ACNE
What is acne?
The term acne has come to mean any number or type of spots, pimples and blackheads. However, true acne is a separate clinical disease that means the epidermis surrounding a blocked pore thickens and swells, causing unsightly and painful red bumps. These can be so numerous that the whole face is affected, and sometimes the neck and back too. Why some people suffer badly and others not at all is a mystery, but the hormones are thought to be at the root of the problem, with the male hormone, testosterone, considered the main player. Unfortunately, because of its hormonal connections, the onset of acne is most likely to occur during adolescence, when one's appearance and attractiveness to the opposite sex are of crucial importance. As a result, acne causes immense distress, anxiety and depression in those who have it.

I think I've got acne, what should I do?
Your priority is to tackle the problem before it gets worse, and thus prevent scarring - both emotionally and physically. So you must see your GP for a proper diagnosis.

My doctor says I'll grow out of it. Should I seek a second opinion?
Yes. If your doctor is unsympathetic, try another one at the practice. Insist on being treated, and if the first course of treatment hasn't worked after four moths, then suggest you try another. Remember that you are the one who must live with the condition, and if you are miserable and unhappy abot your skin, then it will have a detrimental effect on your health and general well-being.

Should I squeeze my spots?
Current medical opinion is divided on this matter. Spots and blackheads contain waste material that the body does not want to re-absorb, and often small spots heal much faster when they are squeezed. However, the very act of squeezing can itself cause more problems, by introducing infection into the area and damaging the surrounding skin, leading to scarring. Because acne spots are so large and delicate, it is probably best to avoid squeezing and touching them.

Will I really grow out of my acne, or is there a cure?
Some people find their acne becomes less severe as they mature, but others find it reoccurs at intervals throughout their lives. The first line of treatment is usually benzoyl peroxide, a topically applied solution that many people find is all they need to keep their acne at bay. The next line of fire is usually antibiotics. However, if your condition is extremely severe or persistent, you may be referred to a hospital for drug therapy. Anti-acne drugs are very strong and are only subscribed under hospital supervision. However, because each case is individual, you may have to try several courses before you see a result, and each will require around four months to take effect.

But I've got a date and need help now?
Don't panic. With the choice of cover-up products available there's no reason why anyone, even those with more severe acne, shouldn't be able to disguise their blemishes. In fact, the Acne Support Group is positively in favour of acne sufferers covering up and getting on down. For the complete low-down on covering up your spots, see our chapter on Make-Up.

Can I wear concealer all the time?
The idea of letting spots 'breathe' is largely a myth. You can wear concealer on a daily basis provided you take care of your skin too. This means thorough cleansing morning and night, and proper make-up removal. Choose a gentle foaming wash to cleanse your face. Look for anti-bacterial, spot-zapping and oil-free skin care ranges, but do check with your doctor that they won't interfere with any topical treatments you've been prescribed. So long as you take care of your skin, keep applying your prescribed treatments and do not suffer any adverse reactions, you can continue to use concealer products.