Treatment FAQ

acne treatment in what order

by Aleen Lang Published 2 years ago Updated 2 years ago
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Now for the goodies….
  • Step 1: Cleanser.
  • Step 2: Toner.
  • Step 3: Serum.
  • Step 4: Eye Cream.
  • Step 5: Spot Treatment.
  • Step 6: Moisturizer.
  • Step 7: Retinol.
  • Step 8: Oil.
Feb 8, 2022

Medication

Article Summary. The four most frequently prescribed acne medications are: Tretinoin - topical retinoid. Isotretinoin* - oral retinoid. Clindamycin/benzoyl peroxide combination - topical antibiotic + benzoyl peroxide. Minocycline - oral antibiotic.

Procedures

Dr. Schweiger recommends applying your topical creams in the following order: Topical acne medications: Most topical medications should be applied first, directly onto clean, dry skin. This allows the medications to be absorbed into the skin and to work in the most effective manner possible.

Therapy

Also avoid resting your hand or phone against the side of your face. If your acne doesn't improve after two or three months of home treatment, consider seeing your doctor or a skin specialist (dermatologist) for a prescription lotion or medication. Bowe WP, et al. Effective over-the-counter acne treatments.

Self-care

Many over-the-counter (OTC) acne products are available to treat mild to moderate acne or periodic breakouts. They include cleansing lotions, gels, foams and towelettes, leave-on products, and treatments or kits. How do you know which one is best for you? Before you decide, learn how OTC acne products work and what ingredients to look for.

Nutrition

What is the most commonly prescribed acne treatment?

What order should I apply my topical acne creams?

What can I do to prevent or treat acne?

What are the different types of OTC acne products?

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What order do you put on acne treatment?

The Correct Order to Apply Your Skincare ProductsThe Basics. ... Step 1: Oil Cleanser. ... Step 2: Water cleanser. ... Step 3: Hydrating Toner and Essences. ... Step 4: Treatment Serums and Ampoules. ... Step 5: Eye Cream or Eye Serums. ... Step 1: Oil Cleanse. ... Step 3: Acid treatment.More items...•

Which is the correct order of steps in a facial treatment?

Step 1: Cleanse. In order to maximize every step, the idea is to start with a clean slate. ... Step 2: Exfoliate. ... Step 3: Steam. ... Step 4: Extract. ... Step 5: Mask. ... Step 6: Treat. ... Step 7: Moisturize. ... Step 8: Massage.

Do you put acne spot treatment on before or after moisturizer?

The general rule of thumb is to apply spot treatments at night after cleansing and toning, but before applying serums and creams. “The active ingredients in the spot treatment will generally be most effective when applied to clean skin,” says Dr. King.

Does toner go before acne treatment?

After your toner has dried completely, or after you've washed and thoroughly dried your face, smooth on your acne treatment creams as directed. Whether you are using prescription or OTC gels or creams, let the medication absorb completely before applying a moisturizer.

What are the 7 steps of skin care?

Read on to learn how to build a skincare routine that's perfect for your skin type and concerns.Step 1: Cleanser. Cleansing is arguably the most important step in a morning and evening skincare routine. ... Step 2: Toner. ... Step 3: Serum. ... Step 4: Eye cream. ... Step 5: Moisturizer. ... Step 6: Face Mask.

What is the order of skincare?

Here's the best order of skin care products to make sure you get the most out of them:STEP 1: (DOUBLE) CLEANSER. ... STEP 2: TONERS, ESSENCES AND BOOSTERS. ... STEP 3: EYE CREAM. ... STEP 4: TREATMENT SERUMS, CREAMS AND PADS. ... STEP 5: HYDRATING MASK OR FACE OIL. ... STEP 6: MOISTURIZER OR NIGHT CREAM.

Do I put benzoyl peroxide before or after moisturizer?

