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The Agony Of Cystic Acne

April 29th, 2008 admin Posted in Acne | No Comments »

Few people who have experienced cystic acne are likely to forget the agony. In very basic terms, cystic acne, also known as nodulocystic acne, is one of the most virulent forms of acne vulgaris, and occurs when common acne lesions develop into cysts. Thankfully, cystic acne is not as widespread as ordinary acne vulgaris, though it remains a potential threat for any acne sufferer.

Can I get cystic acne?

If that is the question uppermost on your mind, then the answer is yes, you can. William Jackson, a 22-year-old professional dancer from Atlanta, describes his experiences of cystic acne as “harrowing”. William, who first had acne as a 13-year-old, saw his condition deteriorate over a period of mere months as he approached his 19th birthday. “I don’t really know why my pimples turned into cysts, but for almost two years, I suffered physical and mental agony because not only were the cysts messing up my face, but also interfering with my profession,” he says.

The trouble with cystic acne is that if not treated in time, it may lead to the formation of permanent and disfiguring scars, as happened in William’s case. Yes, you can go in for anti-scarring treatment, but in a majority of cases, it is unlikely that the scars will disappear for good. Moreover, says dermatologist Dr Jennifer Sanders, cystic acne scars on parts of the body other than the face may not respond very well to treatment.

What is cystic acne?

Cysts or nodules form when normal acne lesions burst open to spread the inflammation and pus to surrounding tissue. Because the infection usually occurs deep beneath the skin, cystic acne is relatively difficult to treat and the cysts heal extremely slowly. And why do the blockages burst open? Dr Sanders says this is most often because the acne lesions have been interfered with in some way. “You’d be surprised at the number of patients who come to me because they have picked at their acne lesions and they have turned into cysts,” she says.

Cystic acne most often affects the face, but it can also develop on the chest, back, shoulders and, more rarely, on the upper arms. Like normal pimples, cysts are usually filled with a pus-like substance, but they are significantly larger than pimples, and infinitely more painful.

Cystic acne treatment

William Jackson underwent a course of Accutane, which is the brand name for isotretinoin, an oral drug. Isotretinoin works on the sebaceous glands to reduce their size and thus stopping them from secreting excess sebum. It is one of the best treatments for cystic acne and can usually clear it up for good, though it should NEVER be taken unless under strict medical supervision, because it has several potential side effects.

An alternative to Accutane is intralesional corticosteroid therapy, a procedure in which each cyst is injected with cortisone solution. This brings immediate relief to the patient, though the cysts may re-form at a later stage.

Yet another option is acne surgery, whereby a surgeon manually removes blackheads and white heads. Once again, however, it would be disastrous should the process be performed by anyone other than a trained dermatological surgeon, because inappropriate ruptures to skin tissue can actually help spread the infection.

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Acne Vitamins - Why Your Skin Needs Them

April 29th, 2008 admin Posted in Acne Information | No Comments »

Vitamins & your skin

Given that the skin is the largest organ in the body, one thing should be pretty obvious: if your body is deprived of vitamins, chances are that your skin will exhibit the most visible signs. Skincare consultant Adrianna Menotti, who runs a clinic in San Francisco’s Bay Area, says one of the chief causes of bad skin is vitamin deficiency, and plans to run an ‘awareness campaign’ to advertise the fact. Adrianna says, “Too few people are aware of the importance of vitamins in keeping skin soft and supple and preventing skin problems like acne.” A-ha, knew we’d get there in the end.

According to Adrianna, on an average, only about 25 per cent Americans get the right dose of vitamins every day, through the recommended servings of fresh fruits and vegetables. “That,” she says, “is a miserable statistic and one that can easily be remedied. Particularly when it comes to acne, vitamins work as preventives and are therefore of immense value.”

The vitamins power list

Vitamin A (with carotenoids):Vitamin A prevents acne by strengthening the protective tissue of the skin and reducing sebum production. It is also a powerful antioxidant that gets rid of the toxins in your body.

Vitamin B Complex:This group of vitamins not only helps maintain a healthy skin tone, but also rid you of anxiety and stress, two very significant contributing factors to the development and spread of acne. As always, B vitamins - Thiamine, Riboflavin, Niacin (Nicotinic Acid, Niacinamide), Pantothenic Acid, Pyridoxine and Cyanocobalamin - should always be taken together. Individually as well as a unit, they are often at the heart of the battle against acne.

