DEFINITIVE GUIDE

Acne causes and treatment

For many people, acne can be extremely distressing. However, it is much more common than you might think.

Acne vulgaris, otherwise known as common acne, is the eighth most prevalent disease in the world. Young people are most likely to have the condition - approximately 80% of people with acne are aged 11 to 30.

Although symptoms will usually fade over time without acne treatment, there are many steps you can take to help treat the condition.

Written by Dr Farah Gilani and Emma Coleman. Reviewed by Dr Faiza Khalid. Last reviewed on 01/06/2019. Next review date 01/06/2022.

Fast facts

What is acne?

Acne is caused by the pores in the skin becoming blocked with dead skin, bacteria or oil. The pores act as openings to follicles, which are made up of hair and oil-producing glands called sebaceous glands. These glands produce oil (known as sebum) which travels up the glands, out of the pores, and lubricates the skin. When a problem occurs in this lubrication process, the pore becomes clogged and the oil is unable to escape. This causes spots to form.

How to get rid of acne?

Depending on the severity of acne, there are a range of treatments available. In mild cases, a local pharmacist should be able to advise you on an effective treatment using over-the-counter topical treatments. Severe cases may require prescription medications. There are also a variety of high street products, natural remedies and at-home approaches to treating acne.

CHAPTER ONE

Acne signs and symptoms

Acne is a very common condition that causes spots, oily skin and inflammation. Otherwise known as acne vulgaris, it most commonly develops on the face, back and chest, as well as the shoulders and arms.

Although most frequent in teenagers, acne can also affect babies, pregnant women and adults. It can range from mild acne (occasional pimples), to moderate (inflammatory papules) or severe (nodules and cysts). If you think you might have acne, we can help with:

What acne do I have? And what are the common symptoms of acne?

How do I know if I have acne?

The symptoms of acne include:

  • Non-inflamed bumps and blackheads
  • Inflamed red pimples and pustules
  • Tender, pus-filled cysts

The severity of your acne will depend on which of these symptoms you have, and your treatment will change with it. Usually, your doctor will assess the severity of acne by the type of spots you have, and how many there are.

Tip

Acne affects more than just the face. Acne breakouts can also occur on the neck, chest, back, shoulders and upper arms, and occasionally the scalp or buttocks.

Do I have mild acne?

Most often treated with over-the-counter topical medicine, mild acne is considered to be primarily whiteheads or blackheads, with the occasional papule or pustule, and no nodules or cysts.

The characteristics of mild acne include:

  • Less than 20 comedones
  • Less than 15 inflammatory lesions
  • A total lesion count of less than 30.

Do I have moderate acne?

If you have widespread whiteheads or blackheads, with multiple papules and/or pustules, you are likely to have moderate acne. Moderate acne usually requires prescription medication and may seem to get worse before it gets better.

The characteristics of moderate acne include:

  • 20-100 comedones
  • 15-50 inflammatory lesions
  • A total lesion count of 30-125.

Do I have severe acne?

With severe acne, you will have many large, painful papules, pustules, nodules or cysts. Your spots may turn a deep red or purple colour and often causes acne scars. Prompt treatment from your GP can minimise this risk, and they may refer you to a dermatologist.

The characteristics of moderate acne include:

  • More than 5 pseudocysts
  • More than 100 comedones
  • More than 50 inflammatory lesions
  • A total lesion count of more than 125.

When should I see a doctor about acne?

You should see your GP if:

  • Your acne is moderate or severe
  • Over-the-counter medicine hasn’t worked
  • You feel embarrassed or depressed because of your acne
Important

Not all spots are acne. If you think there is something unusual about your symptoms it is recommended that you consult your GP.

CHAPTER TWO

The six types of acne spots

Despite being so common, acne is a very varied condition. The six main types of spots caused by acne are whiteheads, blackheads, papules, pustules, cysts and nodules.

As these types vary in severity, knowing which spots you suffer from is important to identify the correct treatment. Receiving prompt, correct treatment reduces the risk of long-term skin complications such as scarring or dark spots. If you are unsure about what type of acne spots you have, we can help with:

What type of acne do I have? And what are blackheads?