The best way to apply to apply benzoyl peroxide is by cleansing the skin, then applying non-comedogenic moisturiser, wait for the cream to get absorbed and dry out on the skin. It hardly takes 5-10 minutes and lastly apply benzoyl peroxide cream/ointment.

Should I use salicylic acid or benzoyl peroxide?

If you have blackheads and whiteheads, salicylic acid alone should work well to clear out your pores. If your acne tends to be inflammatory, such as papules and pustules, opt for benzoyl peroxide to stop outbreaks at the source. For sensitive skin, start with salicylic acid, since it's less likely to cause irritation.

How long should I wait to apply moisturizer after acne treatment?

Acne Treatments: 1 minute They need to be fully melted into your skin before serums and moisturizers are applied on top for maximum efficacy, Shah says.

Should I use benzoyl peroxide before or after niacinamide?

If you're wondering which goes first – niacinamide or benzoyl peroxide, it's probably better to apply benzoyl peroxide first and then, once it has absorbed into your skin, follow with niacinamide. This way the niacinamide can also help provide antioxidant protection to your vitamin e depleted skin.

Can I use benzoyl peroxide and salicylic acid together?

Can you use benzoyl peroxide and salicylic acid topically at the same time? Benzoyl peroxide and salicylic acid both have exfoliating effects, and using them at the same time can overdry the skin. The good news is, using these two topical anti-acne ingredients on alternating days is a magically effective combination!

Do you use cleanser or toner first?

If you enjoy using your best toner and it your skin has no problem with it, do so after cleanser. But whether it's absolutely necessary is widely debated. 'I'm not a big fan of toners as they often irritate the skin,' says consultant dermatologist Dr Justine Kluk.

What is the best treatment for acne?

Antibiotics: Oral antibiotics work from the inside to prevent acne-causing bacteria from living on your skin. If we prescribe antibiotics it’s usually for a limited time. Spironolactone: Some acne results from androgen hormones causing skin and hair follicles to over-produce oil, trapping bacteria.

How to start acne treatment with Nurx?

To start acne treatment with Nurx, visit the Nurx website or download the Nurx app and fill out a comprehensive online intake, detailing your skin and health history, including photos of your acne. These photos are uploaded directly into your secure Nurx account.

How long does Nurx treatment last?

Nurx acne treatment is a one-year care plan for mild and moderate acne, designed in consultation with a board-certified dermatologist with expertise in delivering dermatology care via telehealth.

Does birth control cause acne?

Combination birth control: Hormone fluctuations trigger acne in many people with periods. By regulating hormones birth control pills may reduce acne. *Note: We do not prescribe the medication Accutane, which is only for severe acne and requires care by an in-person medical provider. Get Started.

What is the best medicine for acne?

Usually the first choice for treating acne is a tetracycline (minocycline, doxycycline) or a macrolide (erythromycin, azithromycin). A macrolide might be an option for people who can't take tetracyclines, including pregnant women and children under 8 years old.

How to prevent acne breakouts?

Protect your acne-prone skin from contact with items such as phones, helmets, tight collars or straps, and backpacks. Avoid touching or picking acne-prone areas. Doing so can trigger more acne or lead to infection or scarring. Shower after strenuous activities. Oil and sweat on your skin can lead to breakouts.

What are some examples of retinoid creams?

These come as creams, gels and lotions. Examples include tretinoin (Avita, Retin-A, others), adapalene (Differin) and tazarotene (Tazorac, Avage, others).

What to do if you have acne that is not responding to self care?

Early, effective treatment of acne reduces the risk of scarring and of lasting damage to your self-esteem. After an initial examination, your doctor may refer you to a specialist in the diagnosis and treatment of skin conditions (dermatologist).

How long does it take for acne to go away?

Make scars less noticeable. Acne medications work by reducing oil production and swelling or by treating bacterial infection. With most prescription acne drugs, you may not see results for four to eight weeks.

How to avoid acne?

