Acne is not discriminative by race or ethnicity, but it can
be especially difficult for Black people because hyperpigmentation and scarring
are possible outcomes of the condition. It Is thus important that acne
treatment on black skin be done with an understanding of the nature of the skin
type. This article provides the most appropriate treatment techniques, and
information regarding how Black individuals can fight this skin condition and
have healthy skin.
Acne In Black Skin: Health Awareness Bulletin
Acne is a condition that is characterized by blockage of
hair follicles with oil and dead skin forming pimples, blackheads, and cysts.
Among Blacks, acne also causes post-inflammatory hyperpigmentation (PIH), and black
skin changes that linger even after the acne is gone. Melanin production is
more common among black skin people and as such if inflammation occurs then the
chances of hyperpigmentation are high. Therefore, management of this skin
condition has to address not only the management of the acne but also the dark spots.
The Importance Of Early Intervention
In black skin, acne must be attended to early to reduce the
chances of having permanent scars or skin discoloration. According to
MedlinePlus, if acne is not treated, it progresses and such consequences as
skin rash and discoloration may occur. Seeing a dermatologist who knows how to
take care of acne in black skin means one will avoid things such as
hyper-pigmentation and keloid scarring that affect the black skin.
Over-The-Counter Treatments
There are many safe and effective OTC products for acne in
Black skin. It has been established that these products can decrease oil
formation, act as a scrub to the skin and treat bacterial formation associated
with acne. However, one must consider investing in products that have tender
skin and will not aggravate the skin problems.
Benzoyl Peroxide
The ingredients such as benzoyl peroxide that are used are
an effective comedone reducing agent as well as killing bacteria that causes
acne. Although effective, Black people should utilize it prudently. Benzoyl
Peroxide entails side effects such as dryness of skin, and since this is a
breeding ground for making melanin pigments worse, it only deepens skin
pigmentation. It is recommended to dilute it so as to reduce these effects by
using a 2. 5% or a 5% solution, if the product is to be used.
Retinoids
Adapalene and tretinoin are examples of retinoids: vitamins
A derivatives that promote rapid shedding of the skin’s surface and prevent
blockage of pores. OTC retinoids such as Differin (adapalene) are safe to use
in Black skin, but dermatologists recommend using it in gradual dosing because
retinoids dry out the skin and cause irritation, which results in
hyperpigmentation.
Niacinamide
Niacinamide, vitamin B3, reduces inflammation and helps with
the brightness of the skin to remove dark spots. It is suitable for Black skin
because it participates in the management of acne as well as the treatment of
hyperpigmentation without side effects of skin inflammation.
View More: Chest Acne 7 Ways to Get Rid of It
Prescription Treatments
In severe conditions, there may be a need for prescription
products for the skin. These treatments are generally more potent and should
only be done under the supervision of a dermatologist if one is to avoid side
effects on black skin.
Topical Antibiotics
Topical antibiotics for example clindamycin and erythromycin
are usually used as they kill the bacteria that cause acne and the inflammation
level. It is often prescribed along with other medications such as benzoyl
peroxide or retinoids. They may come in handy when used in controlling
inflammations arising from acne without much irritation.
Oral Antibiotics
For moderate to severe acne the doctor may prescribe
antibiotics, available as tablets, capsules or in liquid form, which can include
antibiotics such as doxycycline or minocycline. These drugs help decrease
bacteria and tissue inflammation in many areas of the body. Systemic
antibiotics are typically taken for several days to reduce the development of a
bacterial resistance profile and are typically used concurrently with topical
preparations in order to prevent reoccurrence of the infection.
Hormonal Treatments
Most women get hormonal acne and Black women can also have
hormonal fluctuations that can cause acne. Oral contraceptives and
anti-androgens such as spironolactone prevent hormonal deviations and decrease
the appearances of acne. These treatments aim at addressing the hormonal
factors which result in production of excess oil and are ideal for adult acne.
Isotretinoin
If there is still no improvement in severe or cystic acne,
then isotretinoin, which is marketed as Accutane, can be administered. This
potent oral remedy has the ability to minimize the production of oil in the
area of the skin and to block the pores. But isotretinoin has numerous side
effects and should only be prescribed by a dermatologist who will monitor the
patient.
Preventing and Treating Hyperpigmentation
Skin darkening, especially among Black people with acne, is
one of the most primary issues that patients present. Acne lesions once formed
become hard to treat and after they have been destroyed they leave behind black
or dark colored spots or patches which can persist for many months or years.
Fortunately, it is not the end of the world, and there are procedures that can
be taken to reduce them.
Sunscreen
This is very important in order to prevent the acceleration
of the darkness of the skin tone that is caused by hyperpigmentation. This
medium promotes the formation of dark spots or makes them more visible than
they are and also slows down the healing process. The black skin is still
sensitive to sunburn though it may take more time to be affected but it also
needs protection from the sun. Use a sunscreen that has broader coverage in
that it is SPF 30 and above and is non-acne genic.
Hydroquinone
This is a topical treatment product that is used to lighten
skin and eliminate freckles, dark patches or any other discoloration resulting
from overproduction of melanin. There are over the counter formulations as well
as prescription versions of this medicine. Hydroquinone is, however, to be used
under the prescription of a dermatologist and its overuse may lead to
depigmentation of the surrounding skin.
Azelaic Acid
Another weak Kligman’s list antagonist is azelaic acid which
works well as a depigmenting agent and in the treatment of acne. The drug is
anti-inflammatory and suppresses melanin synthesis. Azelaic acid can be used on
Black skin and is effective in correcting skin tone without side effects such
as irritation.
Chemical Peels
Using glycolic peel, lactic peel or salicylic peels the skin
undergoes a process of shedding and the darkness disappears. These peels are
usually done by a dermatologist or a licensed aesthetician and the peels can be
done on black skin. Chemical peels carry out the excision of the top layers of
skin.
Laser Treatments
Other conditions that can be treated through laser are acne
scars and uneven skin color commonly referred to as hyperpigmentation. But
there are lasers that pose a risk of worsening the color of the skin if applied
on Black skin. Non-ablative and fractional lasers are less risky to skin of
color than CW laser systems and exclusive non-helical systems, however, they
should be managed by a dermatologist with specific know-how about Black skin.
Conclusion
Managing acne in Black skin involves eradicating acne and, at
the same time, avoiding worsening skin discoloration and scarring. Topical
treatments such as alkaline home remedies which contain salicylic acid,
niacinamide, retinoids, etc can be used while doctors’ prescription medicines
may be used in other serious cases. With the help of a dermatologist and
managing skin type-appropriate skincare routine, black people can conquer acne
and get smooth skin.
Please book an appointment with the best Dermatologist in Lahore, Karachi, Islamabad, and all major cities of Pakistan through InstaCare, or call our helpline at 03171777509 to find the verified doctor for your disease.
