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Conditions · Skin

Acne

Pimples, blackheads, cysts and the marks they leave. It isn't only for teenagers and it isn't caused by poor hygiene.

What you notice

  • Blackheads and whiteheads on the nose, forehead, chin.
  • Red pimples, sometimes with pus.
  • Hard, painful bumps under the skin.
  • Dark or red spots where a pimple used to be.
  • Breakouts on the back, chest or shoulders.

Why it happens

The pore gets clogged with oil and cells, a bacterium grows inside and it becomes inflamed. Hormones, genetics, some cosmetics and certain medications trigger it.

Squeezing or scrubbing makes it worse and leaves marks. Adult acne, especially in women, is common and usually needs a different plan from a teenager's.

When to see the dermatologist

  • If it leaves spots or scars.
  • If there are painful cysts.
  • If what you got at the corner drugstore didn't work in two months.
  • If it affects how you feel. That counts too.

What we do at Cutem

  1. 1

    Evaluation. Type of acne, severity, what you've used and what skin you have. The plan comes from there.

  2. 2

    Treatment. Topicals, oral medication when required (under medical supervision), CUTEM compounded formulas and, for the marks, peels, Dermapen or LED light depending on the case. Filled at Cutem Pharmacy.

  3. 3

    Maintenance. Controlled skin needs regular cleansing and care. Cutem Wellness offers deep facial cleansing and SkinCeuticals protocols designed for acne-prone skin.

What you've been told wrong

  • Myth

    It's because you don't wash your face.

    Reality

    Over-washing irritates it and makes the breakout worse.

  • Myth

    It goes away on its own with age.

    Reality

    Sometimes. The marks don't.

  • Myth

    The sun dries it out.

    Reality

    It hides it for a few days and then leaves spots.

  • Myth

    Alcohol or toothpaste dry it out.

    Reality

    They irritate, and irritated skin produces more oil and scars more.

Frequently asked questions

  • How long until it improves?

    Acne treatments take weeks to show change. The doctor tells you the expected timeline for your plan.

  • Can I wear makeup?

    Yes, the right kind. We tell you which.

  • Do the spots it left go away?

    Many improve with treatment and sun protection. Pitted scars need procedures. It's assessed at your consultation.

  • Is isotretinoin dangerous?

    It's a serious medication that requires an evaluation, lab work and follow-up. Properly prescribed and monitored, it's one of the most effective treatments. Never buy it without a prescription.

This information is for guidance only and does not replace a medical consultation. Diagnosis and treatment are decided by the physician who examines you (the dermatologist or a family physician, as each profile states).

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