What are common mistakes in treating acne?

From the Guidelines

The most common mistakes in treating acne include over-washing the face, using harsh products that strip natural oils, popping pimples which can lead to scarring, inconsistent skincare routines, and applying too much product, and these mistakes can be avoided by following evidence-based guidelines for acne management, such as those recommended by the Journal of the American Academy of Dermatology 1. When treating acne, it is essential to prioritize gentle skincare routines, including gentle cleansing twice daily with products containing salicylic acid or benzoyl peroxide (2.5-5%), proper spot treatment application, and consistent use of non-comedogenic moisturizers. Some key points to consider when treating acne include:

• Limiting systemic antibiotic use to reduce the development of antibiotic resistance and other antibiotic-associated complications, as recommended by the Journal of the American Academy of Dermatology 1.
• Using topical therapies with multiple mechanisms of action, such as benzoyl peroxide, topical retinoids, and topical antibiotics, as recommended by the Journal of the American Academy of Dermatology 1.
• Considering alternative treatments, such as oral isotretinoin, spironolactone, and combined oral contraceptive pills, for patients with severe or scarring acne, as recommended by the Journal of the American Academy of Dermatology 1. It is crucial to be patient with treatments, as they typically need 6-8 weeks to show results, and to avoid common mistakes that can exacerbate acne, such as over-washing the face, using harsh products, and popping pimples. By following these guidelines and avoiding common mistakes, patients with acne can improve their skin health and reduce the risk of scarring and other complications. Some of the recommended treatments for acne include:
• Benzoyl peroxide, which is recommended for patients with acne, as it has been shown to be effective in reducing acne lesions and preventing scarring 1.
• Topical retinoids, which are recommended for patients with acne, as they have been shown to be effective in reducing acne lesions and preventing scarring 1.
• Oral isotretinoin, which is recommended for patients with severe or scarring acne, as it has been shown to be effective in reducing acne lesions and preventing scarring 1.

From the FDA Drug Label

skin irritation may occur, characterized by redness, burning, itching, peeling, or possibly swelling. irritation may be reduced by using the product less frequently or in a lower concentration. skin irritation and dryness is more likely to occur if you use another topical acne medication at the same time Wax epilation and skin resurfacing procedures (such as dermabrasion, laser) should be avoided during isotretinoin capsules therapy and for at least 6 months thereafter due to the possibility of scarring

Common mistakes in treating acne include:

• Using multiple topical acne medications at the same time, which can increase the risk of skin irritation and dryness 2
• Not avoiding unnecessary sun exposure and not using sunscreen when using topical acne medications 2
• Undergoing wax epilation and skin resurfacing procedures during isotretinoin therapy, which can increase the risk of scarring 3

From the Research

Common Mistakes in Treating Acne

• Not individualizing treatment for each patient, as different types of acne require different treatments 4
• Not considering the patient's child-bearing age and potential need for hormonal modulation 4
• Not being familiar with all available acne treatments, leading to inadequate management 4
• Using topical antibiotic monotherapy, which can lead to antibiotic resistance 5
• Not using combination therapies, which are often recommended for most types of acne 5, 6
• Not considering the use of moisturizers as adjunctive treatment, which can help improve signs and symptoms of acne 7
• Not using antibiotic-sparing treatment strategies whenever possible, as acne is not a traditional infectious disease 6
• Not referring patients to a specialist when necessary, such as in cases of severe or refractory acne 4