Acne Treatment, Symptoms, Causes & Diagnosis

Acne is a common skin condition that occurs when hair follicles become clogged with oil (sebum) and dead skin cells. This clogging can lead to the formation of pimples, blackheads, whiteheads, and sometimes cysts or nodules. Acne typically appears on the face, neck, back, chest, and shoulders, areas where sebaceous (oil) glands are most active.

Acne is most common during adolescence due to hormonal changes that increase oil production, but it can affect people of all ages. Factors like genetics, diet, stress, and certain medications can also contribute to acne development.

Symptoms of Acne

Acne symptoms can vary depending on the type and severity of the condition.

  1. Whiteheads:
    • Small, closed bumps on the skin that occur when pores become clogged with oil and dead skin cells. The pore remains closed, creating a white or flesh-colored bump.
  2. Blackheads:
    • Open pores filled with excess oil and dead skin cells. The surface of the bump turns black due to oxidation, not dirt.
  3. Papules:
    • Small, red, raised bumps that occur when the walls of a clogged pore break down, causing inflammation.
  4. Pustules:
    • Red, inflamed bumps with a white or yellow center filled with pus. They resemble pimples and are often tender to the touch.
  5. Nodules:
    • Large, solid, painful lumps deep within the skin. These are more severe than typical pimples and can lead to significant discomfort and potential scarring.
  6. Cysts:
    • Deep, painful, pus-filled lumps beneath the skin. Cystic acne is the most severe form and often leads to scarring if not treated properly.
  7. Redness and Swelling:
    • Inflammatory acne can cause surrounding skin to become red, swollen, and tender, especially in more severe cases.
  8. Scarring:
    • Permanent pits, depressions, or raised areas on the skin that may develop after severe acne has healed.
  9. Dark Spots (Hyperpigmentation):
    • After acne clears, dark spots or patches (post-inflammatory hyperpigmentation) can remain on the skin.

These symptoms can occur in various combinations and can affect the face, chest, back, and shoulders. Early and appropriate acne treatment can help manage acne and prevent complications like scarring.

Causes of Acne

Acne develops when hair follicles become clogged with oil (sebum) and dead skin cells, leading to inflammation and bacterial growth.

  1. Excess Oil Production:
    • The sebaceous glands in your skin produce oil (sebum) to keep it hydrated. However, excess oil production can clog pores, leading to acne.
  2. Clogged Hair Follicles:
    • Dead skin cells that don’t shed properly can mix with oil and clog hair follicles. This blockage can result in blackheads, whiteheads, or more severe forms of acne.
  3. Bacterial Growth:
    • The bacteria Cutibacterium acnes (C. acnes) naturally lives on the skin. When hair follicles become clogged, these bacteria can multiply rapidly, causing inflammation and leading to pimples or cysts.
  4. Hormonal Changes:
    • Hormones, particularly androgens, can increase oil production in the skin. This is why acne is common during puberty, menstruation, pregnancy, and conditions like polycystic ovary syndrome (PCOS).
  5. Genetics:
    • A family history of acne can increase your likelihood of developing it. Genetics can influence skin type, oil production, and how your body responds to different hormones.
  6. Diet:
    • Some studies suggest that certain foods, such as those high in refined sugars, dairy products, and high glycemic index foods, may contribute to acne, although the exact relationship is still being studied. 
  7. Skincare Products:
    • Using oily or greasy cosmetics, lotions, or hair products can clog pores and lead to acne. This is often referred to as “cosmetic acne.”
  8. Environmental Factors:
    • Exposure to pollutants, high humidity, and certain chemicals can irritate the skin and contribute to acne flare-ups.
  9. Friction or Pressure:
    • Constant rubbing or pressure on the skin from items like helmets, backpacks, or tight clothing can cause or worsen acne, a condition known as acne mechanica.

Understanding these causes can help in managing and preventing acne by making informed choices about skincare, diet, and lifestyle.

Diagnosis of Acne

Diagnosing acne typically involves a process where the condition is usually visible on the skin.

