There are also many people who wait until they grow up before they start to get acne. This is often related to whether you stay up late, play or sleep, are stressed , or like to eat spicy, stimulating, or dairy products . Girls often have this to do with choosing the wrong skin care products. For boys, it’s often because they work out, eat whey, sweat, or like to have handsome Korean-style bangs like Zhiqi’s, that they develop a bunch of pimples and pimples under their foreheads. Haha. Hello everyone, I am Zhiqi. Welcome back to our curious Qiqi . Today, Yangyang will also join us to chat. Hello everyone, I am Yangyang . A large proportion of our audience are still students, so every time I When I opened this Q&A, a lot of viewers asked me how I take care of my skin and shared with me their acne problems. But when I encountered these questions, I didn’t really know how to answer them because I really I don’t know , so today I specially invite Dr. Zhou Wanyi from Zhenxin Dermatology Clinic to answer some of the difficult and complicated diseases that we usually collect. Hello everyone, I am Dr. Zhou Wanyi, the director of Zhenxin Dermatology Clinic. We have many viewers. They are all in adolescence , so they will encounter a lot of acne problems. However, some parents will also tell them that this is something they will definitely encounter in adolescence and will be cured after puberty. Is this statement correct? In fact, every He is likely to get acne at any age. Even babies will get acne. Baby acne is usually related to hormones from the mother’s placenta. However, the most common acne is caused by hormones during adolescence. The relationship is also that at their age, they like to exercise, sweat and sunbathe, so the proportion of this group is the highest. However, in our recent outpatient clinic, many children actually have acne. Currently, in our outpatient clinic, their age is actually 7 years old, which is too young to develop acne. Be careful about precocious puberty. Many people wait until they grow up before they start to get acne. This is often related to the fact that you stay up late and are stressed or like to eat spicy and stimulating dairy products. It is very common among girls. It has something to do with choosing the wrong skin care products. For example, when some girls put on makeup, they will use some liquid foundation and then use cleansing oil when removing makeup. If the cleansing oil is not completely emulsified, it is actually very easy to clog the pores and cause acne . It's called cosmetic acne among boys. It's mostly caused by exercising , eating whey , sweating , or having thick Korean-style bangs like Zhiqi's. In fact, there will be a bunch of them under the forehead. Why do pimples and pimples grow here under the bangs ? It’s because it’s easy to get wet here and people tend to get hair breakouts. There are some hair care products that have different meanings for pimples in different locations. In fact, pimples can cause acne. Leaving acne scars. Leaving acne scars is really sad and hurts your wallet. So if you have acne, you really need to see a dermatologist as soon as possible. I'm just curious because sometimes my parents will say you This is normal. You, this is normal. Just wait and it will disappear naturally. How do we judge whether I can really ignore the acne I have now or should I go see a doctor ? Yes. Yes. Actually. Acne is divided into different severities. If you only have mild acne today, you can start by washing your face correctly. In fact, starting from the first grade of elementary school, you have to start using a mild facial cleanser to wash your T-zone. In fact, many children I'm not washing my face, but you see, we are very dirty now , and puberty actually comes earlier than our age. Plus, they usually run and jump there, and there will be some dirty parts. If you don't wash your face, add it. When you secrete more oil, you will start to produce oil and get acne. When you reach puberty or start to get acne, you have to use facial cleanser to start washing your entire face seriously . Washing your face correctly actually treats acne. The first step is that if you only have mild acne today, you can first use some acidic skin care products or some anti-acne products on the market to deal with it. But if you don’t get better after a week or two, then you should actually If you have to see a dermatologist today, if you have a serious acne today, it’s a big cystic acne, which is super easy to produce acne scars. In fact, you don’t need to try it, just come in and report. Come back, I want to help with fitness. Let me ask you about it . I just mentioned that whey protein can easily cause acne on the body. Is this true? It’s true that if whey protein doesn’t grow, the acne rate is super high. The acne they get is very serious. It is solid and focuses on the body. It is very common on the neck, chin, front , chest, back, and shoulders. Why is dairy products actually very easy to treat acne ? Whey is actually more refined after extraction . Those pure dairy products have a very high acne cure rate. I am going to take the Zhiqi test here. What kind of cheese do you think there are in dairy products ? There must be some in coffee latte , and there is also one in pudding and cream. The most common one is What everyone ignores is milk tea . People actually don’t know that milk tea has dairy products and creamer. In addition, I am also often asked, doctor, if milk counts as a dairy product. I just forget it . Of course it counts as a dairy product. It’s like some yogurt. Cheese, these are actually a series of dairy products that we are very common but easily ignored. But what is very interesting is that in milk, skim milk has a higher acne-causing rate than low-fat milk, which is relatively difficult. What is so special about whole milk is that it is whole milk that causes acne. Generally, everyone thinks it is related to fat. In fact, in research, they found that it has nothing to do with fat. However, the detailed