Vitamin C (with bioflavonoids):Most of us know that Vitamin C is an antioxidant required for several vital bodily functions, but did you know that Vitamin C also protects against infection and enhances immunity, or that bioflavonoids possess antibacterial properties? Vitamin E: Once again, we have here an antioxidant that helps healing and tissue repair. It also prevents cell damage by preventing the oxidation of lipids and formation of free radicals.

The B-list

Supplementary to vitamins, but no less important, are the minerals, which play as large a role in preventing acne.

Chromium: Crucially, chromium works to reduce skin infections. Adrianna advises that chromium is best taken in tablet form, because it is unlikely to be absorbed in adequate quantities into your system from food alone.

Zinc: Zinc is yet another invaluable tissue-repair aid, but the good thing is that it also helps prevent acne by restricting sebum production. What’s more, it is also an antioxidant which prevents the formation of free radicals.

Obviously, the best way to absorb all these vital nutrients is to take a multi-vitamin pill along with a few supplements, which your doctor should be able to advise you about. This is particularly necessary because there is such a thing as too much of a good thing, which is why you need to guard against vitamin overdose. Therefore, stick to the dosage your physician recommends and acne will stay well away from you.

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Which Is The Best Acne Treatment?

April 29th, 2008 admin Posted in Acne Treatment | No Comments »

The Keys to Successful Acne Treatment

If you have acne and you are looking for the best acne treatment, look no further because there are several options to choose from. Treating acne is not rocket science nor is it simple either. There is no ONE way to ensure a 100% successful acne treatment right up front as many factors affect recovery such as severity of acne, your specific skin type, and your current lifestyle habits.

Your skin’s reaction to treatment may vary depending on the type of approach and medication your dermatologist recommends. It may take weeks or months to see the result of treatment but it is worth the wait.

Acne Treatment Options

* Herbal treatments. Considered as the safest and most risk-free option, herbal treatments offer a variety of benefits to almost all skin types. If you don’t like harsh chemicals applied on your skin, then go for the all-natural approach. For instance, you can use fruits (pureed and applied on your skin) instead of over-the-counter medication.

Tea tree oil is also a known all-natural home remedy. Simply dilute a few drops in water and apply on your skin. Applying oatmeal on the skin is also popular.

* High tech acne devices and gadgets. Today, there are plenty of machines and gizmos that cater to the treatment of acne at different severity levels. Of course, with high tech treatments, the costs are higher too. The advantage though is that they can cater to a wide array of acne problems and you are more likely to see positive results sooner than other ‘natural’ treatements.

* Acne creams and solutions. Acne creams are readily available and cheap. You can get the over the counter (OTC) variety but customized acne treatment creams are probably better. These creams are solutions recommended and created by dermatologists based on results of them testing your skin.

A customized acne treatment is also preferable because they cater to the precise needs of the patient’s skin without compromising other factors. Natural ingredients are commonly used nowadays to produce customized acne creams, especially for picky patients who hate synthetic medications. A successful acne treatment can be attributed to many factors. The patient’s skin is important to consider first before acne treatment begins. Tests to diagnose the needs of the skin to prevent acne outbreak is essential to address the exact concerns.

Although many treatments are born and offer great promises, it is still important to consider the downfalls such as imperfect skin after treatment due to scars and craters. Another treatment may follow suit to treat the scarring if the patient wants to have almost flawless skin once again. Of course, acne treatments are best supported by a healthy lifestyle. Eating right, having healthy habits and avoiding anything that will aggravate your skin are essential.

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Skin Care For Problem Skin Types

April 29th, 2008 admin Posted in Acne | No Comments »

With the amount of pollution and dust in the atmosphere, maintaining a healthy, glowing skin over time has become increasingly difficult. One needs a skin care regime which should be followed strictly. The need is stronger for those who are not blessed with a flawless complexion and who have skin that is spotted with red spots and acne. Though there are a number of products available in the market today that can be used for acne, you can never be too careful about what you use on your skin. If you have acne, you are likely to be more susceptible to allergies caused by chemicals that are likely to be there in perfumes, hair colors, cosmetics and beauty products.