What are whiteheads?

One of the most frequent types of acne is whiteheads: small, round, white bumps on the skin's surface. Whiteheads are caused by the pores in your skin becoming clogged with dead skin, bacteria and oil. If these clogged pores are ‘closed’ (covered with a layer of thin skin), they appear white on the surface.

Often seeming to develop at the worst time, whiteheads can be annoying. However, they are little to worry about. Whiteheads can be easily treated through over-the-counter medical treatments and small lifestyle changes.

What are blackheads?

The other type of mild acne is blackheads. Blackheads are similar to whiteheads except for one key difference. As the top of the clogged pores are open, the surface of these spots appear dark or black instead of white. Contrary to popular belief, this black colour is not from dirt but because bacteria or dead skin cells are reacting with oxygen.

What are papules?

If you have red bumps on the surface of your skin, you might have acne papules. Acne papules are inflamed blemishes that form when there is a high break in the follicle wall. They often feel hard, tender and sore. Also known as pimples or zits, papules often turn into pustules.

Tip

If you’re concerned about papules, an over-the-counter treatment such as calamine lotion or benzoyl peroxide gel might soothe the inflammation.

What are pustules?

Pustules look similar to papules but are often larger. You can identify this type of acne from the white tips at the centre, caused by a build-up of fluid or pus. Pustules can develop on any part of the body, but this form of acne most commonly affects the back, chest and face.

What is a nodule?

If your acne is severe, it is likely to include nodules. Nodular acne is made up of large, inflamed and painful bumps. When blocked pores become more irritated they grow even bigger and affect deeper layers of the skin. If you have nodular acne you should visit your GP to receive the right treatment.

What is a cyst?

Cystic acne is the most severe type of spot caused by acne. Cystic acne is caused by bacteria trapped inside of your pores reaching too deep into your skin. Compared to nodules, cysts are often softer and contain pus, looking similar to boils. You should avoid any temptation to pop cysts as this carries a large risk of causing permanent scarring. Instead, see your GP to receive the correct treatment.

CHAPTER THREE

What causes acne?

Acne occurs when the pores in the skin become blocked with dead skin, bacteria or oil. Each pore is an opening to a follicle, made up of hair and an oil-producing gland called the sebaceous gland. These glands release oil (known as sebum), which travels up the hair, out of the pore and onto your skin. The oil helps keep your skin lubricated and soft.

When a problem occurs in this lubrication process, the pore becomes clogged and the oil is unable to escape. When this happens, spots form. There are a number of risk factors which increase the likelihood of this happening including diet, stress and hormones. If you are unsure of what causes acne, we can help with:

What is hormonal acne? And does stress cause acne?

Why do I have acne?

Acne can be caused by:

  • Excess oil production
  • Hair follicles clogged by oil and dead skin cells
  • Bacteria
  • Excess activity of androgens, a specific group of hormones

What makes acne worse?

Four key factors can aggravate or trigger acne:

  • Hormones. This can be triggered by puberty, pregnancy and the use of oral contraceptives
  • Certain medications. These medications include drugs containing corticosteroids, testosterone or lithium
  • Diet
  • Stress

Where can you get acne?

Acne affects any part of the body where there are many sebaceous glands in the skin. The areas most commonly affected by acne are the face, back, chest, shoulders and upper arms. Though less frequent, acne can also affect the scalp and buttocks.

Is acne hormonal?

One of the common causes of acne is the fluctuations in your hormones. A rise in androgens, such as testosterone, can increase oil production and the risk of your pores becoming clogged. Though most common in teenagers during puberty, hormonal acne can also affect adults.

Acne face map: identifying the causes of your acne

According to Ayurvedic tradition, areas on our body reflect our inner health. However, there’s little to no scientific evidence that this is true. Many acne face maps suggest unproven links between where acne affects you and why. For instance, forehead acne does not equal liver disease, despite what you might read.

CHAPTER FOUR

Acne myths debunked

With the rise of social media, many people adopt skincare advice given to them by influencers. Because of this, acne has many myths associated with it. These myths often cause more harm than good.

