Post-acne

Description:

Post-acne – effects unqualified (most often mechanical) impacts on acne rash. The problem of emergence of eels is familiar to most of people. Even people with enviable skin at least during puberty had even if several juvenile heat-spots. And when skin is subject to serious testing of an acne (acne rash), serious professional treatment is necessary. If to neglect competent ways of fight against an acne, there is a threat of a new problem. Any attempts of independent removal of spots, eels, black points it is fraught with formation of noticeable defects of skin which will long demonstrate the wrong independent actions directed to a solution of the problem of acne rash. The timely address to the specialist will allow to cope successfully with the acne illness, besides will prevent developing of a post-acne.

Post-acne symptoms:

The post-acne represents a complex of cosmetic defects of skin, seborrheas which are a consequence and acne rash, and also unqualified impacts on them in attempts of independent treatment.
Treat a post-acne:
expansion of a time
resistant erythema and trichangiectasia
hems
uneven texture of skin
congestive spots
post-inflammatory hyper - and a depigmentation
Level of weight of a post-acne depends not only on that how heavy was damage of skin acne rash. If the acne happens at young age when skin has big ability to regeneration, besides if timely professional treatment of acne rashes was carried out, the post-acne does not represent a serious problem. On the contrary, the long course of an acne disease, without rendering due cosmetology and medical care, causes permanent changes of structure of skin and a serious cosmetic problem. Let's consider in more detail the main displays of a post-acne.
Expansion of a time. Hyperfunction of sebaceous glands leads to excess development of a secret and its accumulation in channels. Here various external pollution, the remains of cosmetics, devitalized cells of skin are added. There occurs consolidation of walls of a channel owing to its long expansion, then there is an excessive development of a corneous layer of skin, emergence of a hem. There is noticeable an uneven texture of skin.
Resistant erythema. As a result of wrong (most often mechanical) leads impacts on the inflammation center, traumatic unqualified removal of papules, pustules, nodes or cysts to formation of cyanotic spots. They arise in response to microblood circulation disturbance. The same cyanotic hems and spots appear after opening of the center of an inflammation and eruption of infiltrate. The esthetic condition of skin worsens, hems and spots in cold season are especially noticeable. It is possible to correct a situation only by means of special treatment.
Hems at a post-acne. At an acne lead some cosmetic methods of impact on the inflamed sites of skin to formation of hems. At electrothermic coagulation of the centers of an inflammation, opening the post-acne phenomena – roughnesses of skin, cicatricial educations, cyanotic spots arise a needle of the closed Cametonum. Decrease in reparative processes and regeneration of skin is promoted by frequent carrying out mechanical face peel at which there is a skin prelum, its traumatizing, disturbance of microcirculation.

Treatment of a post-acne:

Methods of correction of a post-acne at expansion of a time.

First, expansion of a time improves by use of the drugs reducing activity of sebaceous glands, for example, of Retinolum and retinoic acid. Impact on skin Retinolum represents more sparing way of correction in comparison with retinoic acid, does not cause an erythema in the form of a peeling and dryness of integuments. Retinolums reduce development of a secret sebaceous glands, considerably reduce thickness of a corneous layer of skin. Treatment of a post-acne by means of these drugs demand a long time, the therapeutic effect appears only in several months or even a year later.
Methods of correction of the postaknevo-second, correction of the defects of skin connected with expansion of a time is promoted by elimination of the phenomena of a hyperkeratosis (excessive development of a corneous layer of skin). For this purpose well drugs about the content of fruit acids (milk, tartarovy, glycolic, etc.), salicylic acid and adelainovy acid approach. Under the influence of these drugs the corneous layer of skin becomes thinner, accumulation of the disappeared cells in mouths of follicles decreases, the condition of mouths is normalized, their obstruction is eliminated. Fruit acids (hydroxyacids) also reduce sebaceous glands, effectively dissolve a fatty secret, clear channels. It is possible to use drugs with fruit and salicylic acids in house conditions. Daily wiping of skin in 2-3 months gives positive effect and noticeable narrowing of skin pores. It is the best of all to use fruit acids of a natural origin, they look after skin more carefully, do not cause her irritation, unlike the acids received in the synthetic way. Constant use of hydroxyacids is undesirable more than 4-5 months. To avoid, so-called effect of accustoming, it is necessary to stop holding procedures for 1-2 months, and then to continue treatment.
The superficial chemical peeling applied by the content of 15-30% of acids of 7-14 days of 1 time considerably reduces skin pores, levels its surface. The cosmetic effect is observed in 6-8 weeks. After a break for 2-3 weeks of the procedure of a peeling it is possible to repeat.

