Big Cystic Acne Blackheads Extraction Blackheads & Milia, Whiteheads Removal Pimple Popping #37

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Acne or acne vulgaris is a chronic skin disease that occurs when a hair follicle becomes clogged with dead skin cells and skin oil. Acne is characterized by blackheads or whiteheads, pimples, oily skin, and possible scarring. It primarily affects areas of the skin that contain a relatively large number of sebaceous glands, including the face, upper chest, and back. The resulting appearance of acne can lead to anxiety, low self-esteem, and in extreme cases depression or suicidal ideation.

Genes are believed to be the main cause of acne in 80% of cases. The effect of diet and cigarette smoking on acne is unclear, and neither hygiene nor sun exposure appear to play a role. In both sexes, hormones called androgens appear to be part of the underlying mechanism, by causing increased production of sebum exudate. Another common factor is the overgrowth of the bacteria Propionibacterium acnes, which is commonly found on the skin.

Several options are available for treating acne, including lifestyle changes, medications, and medical procedures. It may be helpful to eat fewer simple carbohydrates such as sugar. Treatments applied topically to affected skin, such as azelaic acid, benzoyl peroxide, and salicylic acid are commonly used. Antibiotics and retinoids are available in formulations that are applied to the skin or taken by mouth to treat acne. However, antibiotic resistance may develop as a result of antibiotic treatment. Several types of birth control pills help fight acne in women. Isotretinoin pills are usually intended to treat severe acne due to the increased potential for side effects. Some in the medical community advocate effective early treatment of acne to reduce the long-term impact on individuals.

In 2015, acne was estimated to affect 633 million people globally, making it the eighth most common disease worldwide. Acne usually occurs in adolescence and affects between 80 and 90% of adolescents in the Western world. These rates are lower in some rural communities. Children and adults may also be affected before and after puberty. Although acne becomes less common after puberty, it persists in about half of people affected in their twenties and thirties, and a smaller percentage of people experience it in their forties
The infection may consist of open (black heads) or closed (white heads), papules, pustules, nodules or cysts. Usually the injury is in the face and sometimes in the shoulders, back and abdomen. Other acne-like conditions should be considered, such as rosacea and steroid acne.

Manifestations of acne include increased oil secretion, white pimples, bumps, pustules, tubercles, and sometimes scars. The appearance of acne varies with skin color. It may cause some social and psychological problems. Some large tubercles were formerly called cysts, and the term cystic tuberculosis is used for some highly inflammatory acne cases.

95% of people with acne suffer from scarring caused by inflammation in the dermis layer of the epidermis. They are formed due to abnormal healing after this inflammation in the dermis layer. The occurrence of these scars usually associated with acne with severe cystic tuberculosis, but may also occur with any type of them. Acne scars are classified based on the type of abnormal healing; Either there is an accumulation of collagen or a loss of collagen at the site of inflammation. Atrophic acne scars are the most common as collagen is lost from this healing. Atrophic scars are classified into: narrow (less than 2 mm wide) deep extending to the dermis, type II: wider than the first (4-5 mm wide) and wavy in shape, type III: circular or oval scars with sharp edges, size ranges between mm across. Enlarged acne scars are less common and are characterized by an abnormally increased collagen content during the healing process. It is characterized by hard, raised bumps on the surface of the skin. Enlarged scars remain within the boundaries of the wound while keloids may form the scar outside these boundaries. Keloids usually affect men and appear more on the torso than on the face.
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