You can try to avoid or control mild or moderate acne with nonprescription products, good basic skin care and other self-care techniques: Wash problem areas with a gentle cleanser. Twice a day, use your hands to wash your face with mild soap or a gentle cleanser (Cetaphil, Vanicream, others) and warm water.

Can isotretinoin cause acne?

It may be prescribed for people whose moderate or severe acne hasn't responded to other treatments. Potential side effects of oral isotretinoin include inflammatory bowel disease, depression and severe birth defects. All people receiving isotretinoin must participate in an FDA -approved risk management program.

What is the best treatment for acne?

Acne treatments include prescription medications, including topical and oral varieties, and over-the-counter (OTC) skin care products.

What is the best OTC skin care for acne?

Experts agree that OTC skin care products containing ingredients like salicylic acid, benzoyl peroxide, sulfur, azelaic acid, and more may serve as a steppingstone to improving mild to moderate acne. For moderate to severe acne, a visit to a dermatologist’s office is usually warranted.

What type of acne is a comedonal?

A dermatologist will closely examine your skin to see which of the different types of lesions appear: Mild noninflammatory acne (aka comedonal acne) includes whiteheads and blackheads. Moderate inflammatory acne includes papules and pustules. Severe inflammatory acne includes nodules and cysts.

What is Altreno cream?

Unlike other tretinoin prescription medications, which usually take the form of a topical cream or gel, Altreno is a lightweight lotion that targets breakouts while moisturizing skin. “Topical retinoids are a foundational treatment for acne,” says Zeichner of the significance of tretinoin in Altreno.

Why does acne boil down to clogged pores?

The cause of acne usually boils down to clogged pores when a mix of sebum, bacteria, and dead skin cells are trapped in a hair follicle. Each pore on the surface of skin is the opening to a hair follicle, which is made up of a hair and an oil gland.

What antibiotics are used for acne?

Both oral and topical antibiotics may be prescribed for more severe types of acne. According to Zain Husain, MD, FAAD, a board certified dermatologist in New Jersey, clindamycin phosphate is a “topical antibiotic that is highly effective in killing bacteria and reducing inflammation.

Does toothpaste help acne?

Instead of drying out acne with toothpaste, which can contain ingredients that are too harsh for skin, this paste contains active ingredients proven to combat breakouts, including sulfur, azelaic acid, and tea tree oil. It also contains witch hazel, which is commonly used in home remedies for acne.

What toner to use for blackheads?

Look for a toner filled with either BHA (beta hydroxy acid, like salicylic acid) or AHA (alpha hydroxy acid, like glycolic acid or lactic acid), which work to unclog pores, prevent breakouts, and dissolve blackheads over time. If you’ve got dry skin, try AHAs, and if you’ve got oily skin, stick with BHAs.

How long should I wait to use retinol after cleansing?

After cleansing, tap it over clean, dry skin every other night (or every other morning, if you plan to use a retinol at night), then wait a full five minutes —or, at the very least, until it dries—before applying anything else or you’ll accidentally neutralize the acids before the toner works its magic.

How to prevent a spot from getting wiped?

Then, to prevent the treatment from getting wiped around your face, apply your moisturizer around the spots first. When your face is covered, tap a layer of moisturizer directly over the spot treatment to seal it in without sliding it around.

What should night moisturizer be filled with?

Gohara. “So your night moisturizer should be filled with all the things your body naturally produces and can use more of, like hyaluronic acid, lipids, and proteins .”.

How often should I use hydroquinone?

Niacinamide can be used daily—most formulas won’t cause irritation—but hydroquinone should be used every other day (or every three days) until you know how your skin responds to it.

Is toner a good first step in skincare?

Basically, think of toners like a sip of beer and serums like a straight shot of tequila. Although, once again, serums are totally optional, they’re often a good first step in leveling up your skincare routine. In the morning….

Can you use a toner on your face?

