Acne Update - Toronto Dermatology Centre
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Acne Update

Acne is a very common skin problem that affects the pilosebaceous unit (pores and the hair and oil gland found within them). Bacteria called P.acnes, sebum (oil), inflammation and the immune system, and plugging of pores all play a role in the development of acne; genetics and hormones have a huge role to play as well. Some people get blackheads and whiteheads, while others get pimples and pustules and even cysts or nodules, and many get a combination of these. Along with the appearance, acne can sometimes be itchy or sore, and can cause scarring which may not be easy to treat.

Various treatments exist for acne, from topical creams and gels, to oral antibiotics, hormonal therapy, and Accutane.  Most people with acne, regardless of severity and location, would benefit from prescription topical products. One of the newer and most effective therapies is TactuPump, formerly known as Tactuo gel. This is a combination product that has adapalene, a retinoid that helps with blackheads, whiteheads, inflammation, and fading of brown discolorations caused by acne. It also contains benzoyl peroxide, effective for inflammatory pimples and pustules. Together, this combination therapy targets most aspects of acne. Antibiotic resistance is an increasing concern for physicians and patients. TactuPump does not have an antibiotic in it, and so resistance is not an issue with long-term use of this product.  That said, deeper tender acne or hormonal acne often requires oral therapies in combination with topical prescription.  As well, there are laser treatments, chemical peels, microdermabrasion, and facials that provide varying degrees of benefit depending on type of acne. Medical esthetician can also help optimize good skin care regimen for acne.

By Dr. Anatoli Freiman

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