From babies to adults, acne can be a problem for people of all ages. Sixty million Americans have active acne, and 20 million have permanent acne scars. The Doctors offer tips for maintaining blemish-free skin.

Dr. Drew Ordon explains the causes of acne and how to treat a breakout.

Dr. Ordon’s Acne Prevention Tips
1. Cleanse regularly
2. Exfoliate
3. Use salicyclic acid
4. Use benzoyl peroxide

"It is a process of the pores getting clogged, bacteria growing in the pores, [and pores] getting inflamed," plastic surgeon Dr. Drew Ordon says. "Things you need to do are deep cleansing, using benzoyl peroxide and using salicylic acid. For bad cases, you have to see your dermatologist, who may put you on antibiotics and maybe even Accutane. Laser treatments, nowadays are another good option for people who have stubborn acne."

Natural Acne Remedies
The most effective means of treating acne-prone skin is to employ varying water temperatures. Washing your face with warm to hot water removes dirt, oil and makeup and opens the skin's pores; rinsing with cool water will then shrink pores and stimulate circulation.

"Cool water is actually a bit of an anti-inflammatory," Dr. Ordon says.

Dr. Ordon offers an additional acne treatment: pumpkin.

Mix 200 grams of pumpkin pulp with 1 tablespoon of non-fat sour cream and apply it to your face. Leave it on for 20 minutes and then rinse with cool water. This will cleanse your face, open up your pores and give your skin a glow!

For another simple pimple remedy, Dr. Ordon recommends soaking a chamomile teabag in warm water, then applying the teabag to the affected area for 15 minutes. The teabag works as a warm compress and contains flavonoids and bisabolol, which have anti-inflammatory properties that help soothe the pimple and reduce redness.

Treating Teen Acne
With hormones in flux and almost daily body changes, puberty can be an awkward time.

Many teens struggle with acne, which is formed by blocked sebaceous glands. Thirteen-year-old Diamante is no exception.

Dermatologist Dr. Tess Mauricio says the two ingredients to look for in over-the-counter acne treatments are salicylic acid and benzoyl peroxide. Salicylic acid is ideal for unclogging pores and treating blackheads and whiteheads, and benzoyl peroxide kills the bacteria in the pores that cause inflammation and acne.

If over-the-counter products fail to quell pimple flare-ups, see a dermatologist. He or she can prescribe more aggressive treatments such as antibiotics, retinoids, lasers and birth control pills.

Check out Dr. Mauricio's ultimate guide to treating acne!

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Acne Medication
Patti's 16-year-old son, Jeremy, wants to put an end to his acne. His dermatologist suggests he take isotretinion, better known as Accutane, to treat the breakouts.

Isotretinoin is used to treat severe acne, and is usually prescribed only after other medications and topical treatments have failed.
"It's reserved for the people who have tried everything else, have severe acne and are suffering from it," Dr. Jim Sears says.

"It's a really strong medication," Dr. Jim Sears continues. "It's actually a derivative of vitamin A, so it's actually kind of a natural substance. It's super, super effective for severe acne. Most patients show a huge improvement. As a matter of fact, half the people that take it are completely cured of severe acne and never have to do anything for their acne ever again."

Less than one percent of people who take isotretinoin will experience depression, and some people suffer headaches and decreased night vision. More common side effects include dry skin and mouth and dry, chapped lips. Isotretinoin can also cause birth defects, so women who may become pregnant should not ingest the drug. While the side effects can be severe, the drug is useful in extreme cases.

Speak to your doctor about treatment options and side effects before trying any medications.

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Problem Skin
Fifty percent of women suffer from adult acne, a condition that can be physically uncomfortable as well as cause insecurity and self-consciousness. Dermatologist Dr. Tess Mauricio performs the latest skin rejuvenation procedure, photodynamic therapy (PDT), on 36-year-old Cari, a longtime acne sufferer. See the results!

Protect your skin! Dr. Mauricio says that 90 percent of aging is caused by the sun, so be sure to slather on  sunscreen and wear a hat when out in the sun.


Dr. Ordon explains the benefits of the E-Matrix skin treatment.

E-Matrix Skin Resurfacing
Rigina, 33, has tried everything to treat her acne scarring, but to no avail. She has suffered from acne since she was a teenager, but because she has dark skin, treating its discoloration has proven difficult.

Dr. Mauricio says that E-Matrix skin resurfacing is a new, FDA-approved skin resurfacing technique that uses radio frequency waves instead of light or laser energy, which is not absorbed by the pigment cells. The difference between E-Matrix and traditional laser treatment is that darker-pigmented skin absorbs the laser energy, causing trauma to the skin.

