Our skin is full of hair follicles and oil-producing glands. These tiny glands continuously produce a substance called Sebum. The sebum often surfaces on the skin through these hair follicles. When this opening gets blocked, acne develops. The opening can be blocked by the production of excessive sebum which solidifies and/or a plug of dead skin cells.

Dr. Krishi Mandaliya reveals that when this blocking plug causes a swelling on the hair follicle and the gland, a whitehead appears.

When the plug is located close to the surface of the skin and is exposed to the atmosphere, it becomes black. This is called a blackhead.

When the gland and follicle unit becomes infected, it is called a pimple.

When infected material along with pent up oil secretion forms lumps under the skin, it is called a cyst.

Thus, excessive oil production, irregular shedding of dead skin cells, and infection by bacteria cause different stages of acne.

Acne usually affects the following body parts most frequently:

• Face
• Neck
• Chest
• Shoulders
• Back

Formation of skin acne or pimple

Hormonal Changes In Body:

• In adolescent boys or girls. Generally, the age group 13 to 25 is affected the most.
• Pregnancy often causes a lot of hormonal changes in the body of a woman. This can be a cause for acne.
• Generally, acne can also be aggravated before the menstrual cycle due to hormonal imbalances.
• Acne is often aggravated during the changes in using patterns of oral contraceptives.

Other Causes:

• Steroid or male hormone treatment can aggravate acne.
• Use of greasy makeup and cosmetics.
• Rubbing of acne prone skin by frequent inadvertent use of cell phones, cordless phones, helmets etc.
• Family history of having acne is a significant factor.

You should opt for the pimple management program after considering the following factors:

• If your pimples in inflamed and infected stages are not cured by self care or other medications.
• If your pimples have left scars that bother you.

At NVYA Aesthetics, Vadodara consultation is of utmost importance before diving into any procedure. During a consultation, Dr. Krishi Mandaliya makes sure that she understands the needs and requirements of the patients.

She guides them through the entire procedure and explains everything in detail. This helps the patients in making an informed decision regarding the procedure.

She also urges her patients to ask as many questions as they want to achieve complete clarity. NVYA Aesthetics, Vadodara strongly believes in transparency and hence we explain everything related to the procedure including the achievable result.

A consultation can be a vital moment before any procedure as the patient can analyze his or her comfort level with the doctor and understand all the aspects which entail the procedure.

Treatments at NVYA Aesthetics are highly comprehensive and effective. Dr. Krishi Mandaliya makes sure that she understands the type of acne well during the consultation itself so as to provide the best treatment plan according to the individual need of the patient.

Principle of treatment of acne involves:

• Reduction of sebum production
• Increasing removal of dead skin cell layer
• Controlling infection

Almost all the treatments of acne take about 3 to 6 weeks before showing results. At times, the skin may look worse during this initial phase. You must not stop taking treatment because of this.

The treatments at NVYA Aesthetics involve the following:

Topical treatments for Acne:

These are the lotions, creams, and ointments to be applied on the affected area. They work by using one of the principles mentioned above. At times they may be required in combination.

Antibiotics:

They are required for infected acne. They are to be taken orally for control of infection and inflammation. They may be prescribed in addition to topical treatment.

Isotretinoin

This agent, when taken orally, can cure cystic and nodular acne to a great extent. Its use has to be monitored by a medical doctor as it is associated with significant side effects. It can not be taken by pregnant women because of the possibility of the birth defect in the baby.

Lights lasers

Lasers are highly used in the treatment of acne as well.

• Intense Pulse Light (IPL) controls bacterial infection remarkably. It is used in active infected acne.
• Laser resurfacing can treat acne scars and improve the quality of the skin. However, it may not prevent further crops of the acne.

Cosmetic surgery is mainly used for the treatment of acne scars. Here is an outline of different types of acne scars and their treatment.

Ice pick scars

These are fine 0.5 to 1.5 mm scars, looking like pores. They go very deep into the skin. These scars do not respond well to Dermabrasion or Laser Dermabrasion, because they are very deep. The best option suggested is to do “laser punching” treatment. Here the core of the scar is removed with the laser and the margins are sutured or approximated with tissue adhesives. The use of magnification may of help at times. The new scars are then subjected to conventional resurfacing techniques.

Box Scars

These scars are wide and deep and rounded. They generally measure 5 to 10 mm and extend to a moderate depth in the dermis. These scars can be treated with surgical punching and closure of the edges. Again the new scars are now treated with resurfacing techniques.

Rolling scars

These scars are flat, shallow, and with edges that merge with the surrounding normal skin. Here the skin of the scar is quite like the normal skin but is tethered to the deeper tissue due to subcutaneous fibrosis. They are marked in the green circles. Subcision is useful only in these types of scars. The word subcision means subdermal incision.

All the treatments mentioned here require a number of sessions. Most of them except dermabrasion do not require general anaesthesia and hospitalization.

Do:

• Wash the affected area 3-4 times a day.
• Use only a gentle cleanser or mild soap.
• Shampoo your hair regularly, especially if there are pimples around the hairline.
• Use sunscreens and cosmetics marked as “Water Based,” “Noncomedoggenic,” or “For Oily Skin.”

Dont:

• Do not use facial scrubs and astringents as they may irritate the skin.
• Do not squeeze acne at any stage.
• Do not stop medications on your own.

Following the instructions of Dr. Krishi Mandaliya is necessary during the course of the treatment. It will help in having better results and outcomes.