Diagnosing Acne

Larry Jaeger is an expert at diagnosing acne conditions. He has over twenty-five years experience as a leading board certified Dermatologist in New York  in diagnosing acne.

How Acne is Diagnosed?acne-stats-did-you-know

Most people can easily self-diagnose mild acne, which can be treated at home using over-the-counter products. However, if you are unsure if what you are experiencing is acne, or if your acne seems severe, see your dermatologist. Acne is diagnosed by a simple visual inspection by your doctor. There is no test for acne.

What is Acne?

Larry Jaeger describes the symptoms and grades of acne outbreaks.

acne treatments: what is acne?

Acne Grades of Severity | Common Look-a-likes:

When diagnosing acne, dermatologists classify it into four grades.

They evaluate the types of comedones present, amount of inflammation present, breakout severity, how widespread the acne is and what areas of the body are affected.

AcneStages

Grades of acne are classified as follows:

Acne: Grade I – The mildest form of acne. The skin will display blackheads, whiteheads or milia, and occasionally minor pimples. There is no inflammation. Grade I acne can usually be cleared with over-the-counter treatments.

Acne: Grade II – Considered moderate acne. A greater number of blackheads and whiteheads are on the skin. Papules and pustules are more frequently found. Grade II acne may also be treated with over-the-counter products. However, if there is no improvement after six to eight weeks, consult your doctor.

Acne: Grade III – Moderate to severe acne. The difference between Grade II and Grade III acne is the amount of inflammation present. Papules and pustules will be more numerous and there will be a greater amount of redness and inflammation found on the skin. Nodules are often present. This type of acne should be evaluated by your dermatologist.

Acne: Grade IV – The most severe grade of acne, the skin will display many pustules, nodules, and cysts. Blackheads and whiteheads are numerous. There is pronounced inflammation, and breakouts likely extend to areas other than the face. Grade IV acne, also called cystic acne, must be treated by a dermatologist.

Types of Acne Breakouts

Larry Jaeger comments that some skin conditions can look remarkably similar to acne, although their causes and treatments are different. Do you have acne or an acne look-alike condition? If you are unsure, it is always wise to consult with a doctor instead of self-diagnosing acne.

acne myths: Diagnosing Acne

Common skin conditions that can be mistaken for acne include:

Rosacea – Causes red, flushed skin with papules and pustules, especially in the nose and cheek area.

Folliculitis – Bumps or pustules caused by inflammation of the hair follicle.

Keratosis pilaris – Small, rough, “goose-flesh” like bumps most often found on the upper arms, thighs and buttocks, and sometimes the face.

Miliaria rubra – Small red bumps on the surface of the skin caused by excessive heat exposure. Also known as heat rash.

Dr. Larry Jaeger of New York is an expert in the diagnosis and treatment of skin conditions and is board certified in dermatology and dermatological surgery. Visit Dr. Larry Jaeger and the Advanced Dermatology Associates team at 200 Central Park South, Suite 107 in New York City.

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Things You Shouldn’t Pop

Pimple Popping: Acne, Blisters And Scabs

It doesn’t matter how many times we’ve been told to stop touching, picking and popping zits — most of us wouldn’t let a pus-filled whitehead ruin our day. Those skin things you shouldn’t pop includes pimple, popping acne, blisters and even scabs. Things You Shouldn’t Pop.

Things You Shouldn't Pop - Facial Acne

Things You Shouldn’t Pop

Even though we know the consequences of picking at our skin — the scarring, the bleeding and the pus — dermatologist Dr. Shannon Humphrey says, realistically, telling people to stop won’t actually do a thing.

“We all live in a real world, and sometimes it’s difficult to function with a big whitehead on your face,” says Dr. Shannon Humphrey, director of continuing medical education and clinical instructor, department of dermatology and skin science at the University of British Columbia. “But there has to be a balance. Be gentle and consult a dermatologist to avoid trauma to the skin.”

Popping Acne – Improperly Managing Skin Problems

Even if popping your breakouts reduces the visibility of bumps, it’s actually not getting rid of the problem. Along with scars (which take longer to disappear), the urge to pick can also cause infections, redness and inflammation. And when you’re using your nails or any type of medical tool, you’re also ripping your skin, according to YourBeauty.com. If that wasn’t enough, oily fingers and dirty nails can lead to further redness.

And the need to pop has also become a pleasure — even if it grosses most people out. On YouTube, thousands of videos are uploaded for this sole purpose, letting viewers both cringe and enjoy pimples of all sizes popped in high definition. This account alone has over 170,000 views and 30 videos (though we do warn you before clicking that it can get pretty detailed). There are also videos of ‘extreme pimple popping,’ which as the name implies, features videos of abnormally giant pimples or cysts being popped by professionals.