  1. Physical Examination:
    • A dermatologist or healthcare provider will examine your skin to identify the type and severity of the acne. This includes looking at the types of lesions present, such as blackheads, whiteheads, papules, pustules, nodules, or cysts.
  2. Medical History:
    • Your doctor may ask about your medical history, including when the acne started, what treatments you’ve tried, and whether there’s a family history of acne. They may also inquire about your diet, stress levels, menstrual cycle (for females), and skincare routine.
  3. Hormonal Assessment:
    • In cases where acne is suspected to be related to hormonal imbalances (e.g., in teenagers, women with irregular periods, or adults with persistent acne), the doctor might suggest blood tests to check hormone levels, particularly androgens.
  4. Evaluation of Medication Use:
    • The doctor may review any medications you are currently taking, as some can contribute to acne. This helps in determining whether a medication change is necessary.
  5. Lifestyle and Environmental Factors:
    • The doctor may ask about your lifestyle, including stress levels, diet, and exposure to environmental factors like pollutants or harsh chemicals, which can exacerbate acne.

How is Acne Treated by a Doctor?

Acne treatment by a doctor typically depends on the severity of the condition, the types of lesions present, and the patient’s skin type.

1. Topical Medications:

  • Benzoyl Peroxide: An over-the-counter or prescription medication that helps reduce acne-causing bacteria and removes excess oil and dead skin cells.
  • Retinoids: Derived from vitamin A, these medications (like tretinoin, adapalene, and tazarotene) help prevent clogged pores and reduce inflammation.
  • Topical Antibiotics: Such as clindamycin or erythromycin, these are often combined with other treatments to reduce bacterial growth and inflammation.

2. Oral Medications:

  • Oral Antibiotics: For moderate to severe acne, antibiotics like doxycycline, minocycline, or tetracycline may be prescribed to reduce bacteria and inflammation.
  • Oral Contraceptives: Birth control pills that regulate hormones can be effective in treating acne, especially in women with hormonal acne. Only certain oral contraceptives are approved for acne treatment. 
  • Anti-Androgens: Medications like spironolactone can reduce the effects of androgens, hormones that can increase oil production.

3. Procedural Treatments:

  • Chemical Peels: A dermatologist may apply a chemical solution to the skin to remove dead skin cells and reduce acne lesions.
  • Light and Laser Therapy: These treatments reduce the bacteria that cause acne and can improve skin texture and tone.
  • Drainage and Extraction: For large cysts or nodules, a doctor may physically remove the contents to relieve pain and prevent scarring.
  • Steroid Injections: Corticosteroid injections can reduce inflammation and speed up the healing of severe cystic lesions.

4. Lifestyle and Skincare Recommendations:

  • Gentle Skincare Routine: Doctors often recommend using non-comedogenic products, gentle cleansers, and avoiding harsh scrubs.
  • Dietary Adjustments: Although diet is not the primary cause of acne, a doctor might suggest reducing the intake of high-glycemic foods or dairy products.
  • Stress Management: Since stress can exacerbate acne, managing stress through techniques like meditation or exercise might be recommended.

5. Follow-Up and Monitoring:

  • Regular Check-Ups: Acne treatments often require time and adjustments, so follow-up visits with a doctor are important to monitor progress and side effects.

Doctors tailor acne treatment plans based on individual needs, and it may take time to find the most effective combination of therapies. Early acne treatment can help prevent complications like scarring and improve overall skin health.

Associated Costs of Acne Treatment in Bengaluru

The cost of acne treatment in Bengaluru can vary widely depending on the severity of the condition, the type of treatment required, and the clinic or hospital you choose. Here’s a general overview of the costs associated with different types of acne treatments in Bengaluru:

1. Consultation Fees:

  • Doctor Consultation: ₹250 to ₹2,000 per visit.
    • The initial consultation usually involves a skin examination and discussion of treatment options.

2. Topical Medications:

  • Over-the-Counter (OTC) Products: ₹100 to ₹500.
    • Includes products like benzoyl peroxide, salicylic acid, or topical retinoids.
  • Prescription Topical Medications: ₹300 to ₹2,000.
    • Includes stronger topical treatments prescribed by a dermatologist.