E-Matrix creates only a pinpoint trauma on the skin, lessening the pain and improving results, and is the only approved treatment option for people with darker complexions. It is also ideal for acne scars, wrinkles around the eyes and skin rejuvenation.

Dr. Mauricio performs the E-Matrix procedure on Rigina, noting that unlike traditional lasers, the E-Matrix procedure causes minimal discomfort, and the recovery time is a mere 24 hours.

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Zap Acne Away
ThermaClear, a new, at-home acne treatment device, was recently approved by the FDA. The device uses a controlled, two-second pulse of heat that targets the pimple below the surface of the skin, neutralizing acne-causing bacteria and stimulating the body’s acne-fighting proteins. The device costs $150 and promises to heal pimples in half the time!

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Makeup Help
Is your makeup actually causing you to have acne breakouts? Dr. Ordon explains why this happens, and what to do to avoid it

Kathy, 21, suffers from acne and blemishes, and wonders if her dirty makeup brushes are to blame, since she rarely cleans them. Airbrush makeup artist Kristina applies makeup using the Temptu AIRbrush Makeup System, a system that reduces contamination from brushes and fingers, and can help prevent acne. See the amazing results!

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Folliculitis is an inflammation or infection of one or more hair follicles, can affect both men and women of any age and looks very similar to acne. The bacteria that cause folliculitis are contagious. “You see that most in men when they shave their neck, oftentimes you see they have little pustules there, and that’s just the irritation,” pediatrician Dr. Jim Sears says. “If they sit, and squeeze and poke at those things, then you can get a much bigger infection.”

Folliculitis can be spread to other parts of the body and to other people, as well. Sharing towels or shaving tools can spread folliculitis. It can be prevented by cleansing the skin with antibacterial soap. Topical and oral antibiotics can also treat it. You should notify a doctor if the pustules spread after treatment, your fever climbs above 100 degrees, you develop boils or swollen ankles or if redness, swelling or pain occurs.

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Buttocks Breakout
Acne breakouts can be a frustrating problem, especially when they occur on the chest, back, groin and buttocks. Victor, 24, gets breakouts on his buttocks and wants to put an end to his pimple problem.

Just like acne on the face, breakouts on the buttocks can range from mild, to moderately severe to cystic. If cystic acne is not treated, abscesses can develop into methicillin-resistant Staphylococcus aureus (MRSA), an infection resistant to most antibiotics that can be fatal.

Antibacterial wipes, washes and soaps, topical benzoyl peroxide, mild exfoliation and showering after a workout can help prevent and treat mild to moderate cases of acne.

Registered nurse Jamie Sherrill explains that Victor's problem is actually folliculitis, which looks similar to acne but is an inflammation or infection of the hair follicle. The bacteria that cause folliculitis are contagious, and can be spread to other parts of the body as well as other people, especially by sharing towels or shaving tools. Folliculitis can be prevented by cleansing the skin with antibacterial soap and treated with topical and oral antibiotics or laser hair removal.

"If the follicle is dead, then you can't get folliculitis anymore," Jamie says. "It's absolutely a preventative maintenance."

Dr. Ordon blogs about acne on the buttocks.

Fanny Facial
The latest in acne treatments targets your rosy cheeks -- no, not the ones on your face, the other ones! Estheticians Victoria and Dana from Verabella Spa in Beverly Hills, California perform their signature Fanny Facial on Chu.

Victoria explains the steps required to beautify the booty:

1. Cleanse the skin
2. Exfoliate with lactic acid peel, which rejuvenates the skin and evens out tone
3. Exfoliate with ultrasonic technology, which reduces the appearance of cellulite

4. Apply clarifying mask, which disinfects and tones the skin

The result, Victoria says with a smile, “A tighter, toner, clearer tushy!"

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Battling Bacne?

Dr. Ordon shares another one of his home remedies; and this one is for back acne, often referred to as bacne. “Just put some white vinegar on a loofa and scrub the afflicted area,” Dr. Ordon instructs. “The vinegar helps unclog the pores.”

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Rosacea is a chronic skin condition related to acne. Rosacea causes skin to become red and inflamed and typically occurs on the face. The condition is usually exacerbated by stress, alcohol and sun exposure. Treatments for rosacea include using salicylic acid, benzyl peroxide and prescription medication, but one of the best ways to prevent the outbreak is to keep your pores clean. Baby aspirin can also help to constrict the blood vessels in the face and prevent the skin from turning red.

Avoid these foods that can aggravate the problem:
Brie cheese
Soy sauce
Dairy products

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