ACNE & ROSACEA

What is acne?
Acne refers to the pimples and complexion problems that occur in many young people and some adults. Approximately 90% of all people will have acne at some point in their lives. Acne usually occurs on the face, but may extend to the neck, chest, and back.

What causes acne?
The cause of acne vulgaris is multifactorial. Excess sebum secretion is induced by the androgen hormones, there is hyperproliferation and hyperkeratinization of the follicular epithelium and the bacterium, Propionibacterium acnes, proliferates. All of this leads to inflammation and an immune response.

Is acne hereditary?
Yes, acne tends to run in families.

Is acne worse in women?
It is not necessarily worse in women, it is different. In women, acne is more common on the face. However, men are more likely to experience acne on the chest and back. Additionally, in women, acne frequently worsens at the time of menstruation. Whereas acne usually subsides in men, adult women often have trouble with acne through their thirties and forties. The reason is unknown although it is thought that hormones play some role.

Is acne related to food?
There is research suggesting a link between diet and acne. Maintaining a diet high in anti-oxidants and low in unrefined sugars can lessen the severity of the acne.

Can my cosmetics be worsening my acne?
Yes. You want to be careful as to what you apply as a cosmetic regimen trying to keep it relatively simple.

Can it be cured?
Acne cannot be completely cured. However, a careful skin care regimen including effective topical preparations, oral medicines and light based therapies, can help to lessen the severity and the formation of new pimples.

What is an effective regimen at home?
Dr. Weiss, through careful research, has developed a simple and effective system to lessen the severity of mild to moderate acne. Visit the spa shop to purchase the BLEMISH acne system.

Should I try to manually extract the lesions at home?
You do not want to squeeze, scratch, or pick the lesions. This can leave tiny, permanent scars on your face.

Are there procedures to treat my acne?
Multiple procedures exist to improve acne. Minor acne surgery and cryotherapy can be performed during office consultations. For larger, painful cysts, a medium potency steroid can be injected to reduce inflammation. More severe acne can be treated with chemical peels, photodynamic therapy, and intense pulsed light (IPL). These can be used in conjunction with topical and oral medicines.

Dr. Weiss was featured on Channel 10 Miami to discuss new therapies in the treatment of acne:

What is rosacea?
Rosacea, often termed "middle-age acne, is very common. It presents as redness and swelling on the face. Rosacea may begin as a tendency to blush easily. But, it will gradually progress to persistent redness and acne-like bumps involving the cheeks, forehead, chin, and nose. In more severe cases other symptoms, including broken capillaries, can develop, as well as an enlarged red nose and puffy cheeks.

What causes rosacea?
No one really knows what causes rosacea. There are aggravating circumstances that can worsen the condition, such as psychological stress, sunlight exposure and certain foods including spicy foods, alcohol, coffee and caffeinated beverages. Women develop rosacea more often than men, and it has been associated with menopause.

Are there any treatments?
A combination of treatments may be recommended depending on the severity of the skin condition. For prevention, it is important to limit exposure to sunlight and always use sunscreens. Commonly, rosacea is treated with topical antibiotic creams or oral antibiotics. These therapies tend to be very effective for the bumps often referred to as papular rosacea. The redness component, referred to as erythrotelangiectatic rosacea is best treated with light based therapies including Intense Pulsed Light (IPL) and the pulsed-dye laser.

In addition, Dr. Weiss has developed several treatments to reduce the redness associated with Rosacea. Visit the spa shop to review the most current offerings.

The Weiss Skin Institute is actively involved with clinical research studies to evaluate novel treatments for acne and rosacea. For more information please contact our offices at 561-372-SKIN or visit the current study list on our website.