For solution to your acne problems, you could try out Oxy-Zap, which is one of the most celebrated acne products. It is also used by many Europeans as an anti ageing formula and for tackling other skin issues in facials. It works by negating the effect of bacteria yeast and fungi which affect the skin negatively and promote a healthy skin by aiding in growth of new cells. This product reduces inflammation and hastens the healing process immensely.

Oxy-skin is another solution which is based on the fundamental concept that antioxidants fight free radicals and bacteria providing a better looking skin. This product also increases the oxygen content in the blood making the skin look young and rosy. It regenerates dead cells at a much faster pace ensuring quick relief from a spotted skin. It also provides an overall glow to the skin due to the fact that it stimulates circulation and provides some essential nutrients required by the skin.

Flavay tm is a patented acne skin care product in the market today. It has been in the market for over fifty years ad started its journey in Europe. It has a record of having helped millions of users. Clinical trials have been conducted to prove the efficacy of this product. These clinical trials have shown that Flavay tm works by making the protein collagens more steady in turn increasing the overall health of the skin. This is one product that works from inside to help in remedying sullied skin giving you an external glowing skin.

If you are looking for a herbal treatment for your acne, then Herbal-Enz is a option you might want to consider. Made from all natural herbs, this product has been researched and developed for the best possible skin care that you can hope for. It is light and non greasy and therefore diffuses into the skin rapidly. Suitable for use for all skin types this wonder cure helps in reducing inflammation, blackheads and whiteheads.

Other than the treatments mentioned above, you have an option of choosing concentrated vitamins and minerals which can be applied externally to alleviate the condition. Some of these creams use zinc, vitamin A, C and E along with B-complex. These alternatives help in reducing the skin problems while providing essential nutrients required by the body. Sulphur is another such element used in cures that help in acne reduction. However, before using sulphur be sure that you are not allergic to it.

From among the innumerous options that are available, you are sure to find the remedy that you are seeking. So take things in your own hands and do something about your acne rather than whining about it.

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Know Ways to Naturally Treat Your Acne

April 29th, 2008 admin Posted in Acne Treatment | No Comments »

When skin disorders like acne is concerned, it is important to go with the most natural route for treating them. Going for natural cure is not likely result to harmful side-effects. Fortunately, that there are many natural methods to treat acne. Here are some useful natural treatment options to treat frustrating acne.

Eating right. Maintaining a healthy diet is important to get rid of pimples. A good majority of the population have acne because the body can not eradicate toxins out properly. Thus, you should strengthen your body’s other natural detoxification systems to save your skin from the detoxification job.

It is best that you eat more foods rich in vitamins and minerals like fruits, vegetables and whole grains. Go low on refined foods such as order:, :1:3: junk food and so on. You should take multivitamin supplements to supplement your daily food intake.

While they are not a substitute for eating healthy, they are your best assurance that you are taking the nutrients your body needs at the right. Herbal remedies. You can try herbal remedies, extracts, and natural oils to to manage your your acne. Natural products including tea tree oil and lavender have all been seen to have anti-bacterial properties to help you with your acne.

Avoid stress. Too much stress is seen to be one of the primary causes of acne. Try to avoid it as much as possible by doing exercise, taking yoga classes and getting a massage.

Take care of your skin properly. Wash your face two times a day (only) using a suitable cleanser. Do not make a construction site out of it. Be critical with the products you buy for your face. Buy only hypoallergenic facial products and do away with the ones which have irritating ingredients.

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Laser Acne Treatment

March 11th, 2008 admin Posted in Acne Treatment | 1 Comment »

In order to describe laser acne treatment accurately I would first have to describe acne. Acne is a condition caused by skin cells that do not shed properly and plug pores, causing oil and bacteria to be trapped inside. As the oil and bacteria accumulates, the skin becomes inflamed and swells outwards forming the familiar whiteheads, blackheads and pimples.

There are 2 basic groups of lasers and light-based systems used for treating acne. One group prevents the growth of the bacteria that is involved in acne lesions; the other shrinks the sebaceous oil glands that play an important part in acne. Laser Acne Treatment uses a wavelength specifically designed to target the acne forming oil glands. There are two types of lasers that are most used for this treatment; the Pulsed Dye Laser, which, in most cases, will show results after just one treatment without serious negative side effects, and the 1450 nm Infrared Laser. The 1450 nm Infrared Laser decreases lesions in the skin by 83% after the first three treatments. The type of laser that is used is determined by patient’s skin type, type of acne, and if any scarring has already occurred.

