Take care of acne prone skin with prevention and treatment skin care advice from DermaFix

One of the biggest problems experienced is the hyper-inflammatory response in the skin to the slightest injury.  A single acne lesion will often result in the formation of an atrophic (indented) scar or a hypertrophic keloid scar, larger than the actual lesion itself. The cellular response in Fitzpatrick Skin Type IV, V, and VI is a result of the greater production of proinflammatory chemicals and collagen damaging enzymes. These skin types need to follow a gentle, non-irritating regimen, in order to prevent inflammation.


The following are options for controlling acne, until the natural acne “burn out” time is reached:

The control will help to prevent scarring if “picking” is stopped. Picking the lesion may drive the impaction deeper, as in the nodule, in which case the loss of tissue and depth of scarring can be significant.

The use of DermaFix MD Prescriptive Vitamin A Propionate at night and alternating with DermaBright (Mandelic Acid), also only used at night, is recommended.  The use of DermaShield SPF 50 High Protection sunscreen is mandatory; it is also SANS 1557:2013 approved. Mandelic Cleanser and Toner are an integral part of the cleansing routine, combined with DermaPolish to remove the redundant skin cells. This is a gentle approach to help prevent scarring from acne conditions up to Grade 3.  Vitamin A peels the epidermis, but it also irritates and peels the lining down inside the follicle, thus reversing the process of “retention hyperkeratosis”.

Extractions to prevent scarring “acne surgery” are performed by the qualified acne specialist. Steroid injections into large lesions provide a great benefit for Grade 3 and 4 patients.  The injections help reduce inflammation quickly and thereby lessen or prevent scarring.

Accutane is a potent systemic drug. Unfortunately, the side effects are significant, so the drug is reserved for the more severe forms of acne. The most noticeable of the side effects involves the dryness of the body’s mucous membranes – this results in extreme dryness of the lips, therefore requiring continuous moisturising with DermaFix Skin ResQ.

Benzoyl Peroxide is used in mild doses for acne treatment and works up to the levels needed for the complete clearing, in severe cases.

Cryotherapy medically appliedfreezing” with Freon. This procedure, however, needs to be performed by a medical professional. A “quick fix” that you can use at home, involves applying ice cubes to newly inflamed area to help suppress the lesion, if applied consistently. 

Topical antibiotics work well, particularly in women. High oestrogen birth control, in the hormonally aggravated acne, may offer dramatic results.

Systemic Antibiotics work well on many stubborn cases.

Zinc, taken orally, sometimes helps reduce inflammation.

The most exaggerated scarring response occurs in a form of acne called necrotic acne. The actual size of the impaction in the pores is small, but these acne sufferers have a severe inflammatory response. Actual tissue death, or necrosis, follows. On the backs and chests of these acne sufferers you will see black dead tissue like gangrene, where the skin has been eaten away. This form of acne is intensely painful and treatment is difficult, resulting in severe scarring.

This type of acne is inherited and the way that the body develops inflammation is also a family trait.  In some families, acne is predominately non-inflammatory; in others it is quite inflammatory. In families which tend to scar badly from the disease, acne must certainly be taken seriously and effective treatment begun quickly. Acne scarred skin has many options for the removal or lightening of the scarring, namely skin peelings and MT Microneedling Roller. Punch grafts for ice pick scars followed by dermabrasion a few weeks later, is significant in the fight against acne scarring.