Humphrey adds she’s not surprised about this so-called trend. “I understand the fascination and deep satisfaction of a successful extracting,” she tells The Huffington Post Canada.

She says if you do have a habit of touching any condition, including scabs or blisters, hygiene is important. Avoid using dirty tools, and remember that alcohol, which can be used for sterilization, also strips your skin’s natural barriers. “In general I would want to minimize the use of tools, especially sharp ones,” says Humphrey. “Nothing should pierce the skin, it should have a round edge.”

Things You Shouldn't Pop - Aging Skin Tips

Five Reasons You STILL Have Acne

You’re One of the Unlucky 50 Percent

What’s happening: Half of all women will suffer from acne at some point in their post-teen years, according to the American Academy of Dermatology. Acne is most often triggered by hormonal fluctuations during puberty (as you remember) as well as during pregnancy, perimenopause, menopause and even when you change birth control methods. The five reasons you STILL have acne.

AcneDiagram

Five Reasons You STILL Have Acne


What it looks like:
Cyst-looking bumps that hurt like the dickens and last forever. While younger acne takes over the T-zone, adult pimples usually appear on the chin and neck and along the jawline. They’ll be at their worst just before you get your period.

What to try: As a quick fix, your dermatologist may inject the site with inflammation-calming cortisone. To prevent these types of breakouts in the future, s/he may talk to you about spironolactone, an oral medication that blocks the androgen hormones often responsible for adult acne.

You’re Searching for the Elixir of Youth

What’s happening: There are countless products to prevent and treat the signs of aging, but sampling several of them at once may inadvertently lead to pimples. In addition, many antiaging products have heavy-duty moisturizers to help with age-related dryness, and those can clog pores if you have acne-prone skin.

What it looks like: You’re not just spotty but also uncharacteristically shiny.

What to try: If you have acne-prone skin, look for products that are “oil-free” or “non-comedogenic” and try one at a time. She also recommends keeping an eye out for these ingredients, which are more likely to aggravate acne: lanolin, squalene, alcohols (isopropyl myristate), oils (mineral oil, coconut butter, oil) and sodium lauryl sulfate.

You Don’t Have Adult Acne. (You Have This.)

What’s happening: The good news: You don’t have acne! The bad news: You may have perioral dermatitis, a skin condition that’s common among middle-age women and is often mistaken for acne. Experts don’t really know what causes it, she adds, but it’s a variant of rosacea and has been linked to the prolonged use of topical steroid creams and inhaled prescription steroid sprays, overuse of some heavy face creams, skin irritants and (weirdly) fluorinated toothpaste.

What it looks like: A red, bumpy rash around the mouth and lower face. It can also be scaly or irritated-looking.

What to try: Dermatologists usually treat this condition with a course of antibiotics or anti-inflammatories.

You’re Overwhelmed by Adult Responsibilities

What’s happening: Stress and exhaustion cause your cortisol levels to spike, and this can result in an increase in testosterone as well as pimply skin, Edible “stress relievers” you’re getting from the vending machine (i.e., cans of soda, bags of M&Ms) aren’t helping, as foods like these, with a high glycemic index, can aggravate acne.

What it looks like: These are usually the same pimples you remember from your youth: red, white and annoying all over (they often appear in clusters).

What to try: Topical ointments with benzoyl peroxide and salicylic acid, the gold standards for treating teen acne, can be too harsh for adult skin. They often cause dryness, which can be a problem for women who are dealing with an age-related lack of moisture. Look for acne products with a lower concentration of pimple-busting active ingredients. (And try to get to bed earlier.)

Dirty-Pillow-Talk: Five-Reasons-You-STILL-Have-Acne

What’s Touching Your Face.

You Recently Renovated Your Powder Room

What’s happening: You finally have your own private sink and vanity…which means you’re paying more attention to your skin than ever before.Adult patients tend to spend more time in front of the magnifying mirror and are more likely to deal with breakouts by picking obsessively or slathering on multiple treatments.

What it looks like: Inflamed, red, scabby, positively volcanic. And because cell turnover slows with age,the picked pimples will take even longer to heal and are more likely to leave scars in woman of a certain age.

Five Reasons You STILL Have Acne - Skin Care Tips

 

Source: Huffington Post | Five Reasons You STILL Have Acne

Children Eczema Treatment

Larry Jaeger is an expert Medical Dermatologist at Advanced Dermatology Associates. As the founder and owner of the largest network of Dermatological treatment centers in The Bronx, Larry Jaeger has successfully treated thousands of children suffering form eczema for the last twenty-five years in New York. Children Eczema Treatment.