You can opt for a hydrating toner, which helps replenish any water your skin barrier lost when you washed and dried your face. After cleansing, tap one over your clean, dry skin every morning, every night, or both: “ There’s no such thing as too much moisture, regardless of your skin type ,” says Dr. Gohara.

What is the best treatment for acne?

Various treatment guidelines, such as those recommended by the American Academy of Dermatology, consider topical (applied to the skin) retinoids, such as tretinoin, to be the preferred treatment for acne, except in severe cases.

What is the best antibiotic for acne?

It is an oral antibiotic that belongs to the class of antibiotics known as tetracyclines, which are the most widely prescribed oral antibiotics for acne because of their effectiveness against acne bacteria and their anti-inflammatory effects.

How long does it take for isotretinoin to work?

It is a highly effective oral medication which typically is only approved for the most severe cases of acne. Patients take isotretinoin usually for 15 - 20 weeks, and in that time it successfully shrinks skin oil glands, usually permanently.

How long can you use clindamycin?

However, current guidelines recommend that topical antibiotics not be used alone and that they be used only for a maximum of three months.

How long can you take antibiotics?

As with topical antibiotics, oral antibiotics should be used for a maximum of three months, and do not work for everyone. When they do work, they only provide moderate benefit, and can come with many side effects, particularly gastrointestinal discomfort.

Is clindamycin a combination?

The combination of clindamycin and benzoyl peroxide, either as a single product that combines both substances ( one popular brand name is BenzaClin®) or as two separate products, is the third-most frequently prescribed acne medication. Previously it had ranked lower on the list of medications prescribed for acne.

Is clindamycin a topical antibiotic?

Clindamycin/Benzoyl Peroxide combination** - topical antibiotic + benzoyl peroxide. Minocycline - oral antibiotic. * Isotretinoin comes with severe and potentially lifelong side effects, and is only approved for use in people with severe and scarring acne that does not respond to other treatments. However, because of its effectiveness, doctors ...

How to treat acne with different ingredients?

Acne ingredients work in different ways, so you may find it helpful to use varying products and ingredients to treat stubborn acne. Apply one product in the morning and a different one at night to prevent skin irritation . Be patient.

What is the best way to remove acne?

Benzoyl peroxide. This ingredient kills the bacteria that cause acne, helps remove excess oil from the skin and removes dead skin cells, which can clog pores. OTC benzoyl peroxide products are available in strengths from 2.5 to 10 percent. Possible side effects include dry skin, scaling, redness, burning and stinging, ...

How does OTC acne work?

Acne products work in different ways, depending on their active ingredients. Some OTC acne products work by killing the bacteria that cause acne inflammation. Others remove excess oil from the skin or speed up the growth of new skin cells and the removal of dead skin cells. Some acne products do a combination of these things.

How to get rid of acne on face?

Start with lower strength acne products. This can help minimize redness, dry skin and other skin problems. If needed, slowly — over several weeks — increase the strength of the product you use and how often you use it. This helps your skin adjust to the treatment gradually.

What is OTC acne?

Many over-the-counter (OTC) acne products are available to treat mild to moderate acne or periodic breakouts. They include cleansing lotions, gels, foams and towelettes, leave-on products, and treatments or kits. How do you know which one is best for you?

How long does it take for acne to get better?

Treating acne with acne products takes time and patience. It may take two or three months of daily use of an acne product to see results. And acne may look worse before it gets better. Experiment with what works. You may need to try different products with varying active ingredients before you find what works for you.

How does sulfur help with acne?

This helps improve the appearance of acne scars and gives the impression of smaller pores. Sulfur. Sulfur removes dead skin cells that clog pores and helps remove excess oil.

12 acne treatments proven to work

We’re here to tell you what we know, but don’t take it as medical advice. Talk to your medical provider about your specific health concerns.