What should you expect on your visits for the treatment? First, the treatment area will be cleaned followed by a thin layer of gel. The laser hand piece is then positioned over the desired treatment area and brushed over pushing lightly on the skin. At this time the laser light will be penetrating the skin. Most patients describe the laser acne treatment as if a rubber band is being snapped against the skin, uncomfortable but not painful. There is also a numbing cream that can be used if it becomes too uncomfortable.

The laser acne treatment has been found to produce more positive results than most any topical over the counter acne medication to date. Doctors have reported that taking just one treatment has reduced acne severity by more than half in their patients and the acne continues to improve over a series of three to four monthly treatments. Studies have shown that patients can achieve clearance of acne lesions in the 95% and over range.

It has been discovered that not only will the laser session treat acne; it will also cause stimulation to collagen cells renewing the skin and preventing future outbreaks. In mild to moderate acne the most significant reduction in acne was observed two months after the last treatment was given. In conclusion, the laser acne treatment has been an effective way to treat, as well as prevent breakouts. Millions of Americans suffer from acne, you shouldn’t have to. This may be a great solution for you!

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Life With Herbal Cure For Acne Is Indeed Possible Now

March 11th, 2008 admin Posted in Acne Treatment | No Comments »

Maybe, the most prominent effects of acne to a person are the psychological and inferior complex that they suffer from due to the blackheads, pimples and zits that they have during acne. And acne is not something that occurs only in a particular age or even on a particular part of the body. Acne can appear even in the thirties and forties and on many parts of the body, particularly the hands, legs and forearms.

Acne is mainly caused due to the increase in the hormones like androgen during puberty. These hormones have an effect on the oil glands of the skin, which result in acne. Acne can get severe and result in other skin conditions. Also, if the acne is just ignored, people may have to opt for surgical treatments which are known to create very visible scars and marks on the skin.

The best bet to have acne no more is to have a healthy lifestyle and diet. Water is one of the most important and necessary weapon in the war against acne. Water acts as a natural flusher of toxins and other harmful chemicals in the body. The ideal scenario is when a person drinks about eight glasses of water per day. Of course, one of the simplest ways to prevent acne is to wash your face with warm water and soap before and after you go out. Sun tan may have a positive effect on the prevention of acne, but exposure to sunlight for prolonged periods of time will actually increase the amount of pimples and blackheads in your body.

Another popular cure for acne is tea tree oil. It is one of the most commonly used home remedies for acne. Tea tree oil has a generous amount of terpinen-4-ol. This ingredient is the main recipe for the antibacterial activity that the tea tree oil is known for. Since tea tree oil is antibacterial, it is supposed to kill the bacteria on the skin that is responsible for the creation of acne on the skin. Acne can mostly be cured with over the shelf antibacterial agents. Some of the popular acne treatment creams and lotions are:

  • Azelex
  • Benzaclin
  • Benzamycin
  • Brevoxyl Creamy Wash
  • Cleocin
  • Doxycycline (Monodox)
  • Duac
  • Differin
  • Minocyclin (Minocin)
  • Retin A
  • Retin a Micro
  • Tazorac

There are other home remedies and over the counter available treatments for acne. You should be very careful while opting for a home grown treatment for acne. For one, you should be sure about any allergies you would have before you decide to use a cream, lotion or any other home grown treatment for acne.

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How To Get Rid Of Acne

March 11th, 2008 admin Posted in Acne Information | No Comments »

With the amount of emphasis on looks and personality, everyone is concerned about a good complexion. Most of us want a fresh, glowing skin to flaunt but shy away from taking efforts to maintain it. What we do not realize is that the skin care regime is not as complicated or tedious as we may think it to be. At times we also ignore what could be wrong with our skin and do not really spot the problem due to our busy schedules and pace of work. To solve the most rampant skin care problem of acne, we pick one beauty product out of the hundreds available which may actually aggravate the acne. Skin should be cleaned gently with a mild cleaner at last three times in a day. Avoid rubbing the skin dry after a wash; instead pat it dry. Do not resort to temporary measures to avoid outbreaks by using scrubs, scrub pads and the like. This is most likely to worsen the skin problem further.

