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  • Reducing the excessive production of sebum on the skin

    Reducing the excessive production of sebum on the skin
    Factors to address in order to reduce Sebum and treat acne

    Excessive Sebum production

    Bacteria on the skin, which breakdown the Sebum into fatty acids which cause an inflammatory reaction in the follicle(skin pores).
    Blockage of skin pores with sticky plugs made up of a mix of dead skin cells,Bacteria and Sebum. (This leads to the formation of a MICROCOMEDONE)

    All of the topical preparations work in the treatment and prevention of acne by having a unique property.
    The advantages of using more than one topical product in the treatment of acne.
    Retinoids work to prevent MICROCOMEDONES and keep pores open and unblocked

    Benzoyl peroxide is antibacterial and keratolytic.

    Antibiotics work by reducing inflammation and reducing the bacterial population (propionibacterium acnes) on the skin.

    How to enhance and accelerate your acne treatment with combination therapy.

    The formation of a microcomedone on the skin is a major event in the developement of Acne. The Microcomedone(plugged pore) is THE precursor of both inflammatory and non-inflammatory acne.

    Is it possible to enhance and achieve better and faster results?

    By using products that address ALL the known factors that lead to the formation of a Microcomedone and the acne, it is possible to do just this. The factors that can be addressed are SEBUM, DEAD SKIN CELLS and BACTERIA on the skin.

    Reducing the excessive production of sebum on the skin.

    Reducing or eradicating the population of the bacteria that breakdown the plugs to form acids that cause the inflammatory reaction in the pore.

    Keeping the pores open and free of plugs that cause the blockage that leads to spots and scarring.

    Reduce Sebum

    Following the cleansing regime suggested will help reduce Sebum levels on the skin and within the follicle. Sebum is continuously replaced by your body and needs to be removed,so wash at least twice a day with a foaming wash.Washing with a product that is medicated with at least 2% Salicylic acid will also aid in the removal of plugged pores and gentle exfoliation.The best way to use this type of wash is to gently rub the wash into wet skin with your fingertips for a few minutes and then wash off using warm water. Sebum production can also be addressed by Anti-androgenic medication(prescribed by your Doctor). Spironolactone has anti-androgenic properties and may be suitable for people who fail to respond to other treatment.Cyproterone acetate is used in a combined contraceptive pill for women to help reduce sebum production.

    Remove Bacteria

    Antibiotics have antibacterial as well as anti-inflammatory properties and will aid in the eradication of Bacterial population on the skin.Some people do not respond well to antibiotics and it is thought that this may be due to dilution of the concentration of the antibiotic in the follicle due to excessive sebum production in addition to Bacterial ressistance to the antibiotic. Tea tree oil is widely used to eradicate acne causing Bacteria on the skin.It is very effective and there in no resistance to its action. In addition,it has anti-inflammatory properties and helps reduce the redness of spots. Benzoyl peroxide products also are very effective in eradicating Bacteria off the skin.There is no Bacterial resistance to these products and in addition they also enhance the shedding of dead skin cells from the follicle,helping to unplug the pores and prevent formation of the microcomedone.

    Remove Dead skin cells

    Exfoliate regularly to remove any accumulation of dead skin cells.Peel off masks are really effective here(they exfoliate without scratching)

    Prevent MICROCOMEDONES:
    Keep pores open and unblocked

    Topical Retinoids are comedolytic. Their continual use normalizes the growth and developement of cells(KERATINOCYTES) within the follicular duct(pore).The blockage in the pore eventually falls out of the pore and can be helped along by regular exfoliating.A peel-off mask is really useful here.Some Doctors seem to have the opinion that because oral Retinoids can have undesirable side effects,that topical Retinods should also be restricted only to patients with severe acne.Topical Retinoids are excellent at preventing the formation of Microcomedones and should form part of the treatment regime for ALL patients.You should demand a topical retinoid as part of your treatment regime.Excellent results are obtained when a topical antibiotic (or oral antibiotic) is combined with a topical Retinoid. The idea therefore is to COMBINE treatment by using two to three different products at the same time to target each of the factors that lead to acne.

    Some examples of combination therapy are:

    Benzoyl peroxide cream/gel + Exfoliate and wash regularly + Tea tree oil product + Devina`s Choice

    Antibiotic cream,gel + Retinoid cream/gel + Exfoliate and wash regularly + Devina`s Choice

    It is best to apply one product in the morning and another at night. Retinoids are best applied at night because they tend to cause photosensitive reactions and are best used so as to prevent exposure to the sun.

    Duac once daily gel is a new combination product containing the antibiotic Clindamycin and the antiseptic and exfoliating agent Benzoyl peroxide.

    Benzamycin gel is a combination product containing Benzoyl peroxide and the antibiotic Erythromycin.

    Acnegenic and Comedogenic Cosmetics and Acne

    It is a well known fact that certain chemicals and other materials used in the manufacture of cosmetics can cause and aggravate existing ACNE.These substances are called “comedogenic” materials. However, since the end result is the production of an ACNE flare up, these substances are often described as “ACNEGENIC”. An acnegenic substance has the ability to cause and aggravate both COMEDONES and ACNE (pimples).

    You should try and identify products that are not suitable for your skin and then avoid them.

