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Acne Information Center

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Acne is a mysterious disorder, but one thing is for sure – it CAN be controlled with the right combination of products used in the correct way.
The pores must be treated with products that unclog them, keep them unclogged and kill the acne bacteria.  At JS Advanced Skin Care our Acne Specialist Program has what you need to do just that.

image of face reality products for acne
Products alone will not solve your acne problem. You also need an acne expert’s guidance.

Acne is definitely a four-letter word for people who suffer with it. It is an inherited disorder of the pores – pores that want to sludge up with dead skin cells much like a clogged drain in your sink. Normal pores shed about one layer of dead skin cells per day inside the pore. The acne-prone pore sheds up to five layers of dead skin cells per day and the body just can’t keep up. This forms congestion under the skin which are noninflamed acne lesions, blackheads and/or whiteheads; and if bacteria are present (which just loves to feed on the dead skin cells and oil), you will get inflamed pimples, pustules and/or cysts.
Most acne, no matter what form it takes, starts with microcomedones. This means the solution lies in products that penetrate the pore and prevent dead skin cells from building up. That’s why your home care routine is so crucial — it’s all about preventing the microcomedones (the beginning of acne) from forming at all. This is the best way to get rid of acne.

Face Reality's™ clear-skin system will have your acne under control in about three to four months, depending on your type of acne. This System combines the power of clinical-grade products that are customized for your type of acne, with a series of bi-monthly treatments.

As part of your home care program we teach you about other aggravating factors that make you break out – foods, medications, cosmetics, stress, and common ingredients in skin care formulations that might be clogging your pores (even professional and prescription products).

As you go through your process of achieving clear skin on your face and/or body, you will want to come in for treatments every 2 - 3 weeks.
Treatments are for:
exfoliating the skin so that home care product can penetrate the pore more easily
hydrating the skin so that the skin is receptive to your home-care regimen
extracting existing acne impactions
killing acne bacteria inside the pore

What Is Acne?

There are two main types of acne as we see it – inflamed acne and noninflamed acne. Most people have a combination of the two.

Inflamed Acne Characteristics:

  • redness/ blotchiness
  • hot to the touch
  • pimples/ pustules/ whiteheads/ blackheads
  • possibility of cysts
  • excessive oil
  • sensitive skin and reactive to products
  • As the oil and the dead skin cells build up, they put pressure on the cells surrounding the pore. With enough pressure, the sides of the pore rupture and the contents of the pore leak into the surrounding skin. Because this material contains a lot of P. acnes bacteria, the surrounding skin now becomes infected, creating a red bump that we know as a pimple. The medical term for this red bump is an inflammatory papule. When the immune system fights off the P. acnes infection, white blood cells, which are soldiers of the immune system — pile up, creating pus in the pore (pustules). When a group of pustules cluster together under the skin, they form a cyst. An acne cyst can appear similar to a nodule, but is pus-filled, and can have a diameter of 5mm or more across. They are usually very painful and scarring is common with cysts.
    A nodule is a solid dome-shaped lesion that extends below the surface, deep into the layers of the skin. Scarring is common with nodules and can sometimes leave an impaction behind, which can flare again and again.

Noninflamed Acne Characteristics

  • dull sluggish appearance
  • bumps/blackheads/blemish
  • some pimples/ pustules but not as many as inflamed acne
  • tissue congestion
  • excessive oil
  • skin generally not sensitive or reactive
  • Dead skin cells and oil (plus other debris) form a plug inside the pore. If this plug does not become inflamed, it can become a whitehead — a non-inflamed lesion under the skin, also called a “closed comedone”. This is also called “maturation arrest” acne, as it has not “matured” into a blackhead yet. A blackhead, where the pore remains open, is also known as an “open comedone.” In the case of a blackhead, the tip of the plug darkens as it is exposed to oxygen in the environment.

Acne & Hyperpigmentation Characteristics:

  • dull sluggish appearance
  • Hyperpigmentation (dark spots) where acne has occurred
  • Inflamed, noninflamed acne or both
  • excessive oil
  • tissue congestion
  • skin generally not sensitive or reactive
  • Post Inflammatory Hyper-pigmentation, or PIH, is the medical term given to discoloration of the skin that follows an inflammatory wound. PIH presents itself as a flat area of discoloration on the skin ranging from pink to red, purple, brown or black, depending on your skin tone and depth of the discoloration. Dark spots develop when a wound, rash, pimple, or other stimuli like picking at your acne lesions causes skin inflammation, which triggers the skin to produce too much melanin. Melanin is the protein in the skin that gives the skin its color. The excess melanin darkens and discolors the wounded area. This discoloration remains even after the wound or rash has healed. PIH is very common among acne sufferers and can occur in all skin types, although it is more common in darker skin tones. It affects both men and women equally. Luckily, dark spots are not true scars and therefore can be treated quite effectively.

Rosacea Characteristics:

  • facial flushing
  • facial redness
  • facial papules
  • facial pustules
  • face gets red after drinking alcohol or hot drinks
  • face gets red and/or bumpy after eating spicy foods.
  • face gets red and/or bumpy with hot / cold temps or exercise.
  • Erythema – telangiectatic rosacea
     is characterized by intermittent flushing and persistent central facial redness. The erythema may be localized or be extensive on the cheeks, nose and forehead. The appearance of telangiectases is common but not a constant feature. Central facial edema, stinging and burning sensations, and roughness or scaling may also be found.

    Papulopustular rosacea
    is characterized by persistent central facial erythema with transient papules or pustules in a central facial distribution. Erythema and telangiectasis are predominant in the early stages. Papules and pustules are found on the cheeks, nose and forehead. Some patients have only a few lesions while others have many. The papulopustular subtype resembles acne, except that comedones are absent in rosacea. Rosacea and acne may occur together. These patients may have the comedones seen in acne and papules and pustules seen in acne and rosacea.

    Phymatous Rosacea (Enlargement of the Nose)
    Rosacea may be associated with enlargement of the nose from excess tissue, a condition known as rhinophyma. This may include thickening of the skin and irregular surface nodules, which in rare cases may also develop in areas other than the nose.

    Ocular Rosacea (Eye Irritation)
    Rosacea affects the eyes in many patients, and may result in a watery or bloodshot appearance, irritation and burning or stinging. The eyelids may also become swollen, and styes are common.

Back Acne Characteristics:

  • dull sluggish appearance
  • acne – inflamed or noninflamed or both
  • there are usually dark spots where acne was
  • Body acne can be frustrating & embarrassing for those who suffer from it. derstanding what kind of acne you have is the first step in correctly treating it. Using the right products in the right way is the key to getting and staying clear, whether your acne is on your face or if you have back acne or chest acne. Body acne can be difficult to treat and generally doesn’t respond to traditional treatment methods which often include rounds of oral antibiotics. Getting rid of body acne includes the right amount of exfoliation and topical antibacterial action to prevent the formation of micro acne lesions, the beginning of the vicious acne cycle. Treatment for body acne means having a consistent morning and evening home care routine in addition to regular professional treatments for at least a 3 month period before seeing any significant results.

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