The trick is to take some time out and explore the various effective options available and choose one which suits your skin. If you do not have time to do this search, here are some of the effective products we have come across. The first step towards an acne free skin is to try preventing it. Simply cleaning your skin regularly and washing your face when you get back from a drive or a day out help fight acne to a large extent. If a cleaner is not available, use only cool or cold water. Washing skin wipes away the bacteria and dirt which causes acne. Use astringents only if the skin is very oily.

IF you do get acne, one of the most important things to do is to avoid touching the pimples. Do not give into the desire to reduce the size of a zit by piercing it, pinching it or squeezing it. The bacteria in one area are likely to get spread to other areas by doing so. Not only will this increase the acne around that are but it will also leave long term scars which will be difficult to remove later.

Acne can be caused by using cosmetics and beauty products that may not suit your skin. Avoid cosmetics as much as possible, especially ones like foundation and blush. If you have to use them choose them judiciously picking out those that are oil free and suit your skin (this can be done using a patch test). Oily hair products should also be avoided since they can cause ugly blackheads. To identify products which do not result in these look for labels which claim to be suitable for your skin type. In case all this does not work and the acne is rampant, you should consider consulting a skin care specialist for advice.

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Acne - The Best Ways to Handle them

March 11th, 2008 admin Posted in Acne | 1 Comment »

Acne in characterized by skin problems such as scars, pimples, black spots, and white heads visible on face. It mainly occurs to the people aged twelve to sixteen. For most of them acne disappears by the age 30, but people in their forties and fifties still get acne. Rashes seen on the chin, cheeks, forehead, and most often on face chest and back also in babies is known as infant Acne. Sometimes it’s difficult to find treatments that are effective for acne and may be frustrating.

Acne (blackheads, whiteheads, pimples, zits) and any other skin problems are usually the result of bad diet, which also influences our hormones. The standard American diet is sadly not healthy enough. The liver filters out the toxins from junk food and drinks and sends them through our skin resulting in skin disorders, acne and pimples. Scientists are finding ways to prevent plugs to stop testosterone from causing acne. Acne and scars mostly result from increased tissue formation, responsible for the inflammation of acne and loss of tissue. Whether acne is extensive or scattered, deep or superficial, the result can be less than desirable and even disturbing.

Acne, be it at any stage calls for the cautious skin care. Some individuals facing the early stages of acne may respond to even a cheap home-prepared acne treatment, but others suffering from the severe cases of the problem have to spend bucks on acne skin care products. Because of its relatively more complicated causes, and cost of treatment involved adult acne seems to be a real agony that entails consulting some skin health professional regularly.

The type of acne scars influences the choice of treatment done by you. There are many skin care products that work by preventing sebaceous gland from producing excess of oil. Formulas are designed to kill skin bacteria causing pimple. Medication for opening pores and other solutions using key ingredients that can make the skin clear and smooth can be a cause sometimes. Regular exercise maintains your entire body by establishing the immune system and helps removing wastes from the body.

Diet plays a major role in preventing and treating acne. You must consume at least 5 portions of the fruits and fresh vegetables daily. Try your level best to avoid intake of refined sugars and fatty foods which are not good for your skin. And drinking at least 8 glasses of water definitely helps to flush off the toxins from your body. For cosmetics using water based products will help the damage. Avoid using oily products, derivatives of tar (coal) and heavy skimps. Make sure to wash your skin every night to remove the residue of make-up.

Sometimes simple home remedies seem to be very useful natural methods to treat acne. Rub ice to reduce the swelling caused by inflamed pimples. You rub it over the blemishes for 2-3 minutes for better results. Coconut is very effective in treating acne. Coconut oil is very inexpensive, and a good, cheap home remedy. Never underestimate the healing power of a good night’s sleep. People with skin disorders such as acne often suffer from constipation. When you change your diet, your lesion has to get better within 30 days. Some doctors recommend eating raw cloves of garlic empty stomach for acne.

Fatty acids are very important for people with dry skin. You can take cod liver oil or fish oil supplements daily. Include flaxseed oil or walnut oil in your salad. There are many acne skin care products to choose from.

To have a better understanding on the way the acne treating products are formulated with, please read on. Acne products containing AHAs are most popular skin care formulas available in the market. AHAs are compounds that contain carboxylic acid which is a common ingredient in various kinds of cosmetics, particularly formulated to eliminate wrinkles and promote healthy skin. They are often recommended by dermatologists to those with oily skin. Benzoyl peroxide-containing products have antibacterial features. Benzoyl peroxide is known for its ability to kill Propionibacterium causing acnes and pimples.