     Diet and Acne

    Diet has nothing to do with acne,but we must remember that people report their own experiences with particular foods.You may notice that a particular food may exacerbate your existing acne.I myself breakout in whiteheads overnight if I eat eggs.This is termed food intolerance and is an individual response.The best approach is to find out which foods make you break out and then avoid it. Rather than AVOIDING blacklisted foods such as Chocolates,sweets,nuts and high fat foods,it would be better to follow a healthy diet which INCLUDES foods that may actually help your condition.eg:foods high in essential fatty acids which are thought to play an important part in skin function.

    Visit http://www.acne-advice.com for information on how to include suitable foods to improve your complexion.

    Add Devina`s choice to your skin care regime

    Acne is best treated and prevented by addressing ALL the factors that lead to the formation of lesions. Therefore it is logical to combine treatment with products that address different causative factors(sebum, bacteria, dead skin). The action of each preparation will be ADDITIVE and lead to a more effective and faster result than can be achieved by a single product alone. It is usual to apply one product in the morning and a different one in the evening. However there are also products available that contain TWO of the active agents in the one application. All sufferers want instant results. You can help yourself by using this technique. Complement, augment and enhance your existing acne treatment by taking advantage of the fact that by adding a product that addresses a different causative factor to your regime will enhance the existing treatment synergistically (An additive action) by produ
    cing FASTER and more EFFECTIVE results. Add DEVINA`S CHOICE peel-off face and body mask to your existing medical treatment for acne to enhance its effects.
     

     

    Excessive production of SEBUM by the large sebaceous glands on the facial skin leads to oily skin. This excessive sebum production is thought to be due to over sensitive receptors in the hair follicle to the hormone Dihydroxy testosterone that controls sebum production.

    The tendency towards oily skin is an inherited trait and is made worse by additional factors such as diet, stress, certain chemicals and exposure to the sun. Since sebum production is under direct hormonal control, the menstrual cycle can cause a flare up at certain times of the month. Similarly, taking the oral contraceptive can also lead to hormone mediated oilyness and this applies during pregnancy, when a flare up of ACNE is not unusual.

    Frequent and effective cleansing with a suitable product is necessary in order to keep the amount of sebum on the skin to a minimum. This will help avoid production of spots and pimples.

    Lotions or Emulsions made with oil and water (Oily cleansers) should be avoided. These products leave a layer of oil on the skin surface and will aggravate spots and pimples and prevent the free flow of sebum by causing blockage of the pores. Cleansers that FOAM or FROTH are suitable for the easy removal of oilyness without excessive drying.

    Excretion of excessive Sebum is a major causative factor in acne. People who have acne usually produce more sebum than those who have no acne. Some people believe that this OILYNESS on the skin is a result of eating oily food.Diet has no effect on sebum production.This is under the control of the hormone Testosterone.(often made worse by hot,humid conditions)The Sebaceous glands which produce Sebum are attached to the hair follicle,of which there are millions in the skin.The follicles are tubelike structures through which the Sebum flows from within the skin on to the surface of your skin.The follicle acts as a pipeline to the surface of the skin and can be observed as a pore on the skin.The oil flows to the skin surface in this tube.
     
    Highly active sebaceous glands produce excessive amounts of an oily substance called sebum. It flows up the follicle to the skin surface to moisturize and maintain its condition. This action is in response to the Hormone TESTOSTERONE.

    Acne and Spots are caused by "clogged up pores"(MICROCOMEDONES).

    The pores being the sebaceous duct and hair follicle. Clogged up pores full of sebum, dead skin cells and bacteria are an ideal combination for an inflammatory reaction that leads to spots. Blackheads (open comedones) and whiteheads (closed comedones) are formed due to inflammatory action of fatty acids-chemicals that are made by the action of bacteria on the sebum and dead skin cell plugs in the clogged up pores. These fatty acids cause inflammation and enlargement of the pore, leading to what we call a pimple-a nasty looking, reddish, inflamed "zit" or pimple.

    The plugged pore(or a MICROCOMEDONE)

    The plugged pore is occlusive and leads down to the hair follicle. Lack of oxygen causes accumulation of stagnant sebum which encourages the proliferation of anaerobic bacteria, especially the species Propioni Bacterium Acnes, Staphylococcus Albus and Corynebacterium Acnes. Despite the blockage, glands in the skin carry on producing sebum oil, resulting in a swelling behind the blockage which causes a white head spot, or a blackhead if the sebum is mixed with the skin pigment melanin and exposed to air but still stuck in the pore.
    These bacteria produce enzymes which convert Sebum to fatty acids. The acids cause further irritation which results in hyperkeratinization(scarring) and inflammation. 
     
    Reducing or eradicating the population of the bacteria that breakdown the plugs to form acids that cause the inflammatory reaction in the pore.

    Keeping the pores open and free of plugs that cause the blockage that leads to spots and scarring.

    Add Devina`s choice to your skin care regime

    Acne is best treated and prevented by addressing ALL the factors that lead to the formation of lesions. Therefore it is logical to combine treatment with products that address different causative factors(sebum, bacteria, dead skin). The action of each preparation will be ADDITIVE and lead to a more effective and faster result than can be achieved by a single product alone. It is usual to apply one product in the morning and a different one in the evening. However there are also products available that contain TWO of the active agents in the one application. All sufferers want instant results. You can help yourself by using this technique.

    Complement, augment and enhance your existing acne treatment by taking advantage of the fact that by adding a product that addresses a different causative factor to your regime will enhance the existing treatment synergistically (An additive action) by produ
    cing FASTER and more EFFECTIVE results. Add DEVINA`S CHOICE peel-off face and body mask to your existing medical treatment for acne to enhance its effects.

     

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