

It is a complex puzzle, with four factors playing a crucial role in its development: excessive sebum production, abnormal shedding of the epidermis, Cutibacterium acnes bacteria, and inflammation. Acne can be exacerbated by stress, a diet rich in simple sugars and high–glycaemic–index foods, or even by certain medications.

How does acne manifest?

Acne appears in various forms, from small comedones (closed and open), inflammatory papules and pustules to painful nodules and cysts. And the trouble doesn’t end there. Even when active lesions subside, they often leave behind discolouration or scarring. Acne most commonly appears on the face but can also affect the chest or back, significantly impacting daily life and well-being.

What makes it worse?

A variety of external and internal factors can influence acne progression. Stress plays a significant role, directly stimulating sebum production and increasing inflammation. Diet is also significant, especially dairy and high-glycemic carbohydrates. Hormones, particularly androgens, can also intensify symptoms. Additionally, certain medications and supplements, including smoking, can further complicate the situation by harming the skin and hindering its regeneration.

What does effective treatment involve?

Treating acne is like a long journey requiring patience and consistency. Pharmacological treatment forms the foundation, but modern aesthetic medicine offers many supportive procedures:

Professional medical peels
Cleansing procedures
Scar reduction treatments
Post-inflammatory discolouration treatment

Before the therapy:

We will perform a detailed skin assessment
We will identify the type and severity of acne lesions
We will analyse potential aggravating factors
We will create an individualised treatment plan
We will tailor the proper home skincare

Remember, acne is a disease that can be effectively treated. It requires time and consistency, but modern medicine offers numerous solutions to control active lesions and effectively manage their aftermath.