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Children’s Eczema Treatment

Eczema is a skin condition that has two distinct components:

Dry, easily irritated skin – children with this condition have a genetic tendency toward dry skin. Moisture is very important for our skin. It helps skin stay healthy. It prevents irritation. It speeds up healing. Moisture essentially helps our skin function better. With eczema, the skin does not retain moisture very well, thus giving it a dry, slightly rough texture and making it prone to irritation. To further complicate matters, this dry, irritated skin is itchy, causing children to scratch frequently. This further irritates and damages the skin, which leads to worse itching and scratching, and so on.

Allergies – children with this condition also have some underlying allergies that are manifested in the skin. When exposed to these allergens, the skin over-reacts and breaks out in a rash. The already dry and slightly irritated skin is less able to handle this allergic rash, and less able to heal itself quickly.

Thus, children with eczema have an ongoing battle on two fronts – trying to retain moisture in the skin and prevent irritation and itching, and limiting exposure to allergens and skin irritants.

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What Does Children Eczema Look Like?

Larry Jaeger advises,

Dry skin – your child will have slightly dry skin with a rough texture. You may be able to see and feel tiny white bumps as you run your fingers across the skin.

Dry patches – you may see scattered, scaly, dry, white patches anywhere on the body.treating children eczema

Flare ups – from time to time you will see some areas of the skin become more irritated and flare up. These will look like raised, red, slightly oozing patches. Flare-ups generally occur near skin creases – most commonly the inside of the elbows and behind the knees, but also in the neck, wrists and hands, and feet. It can also occur of the trunk. One unique aspect of eczema is that it usually does not affect the diaper area.

What Causes Children Eczema?

According to Larry Jaeger, eczema is a mixture of dry skin and allergies. The cause is mainly genetic – an inborn tendency toward dry skin and allergies. There is no way to change genetics. The important issue is not what causes eczema in the first place, but what allergies and skin irritants is your child exposed to that is triggering the flare-ups. Children Eczema Treatment in New York City, 10019.

Larry Jaeger is a member of the following organizations:
American Osteopathic Association
American Osteopathic College of Dermatology
American Medical Association
American Phlebotomy Association
Internal Society of Hair Restoration Surgeons

Children Eczema Treatment in NYC

Treating Blackheads – Whiteheads

Larry Jaeger is a well respected dermatologist and founder of Advanced Dermatology Associates, a network of Dermatology treatment centers in Manhattan and The Bronx. Larry Jaeger has successfully treated thousands of patients suffering from blackheads, whiteheads and other forms of acne outbreaks: Treating Blackheads – Whiteheads.

acne outbreaks affects

 

Causes of Blackheads & Whiteheads:

Blackheads are referred to as “open comedones” and whiteheads are referred to as “closed comedones”. Simply put,plugging of the pores of the oil gland.

In teenagers, the oil glands are stimulated by hormones and the oil gland makes more oil and a thicker oil than it was before and as a result sometimes the oil will dry up and form a plug in the opening of the pore where the oil gland drains out.

what are comedons

Differences Between Blackheads and Whiteheads

If this plug is open to the air, the outside air will change the dried up oil material and turn it dark. And so this is what a blackhead is, or an open comedone. If a little bit of skin grows over that dried up oil plug, then the outside air cannot get at the dried up oil material and can’t turn it dark and therefore the plug that forms is referred to as a whitehead, or a closed comedone.

what is a blackhead

Your Skin’s First Sign of Acne…

Larry Jaeger explains that comedomes are of a concern because they are the earliest stage of acne. If comedones or plugs can’t drain out and the oil backs up in the gland. The gland ultimately enlarges and breaks under the skin and causes an inflammatory reaction and this results in the acne pimple developing.

nyc dermatologist acne treatment

Treating Blackheads – Whiteheads:

For treating blackheads and whiteheads, Larry Jaeger uses various exfoliating agents that peel the skin. Retinoic acid or Retin A, benzoyl peroxide, salicylic acid or mild acid peels are some examples. It is also possible to use a special instrument that removes the material in the comedone or the dried up material.

For treating closed comedones, Larry Jaeger makes a tiny little nick with a fine needle in the opening of the pore to allow the material to be removed. In the case of an open comedone it can just be removed without doing that. Cleaning out the pore in this method, the oils and the bacteria can then drain freely, and that way can prevent new acne pimples from forming.

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Dr. Larry Jaeger is the medical director of Advanced Dermatology of New York and specializes in the area of Medical, Cosmetic and Surgical Dermatology. Treating Blackheads – Whiteheads.

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