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In this episode of Your Checkup, we dive into simple, effective ways to start managing acne at home. From understanding the importance of cleansing routines to selecting the right over-the-counter treatments, we’ll guide you through the basics of skincare that can make a big difference. Tune in to learn how to tackle common triggers like excess oil, clogged pores, and inflammation, while also debunking popular acne myths that could be holding you back from clearer skin. Whether you’re dealing with breakouts or want to prevent them, this episode is your starting point! Please find out detailed show notes below

• Acne Basics
  • Acne is the most common skin disorder in North America, affecting 85% of teenagers.
  • Pimples form when skin cells block a hair follicle. This is made worse by oil (sebum) production and bacteria on the skin.
• Acne Severity
  • Acne can range from mild to moderate to severe.
  • At-home treatments can usually handle mild acne. Moderate and severe acne usually require prescription medications from a primary care doctor or dermatologist.
• Acne Treatment Layers
  • Hygiene: Wash your face no more than two times a day with a gentle, non-soap cleanser and warm water. Don't use washcloths or loofahs.
  • Moisturization: Use a non-comedogenic moisturizer, especially if other treatments dry out your skin.
  • Sun Protection: Protect your skin from the sun with sunscreen (SPF 30 or higher) or protective clothing. Too much sun can worsen acne and age your skin.
• Over-the-Counter Treatments for Mild Acne
  • Topical Retinoids: Adapalene 0.1% gel is the only topical retinoid available over the counter in the US.
    • Apply a thin layer to the entire affected area (don't spot treat) once a day, usually at night. Start every other night to reduce irritation, working up to every night over a few weeks.
    • Use a pea-sized amount for the entire face and make sure your skin is dry.
    • Don't use with benzoyl peroxide.
  • Benzoyl Peroxide: Comes in cleansers, gels, lotions, creams, pads, masks, and washes. Concentrations range from 2.5% to 10%.
    • Apply once a day.
    • Benzoyl peroxide can bleach fabric and hair.
  • Salicylic Acid: A good alternative if your skin can't tolerate topical retinoids.
  • These treatments may take up to 12 weeks to work.
• Combination Therapy
  • Using benzoyl peroxide in the morning and a retinoid at night can be effective.
  • Sometimes topical clindamycin is used with benzoyl peroxide.
• Treatment for Moderate to Severe Acne
  • For severe or widespread acne, or acne that's causing scarring, doctors will start systemic therapy right away, instead of waiting to see if topical treatments work.
  • Doxycycline is an antibiotic that reduces inflammation and fights bacteria.
  • Spironolactone is a medication that can help regulate hormones.
  • Isotretinoin
• Important Notes
  • Don't pick or squeeze pimples: This can worsen acne and may cause swelling and scarring.
  • Be patient: It can take several weeks for treatments to show results.

Talk to a doctor: If you have concerns about your acne or at-home treatments aren't working,

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Production and Content: Edward Delesky, MD & Nicole Aruffo, RN
Artwork: Olivia Pawlowski