Some of the most frequent acne myths include poor hygiene, bad diet or an unhealthy lifestyle. Here are the most common misconceptions debunked. We can help with:

Are there any foods that cause acne? And can you get acne at any age?

Should you pop spots?

Despite what you may have heard, spot popping or squeezing may make your acne worse. Squeezing your spots can push bacteria and pus deeper into the skin, causing more swelling and redness. It may also leave you with permanent scarring.

Does diet affect acne?

If you are wondering whether diet affects acne, you’re not alone. Research is constantly being carried out to identify whether a correlation exists between diet and breakouts. At the moment, research suggests there is no clear link that diet causes acne, though it may influence it.

Tip

Despite the uncertainty surrounding diet and acne, it is always recommended you follow a healthy diet and lifestyle. A balanced diet is good for your heart and overall health, and is generally good for your skin.

Does poor hygiene cause acne?

Poor hygiene does not cause acne. Many of the biological reactions that cause acne occur beneath the skin, so the cleanliness of your skin has no impact. In fact, excessive washing may make it worse.

Do cosmetics cause acne?

If acne affects your self-esteem, oil-free or water-based make-up can still be used as most cosmetics and skin-care products do not clog pores. Choose products that are labelled as being ‘non-acnegenic’ (should not cause acne) or ‘non-comedogenic’ (should not cause blackheads or whiteheads).

Can you get acne at any age?

Contrary to the common assumption that acne only affects teenagers, acne can also affect adults and babies. Acne most commonly starts during puberty, affecting more than 85% of teenagers, because of increased hormone activity that produces more oil. However, adult acne does affect people in their twenties, thirties and forties.

CHAPTER FIVE

Acne treatment

Depending on the severity of acne, there is a range of treatments available. If symptoms are mild, over-the-counter topical treatments may be prescribed by your local pharmacist. In more severe cases, prescription medications may be required.

There are also a variety of natural remedies, high street products and at-home approaches to treating acne. If you are unsure which treatment is best for you, we can help with:

How do I get rid of acne? And what is the best acne treatment?

How to treat acne?

Acne treatments fall into the following categories:

  • Topical treatments
  • Oral treatments
  • High street products
  • Natural remedies
  • Self-care

Topical treatments for acne

Topical treatments will usually be your first choice if you have mild to moderate acne. Apply them to the entire affected area of the skin, not just to individual spots. Depending on the treatment, it is recommended that you apply either every night or twice daily.

Topical treatments include:

  • Benzoyl peroxide
  • Antibiotics (e.g. tetracycline, erythromycin and clindamycin)
  • Retinoids (e.g. adapalene, tretinoin and isotretinoin)
  • Azelaic acid
  • Nicotinamide

Prescribed topical preparations may contain one or a combination of the above.

Tip

If your face goes red or is irritated by a topical treatment, stop for a few days. You should then try using the treatment less often, for example once or twice a week, before building up gradually to regular daily use.

Important

Do not use isotretinoin if you are pregnant or think you might be pregnant as it can cause birth defects. Use multiple methods of contraception for one month before, during, and one month after treatment.

Oral acne medication

Your GP may prescribe a course of antibiotic tablets to be taken in combination with a topical treatment. These tablets are usually erythromycin or a type of tetracycline. You should take your course of antibiotics for at least two months, continuing use for six months after there is no further improvement.

Oral treatments work best when combined with a topical gel or cream, usually a topical retinoid. Sometimes the first antibiotic that your GP tries does not work, but if this is the case, there are several alternatives that you can try. It is important to return for review, in order to change the treatment if needed. When taking oral antibiotics, you may find that you experience side effects, such as stomach upset, or thrush. If this is the case, you should see your GP to consider whether you can switch to a different medication.

In cases of severe or resistant acne, where oral antibiotics combined with topical treatments are not effective, the GP may consider a specific type of oral contraceptive pill, called co-cyprindiol, for women. While this treatment is often effective to treat acne, it carries the risk of deep vein thrombosis (a blood clot, usually in the leg).

