What causes acne?
Each hair follicle connects to an oil gland. When oil (sebum), dead skin cells and bacteria plug a follicle, it can become inflamed and form a pimple, cyst or nodule. Several things can make acne worse:
- Hormone changes, including puberty, the menstrual cycle and pregnancy
- Family history of acne
- Some medications, such as corticosteroids and certain hormonal treatments
- Heavy, oil-based cosmetics and hair products
- Stress, which can trigger flares
How we treat acne
Your visit starts with an exam and a review of what you have already tried. Dr. Fatteh then builds a plan that may combine:
- Prescription topicals such as retinoids, benzoyl peroxide and topical antibiotics
- Oral antibiotics for a limited course to calm inflammatory acne
- Hormonal therapy, such as certain birth control pills or spironolactone, for some women
- Isotretinoin for severe or scarring acne that has not responded to other treatment, with the required monitoring program
Most treatments take 8 to 12 weeks to show their full effect, so follow-up visits are part of the plan.
Everyday habits that help
- Wash your face no more than twice a day with a gentle cleanser
- Avoid scrubbing, picking or squeezing, which can deepen inflammation and cause scars
- Choose products labeled non-comedogenic or oil-free
- Wear loose, breathable clothing if you have acne on your chest or back
Frequently asked questions
Do I need a dermatologist for acne?
If over-the-counter products have not helped after two to three months, or if your acne is painful, cystic or leaving marks, a dermatologist can prescribe stronger treatment and help prevent scarring.
Do you treat acne in teenagers?
Yes. Dr. Fatteh treats acne in children, teens and adults.