How moisturizers, cleansers, and sunscreens can complement acne treatment
Daily use of moisturizers, cleansers, and sunscreens can reduce inflammatory and non-inflammatory acne lesions and may be helpful for the treatment of acne if combined with specific medications, researchers in Dermatological therapy.
Researchers conducted a literature review to highlight the importance of choosing the right topical dermocosmetics for different skin types and the most effective method of combining dermocosmetics with standard acne treatment.
“The basic therapeutic strategy for the treatment of acne is the control of sebum secretion, abnormal keratinization of the follicular epithelium and bacterial infection,” said the study authors. “Therefore, anti-inflammatory drugs, bactericidal drugs and agents aimed at controlling keratinization are mainly used for the treatment of acne. Modern acne therapy relies not only on the use of specific drugs, but also on “complementary” products, such as moisturizers, cleansers and sunscreens. “
Patients with oily skin should use a highly rinse-off product with no residual moisturizer. These products include those based on sodium lauryl sulfate, according to the researchers. They recommend that patients with dry or damaged skin from the sun or smoke use a non-comedogenic moisturizing liquid cleanser.
Daily facial cleansing is important for acne care and should be done twice a day, and the use of harsh and strong surfactants should be avoided due to their highly alkaline pH, investigators said. Available cleaning options include cleansing milk, cold cream, cleansing oils, cleansing balms, micellar water cleansers, non-foaming cleansers, and foaming cleansers.
Sun exposure affects the progression of acne because it can promote bacterial overgrowth and reduce the immune response, leading to inflammation. “Therefore, it is essential to explain the importance of sun protection to the patient,” note the study authors. “In this regard, lightweight, non-occlusive products, in the form of sprays, gels or liquids, should be preferred.”
Makeup can provide quick results to cover up acne, but it should be removed at night, and cosmetics such as colored creams and concealers should be oil-free and non-comedogenic, the researchers advised. Sonic cleansing media are increasingly used for daily care such as makeup removal or sunscreens, and cleaning with the sonic brush may be beneficial for inflammatory skin conditions.
According to the study authors, treatment of acne patients should include education on good daily skin hygiene, including protection against environmental damage.
“The cleansers should stay on the skin as briefly as possible to minimize damage to the proteins in the stratum corneum,” the researchers recommended. “However, this brief contact does not allow the different components of the cleansers to penetrate and stay in the skin. One solution may be to perform a double cleanse, first with an oil-based cleanser, then with a water-based or surfactant-based cleanser. It is used to easily remove makeup, impurities and oily residue, allowing detergent to penetrate deeper, for a better level of cleaning.
Conforti C, Giuffrida R, Fadda S et al. Topical dermocosmetics and acne vulgaris. Published online 20 October 2020. Dermatol Ther. doi: 10.1111 / dth.14436