Your GP may decide to refer you to the dermatologist, and consideration may be given to starting oral retinoids. This is an effective but potent treatment for acne, and cannot be taken if there is any possibility of pregnancy. It can also have an impact on mood, mental health, and rarely cause blood abnormalities. For these reasons, a full assessment and regular monitoring is required when taking it.

Natural remedies for acne

There are a number of natural acne treatments that may help get rid of acne. As many of these remedies are quite potent, make sure to dilute them before applying them to your skin. Methods to treat acne naturally include:

  • Apple cider vinegar. Apple cider vinegar contains lactic acid which helps reduce inflammatory lesions. Make sure to use it in small amounts diluted with water
  • Tea tree oil
  • Green tea applied directly to the skin

Self-care advice for acne

There are many steps you can take at home to help ease the symptoms of acne:

  • Don’t pop. Try to avoid picking or squeezing your spots as this can aggravate them and cause scarring.
  • Take action. Start the right treatment as soon as symptoms appear. This will also help you avoid permanent scarring.
  • Don’t rush. Most treatments take at least two months before seeing improvement. Make sure you follow the correct guidelines to see maximum results.
  • Care for your skin. Cleanse your skin and remove make-up with a mild soap, an oil-free soap substitute, or a gentle cleanser and water. Do not scrub too hard as this can irritate the skin and aggravate your acne. Remember that acne is not due to poor hygiene.
CHAPTER SIX

Top tips: how to prevent acne

Though difficult to prevent, there are many steps that you can take to help reduce the risk of acne. These small lifestyle changes address the common causes of acne that lead to breakouts.

If you want to know what steps you can take towards acne prevention, we can help with:

How do you fight acne? And can acne be cured?

Avoid excessive washing

While it is sensible to wash with a gentle cleanser, you should avoid washing affected areas more than twice a day. Excessive washing can irritate the skin and aggravate symptoms.

Destress

Stress can aggravate acne. Try to get enough sleep and practice relaxation techniques in order to reduce the risk of breakouts.

Don’t touch your face

Touching your face can trigger more acne, lead to infection or cause permanent scarring.

Use sunscreen

If you find that the sun aggravates your acne, you aren’t alone. Some acne medications make you more susceptible to the sun’s rays. Try to regularly use a noncomedogenic sunscreen. It is recommended that everyone uses sunscreen on the face daily, regardless of underlying skin conditions, in order to protect the skin from sun damage.

CHAPTER SEVEN

Acne scars: what you need to know

As a complication of acne, acne scars can occasionally develop. The three main types of acne scarring are ice pick scars, rolling scars and boxcar scars. These acne scars can lead to emotional distress.

Any acne spot can cause scarring, but it is most frequent when nodules and cysts burst and damage the skin. Scarring can also occur if spots are picked at or popped. If you want to find out more about acne scars, we can help with:

What are acne scars? And can I remove acne scars?

What causes acne scars?

Acne scars are most often caused by severe acne such as nodules or cysts. When these spots burst they damage the nearby skin, causing scarring. Acne scars can also be caused by picking or squeezing your spots, so it is important to avoid this.

The types of acne scars

There are three main types of acne scar:

  • Ice pick scars. These are small, deep holes in the surface of your skin that appear like the skin has been punctured by a sharp instrument. Ice pick scars are caused when an infection from a cyst works its way to the surface of the skin.
  • Boxcar scars. These are broad depressions with sharply defined edges. Boxcar scars form when too little collagen is produced during wound healing.
  • Rolling scars. These have smooth edges that give the skin an uneven or rolling appearance. They are caused by bands of scar tissue that form under the skin.

How to get rid of acne scars

Unfortunately, there is no easy treatment for acne scar removal. Under the NHS, the options are classed as cosmetic surgery and so are usually unavailable. The types of treatment available to reduce acne scars are:

  • Dermabrasion. This involves removing the top layer of skin, either using lasers or a specially made wire brush.
  • Laser treatments. These treatments can either remove a small patch of skin to encourage new skin, or stimulate growth of new collagen to repair some of the damage.
  • Punch techniques. If you have ice pick or boxcar scars, punch techniques surgically remove the scars and then seal, elevate or ‘plug’ the wound.
  • Subcision. If you have rolling scars, subcision involves removing the upper layer of skin from the underlying scar tissue. This helps form new connective tissue, pushing up the scar to be level with the surface of the skin.