1. Tretinoin

Dermatologists widely consider tretinoin to be the gold standard in topical acne treatment. It’s a potent vitamin A derivative (aka retinoid) used to treat both acne and signs of aging. Only available by prescription, tretinoin treats acne by helping the skin generate new skin cells and shed old ones.

2. Adapalene

Adapalene (commonly known by the brand name Differin) is a topical retinoid available by prescription and over-the-counter. In general, adapalene is less irritating than tretinoin. It also tends to be more photostable (aka less likely to be degraded by the sun).

3. Zinc pyrithione

Zinc pyrithione can help treat ordinary acne as well as acne caused by pityrosporum, a type of fungus that normally occurs on the skin and can cause fungal breakouts (aka folliculitis ). Zinc pyrithione cleansers and soaps can help fight acne-causing fungus and bacteria.

4. Benzoyl peroxide

Benzoyl peroxide is a topical antimicrobial with a mild anti-inflammatory effect. It’s one of the most common over-the-counter ingredients used in skincare products to treat acne. Benzoyl peroxide is especially common as an active ingredient in spot treatments, cleansers, and body washes.

5. Salicylic acid

Salicylic acid is a chemical exfoliant that helps shed dead skin cells. Also known as beta hydroxy acid (BHA), salicylic acid is oil-soluble, so it penetrates through sebum and into pores to help clear them. That ability makes salicylic acid effective in treating blackheads, whiteheads, and other types of acne.

6. Azelaic acid

Azelaic acid is a naturally occurring dicarboxylic acid found in barley and rye. It’s used to treat acne, rosacea, melasma, and post-inflammatory hyperpigmentation (those dark spots sometimes mistaken for acne scars).

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Treatment

Alternative Medicine

Lifestyle and Home Remedies

Coping and Support

Medically reviewed by
Dr. Chaitra Prakash
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the age, type, and severity of acne.
Medication

Retinoids: Prevent clogging of hair follicles. Prescribed as topical or oral medication. To be taken under physician supervision only.

Tretinoin . Adapalene . Isotretinoin


Antibiotics: Prevent spread of bacterial infection. Prescribed as topical and oral medication.

Azithromycin . Tetracycline . Amoxicillin


Keratolytic agents: Promote skin exfoliation. Prescribed as topical agents.

Salicylic acid


Dicarboxylic acids: Reduces bacterial infection and inflammation. Prescribed as topical agents.

Azelaic acid


Sulfones: Reduces inflammation. Prescribed as topical or oral agents. Recommended in some cases.

Dapsone


Oral contraceptives: Helps control hormonal acne in women. Prescribed as oral agents. Recommended in some cases.

Estrogen/Progestin


Antiandrogens: Prevents the effect of androgen on oil glands in the skin. Prescribed as oral agents. Prescribed as oral agents. Recommended in some cases.

Spironolactone


Corticosteroids: Reduces inflammation. Prescribed as topical, oral or injection forms in severe acne.

Cortisone . Triamcinolone

Procedures

Extraction of pimples: Special tools are used to clear clogged pores, particularly whiteheads and blackheads.

Therapy

Phototherapy - Intense pulsed light:Reduces inflammation. Uses fixed frequency light to treat affected parts of skin under physician supervision.

Chemical peel:Promotes exfoliation and prevents clogging of hair follicles. Involves application of chemical agents (Alpha and beta hydroxy acids) on skin under physician supervision.

Self-care

Always talk to your provider before starting anything.

  • Clean the affected area with a gentle cleanser.
  • Avoid contact with irritants.

Nutrition

Foods to eat:

  • Low glycemic diet such as fruit, vegetables, pulses, fish etc
  • Foods rich in Omega-3 fatty acids such as canola oil, cod liver oil, flaxseed oil and mustard oil

Foods to avoid:

  • High glycemic load diet, such as chocolates, sugary foods, white rice
  • Dairy products such as white bread, milk, cheese

Specialist to consult

Dermatologist
Specializes in the study of the skin and its disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Preparing For Your Appointment

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