In addition to common oral drugs and topical ointments, cocktail therapy is gradually being widely used. Cocktail therapy for acne is a personalized acne treatment according to everyone's different habits and physique, such as life and diet: deep cleaning and thorough cleaning can remove dirt that can't be washed off on weekdays and make the next treatment more effective. Benzoyl peroxide, a topical drug, can penetrate into skin hair follicles and reduce acne bacteria, thus reducing the concentration of free fatty acids and reducing inflammatory reactions. There are also some effects of reducing acne. This medicine is irritating, but a small number of people may become red, swollen and allergic after using it several times. Azalea acid is the most important drug for acne treatment at present, which is relatively mild. Vitamin A acid (tretinoin) has three concentrations: 0.0 1%, 0.05%, 0. 1%, which mainly acts on rosacea. It can remove keratinized substances blocking hair follicle mouth, and make skin cells near pores fall off and accumulate abnormally. This medicine can cause temporary irritating dermatitis and is sensitive to light, so it is best to use it at night. Mild acne can be treated with antibiotics for external use, erythromycin and clindamycin are commonly used. Sulfur has a certain bactericidal and protective effect on the hair follicle wall, and also has a certain thorn removal effect. Salicylic acid (bha) can help clear the blocked hair follicle mouth. This medicine can reduce the abnormal shedding of hair follicle cells and prevent the occurrence of new lesions. It is most effective for blackheads. Oral drugs Oral antibiotics Patients with moderate to severe acne often use oral antibiotics, which can reduce bacteria in hair follicles, reduce the amount of free fatty acids and alleviate inflammatory reactions. There are also some acne-reducing effects. Commonly used drugs are tetracycline, erythromycin, clindamycin and doxycycline, which are by far the most effective drugs for acne. This drug is usually used for severe or cystic acne, and it is the only drug that is effective for the three main causes of acne-it can inhibit the activity of sebaceous glands, greatly reduce the secretion of sebum and improve the oily condition of skin; And can reduce the number of bacteria in hair follicles; It can also make the abnormal keratinization process of hair follicle mouth turn normal and has anti-inflammatory effect. A course of treatment takes about four to five months. After drug withdrawal, the drug effect can last for several months to several years. Hormone therapy estrogen plus antiandrogen can inhibit androgen secretion of adrenal gland and reduce sebum secretion. Fruit acid rejuvenation uses medical concentration of fruit acid to help you remove aging keratin and let acne lurking under the skin be discharged. The compound fruit acid is supplemented with the following formula: salipeel: skin softening acid-improving oil production, treating acne scars and reducing pores. Melaspeel: Deep cleansing acid, used for acne removal and drainage. Medical beauticians will use professional and thoroughly disinfected instruments to remove acne on your face and teach you correct maintenance knowledge. Acne cream is introduced into calming and anti-inflammatory, using pure natural plant extracts, and directly introduced into your skin through ultrasonic waves, which can quickly reduce swelling and make your skin no longer shy. If there is a big pustule in pustule injection, the doctor will directly inject drugs into the skin, which can accelerate the recovery of the affected area and, most importantly, avoid the formation of pits! Laser treatment of redness and swelling: used for acne erythema and vasodilation caused by chronic inflammation. Laser skin rejuvenation: it can improve the problems such as large pores and shallow pits that are easy to appear on oily skin, and it is easier to take care of because it is polished deeper. Pulsed Meguiar's Light: Stimulates the proliferation of fibroblasts, thickens the dermis, and increases the external invasion to the skin.
A. Local treatment
Benzoyl peroxide has antibacterial effect. It can penetrate into skin hair follicles, reduce acne bacteria, reduce the concentration of free fatty acids and reduce the formation of acne.
Pay attention to irritation and contact dermatitis.
Tretinoin (tretinoin) is mainly used for acne, which can remove keratinized substances from the mouth of cold hair follicles.
Attention: Irritant and contact dermatitis, and photosensitivity. It is best to use sunscreen.
Topical antibiotics: Topical antibiotics are usually used for mild acne. The most commonly used antibiotics for external use are erythromycin and clindamycin.
Sulfur and resorcinol alone or in combination with resorcinol are helpful to the recovery of lesions and have bactericidal effect, but have little effect on protecting hair follicle wall.
Salicylic acid Salicylic acid acts on hair follicle wall cells, which can help clean blocked hair follicles (but the effect is not as good as vitamin A acid). It can reduce the abnormal shedding of hair follicle wall and prevent new lesions. It is most effective for blackheads.
Local injection of steroids is used to treat nodular and cystic acne. Steroids have anti-inflammatory effects. Injecting it into inflamed nodules and cystic acne can make the cyst shrink rapidly. The earlier the injection, the better, because the longer these cysts exist, the easier it is to produce scars.
Cryotherapy can reduce inflammation and eliminate acne scars.
B. Systematic therapy
Oral antibiotics: used for moderate and severe acne, used to kill less bacteria in hair follicles, reduce the amount of free fatty acids, and interfere with the inflammatory mechanism. * Commonly used antibiotics: tetracycline, erythromycin, clindamycin and minocycline.
Pay attention to the side effects: photosensitivity, gastrointestinal discomfort, candida albicans proliferation and increased leucorrhea. (Tetracycline (4) should be taken on an empty stomach. Do not use antacids or iron agents. )
Oral vitamin A acid is used for severe and cystic acne, which has an effect on all the mechanisms that cause acne. It can inhibit the activity of sebaceous glands, reduce the number of bacteria in sebaceous hair follicles, turn the abnormal keratinization process of hair follicles into normal, and has anti-inflammatory effect. It takes about 4 to 5 months, and the drug effect can last for several months to several years.
Side effects: (1) fetal malformation (2) xeroderma, cheilitis and alopecia.
Nosebleed, gum pain, dry eye, blindness. (4) Muscle pain, changes in bones and nervous system. (5) dyslipidemia. (6) Photosensitivity (3) Estrogen (estrogen) is used to inhibit the effects of kidney and male hormones. For example: ethinylestradiol
Side effects: nausea, weight gain, breast tenderness, amenorrhea, dark spots, hypertension, thrombophlebitis and vaginal candidiasis.