Acne: use a treatment plan, not endless product experiments

Acne involves sebum production, follicular blockage and inflammation. Continually adding new skincare products without a strategy often creates more irritation than progress.

We consider comedones, inflammatory lesions, nodules or cysts, distribution, scarring, pigmentation, skin sensitivity, previous treatment and relevant hormonal or medication factors.

Depending on severity and type, evidence-based options may include benzoyl peroxide, topical retinoids, azelaic acid, antibiotics or, for more severe acne, isotretinoin. Not every treatment is appropriate to start fully online and some require additional monitoring.

Acne treatment is assessed over weeks to months. Early irritation can often be reduced by introducing active treatments in a practical way.

Deep inflammation, rapid scarring or inadequate response to first-line treatment may justify dermatology referral.

Read retinoids and evidence-based skincare.

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