Abstract
By understanding the pathogenesis and treatment of acne, it is possible to devise a topical skin care program using a benzoyl peroxide cleanser to kill the Corynebacterium acnes, a normalizing tonic containing glycolic acid to dissolve the attachments between skin cells, and vitamin A gels to generate new cells that do not adhere and clog the pores. Usually in 2-4 weeks the condition is improved, and in 8-12 weeks the complexion is clear. Medical facials are combined with the skin care program to extract lesions as they migrate to the surface. An occasional patient with severe acne will also receive systemic isotretinoin for 20 weeks. For patients with facial scarring, a laser-assisted chemabrasion completes their rejuvenation. This combination allows us to improve acne health care.
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