Putting Your Best Face Forward

It’s what’s on the inside that counts - but anyone who has gone through puberty and been plagued by acne may think differently. Aside from physical scarring, the psychological impact of acne can have some deep ramifications that affect self-esteem or lead to depression.

Acne vulgaris is a common ailment that affects both males and females. It occurs most commonly during adolescence but can often continue into adulthood. Characterized by comedones (whiteheads or blackheads), papules (pinheads), pustules (pimples) and nodules (large papules or “cysts”), it involves areas with the highest density of sebaceous (oil) glands such as the face, back and upper chest. Severe acne is inflammatory and can lead to scarring.

Acne is caused as a result of blocked follicles. Pores can become clogged with sebum (oil), keratin (dried skin cells) or bacteria. The bacterium Propionibacterium acnes are part of our normal skin flora but can cause inflammation and lead to lesions mentioned above (papules, pustules or nodules). Some common causes of acne are discussed in the article below.

Diet

Diet has long since been debated as to whether or not it is a factor in causing acne. Recent research has shown that diets high in refined carbohydrates increase insulin levels and in turn, promote acne. High insulin levels elevate the hormones that stimulate production of oil and leads to clogged pores and bacterial growth. Dairy intake has also been linked to increases in acne. Low stomach acidity causes incomplete food breakdown and imbalances in the digestive tract has also been associated with acne.

Improving your glucose tolerance through modified diets and supplements will help control erratic insulin levels. Maintaining healthy gut flora through the use of proper probiotics and digestive enzymes will ensure complete digestion of meals. Treating conditions like constipation will also aid in the elimination of toxins.

Cosmetics

Make-up worn daily can block pores. If using cosmetics, ensure they are water-based, not oil-based. Moisturizers, foundations and sunscreens should be non-comedogenic and oil-free. Use gentle cleansers that do not overdry your skin and cause rebound oil production.

Hormonal Influence

Hormonal changes related to menstrual periods, pregnancy, birth control pills or even stress can cause acne flare-ups. During puberty, excess androgen causes follicles to enlarge and sebum production to increase. Some prescription medications, such as corticosteroids, and medical conditions such as polycystic ovarian syndrome (PCOS), can cause similar effects. In adult acne, excess androgens secreted by the adrenal glands, ovaries or testes can trigger acne. Menopause associated acne can develop when estrogen production is decreased. A hormonal imbalance in androgens such as testosterone, dihydrotestosterone (DHT), and dehydroepiandrosterone sulfate (DHEAS) can be determined through salivary hormone panels offered through Rocky Mountain Analytical.

The use of nutraceuticals, herbs and dietary modifications can help control breakouts. Contact our in house naturopathic doctor to determine which treatments are suitable for your condition.