Doctor’s Guide to Basics and Treatment of Acne


Everything you need to know about this infection

Acne is a bacterial infection that does need treatment, patience and care!

There are lot of myths about skin infections like Acne and I want to use my medical knowledge to debunk them!

Have you ever gone up close to the mirror and looked at your face and wondered why do I have all these spots and bumps that are just making me so insecure?

If yes then, join the club! You are one of the many victims of acne occurring mainly due to hormonal changes.what is acne

Let’s get straight into it!

So what is Acne?

It’s an inflammation caused when there is an imbalance in the interaction between hormones, bacteria and skin oils. 

When this imbalance occurs it results in inflammation of the pores which is the actual eruption that shows up on our face.

This imbalance can manifest as different forms depending upon the site and duration of the infection.

Most common forms of acne are

  • Whiteheads
  • Blackheads
  • Pimples
  • Pustules (raised bumps on the skin containing pus)
  • Nodules (larger bumps, deeper, full of pus)
  • Cysts ( large widespread pockets of pus)
  • Abscess


who is prone to acne

Puberty and Acne

Everyone has to go through puberty and that’s why everyone is prone to Acne!

The level and the type of acne infection will vary from person to person but there’s no complete escape.

During puberty, the hormonal changes cause increased production of sebum and that leads to clogged pores which ultimately leads to acne.

Other conditions that make Acne worse are – PCOS, irregular menstrual cycles, use of steroids, certain inexpensive cosmetics and cleansers.

Diet does play a bit of role but that cannot be defined as a generic cause of acne. The outbreaks that occur due to diet vary for each individual.

In India the most common food which causes immediate acne is Mangoes, but it’s superficial acne.

It occurs due to excessive heat trapping inside the body.

types of acne

Types of Acne

There are various classifications of acne but here we are going to talk about the depending upon the occurrence of acne.

Mild acne

Only a few (less than 20) noninflamed blackheads or whiteheads, or a moderate number of small, mildly irritated pimples.

Pustules, which resemble pimples with yellow tops, may also develop.

Blackheads appear as small flesh-colored bumps with a dark center. Whiteheads have a similar appearance but lack the dark center.

Pimples are mildly uncomfortable and have a white center surrounded by a small area of reddened skin.

Moderate acne

Involves more blackheads, whiteheads, pimples, and pustules.

Severe acne

In this case have either very large numbers of blackheads and whiteheads, pimples, and pustules or cystic (deep) acne.

If anyone is suffering from cystic acne, they have 5 or more cysts, which are large, red, painful, pus-filled nodules that may merge under the skin into larger, oozing abscesses.

Mild acne usually does not leave scars. However, squeezing pimples or trying to open them in other ways increases inflammation and the depth of injury to the skin, making scarring more likely.

The cysts and abscesses of severe acne often rupture and, after healing, typically leave scars. Scars may be tiny, deep holes (icepick scars); wider pits of varying depth; or large, irregular indentations.

Acne scars last a lifetime and, for some people, are cosmetically significant and a source of emotional stress.

Solution to acne

So for extremely mild acne or acne caused due to dietary factors sometimes DIY remedies work.

But like most people if you’ve had acne for more than a month and it keeps recurring you need to get medical treatment right away!

medical treatment

Medical Treatment

This is divided into two categories (based on the type of acne you need to choose the type of treatment )

  • Over the Counter Treatment
  • Antibiotic Treatment

Over the Counter treatment:

If you have mild or moderate acne this treatment will work for you. It will take around 2-4 months or in some cases even more time.

Our aim is to kill the bacteria completely and regenerate healthy skin. This is done by repeated process of cleansing and application of topical agents that have bactericidal effect.

Which Cleansers?

Salicylic Acid based foam cleansers work the best. Just go to your pharmacy and ask them for Salicylic Acid Foaming Face Wash.

You need to use this at least three times a day initially and then gradually decrease it to two times then one time eventually.

Which Moisturisers?

Creams/Moisturisers containing benzoyl peroxide works the best. Apply it two times everyday post cleansing your face. Cetaphil is the most commonly used moisturiser, you can get it at the pharmacy or on amazon!

Spot/ Bump treatment

Now this involves the application of a topical antibiotic, and the one that serves as the perfect balance of not being too hard or drying is Clindamycin. You can get this as a gel preparation.

Apply that on the affected area when you’re not going out or during sleeping.

Antibiotic Treatment

Not always can you fix acne from the outside. The infection needs to be taken care from the inside and this involves oral administration of antibiotics.

This treatment also involves ingestion of isretinoin, which has to be monitored by the doctor/dermatologist.



Acne infection if treated at the right time will cause the least damage.

Even if you’ve waited long enough, it’s okay. It is fixable. Choose the right way. Don’t hesitate. Leave a comment if you have any doubts, I’ll help you out but don’t go and try unreliable tricks that will just end up aggravating the acne!

These scars do contribute to our lives, so we need to take care of them. I am here to help you guys with my knowledge so again, don’t hesitate, you can comment here or all my social media info is down below you can contact me there!

Take Care


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