Methods of correction of a resistant erythema at a post-acne.

Methods are based on vasodilating and locally irritant action of the applied medicines. Drugs on the basis of Ichthyolum, camphor, menthol, niacin, isopropyl alcohol improve blood supply of upper layers of skin and a trophicity of fabrics. Thereof capillaries of skin are narrowed, become more elastic, their inflammation and paresis disappears. Normalization of vaskulyatorny and microcirculator processes leads to reduction of the site of a post-inflammatory erythema.
Antiinflammatory and vasodilating procedures are effectively combined with superficial chemical peelings and topical administration of drugs of Alpha-ascorbic acid with high (10-17%) the content of vitamin C. The chemical peeling activates microcirculation of skin, and vitamin C has sosudoukreplyayushchy, resorptional and depigmenting effect. As a result the condition of skin, its outward, recovery and protective properties improves.
Methods of correction of a post-acne. An equipment room a kosmetologiyanerovny relief of skin as a result of a post-acne, congestive and a nevus pigmentosus, and also a skin depigmentation well give in to correction by means of hardware physiotherapeutic methods of treatment. Here carrying out a medicinal electrophoresis, darsonvalization, ultrasonic and cryotherapies, vacuum massage, phototherapy is shown. Thermal medical procedures – compresses, thermomasks, infrared radiation – are directed to stimulation of oxidizing and exchange processes in fabrics.
Intradermal microinjections - biorevitalization, a mesotherapy, ozonotherapy – luchshat microcirculation, a lymphatic drainage and elasticity of skin. Good results are yielded by use of means of professional medical cosmetics.

Correction of hems at a post-acne.

Cicatricial changes of skin owing to an acne will difficult respond to treatment. Their emergence can be avoided if to begin timely adequate therapy of the first signs of an inflammation of sebaceous glands. Full disposal of hems does not guarantee any method of treatment. An exit is in minimizing manifestation of hems, to make them almost imperceptible against the background of surrounding fabric. Treatment of a post-acne is carried out to destination and under observation of the dermatologist, specialists in esthetic cosmetology and surgery. Contraindications for holding many procedures are the active stage of an acne disease, acute inflammatory process, skin diseases. The technique of treatment is selected individually, depending on type and expressiveness of cicatricial changes.

Median (TSA) and deep peelings.

Median and deep peelings at postaknezastoyny spots and superficial hems from an acne can be subjected to correction by a median or deep peeling – removal of the keratosic layer by means of chemical drugs. The essence of this method consists in dissolution of an upper corneous layer of skin and formation of a necrosis of the cicatricial site. Skin in this place darkens, healing happens after falling away of crusts. Additional education of collagen in skin at its regeneration leads to reduction of depth of hems and their visibility against the background of surrounding skin. Skin on site of a post-acne gains more natural and healthy color. Fixing of result of treatment is reached by repeated holding several procedures of a median peeling in 1-3 months.
For carrying out a median peeling at a post-acne solution of 15-35% of trichloroacetic acid (a so-called TSA-peeling) which is applied for 10-15 minutes is used. At the expressed morbidity of the procedure soothing drugs are appointed and ice in the place of application is put. Right after carrying out a median peeling the hyperemia and a cutaneous dropsy which gradually decrease within 5-7 days can develop. Terms of full healing depend on concentration of drug and vary from one to several weeks. The phenolic peeling belongs to deep peelings, by efficiency comparable to plastic surgery. It is carried out only in the conditions of a hospital under anesthetic.

