“You unfortunately cannot determine the strength of a product strictly by the percentage of its active ingredients because how well a product works depends on how well its inactive ingredients help it penetrate the skin,” explains Dr. Green. “In other words, a 2 percent benzoyl peroxide may be more effective than another brand’s 5 percent benzoyl peroxide because there are other ingredients helping out.”

For those with acne-prone skin, it can be tough finding a sunscreen that doesn’t clog pores and meshes well with your skincare regimen. Oily sunscreens often lead to breakouts. In addition to the wash, toner, moisturizer and treatments, the Clear Start kit includes an acne-safe (read: oil-free) sunscreen in its lineup — perfect for those wanting the best of both worlds in avoiding all types of red faces.

You’ve probably heard of the benefits of retinoid creams for anti-aging, but vitamin A is also efficient at clearing up acne. “[Retinoids] cause skin cells to turn over at a faster rate, decrease oil production, and help skin exfoliate,” board-certified dermatologist Rita Linkner, M.D., tells SELF. Another benefit: Acne is inflammation, and retinoids are anti-inflammatory.
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Contrary to the marketing promises of “blemish banishers” and “zit zappers,” immediate results are not the trademark of acne treatments — a frustrating truth to anyone suffering through a breakout. And while pimples are personal (your stress-induced spots will look and act differently than your best friend’s breakout), the best acne treatments will include a regimen of products to hit all of acne’s root causes. We tested 43 kits to find the most well-rounded breakout-fighting solutions on the market.

Post-inflammatory hyperpigmentation is not an acne scar, but a red, pink, brown or tan skin discoloration where acne has previously flared up. It'll usually disappear on its own in a year or so. Many skin lightening products claim to help reduce the visibility of these acne "scars." Their active ingredient, hydroquinone, works to slow melanin production and can reduce dark brown marks, but melanin isn't the cause of red and pink acne discolorations. A better option is to use the best foundation for acne prone skin you can find to hide the marks until they naturally fade away.
Acne is at least in part due to hereditary factors. Those whose parents have a history of acne are likely to struggle with the same condition. Your genetic makeup can determine how to get rid of pimples, how sensitive your skin is, how reactive you are to hormonal fluctuations, how quickly you shed skin cells, how you respond to inflammation, how strong your immune system is to fight off bacteria, how much oil your sebaceous glands produce, and the list goes on and on. All of these determinants can cause acne to develop more easily and determine what’s good for pimples in your complexion.
Like acne on your face, back acne occurs when your pores become blocked with oil and dead skin cells. Exfoliating your back regularly might help remove these dead skin cells and pore-clogging debris before they have a chance to block pores. However, you want to take care not to scrub too hard, especially if you're experiencing an active breakout. Use a soft cloth to gently brush away surface impurities as you shower.
Temporary skin fillers have been used for years for acne scar treatment, but a permanent dermal filler was approved for use by the FDA only recently. Designed to remove moderate to severe acne scarring, Bellafill is made up of 80 percent collagen to replace lost volume and 20 percent polymethylmethacrylate, which helps your body heal by boosting protein production.

If your acne is severe, painful, or refusing to get lost, you may just be beyond what an over-the-counter treatment can do. Not only can a professional set you up with the really powerful stuff, but also Fitz Patrick explains that “working closely with an aesthetician or dermatologist means you can keep tweaking a routine to make it work best for you.”


