No manipulation (“scratching”) on papules (from Latin: papula “vesicle” or nodule) and pustules (from Latin: pustula; pustule).
No wearing headbands
Skin care tips:
Acne patients should gently remove sebum and grease from the skin of the face with a mild cleanser (or better just pure water) no more than once a day, without much rubbing. Caution. Larger amounts of washing substances lead to redness!
As a washing substance are suitable soap-free pH-neutral wash syndets (compound term from synthetic detergents; this refers to synthetic washing-active substances), which should be used sparingly.
Review of permanent medication due topossible effect on the existing disease.
Avoidance of environmental stress:
Quinine – an alkaloid extracted from the cinchona bark.
Halogens – these are fluorine, chlorine, bromine and iodine, as well as the element astatine, which is extremely rare and largely unexplored due to its radioactivity.
Contact with substances such as oil, pitch or dioxin.
Conventional non-surgical therapy methods
Chemical peeling (possible with low-dose isotretinoin therapy; no increased scarring or poor wound healing]
Dermabrasion (manual dermabrasion or microdermabrasion is possible even if patients had taken isotretinoin in the preceding months or were treated with the vitamin A metabolite during dermabrasion; no evidence of scarring)
Glycolic acid peel – peeling with 10- to 40% glycolic acid; indication: mild acne.
Regular check-ups
Regular medical checkups
Nutritional medicine
Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
Observance of the following nutritional medical recommendations:
In the context of an “anti-acne diet”, the following foods should be preferred or avoided/reduced:
Avoid/Reduce: Mono- and disaccharides (single and double sugars), e.g., white flour products, high-sugar drinks; milk and dairy products; saturated fatty acids (contained in animal products); trans fatty acids (e.g., in fast food products, baked goods, chips, snacks, cookies, fried foods).
Prefer: vegetables (phytochemicals, especially polyphenols); fish (omega-3 fatty acids).
Selection of appropriate food based on the nutritional analysis
See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
A professionally good manual-physical therapy with removal or emptying of comedones (from Latin: con-edere ‘to eat with’, therefore also called blackheads) can be performed in addition to drug therapy.
