Millions of Indians suffer from the various forms of acne, and thousands of rupees are spent each year in an attempt to reduce the number and severity of breakouts. Acne knows no boundaries and affects all ethnic groups, all ages, and both sexes.

Acne is merely an inflammatory condition of the skin primarily affecting the sebaceous glands. Individuals with acne basically have skin that is out of balance. The sebaceous glands become overactive due to various internal factors (your genetics, the amount of stress in your life, the presence of various hormones in your body) and external factors (pollutants in the environment, sun exposure). When this happens, the sebaceous glands overproduce oil, which in turn creates shiny skin that attracts dirt and provides an ideal environment for the growth of bacteria. The result is seen in the form of breakouts, the development of pimples and/or blackheads.

  • How does an outbreak begin?

    Hair follicles and sebaceous glands share a common opening onto the surface of the skin. Acne actually begins beneath the surface of the skin prior to becoming noticeable as an outbreak. Normally, the cells that line the hair follicle and sebaceous glands are shed every 28 days or so, and new cells take their place. These dead cells are shed into the common channel shared by the hair follicle and sebaceous gland and work their way to the skin's surface where they will be shed into the environment.

    When follicles produce excessive oil due to one or more of the aforementioned causes, these dead cells may adhere to each other and be unable to escape onto the surface of the skin. More and more cells and oil accumulate, mix with bacteria, and a plug eventually develops. You can't see it at this point, but a breakout is only days away. As the debris and bacteria accumulate, the hair follicle and sebaceous gland are essentially blocked from communication with the surface of the skin.
    This is an excellent environment for the multiplication of bacteria, and the result is inflammation, swelling, redness, and a breakout.

  • What are some of the causes of acne?

    Oil Oils may oxidize(harden) in the pores, causing blockage. Keep your skin clean through a regimen of twice daily cleansing with products that fight bacteria, have astringent properties, and loosen existing oils and other debris from the pores.

    Bacteria Bacteria multiply within blocked pores, resulting in inflammation and breakout. Keep your skin clean through a regimen of twice daily cleansing with products that fight bacteria, have astringent properties, and loosen existing oils and other debris from the pores.

    Cosmetics Makeup that is very heavy or contains comedogenic oils may worsen acne.

    Please be aware that "Oil-Free" does not mean "Comedogenic-Free."For oily skin, use a good powder foundation that provides coverage.Talc in cosmetics helps to absorb surface oils.

    Over-Stimulation Avoid topical cosmetics, cleansers, or sunscreens that over-stimulate the oil glands. Remember that the proper balance of oil and hydration is the key to beautiful skin.

  • What treatment is available for acne?

    Dr. Chaudhari will place you on a home skin care regimen that will help remove surface oils, reduce bacterial contamination of pores, and reduce pore size. This system also maintains a healthy hydration of the skin, and may even remove fine lines and discolorations. The most important factor is that this is a gradual process that takes weeks if not months to achieve the results you desire. With the proper guidance, awareness and maintenance of your skin are within your ability to control.

    Dr Chaudhari. will also evaluate your present makeup techniques and make recommendations regarding proper product selection and application. In some individuals, the products selected to help conceal outbreaks are actually contributing to the severity and frequency of breakouts. What can I do for acne scarring?

    Acne scarring may result from picking at acne, which traumatizes and tears the skin, leaving injured tissue that heals with a scar. The best treatment is prevention, by controlling acne before it becomes a problem.
    There are several treatments available to address the resulting scarring or discolorations from acne. These include hydroquinones, microdermabrasion, chemical peels, surgical excision, laser resurfacing and dermabrasion.

  • What is multi-lift acne scar reconstruction?

    Severe inflammatory acne often leaves behind scars as lingering reminder to patients of a rather uncomfortable period in their adolescence. Luckily for most of these patients a combination of laser resurfacing and other modalities may go a long way toward providing "closure" to this embarrassing episode in our patient's lives. Finally, there is a treatment for acne and acne related scars.

    Dr. Chaudhari has developed treatment programs, which slowly and effectively rebuild even the worst acne scarred face.

    Since acne scars come in various sizes and shapes, treatment must be individualized. Elevated scars can be treated by flattening or leveling. Shallow scars can be blended with surrounding tissue with laser. Further more, the whiteness of the scars is improved with the laser by replacing scar tissue with more vascular skin. Deeper broad scars, and "ice pick" scars or pits respond less favorably to the laser; i.e. the deep valley like depressions can not be lifted by the laser. For this reason, Dr. Chaudharihas developed a combined approach to correct acne scars of the face.

    Dr. Chaudhari feels that Laser Resurfacing alone is not adequate to treat most acne scar patients, therefore, his approach uses several modalities prior to Laser Resurfacing.

    The first is called "punch excision and grafting". In this case the individual scar is cut out and closed with suture, or is cut out and graft taken from behind the ear.