Coping with acne scars

While many people want to instantly banish acne scars, learning to cope with them is equally important. Acne scars can often cause anxiety, stress and depression. If you find you have little interest in seeing your friends or are anxious to leave home, it is important to speak to your GP.

CHAPTER EIGHT

For parents: acne in babies

It can be very worrying for parents if their baby develops acne. However, baby acne (neonatal acne) is actually a very common, often temporary condition that fades within a few months. Resulting in tiny red or white bumps or pimples, baby acne occurs in approximately 20% of newborns.

Thankfully, there are steps that you can take at home to help your baby beat the condition. If you think your child might have baby acne, we can help with:

How long does it take for baby acne to go away? And what can you put on baby acne?

How to tell if your baby has baby acne

If you’ve noticed small red or white bumps on your baby’s cheeks, nose and forehead, they may have baby acne. These breakouts may also appear on your baby’s chin, scalp, neck, back or chest. Baby acne often develops within the first two weeks after birth, but can develop any time before six weeks of age.

Important

If your baby has developed acne after six weeks of age, it is important to visit your GP. This may be a sign of an underlying health problem which a skin exam, blood test or x-ray is needed to rule out.

Does my baby have acne or eczema?

Although baby acne and eczema can look quite similar, there are differences to help tell them apart.

Baby acne

  • Made up of white pimples, red spots, blackheads and whiteheads
  • Bumpy
  • Not itchy
  • Affects the face, cheeks, upper back and neck

Eczema

  • Usually made up of red bumps on the face. Symptoms can also include dry skin, red or inflamed patches, dark patches, rough or scaly skin, crusty or oozing skin, and areas of swollen skin
  • Not bumpy
  • Itchy
  • Can become infected, developing a yellow crust or small lumps that contain pus
Tip

A number of over-the-counter skin creams can make eczema less itchy.

What causes baby acne?

Unfortunately, the exact cause of baby acne is currently unknown. However, research suggests that it seems to be associated with maternal hormones that pass from the placenta to the baby during pregnancy.

How long does baby acne last?

Baby acne usually clears within a month by itself. If your baby’s acne does not clear within this time, you may wish to see a GP.

How can I treat baby acne?

Baby acne is generally nothing you need to worry about, clearing by itself without any specific home-care or medical care. There are steps you can take, however, to help keep your baby’s skin as healthy as possible:

  • Wash your baby’s face daily with lukewarm water. Bath time is a perfect time to do this.
  • Avoid harsh products. Adult acne products aren’t recommended for babies. Also avoid bubble baths, scented soaps, or any other soaps containing excessive chemicals.
  • Don’t scrub. Scrubbing your baby’s skin with a towel can further aggravate the skin. Instead, gently sweep a washcloth over the face in a circular motion. Once the cleanser is washed off, pat your baby’s face dry with a towel.
  • Don’t squeeze. Avoid squeezing or pinching your baby’s acne, as this will irritate the skin and may worsen the problem.
  • Be patient. Baby acne is typically harmless, and will quickly resolve itself.
  • Wipe breast milk over the spots - there is some anecdotal evidence that this can reduce the skin inflammation.
CHAPTER NINE

Teenage acne: five ways to get through it

For most teenagers, the stress of school and growing up is enough to handle. But roughly 8 in every 10 preteens and teens have acne. Changing hormones during puberty is often the leading cause.

As the body begins to develop, these hormones stimulate the oil-producing glands within the skin’s pores. When these glands produce more oil, the pores clog and form spots.

Thankfully, there are steps that you can take to get through it. If you have teenage acne, we can help with:

What is the best treatment to use for teenage acne? And does teenage acne go away?

