How to deal with too many closed comedones and pimples on the face

Jul 14, 2024 Source: Cainiu Health
Disease description:

I am 25 years old this year. Recently, I noticed that my face has developed many pimples, accompanied by unusual itching, and there has been no improvement. After visiting the hospital for examination, I was diagnosed with closed comedones and acne. I would like to know what to do if there are too many closed comedones and acne on the face.

Doctor's answer (1)
Dr. Wang Xiaoyan
To address excessive closed comedones and acne on the face, the following comprehensive measures can be taken: 1. **Daily Cleansing**: Choose a facial cleanser suitable for your skin type and thoroughly clean your face morning and evening to prevent the buildup of oil and dirt. Regular exfoliation can help unclog pores. 2. **Medication**: Under a doctor's guidance, apply topical medications such as tretinoin cream or adapalene gel to dissolve comedones and improve keratinization of the pilosebaceous duct. If inflammation is significant, oral antibiotics or isotretinoin may be prescribed. 3. **Chemical Peels**: Utilize chemical exfoliation treatments such as alpha hydroxy acid (AHA) or salicylic acid peels to remove the outer layer of skin and promote resolution of closed comedones and acne. 4. **Lifestyle Modifications**: Maintain a light diet and avoid spicy, greasy, or irritating foods. Ensure adequate sleep and avoid staying up late. Stay relaxed and minimize stress. 5. **Physical Treatments**: For severe cases, physical therapies such as photodynamic therapy or laser treatment may be considered to reduce inflammation and eliminate comedones.