    The second modality is called "undermining and subscision". Here the thick tissue that holds the scar down is broken up with a special instrument, thereby releasing the scar and allowing it to raise up. With repeated treatment, the body then forms its own Collagen, and fills in the scar from the base. With this combined approach the percentage of improvement remarkably increases.

    A third modality for depressed scars that do not extremely extend to the depth of fat is to fill them with Collagen or Fasican. This is called "soft tissue augmentation". The soft tissue filler will lift the scar more effectively if it is performed after Subscision breaks up the anchoring scar.

    The fourth is "fat transfer". If the acne is extremely severe, often the fat below the skin is lost during the scarring process. By transferring fat from another part of the body to the face, Dr. Chaudhari can replace the supporting fat upon which the scar lies.

    All the above treatments are followed by Laser Resurfacing.

  • What is multi-lift acne scar reconstruction?

    Severe inflammatory acne often leaves behind scars as lingering reminder to patients of a rather uncomfortable period in their adolescence. Luckily for most of these patients a combination of laser resurfacing and other modalities may go a long way toward providing "closure" to this embarrassing episode in our patient's lives. Finally, there is a treatment for acne and acne related scars.

    Dr. Chaudhari has developed treatment programs, which slowly and effectively rebuild even the worst acne scarred face.

    Since acne scars come in various sizes and shapes, treatment must be individualized. Elevated scars can be treated by flattening or leveling. Shallow scars can be blended with surrounding tissue with laser. Further more, the whiteness of the scars is improved with the laser by replacing scar tissue with more vascular skin. Deeper broad scars, and "ice pick" scars or pits respond less favorably to the laser; i.e. the deep valley like depressions can not be lifted by the laser. For this reason, Dr. Chaudhari has developed a combined approach to correct acne scars of the face.

    Dr. Chaudhari feels that Laser Resurfacing alone is not adequate to treat most acne scar patients, therefore, his approach uses several modalities prior to Laser Resurfacing.

    The first is called "punch excision and grafting". In this case the individual scar is cut out and closed with suture, or is cut out and graft taken from behind the ear.

    The second modality is called "undermining and subscision". Here the thick tissue that holds the scar down is broken up with a special instrument, thereby releasing the scar and allowing it to raise up. With repeated treatment, the body then forms its own Collagen, and fills in the scar from the base. With this combined approach the percentage of improvement remarkably increases.

    A third modality for depressed scars that do not extremely extend to the depth of fat is to fill them with Collagen or Fasican. This is called soft tissue augmentation. The soft tissue filler will lift the scar more effectively if it is performed after Subscision breaks up the anchoring scar.

    The fourth is "fat transfer". If the acne is extremely severe, often the fat below the skin is lost during the scarring process. By transferring fat from another part of the body to the face, Dr.Chaudhari can replace the supporting fat upon which the scar lies.

    All the above treatments are followed by Laser Resurfacing.

    Mult-lift Acne Scar Reconstruction is given in an office like setting within our office thus reducing expensive hospitalization costs and the patient usually goes home couple of hours after treatment.

  • What causes acne?

    The exact cause is unknown.

    One theory is that when hormone levels increase during puberty, the skin of the acne prone person reacts by producing excess sebum (oils). The bacteria on the skin alter these oils to produce substances that cause acne. The hair follicle, the site of acne gets plugged by dead skin cells, bacteria, hormones and sebum. This obstruction leads to swelling and development of acne. Emotional stress, fatigue and cosmetics can aggrevate acne.

  • What are the types of acne?

    These include blackheads, whiteheads (comedones), the larger papules (pimples) and later, pustules and large cysts. Scars occur after papules, pustules and cysts. They are often permanent.

  • Can 'diet' cause acne?

    There is no concrete evidence that food causes acne. Following the strictest diet will not by itself clear your acne. On the other hand, some people find that their acne seem to worsen when they eat certain foods, particularly chocolates, fried food and chillies. These people should avoid the foods that clearly aggravate their acne.

  • Can I use cosmetics when I have acne?

    Avoid oily and greasy cosmetics. Use water-based, oil-free cosmetics sparingly. You can use eyeliners, eyeshadows and lipsticks. Ensure that cosmetics are washed off thoroughly with mild Soap before going to bed.

  • What should I do when I have acne?

    Treat your acne early.

    Waiting to outgrow acne can be a serious mistake, since treatment can improve your appearance and prevent the development of scars. To reduce the possibility of formation of scar tissue, never squeeze or scratch lessions, keep hands off the face as this can spread infection. Do not attempt to cover spots on the forehead with a fringe.

  • Treatment?

    A cosmetic surgeon is the most competent person to treat Acne. They spend many years studying the causes and treatments of acne. A cosmetic surgeon will prescribe medicines for acne. The single most effective over the counter treatment is Benzoyl Peroxide.

  • How should I clean my face?

    Remove excess oil from the face by washing with a bactericidal skin soap. Wash frequently twice per day to remove excess oil and bacteria. Continue washing with bacterial soaps even when you acne is cured. Do not wash with harsh or high pH soaps.

*Disclaimer - Results may vary from person to person.