Acne Information

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.

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

What is Noninflamed Acne?

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.

Acne-101-2©[1]

This is another non-inflamed acne lesion called a blackhead, where the pore remains open, 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.

What is Inflamed Acne?

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.

This is a pustule which is different from a pimple only in that it contains white blood cells. 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.

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.

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. Just as in a clogged drain, the pore must be treated with products that unclog it, keep it unclogged and kill the acne bacteria. Our line of products Face Reality has what you need to do just this.

Face Reality has a clear-skin system that will have your acne under control in about three to four months depending on your type of acne. We combine the power of clinical-grade homecare products that are customized for your type of acne and skin with a series of bi-monthly treatments that facilitate the clearing of your skin. We also 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!)

 Acne Information

For most people, acne is an inherited condition of the pores. When someone is prone to acne, their pores clog with dead skin cells much faster than normal. Healthy pores shed about one layer of dead skin cells per day inside the pore, but acne-prone pores shed up to five layers of dead skin cells per day. The body just can’t keep up with keeping the pore clear. Technically, this is called “retention hyperkeratosis” — dead skin cells shedding more quickly than the pore can expel them.

This first picture is of a normal healthy pore.

normal-pore

As the dead skin cells begin to accumulate inside the pore, the cells become sticky and get stuck inside the pore and form a plug. Medically, this is called a “microcomedone” – essentially the precursor to all acne. As you can see in this picture, there are more dead skin cells shedding inside the pore.

first-stage-of-acne

Hormonal fluctuations trigger more oil production inside the pore. Normally, this isn’t a problem because the dead skin cells don’t get trapped. But with acne prone-skin, when the dead skin cells shed more quickly and form a blockage, the perfect environment for the P. Acnes bacteria is created. The oil is a nutrient for the bacteria, so the bacteria proliferates. So you see, bacteria is not the “cause” of acne, it is the effect of too many dead skin cells. This is an important distinction to remember.

But, some people don’t get inflamed lesions — inflammation is also an inherited tendency. If the dead skin cells and the oil that form the plug don’t become inflamed, the plug becomes a whitehead; that is, a non-inflamed lesion under the skin, also called a “closed comedone”.

closed-comedone

Or the plug can become a blackhead, which is a non-inflamed acne lesion where the pore remains open, 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. As the oil in the pore builds up, inflammation can develop in the cells surrounding the pore. Blackheads can be infected or not depending on whether the P. acnes bacteria have affected the cells around the pore.

open-comedone

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 sebaceous 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.

inflammatory-papule

This next drawing shows a pustule, which is different from a pimple only in that it contains white blood cells. 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.

inflammatory-pustule

Now another, deeper inflamed lesion can form called a nodule. It 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. 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.

nodule-cyst

Conclusion:
So you see, acne is primarily an inherited dead skin cell problem. 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.