Take acne seriously

As acne is so common in teenagers, it can be easy to think it will just pass on its own. However, though hormonal acne is an almost guaranteed part of teenage life, there are a number of treatments available that can reduce symptoms. Over-the-counter products or a visit to your GP can prevent acne from worsening and help avoid acne scars.

Follow your acne treatment

It may seem obvious, but for hormonal acne treatment to work, you must keep using it. If other responsibilities are adding up or improvement isn’t instantaneous, it can be easy to forget this. Make sure to maintain regular use of your treatment to ensure maximum results.

Don’t stress

During your teenage years, everything can seem stressful. Exams, job hunting and planning for your future can all add pressure. However, stress can cause acne to flare up. Try to destress by effectively balancing your time between study and social occasions, and take regular time for yourself to relax.

Look after your mental health

You may have found that acne has caused a negative effect on your self-esteem or self-confidence. This isn’t unusual. Research has shown that acne can lead to depression, anxiety, or both. It is important you start the right course of treatment to help clear your acne and these worries. If you have any of the following symptoms, visit your GP to find a solution for your acne:

  • Sadness that lasts for two weeks or more
  • Loss of interest in activities that you once enjoyed
  • A tendency to avoid social activities, even with friends or people your age

Visit your GP

Having a one-to-one meeting with your GP can give you space to discuss your acne and find the right treatment. Rather than waiting for acne to clear on its own, your GP may be able to prescribe you an effective topical or oral medicine.

CHAPTER TEN

What to do: acne when pregnant

More than one out of every two women can expect to develop acne during pregnancy. However, managing this can be tricky. Treatments applied to your skin or swallowed may enter your bloodstream and affect your baby.

As such, self-care is often the best place to start. Washing regularly and avoiding irritants are simple steps you can take to manage the condition. If you have developed acne while pregnant, we can help with:

How do I treat acne during pregnancy? And what medications can I take during pregnancy?

Do you get acne when pregnant?

More than one out of every two pregnant women can expect to develop acne. The primary cause is an overproduction of oil (sebum) because of increased hormone levels in the first trimester. In some cases, it can be severe, but can most often be treated with self-care and medication.

How to treat acne when pregnant

If you have acne during pregnancy, the first step is self-care:

  • Wash the affected areas with a gentle cleanser. Use your hands to wash twice a day with mild soap and lukewarm water. Avoid excessive washing and scrubbing as this can irritate the skin.
  • Don’t pick or squeeze blemishes. This can cause infection or scarring.
  • Avoid irritants. Don’t use greasy or oily cosmetics, hair products or acne concealers. Look for products labelled water-based or noncomedogenic.
  • Be vigilant. Sweat and oils can contribute to acne, so avoid resting your hands or objects on your face, and keep your hair clean by shampooing regularly.

If these treatments do not work, medication is available. However, you should always check with your GP that the treatment will not impact your pregnancy.

Important

Acne medication such as oral isotretinoin (Amnesteem, Claravis) and topical retinoids are known to cause birth defects. They must be avoided during pregnancy.

Pregnancy acne: six all-natural treatments

If you want to steer away from acne medications during pregnancy, there are a number of all-natural remedies that may help ease your acne:

  • Apple cider vinegar. Mix one part raw, unfiltered apple cider vinegar to three parts distilled water. Soak a cotton ball with the mixture and apply to your skin to absorb the oil.
  • Baking soda. Mix one tablespoon of baking soda with one tablespoon of water. Apply to individual pimples and allow the mixture to dry before washing it off.
  • Citrus fruit. Squeeze the juice from a lemon or lime and apply directly to your spots with a cotton ball. Leave for ten minutes before rinsing with cool water.
  • Honey. Rinse your face with warm water, then apply honey directly to the affected area. Leave for 20 to 30 minutes before rinsing again.
  • Coconut oil. Apply virgin coconut oil instead of moisturiser before going to sleep.
  • Oatmeal and cucumber. This guide shows you the necessary steps to create a simple, homemade face mask.

How to prevent acne when pregnant

Unfortunately, there is no guaranteed way to avoid acne when pregnant. However, regular self-care can reduce the risk.

