Comment

Comment by Laura Cooksey on January 29, 2011 at 12:12pm

There's really not much of a difference in treating teen and adult acne.  The one consideration you have to keep in mind, is if the adult has dry skin. You would then want to modify your homecare regimen.  But, everything that we use for acne with the exception of bpo is skin rejuvenating as well.

Comment by Beth Davis on January 27, 2011 at 7:33pm

I'm interested in product recommendations for ADULT ACNE? Proactiv is the number one product I hear about and see and it is marketed to Acneic clients not an age group.  I use Pevonia at work, but their acne line is marketed towards teens.  We use this line on adults as well.

What types of ingredient differences are there in professional teen lines vs lines marketed towards adults or are they same?  

Comment by Mary Lou Coleman on January 27, 2011 at 3:56pm

Joanna, the course was given by Benjamin Fuchs, R.Ph., at the Las Vegas esthetics convention in June, 2009.  He's the senior chemist at Sanitas Skincare.  They are, I believe, in Boulder, CO.  The book I am reading at present is the acne manual written by the CEO of the product line I use professionally, GlyMed Plus.  Her name is Christine Heathman, and she has spent decades researching acne treatments.  The manual is $75 and can be purchased by calling GlyMed Plus at 800-676-9667.

Comment by Laura Cooksey on January 27, 2011 at 12:04pm

@Joanna - read Dr. Fulton's book, Acne Rx.  He explains in detail his theory of the inherited disorder.  He says that acne is a dominant gene in Spaniards, so wherever they went acne followed. And they went alot of places in the world! 

The remaining 10% - well, some of them just aren't compliant, others have such hormonal imbalances that they have to resort to birth control pills (sometimes, not always, the right bcp can be a miracle cure for those resistant-acne types).  I, of course, strive for 100% but I figure we are getting WAY better statistics than the derms.

Comment by Joanna Sechuck-Tringali on January 27, 2011 at 7:44am

I am grateful for everyone's advice, thx.  Mary Lou, would you mind sharing  the name of the course and the book you read?  Laura, any input as to what factors affect inherited pore dysfunction - is it racial, some particular inherited health issue besides acne that would serve as a marker, or just that parents had acne?  And if 90% are helped with the topicals, what happens with the remaining 10%?  Pam, I'm with you - I want 100%!  Is this possible?

Comment by Pamela Cantor on January 27, 2011 at 12:27am

Just spent some time this morning reviewing the latest on the AAD web site and reading some studies at Google Scholar re hormonal acne. Food does not cause acne and other than the nutritional info listed below by Laura and the fact that anyone on a steady diet of fast food and soda pop isn't going to have great skin, topicals with facials and home care works in the majority of cases. Even my frustrating hormonal hysteria non-inflamed acne sufferers have 80-90% improvement. I want 100%!

Comment by Laura Cooksey on January 27, 2011 at 12:14am

"I attended a class on acne presented by a very knowledgeable guy, a former pharmacist, who is of the opinion that every acne condition is first and foremost a systemic condition and must be treated nutritionally before any topical treatment has a chance of being successful."

Sorry, that is not my experience in treating acne.  I tell my clients to avoid iodides and high androgen foods; but that's about all the guidance they get in the nutritional department besides taking zinc and omega 3 f/o.  We get over 90% of our acne clients clear with topical products alone.  My understanding of acne is that it is an inherited disorder of the pores.

Most doctors say that a leave-on bpo is fine for pregnant women.  Sulfur is a great anti-inflammatory - fabulous for inflamed acne, not so great for noninflamed acne.  It is incredibly dehyrating as well.

Comment by Mary Lou Coleman on January 26, 2011 at 8:07pm

How embarrassing.  I have to correct myself.  I've been studying acne treatment in a new book of mine, and I just read the author say sulfur actually is a very good exfoliant.  So that may be the solution, along with enzymes, right there to helping shed that pesky hyperkeratosis in a pregnant woman.

Comment by Mary Lou Coleman on January 26, 2011 at 6:15pm

I attended a class on acne presented by a very knowledgeable guy, a former pharmacist, who is of the opinion that every acne condition is first and foremost a systemic condition and must be treated nutritionally before any topical treatment has a chance of being successful.  This non-inflammatory, non-extractable acne is a problem of too much and/or too sticky sebum combining with too much cell build-up in the follicle.  He said Vitamin A (internally taken and always with a fat) is the best cell normalizer and Saw Palmetto is very good for slowing sebum production.  WHETHER EITHER OF THESE IS SAFE FOR A PREGNANT WOMAN I DON'T KNOW.  Topically, exfoliation, and aggressive exfoliation, (but without over-drying the skin) is necessary.  The client absolutely must be committed to daily home care, including exfoliation, or they cannot complain your treatments aren't working.  Cleansers with Sal or BPO are OK for pregnant women, but nothing containing those two that stays on the skin is.  Sulfur is safe for pregnant women, but not effective as an exfoliator - better for inflammation.  Enzymes are probably the best bet until she is no longer pregnant or nursing.  If she's an androgenic type, and is in her first trimester (when androgens predominate) her acne is definitely going to be a challenge, especially if she is inconsistant in her home-care, and wants to continue to eat like she's been eating.  And then to make matters worse, Asian skin loves to hyperpigment, so the aggressiveness of her treatment will have to walk a thin line, and will need to be augmented by topical anti-inflammatories and, while she is pregnant, natural tyrosinase inhibitors. No hydroquinone, in my opinion.

Comment by Laura Cooksey on January 26, 2011 at 1:15pm

If the acne is noninflamed (and mild noninflamed can be the toughest to get under control), I start with a mandelic serum coupled with a mild bpo, then, after about 6 weeks I add in a vitamin a proprionate serum (can't be used while pregnant though).

@Mary Lou - great questions to ask the client!

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