Laser grinding of skin.

Laser grinding at postaknepr cicatricial displays of a post-acne use of laser correction is shown. The laser beam depending on wavelength and force of influence or deletes an old hem layer-by-layer as the erbium laser, or changes cicatricial structure as karbondioksidny. Laser impact on skin has effect of a peeling and in a different way is called as a laser peeling, or laser grinding (resurfacing). Further skin passes all stages of healing. The advantage of this method is the accuracy and dosage of a laser bunch on an affected area. However its use is not so eurysynusic. The laser peeling, however, as well as chemical, is applied only at superficial cicatricial damages of skin.
After the procedure of a laser peeling there is an irritation, reddening and a cutaneous dropsy which disappear within a month. At a significant area of damage of skin of a post-acne the procedure can be long on time (till one o'clock and more). Laser grinding under local or general anesthesia is carried out. For the best healing of skin in the next two weeks salve dressings or applications are usually appointed. In warm season it is necessary to use sun-protection means.

Injections of collagen and change of fatty tissue.

Collagen injections at postaknemyagky and superficial cicatricial defects can be smoothed by means of collagenic injections. Collagen represents proteinaceous fibers and is construction material for connecting fabric. Subcutaneous injections of collagen fill emptiness in skin and for a while smooth hems. They are not applied at the keloid and chopped-off hems. Most often for injections drugs of collagen of animal origin are used (cow or human), it is used also vegetable and a sea kollagena. Efficiency of the procedure remains before half a year, then collagenic injections can be repeated.
At profound cicatricial changes of skin owing to an acne the method of autologous change under a zone of defeat of the fatty tissue taken from the patient is applied. Fatty tissue is entered in the injection way and resolves gradually, from 6 months to 1,5 years.

Dermabrasion.

Dermabrasion – a hardware technique of mechanical grinding, deleting of skin. A special mill or brushes of the device the skin blanket, including рубцово izmenenenny fabric in a defect zone is removed. Epithelization of a wound surface leads to change of a relief of skin and smoothing of hems. Dermabrasion is shown not for all types of hems: at hems with the wide basis she can make defect more expressed. At patients with swarty skin dermabrasion often leads to a hyperpegmentation. The risk of complications in the form of infection of integuments and formation of keloid cicatrixes is also possible.
Dermabrasion at a postakneprotsedur of dermabrasion is carried out under a local infiltration anesthesia and about 30 minutes last. Right after manipulation on skin grazes, puffiness are visible. Healing of a wound surface happens in a week to falling away of a scab. For acceleration of process of epithelization of skin imposing of bandages is possible. Skin manifestations in the form of a hyperemia and irritation disappear for several weeks. Further it is recommended to use means with a sun-protection factor.
Is much less effective at post-acne hems microdermabrasion, t. е microgrinding of skin by means of aluminum oxide crystals. She demands repeated repetition of the procedure and does not yield the guaranteed result. Are also inefficient at a post-acne of means of house use, they give only superficial peeling of cells of skin.
Surgical methods

The involved or chopped off hems treat by the komposterny method (elliptic) excision (punch excision). Such hems are excised to a hypodermic fatty tissue by various methods. On the excised surface put a stitch or carry out skin plastics by own tissue of the patient. Also skin transplantation is shown during removal of the hems formed on site closings of fistulas. The full wound repair occurs in several weeks.
The "rectangular" or "rounded-off" hems pressed subject to cutting (subcision). Cutting skin under already available hem, try to obtain that due to formation of a new hem, old rises and becomes less noticeable against the background of surrounding fabric. Usually desirable effect is reached for 1-3 procedures.