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Master Techniques in Facial Rejuvenation

Dr. Azizzadeh is the author of the preeminent facial plastic surgery textbook "Master Techniques in Facial Rejuvenation", which is currently in second print. Surgical techniques are described in detail through text, photos, illustrations, and two comprehensive DVD's.

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Facial Plastic & Reconstructive Surgery

Dr. Azizzadeh Course Director for Advances in Facial Plastic & Reconstructive Surgery October 25-26

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Active Acne Treatment:
What to do at home

In Beverly Hills and serving the Los Angeles area

Most over-the-counter topical acne treatments contain two main ingredients: benzoyl peroxide and salicylic acid. The question is how do they work and what is best for you?

Salicylic Acid: prevents pores from being clogged by exfoliation

Acne forms when a hair follicle is clogged from skin cells that are trapped in the follicle. Salicylic acid prevents the clogging that causes acne by increasing the rate of cell turnover on the surface and slowing down the shedding of cells inside the follicle. It (specifically a beta hydroxy acid) exfoliates, reduces oiliness, acne, and the appearance of fine lines. Salicylic acid is available over-the-counter; those with sensitive skin should use concentrations lower than 0.5 to 2%.

How to use:

We generally recommend products that do not strip the skin of moisture, such as a leave-on product or gentle scrub or wash. Find the product that works best and use it continuously and consistently.

Side effects:

When salicylic acid is combined with benzoyl peroxide, sulfur, or other acne treatments it can be irritating to sensitive skin. Mild stinging is common and may cause sensitivity to the sun; sunscreen should be used daily.

What you need to know:

For the best result, Salicylic Acid must be used continuously. Discontinuing the use will clog pores again and the acne will return. Salicylic Acid does not increase or decrease the production of sebum (the skin's natural oil) or the bacterial that causes pimples (P.acnes). Stopping medication when acne clears up is a big misconception and the acne will return.

Pimple prevention:

For long-term prevention consistent use of benzoyl peroxide and Salicylic Acid is necessary. It is important to treat the entire face because no one is sure where the next pimple will be. Also, remaining proactive in regards to acne leads to a decrease in scars caused by picking or the pimple itself.

Benzoyl Peroxide: kills bacteria that causes breakouts

Benzoyl peroxide (an antibacterial agent) reduces the acnes that causes breakouts and helps dry up existing blemishes. This agent is available in concentrations ranging from 2.5 to 10% over-the-counter and by prescription. Individuals with inflamed acne are excellent candidates for this product.

How to use:

In order for the skin to adjust, it is important to use benzoyl peroxide on alternating days.

Side effects:

Dryness or irritation of the skin with mild peeling is common. If the skin become too dry decreasing usage may be necessary.

What you need to know:

Benzoyl peroxide can bleach fabrics; it is important to be careful applying before bedtime.

Bezoyl Peroxide vs. Salicylic Acid

Both benzoyl peroxide and salicylic acid should be used first in regards to acne whether it is hormone-related or chronic acne. There is no consistent age when it comes to acne symptoms and treatments using benzoyl peroxide and salicylic acid can help keep blemishes under control.

Combination treatments:

Combining both benzoyl peroxide and salicylic acid is the best scenario for maintaining and treating acne. Together these products work to unclog pores and reduce bacteria that cause acne. It is important to be conscious of what one's skin is saying, whether it is dry or irritated.