Another effective treatment for anti-acne is Salicylic acid. Skin care products that contain phenol cause the cells of the skin to peel off easily to prevent pores from getting blocked. Retinoids can be used for either topical application or taken orally. Retinoids are chemically related to vitamin A, an element common in fighting acne. The most popular herbal remedy is the one which contain Aloe Vera, tea tree oil and papaya. While natural Products are relatively harmless while their level of efficacy might not be as high as other products that are chemically formulated.

Other methods of treatments are also widely in use lately. Zeno is an electronic device used to treat acne by using the tip in direct contact with the affected areas. The device is also effective in reducing inflammation and promoting normal skin conditions. Hormone medications are recommended only for women whose pimples are mainly caused by hormonal imbalance due to menstrual cycle and menopause. There are many acne skin care products available in the market today. Consulting with a skin care expert will help u prevent any potential adverse reaction from these products.

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The Latest Advance Against Acne

March 11th, 2008 admin Posted in Acne News | No Comments »

In the war against her acne, Veronica Prudencio was losing. Proactiv Solution, Clearasil, Murad, Neutrogena, grease-free diets, medical spa treatments, lemon juice, rice water facials—none of them worked. Not even remotely. She’d “spent thousands upon thousands of dollars, and tried everything,” says Prudencio, 21, a college student in Arlington, Va.

Then, at her “breaking point,” Prudencio decided to test out a newly approved treatment for persistent acne that dermatologists and patients alike describe as a breakthrough. In photopneumatic therapy, the skin is suctioned with a vacuum-like device—bringing the bad stuff to the surface—then beamed with intense pulsed light. The two-pronged process both stuns and deactivates hyperactive oil glands and kills the bacteria they nourish, quashing the source of breakouts in one 20-minute swoop. While not a cure, pimples begin to dry out and gradually disappear following subsequent sessions. Red marks that linger after zits heal fade. “My face was covered in pimples,” says Prudencio, who noticed some improvement after two week-apart treatment rounds. She’s undergone six to date. “Now, it’s 100 percent better.”

Several small studies reveal success stories like hers. The device has been shown to yield high rates of acne clear-up among patients for whom topical creams and oral antibiotics simply don’t work. Even when they do work, traditional drugs can take months to produce results; this therapy typically brings improvement after just three sessions, says Gilly Munavalli, a clinical instructor of dermatology at Johns Hopkins School of Medicine, who led one of the trials (and received a discounted device from the manufacturer).

“It’s probably the most effective mechanical device on the market,” says Dale Isaacson, the dermatologist who treated Prudencio and has no financial ties to the company. “It works in about 90 percent of [our patients].” He and others usually recommend a five-treatment minimum for best results. Side effects are reportedly mild: Patients say it’s pretty painless and, at most, causes short-lived redness or slight swelling. Isaacson advises darker-skinned patients to proceed with caution, however: The pulsed-light component of treatment can cause pigmentation changes.

“I don’t like to be the adopter of new therapies, but the science is sound,” says dermatologist Amy Derick, a member of the American Academy of Dermatology who doesn’t yet use the photopneumatic device. The machine, called Isolaz, got Food and Drug Administration clearance in 2006 to tackle mild-to-moderate acne. Because of its “off label” success against severe nodular cystic acne, the company is now seeking approval for that, too. “At one point, there was not a clear spot on my face,” says Karen Nagel Farlow, 50, a nurse from Charlotte, N.C., who developed the cystic type of acne as an adult. A year of occasional treatments has kept flare-ups in check. “My friends say, ‘Wow! Whatever you’re doing, it’s working.’ ”

A payoff this good comes at a price—and insurance generally won’t cover it. Patients should expect to fork over between $150 and $500 per session, depending on geographic location. And since there’s really no cure for acne—most treatments aim to suppress breakouts until the body can overcome its hormonal flux— “maintenance sessions” every couple months or so will probably be necessary, Isaacson says. The cost, for Prudencio, has been well worth it—even on a student budget. “I don’t feel like people are staring at me anymore. It’s just so much easier to leave the house,” she says. “And that’s priceless.”

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