3. Oral Medications:

  • Antibiotics: ₹200 to ₹1,000 per course.
  • Oral Contraceptives: ₹200 to ₹500 per month.
  • Isotretinoin: ₹1,500 to ₹4,000 per month.
    • Usually reserved for very severe and treatment-resistant acne
    • Requires close medical monitoring and follow-up visits (for adverse treatment effects), which can add to the cost.

4. Procedural Treatments:

Typically reserved for severe cases of acne. 

  • Chemical Peels: ₹1,500 to ₹5,000 per session.
    • Multiple sessions may be required for best results.
  • Laser and Light Therapy: ₹3,000 to ₹10,000 per session.
    • Costs vary depending on the type of laser used and the number of sessions required.
  • Drainage and Extraction: ₹1,000 to ₹3,000 per procedure.
  • Steroid Injections: ₹500 to ₹2,000 per injection.
    • Typically used for severe cystic acne.

5. Advanced Treatments:

Typically reserved for severe cases of acne. 

  • Microneedling: ₹5,000 to ₹15,000 per session.
  • Dermabrasion: ₹3,000 to ₹10,000 per session.
  • Fractional Laser Treatment: ₹10,000 to ₹25,000 per session.
    • These treatments are often used for acne scars and may require multiple sessions.

6. Follow-Up and Maintenance:

  • Ongoing Dermatologist Visits: ₹500 to ₹2,000 per visit.
    • Regular follow-ups are important for adjusting treatment plans and monitoring progress, especially for patients with treatments like isotretinoin

7. Skincare Products:

  • Cleansers, Moisturizers, and Sunscreens: ₹200 to ₹1,500.
    • Non-comedogenic products recommended by dermatologists can add to the overall cost.

Total Costs:

  • Mild Acne Treatment: ₹1,000 to ₹5,000 per month.
  • Moderate Acne Treatment: ₹3,000 to ₹15,000 per month.
  • Severe Acne Treatment: ₹10,000 to ₹30,000+ per month, especially if advanced treatments are required.

The cost of acne treatment in Bengaluru can vary depending on individual needs and the choice of clinic or hospital. It’s advisable to consult with a general physician or dermatologist to get a personalized acne treatment plan and an accurate estimate of the costs involved.

Why Choose Clinikk for Acne treatment?

  • Experienced Doctors
    Our doctors have extensive experience in managing acne and ensuring you receive expert care.
  • State-of-the-Art Facilities
    Our clinics are equipped with the latest medical technology for accurate diagnosis and effective acne treatment.
  • Patient-Centric Approach
    We prioritise your health and well-being, offering personalised care tailored to your needs.
  • Affordable Care
    We offer transparent and affordable pricing, ensuring you receive the best care without financial strain.
  • Evidence-Based Medicine
    Our acne treatment protocols are grounded in the latest research, ensuring you receive the most effective treatments available.

For more information or to book an appointment, visit our website at clinikk.com. Experience exceptional healthcare services at Clinikk – your trusted partner in health.

Frequently Asked Questions

Is acne treatment covered under insurance ?

Some insurance plans may cover part of the treatment costs, especially for prescription medications or certain procedures. However, cosmetic treatments like laser therapy may not be covered.

Can Acne Cause Scars?

Yes, acne can sometimes lead to scarring. This occurs when acne penetrates beyond the surface of the skin and damages the deeper layers. Inflammation can cause the acne pores to swell, leading to the breakdown of pore walls and resulting in skin damage that can leave scars.

How Does Acne Affect My Mental Health?

Acne can significantly impact your mental health by affecting your appearance and self-esteem. When acne is driven by hormonal changes or other factors beyond your control, it can lead to stress and anxiety. This stress not only impacts your overall well-being but can also contribute to further breakouts, creating a challenging cycle.

When Should I See My Healthcare Provider?

Consult your general physician as soon as you notice pimples to begin treatment early and help prevent scarring. If your current acne treatment isn’t effective or if it causes skin irritation, such as itchiness or discoloration, it’s important to seek professional advice from the nearest doctor.

Medically Reviewed by Dr Prashanthraj M

Medically Reviewed by Dr Prashanthraj M

MBBS, D.Ortho, DNB, Orthopaedic surgery
13 Years Experience

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