MYTH 4 - ACNE IS CAUSED BY DIRT
Patients/clients need to understand that acne is a complex disease of follicular units unrelated to dirt. The bacteria responsible for inflamed acne breakouts are Propionibacteria acne (P. acnes). Blackheads are not due to dirt, but rather to pathology of follicles and buildup and alteration of sebum, ie, pilosebaceous ductal hypercornification. Patients/clients should be taught that blackheads are open comedones that are due to the oxidation of sebum, and that scrubbing may inflame them. Open comedones can be removed by acne surgery and prevented with topical retinoids, but dirt plays no role in acne, which leads us to consider the fifth myth...The More You Wash Your Face, The Less Acne You'll Have.
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