For years, acne was considered a teenager’s affliction, one of the many awkward rites of passage left behind as we entered adulthood.  Unfortunately this is not the case for many of us, with acne persisting well into our 30s, 40s and 50s.   In fact, some people have their first encounters with acne as adults.  But don’t despair, there are some simple steps you can follow for clearer, healthier skin.

Acne Facts
Acne blemishes appear most commonly on the face, neck, chest, back and shoulders.  These areas of the body have a large number of oil glands and hair follicles.  When there is excess oil (sebum) production and irregular shedding of dead skin cells in the follicles, this build-up can cause a plug.  Acne develops as more oil and cells accumulate in the plug and mix with bacteria, leading to inflammation and infection.

Acne does not discriminate, affecting people of all races, genders and ages.  However, there are certain factors that may put you at greater risk for developing acne:

• Hormonal changes.  Acne can be stimulated by hormonal changes during puberty, the menstrual cycle, or pregnancy, when starting or stopping birth control pills, or from taking certain medications.
• Genetic predisposition.  One can be prone to developing acne if it runs in the family.
• Oily beauty products.  Use of oily hair and skin care products can contribute to acne.

Acne Fiction
A common myth is that poor hygiene causes acne.  This belief can actually do more harm than good.  Acne is NOT caused by dirt or surface skin oils and vigorously washing and scrubbing can irritate and worsen the skin’s condition.

Many also believe that eating certain foods such as chocolate, pizza and other greasy meals can cause acne.  Several studies have been conducted to link diet to acne but the findings have not been conclusive.  These include studies that associate high-glycemic diets, rich in refined carbohydrates, and drinking milk with acne.  However, according to the American Academy of Dermatology, more research is needed to better understand how these foods affect acne development.

Fighting Back, Naturally
The medical community has been able to make great strides in the development of new drugs for this disease. However, due to these drugs’ side effects, many acne sufferers are looking for natural, gentle over-the-counter options.    Topical Treatments – Ingredients to look for

• Salicylic Acid.  A beta hydroxy acid found in White Willow Bark, this ingredient helps slow the abnormal shedding of cells inside the hair follicles.  It also breaks down whiteheads and blackheads that are clogging the pores and helps dry up excess oil.
  
• Tea Tree Oil.  Well known for its antibacterial and antiseptic properties, this ingredient helps neutralize acne causing bacteria.  Look for Tea Tree Oil described as “encapsulated”.  Encapsulation ensures that it is time released throughout the day, allowing small doses to be released onto the skin, killing bacteria that are present and preventing new bacteria from forming.
  
• Oligopeptide-10.  This ingredient is naturally derived from plant amino acids.  It has the ability of binding itself to a pro-inflammatory substance on the cell wall of the acne-causing bacteria, rendering it inactive.  As a result, it reduces the inflammation and redness associated with acne breakouts.

Incorporating a healthy daily skin care regimen into your lifestyle will also help you fight back and take control of your acne.

Best Practices

• Wash skin with lukewarm water and a gentle cleanser only twice a day.  Frequent washing with hot water and excessive scrubbing will only irritate skin and blemishes, slowing down the healing process. 
  
• Wait 5-15 minutes after washing before applying topical treatments.  This will help avoid irritation if you have sensitive skin.
  
• Use oil free skin care and hair care products.  Look for products that are labeled as “water based”, “oil free” or “noncomedogenic” which means that they won’t clog pores. 
  
• Be cautious in the sun.  Exposure to the sun can worsen acne for some people, especially if they are using topical medications that increase sensitivity to UV exposure such as Benzoyl Peroxide.  Be sure to use non-greasy sunscreen when in the sun.
  
• Do not pop, pick or squeeze acne.  This can make acne worse, lasting longer and potentially leaving a scar.

Remember that while acne can not be cured, it can be controlled with effective treatments combined with a healthy lifestyle.  When starting a new treatment, patience is key as many products can take 6 - 8 weeks before results are seen.  Once you find a treatment that works for you, continue its use to maintain healthy clear skin.