Adolescent acne occurs during puberty in nearly 80% of teenagers. The face, and often the back, become oily and the skin’s pores become blocked. Red spots, topped with a white pustule break out on the skin.
What kind of adolescent acne do you come across?
Adolescents do not all have the same type of acne.
The can suffer from a few occasional spots, or many very large prominent spots. This can affect their confidence, especially since if left untreated acne can last for several years. Our young patients often “mistreat” their spots, which can leave scars. The intensity varies depending on the time of year. It is greater in the autumn.
What treatments do you advise?
I explain to my patients what acne is so that they can understand what the treatments are for,
and I always emphasize the need for regular monitoring. I prescribe local products to reduce the formation of blackheads (adapalene) and to act on some of the microbes responsible for inflamed spots (benzoyl peroxide). Oral treatment (cyclines) is often needed for greater effectiveness. For very intense and resistant forms of acne, I suggest a treatment with Isotretinoin.
Acne can be what is called “retentional”
where the pores of the skin’s sebaceous glands are blocked by lots of comedones (blackheads) and microcysts. The skin therefore needs to undergo dermatological cleansing. A painless minor scarification procedure is performed on the surface of the skin to drain the blackheads and microcysts. This enhances the treatment’s effectiveness.