CHAPTER ELEVEN

GRAPHIC: acne pictures

The following images show what acne looks like. This includes pictures of acne severity, the six types of spot, baby acne and acne scars.

It is recommended that you see a GP who will be able to accurately diagnose your acne instead of attempting to diagnose yourself. We can help with:

What does acne look like?

Mild acne

There are a small number of spots, bumps and lesions so this acne is considered mild:

Moderate acne

Multiple whiteheads, blackheads, papules and pustules:

Severe acne

Large, painful papules, pustules, nodules or cysts. Spots have turned a deep red or purple colour:

Whiteheads

A clogged pore closed with a layer of skin, appearing white on the surface:

Blackheads

A clogged pore exposed to open air, causing the surface of the spot to turn dark or black:

Papules

Red bumps on the surface of the skin that often feel hard, tender and sore:

Pustules

Similar to papules but often larger with white tips at the centre from build-up fluid or pus:

Nodules

Large, inflamed and painful bumps affecting deeper layers of the skin:

Cysts

A similar size to nodules, cysts resemble boils and are often softer and contain pus:

Baby acne

Baby acne:

Ice-pick scars

Image source: Acne Scars: Pathogenesis, Classification and Treatment. Gabriella Fabbrocini et al.

Small, deep holes in the surface of the skin that resemble punctures:

Boxcar scars

Image source: Acne Scars: Pathogenesis, Classification and Treatment. Gabriella Fabbrocini et al.

These are broad depressions with sharply defined edges:

Rolling scars

These scars have smooth edges that give the skin a rolling or uneven appearance:

CHAPTER TWELVE

Get same day treatment with Medicspot

Our vision is to change lives with convenient, accessible healthcare. With over 150 private doctor clinics across the UK, you can find your nearest surgery and see a GP in minutes.

Our private doctors can diagnose the severity of your acne and provide expert treatment and advice. Find out how severe your acne is and get the right treatment today. We can help with:

Where is your nearest GP practice? And how can Medicspot help?

How it works

The Medicspot clinical station allows doctors to look at your skin close-up to diagnose and treat acne vulgaris.

Find your nearest walk in centre today.

CHAPTER THIRTEEN

About the authors

Dr Farah Gilani

Dr Farah Gilani completed her medical degree at Glasgow University in 2007, also achieving a First class BSc in Psychological Medicine. Initially training in paediatrics, she moved on to General Practice and now works as a portfolio GP. As well as working in general practice, she has a role as paediatric scholar and as a forensic offences examiner. She is developing a range of interests, including child and women’s health, nutrition and allergy. She enjoys writing and has published articles in the British Journal of General Practice, and its sister publication, Innovait. Outside work, Dr Gilani is a busy mum to 8-year-old Zakariah and newly arrived twins, Noah and Elijah. She loves to cook for her husband and children, trying out new recipes and transitioning to a more plant-based diet. She enjoys yoga, running and netball.

Emma Coleman

Emma Coleman qualified in General Nursing in 1996 and went onto study Dermatology at the University of South Wales, gaining a Distinction at Diploma level before specialising in cosmetic procedures and non-surgical facial rejuvenation in London. Emma has a special interest in acne and is the founder of Emma Coleman Skin clinics across Kent and London in the UK. Emma adopts a holistic approach to dermatology, designing tailored programs for her clients combining prescription medications, diet, lifestyle and skincare. Emma launched her own natural antioxidant skincare line in 2013, designed for clients to use alongside her treatments.

Dr Faiza Khalid

Dr Faiza Khalid is a Medicspot GP with 12 years of experience. Born and raised in the Home Counties, she pursued her passion for medical sciences at The University of Leeds and proceeded to read her degree in Medicine at The Leicester-Warwick Medical School. In addition to being a GP, she is a qualified GP trainer with an interest in medical education and lifestyle medicine.

Disclaimer

This article is for general information only and should not be used for the diagnosis or treatment of medical conditions. Medic Spot Limited has used all reasonable care in compiling the information but makes no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. In the event of an emergency, please call 999 for immediate assistance.