Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Wash once or twice daily with soap and water to remove excess oil from the skin. Avoid scrubbing
or using abrasives because this can actually irritate the skin and cause acne to worsen.
Over-the-counter acne medications can be used either at bedtime or during the day. Always follow the directions on any acne product. These products generally do not have any beneficial effects on inflammatory lesions, pimples, and are essentially used to prevent the development of new lesions. Therefore they should be applied to all of the skin in affected areas.
Many cover-up products are available without a prescription to improve the appearance of blemishes while they have a chance to heal. Most work well and should not worsen acne. If makeup is worn, it should be water-based, and the ingredients of the makeup should list water as a major component.
Some cosmetics and other skin-care products, however, can cause acne to
worsen. Look for makeup, cosmetics, and skin-care products that claim to be noncomedogenic. This means that it does not cause or worsen acne.
Very preliminary reports seem to associate skim milk with more severe cases of acne.
It is of major importance that the patient with acne does not manipulate their lesions. Manipulation (pinching, squeezing, etc.) of any type is almost uniformly going to result in worsening of any existing disease, potentially enhancing the chance for scarring and producing more long-lasting pimples. It is prudent therefore to avoid magnifying mirrors.