Acne appears to be strongly inherited with 81% of the variation in the population explained by genetics.[15] Studies performed in affected twins and first-degree relatives further demonstrate the strongly inherited nature of acne.[2][15] Acne susceptibility is likely due to the influence of multiple genes, as the disease does not follow a classic (Mendelian) inheritance pattern. Several gene candidates have been proposed including certain variations in tumor necrosis factor-alpha (TNF-alpha), IL-1 alpha, and CYP1A1 genes, among others.[19] The 308 G/A single nucleotide polymorphism variation in the gene for TNF is associated with an increased risk for acne.[40] Acne can be a feature of rare genetic disorders such as Apert's syndrome.[15] Severe acne may be associated with XYY syndrome.[41]
^ Hay, RJ; Johns, NE; Williams, HC; Bolliger, IW; Dellavalle, RP; Margolis, DJ; Marks, R; Naldi, L; Weinstock, MA; Wulf, SK; Michaud, C; Murray, C; Naghavi, M (October 2013). "The Global Burden of Skin Disease in 2010: An Analysis of the Prevalence and Impact of Skin Conditions". The Journal of Investigative Dermatology. 134 (6): 1527–34. doi:10.1038/jid.2013.446. PMID 24166134.
In most cases, acne products need to be used for at least 30 days before you can begin to ascertain its efficacy. Some skin and acne types may see noticeable results in a few days and end up totally clear in just a few weeks. Others may take several weeks to see the slightest change, or need to have their regimen adjusted as their skin adapts. Treating acne can often be a months-long process.
If you notice that you’re breaking out right around your period every month, your acne might be linked to hormones. “A sensitivity to the hormones called androgens manifests in the form of cystic acne,” says Linkner. Androgens, namely testosterone, cause the skin to produce more sebum. More sebum equals more acne. Birth control, which has estrogen and progestin, helps keep hormones balanced and skin clear. Ortho Tri-Cyclen, Estrostep, and YAZ are all FDA-approved as acne treatments.
This at-home skin peel available at Sephora tightens pores, reduces oil, helps retexturize skin and diminishes dark spots. It's paraben and sulfate free, non-comedogenic and isn't tested on animals. Use this peel each week as part of your clear skin regimen to help even out skin tone and gently remove unhealthy top skin layers, revealing new, healthier skin underneath. 
Temporary skin fillers have been used for years for acne scar treatment, but a permanent dermal filler was approved for use by the FDA only recently. Designed to remove moderate to severe acne scarring, Bellafill is made up of 80 percent collagen to replace lost volume and 20 percent polymethylmethacrylate, which helps your body heal by boosting protein production.

“Sometimes I see people try over-the-counter products just for a couple of weeks, they get frustrated, they say it’s not working, and they discontinue them,” Arthur says. “But it really does take a while to see the effectiveness. So unless you’re having a problem with the medication, like it’s causing severe irritation or dryness, it’s recommended to give it at least 2-3 months before switching to something else.”

C. acnes also provokes skin inflammation by altering the fatty composition of oily sebum.[45] Oxidation of the lipid squalene by C. acnes is of particular importance. Squalene oxidation activates NF-κB (a protein complex) and consequently increases IL-1α levels.[45] Additionally, squalene oxidation leads to increased activity of the 5-lipoxygenase enzyme responsible for conversion of arachidonic acid to leukotriene B4 (LTB4).[45] LTB4 promotes skin inflammation by acting on the peroxisome proliferator-activated receptor alpha (PPARα) protein.[45] PPARα increases activity of activator protein 1 (AP-1) and NF-κB, thereby leading to the recruitment of inflammatory T cells.[45] The inflammatory properties of C. acnes can be further explained by the bacterium's ability to convert sebum triglycerides to pro-inflammatory free fatty acids via secretion of the enzyme lipase.[45] These free fatty acids spur production of cathelicidin, HBD1, and HBD2, thus leading to further inflammation.[45]
Your skin is your largest organ, and it does a lot more than simply prevent you from spilling out all over the place. Skin cells are constantly replacing themselves, making a journey from the inner edge of your epidermis (your skin's outermost layer) to the outside of your skin. As a skin cell ages and approaches the skin's surface, the dying cell flattens out. Once on the surface, it joins countless other dead skin cells and forms a protective layer that helps protect you from bacteria and viruses.
Hydrated skin provides the right moisture and balance the skin needs to thrive. Additionally, water helps flush out toxins, something we need on a daily basis. And those omega-3s are pretty awesome at providing a reduction in inflammation. Wild-caught salmon is one of my favorite sources, in addition to sardines, walnuts, flaxseed oil and almonds. (10)
Acne is at least in part due to hereditary factors. Those whose parents have a history of acne are likely to struggle with the same condition. Your genetic makeup can determine how to get rid of pimples, how sensitive your skin is, how reactive you are to hormonal fluctuations, how quickly you shed skin cells, how you respond to inflammation, how strong your immune system is to fight off bacteria, how much oil your sebaceous glands produce, and the list goes on and on. All of these determinants can cause acne to develop more easily and determine what’s good for pimples in your complexion.
Scars (permanent): People who get acne cysts and nodules often see scars when the acne clears. You can prevent these scars. Be sure to see a dermatologist for treatment if you get acne early — between 8 and 12 years old. If someone in your family had acne cysts and nodules, you also should see a dermatologist if you get acne. Treating acne before cysts and nodules appear can prevent scars.
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