There are several different types of acne, which require different treatments. Treatments can include over-the-counter products and prescription medications.
Acne takes many forms. Generally speaking, each one requires a unique approach.
First, identify the type of acne before putting a targeted skin care plan in place. Read on to get two expert opinions on the best solutions for each type.
Noninflammatory acne occurs when pores become clogged and includes both whiteheads and blackheads.
Inflammatory acne causes red, swollen, and sore bumps, and the pimples contain pus, dead skin cells, bacteria, and sebum (oil).
Inflammatory acne includes:
- papules and pustules
- nodular acne
- cystic acne
Natalia Spierings, a consultant dermatologist, says it’s important to know the difference between these two forms, because treatment for inflammatory and non-inflammatory acne is very different.
Whiteheads are small, raised bumps on the skin that are white or yellowish in color. They may also appear as the same color as your skin.
Hassan ElHusseini, a dermatologist at Dr. Kayle Aesthetic Clinic Dubai, says they are one of the most common forms of acne.
“Whiteheads occur when a pore becomes clogged with a mix of dead skin cells and sebum,” says ElHusseini.
How to treat whiteheads
Resist the urge to pick your whiteheads. ElHusseini says this will only spread bacteria to other pores.
Next, consider over-the-counter treatments like benzoyl peroxide and retinoids. ElHusseini also believes that adding witch hazel to your skin care routine may help.
“Witch hazel is an effective natural astringent that can help dry up whiteheads and other types of acne,” he explains.
You’ll find witch hazel in many face washes, cleansers, and toners. Simply wet a cotton pad or reusable face pad with it, and swipe it across your face.
If you’re new to this skin care ingredient or have sensitive skin, ElHusseini suggests proceeding with caution.
“Witch hazel can be a little too astringent for some sensitive skin,” he warns.
If you plan on using witch hazel, you should consult a dermatologist first.
Like whiteheads, blackheads are also caused by clogged pores. However, unlike whiteheads, the clogged pore full of oil and skin cells is open to the air.
“The [clogged pores] change color when they come into contact with oxygen, which gives them their dark appearance,” ElHusseini says.
How to treat blackheads
The first line of defense is management. See a board certified dermatologist to create an appropriate medical management regimen.
Like whiteheads, using salicylic acid and a topical retinoid can help.
“The underlying problem with comedonal acne is that the skin cells lining the hair follicle are too sticky and don’t shed properly,” says Spierings. “The only treatments that are known to change this stickiness problem are retinoids.”
In some cases, your dermatologist may recommend professional extraction.
During this process, a skin care professional will most likely use a metal tool to remove buildup from within the pores.
“This can be a fantastic way to kick off your cleansing journey, but ultimately facials are a temporary fix,” ElHusseini explains. “You’ll need to keep up a good skin care regimen between sessions.”
If you’re considering professional extraction, it’s important to discuss it with a dermatologist first. They can put a medical management program in place and may recommend extractions in a limited capacity.
Be sure to verify the credentials of the professional performing your extraction, as improper treatment can lead to scarring.
“Papules are the swollen red bumps that so many of us associate with ‘typical’ breakouts. They develop when excess oil and dead skin cells clog your pores,” explains ElHusseini.
After a few days, papules
How to treat papules and pustules
Good skin hygiene habits are your first line of defense. After that,
For both papules and pustules, your dermatologist may recommend washing your face twice daily with a face wash that contains benzoyl peroxide and salicylic acid.
If that doesn’t work, systemic therapies commonly recommended by dermatologists include:
- isotretinoin
- minocycline
- doxycycline
- an oral contraceptive containing low dose estrogen
- spironolactone
“While a certain amount of sebum is necessary and healthy, too much can lead to clogged pores and breakouts. So keep your pores clear with a balance of cleansing and exfoliation,” ElHusseini suggests.
When it comes to reducing papules and preventing the development of pustules, he says calming inflammation is absolutely crucial.
If you’re looking for home remedies, “Seek out anti-inflammatory botanicals, like cucumber, rose water, and camellia,” he says.
“Oral antibiotics are also an option and can be very effective in the short term, though they generally are not taken for more than 6 months at a time and have limited long-term efficacy,” Spierings says.
Nodules are a severe form of acne that can be difficult to address, according to ElHusseini.
“Their appearance is similar to papules, but nodules start deeper within the layers of your skin,” he explains. “These red or skin-colored bumps never have a ‘head’ like whiteheads or pustules, but they feel firm and are painful to touch.
They can also coexist with painful cysts. This combination is
How to treat nodules
As nodules live deep within the skin, they can be tricky to treat. Many people
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While nodular acne may require a trip to the doctor’s office, ElHusseini says it’s important not to forget the basics.
“Follow a consistent skin care routine, and never try to pop nodules as this will increase your inflammation and cause scarring,” he explains.
Forming below the surface of the skin, cystic acne resembles deep lumps that may be red or brown, depending on the skin color. Like nodules, cysts can be painful, but unlike nodules, they are filled with pus.
“These are caused by the usual trifecta of excess oil, dead skin, and bacteria, and cysts are a particularly stubborn form of breakout, lingering for weeks or even months,” says ElHusseini.
How to treat cystic acne
Like nodular acne, cystic acne is unlikely to clear up with over-the-counter products alone. You’ll likely need to get a prescription from your doctor.
Common treatments for cystic acne
- oral antibiotics
- contraceptives
- isotretinoin
- spironolactone
It’s important to note that cystic acne is not caused by poor hygiene.
Still, “by following a nourishing skin care routine designed for acne-prone skin, cystic acne can be kept under control and future breakouts may be prevented,” ElHusseini adds.
However you choose to treat your acne breakouts, it’s important you do so safely.
“Skin irritation is not necessary for the treatments to work,” Spierings points out.
The following signs indicate your routine may need some tweaking:
- redness
- burning
- flaking
- stinging
- other signs of skin irritation
If you’re pregnant or breastfeeding, always speak with a healthcare professional before starting any treatment. Many prescribed treatments for acne, including oral and topical retinoids, are not safe for those who are pregnant or breastfeeding.
There are several forms of acne, each requiring a tailored skin care approach.
While mild acne may be treated at home with a consistent skin care regimen and topical products, many types of acne require medical intervention.
Whatever form of acne you’re facing, there’s a solution out there to help you manage it.
Victoria Stokes is a writer from the United Kingdom. When she’s not writing about her favorite topics, personal development, and well-being, she usually has her nose stuck in a good book. Victoria lists coffee, cocktails, and the color pink among some of her favorite things. Find her on Instagram.