Medesthetics Special

AR Supplement

Surgical Aesthetics and Acne & Rosacea are special editions of Medesthetics. To see Surgical Aesthetics, go to

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Working With Estheticians Regular appointments with an esthetician can improve outcomes for acne patients. By Laura Cooksey a knowledgeable professional who can provide the best treatments to reduce breakouts and a compliant patient. Though prescriptive care remains squarely in the hands of medical professionals, many dermatologists are finding that estheticians with training in acne management can help to improve outcomes and compliance among these patients through the use of in-office peels, targeted homecare regimens and more frequent office visits. These non-medical professionals are most successful when they are trained in some key concepts, including: • How to recognize the grade of acne they are seeing and how to discern acne from other skin conditions • The properties of the active ingredients they are utilizing, including what ingredients to use for each type of acne and skin type • How to develop a sound homecare protocol for the acne patient, starting slowly and adjusting as needed as the skin becomes accustomed to product use • How to do proper extractions • A working knowledge of what exacerbates acne and what 16 July/August 2012 | ACNE & ROSACEA lifestyle changes will help the acne patient • Understanding what to do when an acne patient's progress stalls Why Esthetic Treatments Are Effective Dermatologists are the logical first choice for the acne sufferer, and there is a common pattern in the protocol used by most physicians to treat acne. The patient is given an oral antibiotic, topical antibiotic and/or a choice of prescription retinoids to try. Sometimes benzoyl peroxide is recommended. If those treatments fail, physicians will often recommend a cycle of isotretinoin. However, there are reasons why this protocol may be ineffective for some sufferers. Oral Antibiotics. An antibiotic for acne is, at best, a temporary solution. Research has shown that the use of oral antibiotics has led to the development of resistant strains of p. acnes.1 2 It is also well known that overuse of antibiotics can create resistant strains of bacteria like MRSA.1 In addition, antibiotics do not address the root cause of acne. Renowned acne expert James E. Fulton, MD, writes, "Even if some magic antibiotic could control 100% of the bacteria, you would have © Thinkstock/Istockphoto SUCCESSFUL ACNE TREATMENT REQUIRES TWO THINGS:

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