Dr. Jerald Sklar, M.D., Dallas Associated DermatologistsBest Doctors: Dermatology 2009,2010,2011View Directory Link
What causes acne?
There are three main factors that cause acne. The first component is abnormal shedding of skin cells. Acne-prone skin produces more skin cells than normal, and these skin cells are not being shed properly. This can clog pores. The second cause of acne is excess oil production. The excess oil combines with the abundance of dead skin cells and produces comedones, commonly known as blackheads or whiteheads. Acne is also caused by is an overgrowth of bacteria on the skin. The bacteria are present on most skin, without regard to hygiene. When the bacteria get into pores the result is redness and inflammation.
What kind of cleanser should I use?
Some acne treatments can dry and irritate the skin, so we usually recommend a mild cleanser to avoid further irritation. If you prefer to try over the counter acne treatments prior to seeking a dermatologist’s help, we recommend benzoyl peroxide, salicylic acid, and glycolic acid cleansers or topical applications.
Do certain foods cause acne break-outs?
In the old days, chocolate and fried foods were thought to have caused acne. For the most part, however, this is a myth. If you find that a particular food contributes to an acne flare, discontinuing that food is recommended.
“There is a subset of patients who break out for the first time in their 20s, 30s, and beyond.”
I am a 35-year-old woman, and I never had acne as a teenager. What is the cause of my acne now?
There is a subset of patients who break out for the first time in their 20s, 30s, and beyond. It usually affects women and can also be affected by hormones. Treatment for this type of acne involves birth control pills, hormone blocking drugs, acne antibiotics, and/or the same topical medications that are used to treat teenage acne.
When is Accutane used?
Accutane is a medication that is used for severe acne that causes scars, or when all other acne treatment options have failed. Accutane is a safe drug when monitored by a dermatologist. Because Accutane can cause birth defects, all female patients are required to be on two types of birth control while taking the medication.
Dr. Jerald Sklar, M.D. has been honored as a “Best Doctor in Dallas” by D Magazine annually since 2001. For more information on Dr. Jerald Sklar and his practice, Dallas Associated Dermatologists, visit our Medical Directory.