1. DON’T TRY TO WASH IT AWAY
Acne isn’t caused by dirt. In fact people with oily skin have cleaner skin than average because they wash it more often. But it’s a fact that washing too much can make acne worse because it makes the skin dry and sore. So, wash no more than twice a day, using mild soap and water. If you have patches of dry skin, don’t worry about putting moisturizer on. It won’t make your acne worse. If you’re still concerned, use an oil free moisturizer.

2. DON’T NUKE ‘EM
There are lots of over the counter creams, gels, lotions and potions. Most contain a powerful bleaching agent called benzoyl peroxide. You’ll find the strength written on the label. You might be tempted to go straight for the highest sort, working on the ‘let’s nuke ‘em principle. The likely result is that you’ll irritate your skin like mad. It may also go all dry and scaly on you. But if you still are willing to bleach then use the mild one.

3. MAKE A DATE – THE TWO MONTH RULE
If you have been using over the counter remedies for two months and there is no real improvement in your spots, this is the moment to go and make an appointment with your doc.

4. YOUR DOCTOR – THE TWO MONTH RULE
The thing you are most likely to be given by the doctor is a prescription for antibiotics. These will either be topical (which means something you put on your skin) or tablets you have to take every day. Whatever treatment your doctor or pharmacist recommends, follow the instructions carefully and keep using for at least two months. There should be a noticeable improvement by this time. If not, go back to discuss other possible treatments Antibiotics are perfectly safe to take. You should take them for at least two months and then go back to your doc. If they seem to be working, he will probably tell you to keep taking them and give you some more. If they aren’t doing their stuff, don’t despair – he has loads of other spot busters in his black bag.

5. YOU ARE NOT AN ALIEN – BUT JUST BE PATIENT
Hundreds of thousands of teenagers seek help for acne. You are not alone. You are not an alien. And if people really care about you, they don’t even notice your acne, however bad you think they are. But you will need to be patient. Most treatments take time to work. At least two months. And some treatments, like antibiotics will work well but may have to be taken for months, or even years.

6. THE MONTHLY CURSE… OR EXAMS
Acne does tend to get worse just before a period. It’s because there is a surge in hormone levels at this time. But boys don’t get away lightly either. Being hot and sweaty (particularly after sports like football) makes acne worse. And for everyone, stress – particularly at exam times – is a cue for a mega breakout. This is normal – and of course, even more reason for feeling stressed. Go chill. They’ll get better – promise.

Take Care…

STOP popping the spots, also known as pimples and zits. This may make the pimple look worse due to inflammation and irritation. Popping a zit can spread infection under the skin and produce even more pimples than before. If you do pop a spot then immediately clean it with soap and water or rubbing alcohol in order to prevent infection. If a pimple erupts in a particularly bothersome place, learn how to target a single pimple. And if you’re determined to pop, learn how to pop a pimple safely and properly. If you do pop a pimple and you want to avoid anything resembling Western medicine, one thing to try is put a mixture of honey and ground cinnamon on the spot. Put a band-aid on it also. You may also want to stay away from stress.

Remove any make-up you have on. Wearing make-up can clog pores, making them dirty and causing pimples. Also try to wear oil-free makeup (if you have oily skin) or a medicated makeup.

Use a mild soap for sensitive skin but it doesn’t matter exactly what type of soap you use. It can be designed for acne-prone skin or not, but you will want to treat your skin gently. Harsh antibacterial soap may actually make your acne worse by irritating skin.

Remove dead skin cells regularly by exfoliating. Use a gentle scrub with natural defoliants like ground walnut shells, or use an over-the-counter chemical defoliant like salicylic acid or glycolic acid. Adding ground walnut shell to a thick moisturizer like cocoa butter can be effective too. Take caution, because over-exfoliating can actually increase the likelihood of acne by irritating the skin. Pat dry, rather than rubbing, since rubbing can cause irritation to the fresh skin you’ve just revealed.

Use a good toner. Spray onto face or wipe on with a cotton ball and wipe off with a clean, dry cotton ball. This gets rid of excess cleanser and tightens pores. Good, inexpensive choices include plain witch hazel for normal to dry skin, lemon juice, or 3% hydrogen peroxide for oily skin. 70% ethyl rubbing alcohol can also be used for severe oiliness, but it can really dry out your skin and irritate it more. Some toners are medicated, and this stage is the best for using a medicated product if you’re only going to use one medication.

The scars usually look like red patches covering the skin and are hard to get rid of when on the body but respond better to treatment when located on the face. These scars are called "pseudo scars" because they are not a true scar, they only last up to about six months. So even if the cyst has gone you will still be left with a reminder each day, Because the scars resemble the cyst in color and shape. But if you don’t not access the right treatment for your acne the scaring could be permanent.

Isotretinoin is a common treatment used to cure pimples under the skin, but isotretinion is more commonly known as Accutane. This treatment was first used in the 1930′s creating a noticeable difference in sebum production. How it works is by killing diving cells which are the cause of cystic acne, it is also used to treat some cancers such as brain cancer and pancreatic cancer.

Isotretinoin is usually used when no other acne treatments produces results such as use of benzoyl peroxide. Restrictions are quite high when trying to get hold of this drug and can only be prescribed by a dermatologist because cystic acne can sometimes cause permanent scaring in a short amount of time.

Adverse effects to taking isotretinoin are dry skin, eye irritation, mild acne flare ups, back pain or more uncommon inflammatory bowel disease, depression and psychosis. If taken during pregnancy it will most likely cause birth defects, so it is not recommended if you are pregnant or trying to get pregnant.