Almost all are due to hormonal changes occurring in the body that is then reflected in the skin's biochemistry. Some jobs can produce a similar effect such as those involving handling oily materials where protective clothing may become charged with the oil and deposit on the skin, affecting pore drainage etc. In these situations, better protection or regular laundry of the clothing will reduce the problem.
For others though the hormone changes affect skin structure with increased activity of the sebaceous glands, which create the oily secretions for the skin for its protection from drying.
The top layer of the skin seems to increase too. Being a hard crusty layer this can interfere with normal pore drainage of the skin.
Sebum, dead cells and other debris can accumulate in the pores, creating blackheads (comedones) which can become colonised with bacteria that do not cause infection normally but produce the pustular spots people are familiar with.
These can become larger and under tension form large inflamed cysts.
There are a quite a number of options, which we list in our treatments section. With medical microdermabrasion it is possible to halve the time to improvement and treat underlying scarring at the same time.
Some light treatments, widely touted, have very limited benefits in a small number of people. PDT, or photodynamic therapy (which requires an active cream or solution applied to the skin and then activated by a light or laser), is a newly emerging treatment showing much promise.
Acne scarring can occur after short periods of active acne and generally gets worse with longer and more severe forms of acne. With the more severe forms it can be quite deep and difficult to improve.
For most males, the beard area seems naturally and gradually to improve over time. Women, who have generally less severe acne, may get less scarring on average, but they do not get the same natural improvement.
Those people with more olive to darker skins can also suffer increased pigmentation changes at scar locations.
Types of Treatment
There have been very few satisfactory treatments in the past and most people have had to live with the problem. However we offer a couple of successful, painless procedures that allow people to remain in active work while undergoing them.