mechanism is not yet clear . They think that these dairy products will cause acne. There is an increase in the amount of IGF in our body , which will increase our male hormones and make it easier to get acne. But will this bother adolescent children? He wants to say that I should grow taller . Drink milk , but I get acne again after drinking milk. What should I do ? Not everyone will get into trouble after drinking milk. But if you get acne after drinking milk, you can drink soy milk , but you should drink soy milk without sugar. Better, then I think one thing I’m very curious about is that every time I have an acne, I read some information and find that there are many names for acne. Sometimes they say this is acne , and then there are blackheads and whiteheads. Next, some are called acne , some are called thick pimples , and some are called cystic acne. What are the differences? Pimples are acne that are not inflamed. Pimples that are inflamed are called acne. Pimples are divided into two types. One is acne. Blackheads are whiteheads. The so-called blackheads mean that this is our skin. Blackheads have openings on the surface of our skin, so when the cuticles come into contact with the air, they will oxidize and oxidize, and then they will look black . In Japan, they will say that the horn plugs are blackheads , but whiteheads are different. They are far away from the surface of our skin and will not be oxidized. So it looks like a white one , but it's deep , so it's completely ineffective except for oral administration. The medicine you rub on it is too far away from the surface, so the medicine you rub on it usually doesn't work very well because it can't go in very well. So in outpatient clinics, most of the cases that are ineffective for traditional health insurance are mostly acne-prone areas. When it comes to inflamed acne, in the early stages of inflammation, there will be these papules or this yellow or white pus head, which we call Pustules are relatively mildly inflamed but exaggerated. They are very solid and large pustules. They are the kind of cystic acne . They even have this type of communication underneath called fistula-type acne. This kind of inflammation is relatively It’s so powerful that the acne scars produced after it are very miserable. Almost all of them are pitted acne scars. It sounds like acne, acne, and cystic acne are probably just different stages of the same thing, right, but it’s also very common. Acne occurs on the same person's face at different stages . So if I want to reduce the occurrence of acne during the acne period , I will reduce the trouble of acne. Is it better to cut off the source of it at the beginning? It won’t leave such severe acne scars . You can start to go to the dermatology department for treatment when you have acne. Like my brother, when he had acne before, his parents didn’t have that concept. They took him to a beauty salon to have his face done . I bought direct-sale products , but they were miserable and left a lot of the surface of the moon like this. Nowadays, after the concept has become more advanced, there are actually quite a few children who rush to the dermatology department as soon as they get acne, and there is no follow-up recovery. You really have to spend at least 10 times or 20 times more time and money to deal with pit-type acne scars . Wow, this is really a relatively new concept because at that time, few of my classmates would go directly to the hospital for help. A lot of people just buy some off-the-shelf anti-acne skin care products, yes, yes, why do you get acne? There are actually four major mechanisms for the formation of acne. One is pore obstruction , some keratin hyperplasia , and this bacterial colony imbalance . The most famous of them is acne. The bacterium responsible for acne is called P. acnes. In addition, the oil production is relatively strong, which is related to hormones. Generally speaking, after the entire hair follicle is inflamed, it will cause the problem of acne. As we just mentioned, different causes or different stages of these acnes will require Are there different treatment methods for acne? We will actually divide it into mild, moderate and severe . In all stages, you can actually use acids to condition the cuticle so that the surface openings are not blocked, like A. Azalea. Acid salicylic acid even has the latest technology called blue laser, which can shrink the cortical glands and make them less oily. This is something that can be done at all times. When your acne starts to become inflamed, we need something that can Antibacterial ingredients like topical benzene peroxide are used when the inflammation is really serious. In health insurance, oral antibiotics are used. Some people will add the special effect of acne and call it oral A acid. If girls have some symptoms like polycystic syndrome, For ovarian syndrome or premenstrual acne, we will add these hormonal conditioning drugs and use them together. But because acne can actually start to produce acne scars from the acne stage, so if you are very demanding on your face today, In fact, if it is high , we will start active treatment in the early stage instead of starting to use these blue lasers or oral A acid in the later stage . However, we are usually more conservative with A acid , that is, it is safer to use it after about 18 years old . We are still afraid of affecting some parts of development , so when children develop acne at a relatively young age, such as 7 or 8 years old , we will actually use some fruit acids combined with blue laser to treat it . But I have a personal question that I am curious about . Sometimes when an acne breaks out, you will feel that if I don’t move it and leave it there, it will not disappear for a week. But if I squeeze it out, it will disappear slightly the next day . It hurts so much , but many people tell me that pimples cannot be squeezed. I feel so contradictory. It is a pimple without an opening. If you squeeze it hard , the infection will spread downwards , and it will be easier to leave acne scars at this time. It is recommended that everyone come to the dermatology department. For example, if we see pus bubbles, we will use sterile instruments. Instead of everyone picking up an embroidery needle at home and using that, eh, this lighter, we will use sterile instruments. Otherwise, it will be troublesome when you are hospitalized for tetanus . We will use sterile equipment to pick it out after it is touched . If you have a really big one today that feels soft and soft and has pus inside, then we will be embarrassed. We will use a relatively large blade to make a cut and then squeeze out the pus inside. We will make an incision and drain the pus . If you still have severe inflammation after incision and draining the pus , or it is a pimple without an opening , it is a stuffy pimple. If the acne is there, we will give acne injections. But the art of acne injections is actually quite particular. The reason why many people get dents when they take acne injections outside is that the first one is that the concentration is too high . If it is concentrated, it will become dimpled. In addition , the steroids used for acne at different stages are different from the solvents used to dilute it, so I suggest that if you have severe acne , you should go to a professional dermatologist. Otherwise, when the time comes, It's a bit of a loss if it turns into pits , so if you squeeze it by yourself, it 's actually quite easy to leave pits and acne scars. Yes, I just heard something about acid because of a lot of skin care products. They will also say that they contain various acids that can improve some acne problems . Is this correct ? In fact, there are many anti-acne skin care products. Their benchmarks are different. We can divide them into three major categories. Category 1 It dissolves keratin and regulates your keratin so that your surface is not clogged and less prone to acne. The second type is anti-inflammatory products so that it is less likely to cause inflammation. The last type is antibacterial or antibacterial ingredients. But if it is used for a long time, some people may have some concerns about drug resistance. Like our acid-containing skin care products, they are in the first category and dissolve cutin. The most common ones are salicylic acid, fruit acid , and A acid derivatives. Which people are the most common It is difficult to use these acid-containing skin care products because you have sensitive skin or have rosy spots , or your face is dry or has eczema. In this case, it is not suitable to directly use these acid-containing skin care products. Pinna , there are a lot of information on the Internet that specifically say that A acid is a skin savior. I want to know why A acid seems to be something that many dermatologists will definitely use when treating acne . Right . Acid is actually a very, very important weapon for us to treat acne fans. In addition to dissolving cutin, it can also reduce the resistance we develop when using antibiotics. It can also improve skin texture , lighten pigments , and even have anti-aging and wrinkle removal effects. However, many people think that applying A acid for a long time will make the skin thinner. In fact, it will not waste the cuticle metabolism. After you use it for a while, you can even increase the thickness of the cuticle , and your cuticle will be healthier. This is a good thing. A common myth. Recently I heard another one: What is the difference between A-alcohol and A-acid? There seems to be a difference in use. A-alcohol is actually a skin care product. As the name suggests, it is milder and more accessible. You can find it in a pharmacy. You can actually buy it in department stores or counters , but its effect is relatively weak. As for acid A, it is actually a drug that can only be prescribed by a dermatologist. As the name suggests, it is more effective, but it is also relatively irritating, so dermatologists use it. When prescribing, we will teach you how to use it and some precautions. Generally speaking, the most common skin care products in the A acid family are A ester, A alcohol and A aldehyde. The weakest ones are actually A ester and then A. Alcohols are followed by A-aldehydes. They are not as effective as the medicinal A-acid . I seem to remember that A-acid is divided into many generations. What are the differences between generations ? In fact, the traditional drug like the first-generation A-acid is called Tretinoin. The third generation A acid is called Adapalene. Both of them are drugs we use in health insurance clinics. Its advantage is that it is covered by health insurance. Its disadvantage is that it usually stops there after it progresses to a certain level. When the effect is not good, we You can use advanced drugs at your own expense . If your acne is severely inflamed today, you can use a new generation of compound topical A acid with the third concentration of Adapalene plus sterilizing benzene peroxide . If you wait for the stable period At that time, we can switch to the fourth generation of A acid. The fourth generation of A acid is very special. It is a new topical acne drug that our dermatologists have finally launched after waiting for more than 20 years. Its characteristic is that it has a high degree of specificity for A acid receptors in the skin, which we call RAR-gamma. It is 20 times more effective . It is also safer. In clinical trials abroad , they have conducted experiments on the whole body. After applying the fourth generation A acid to the area with acne , I did a blood draw and even tested its concentration in the placenta and found that it is the lowest among all the A acids, so it is very safe and can be applied to a large area, so this is also Why is it the only drug among all A-acids that has indications for body acne ? So some people who drink whey protein develop a lot of body acne. In fact, there are quite a few people who choose the fourth-generation A-acid. The doctor just talked about it. The fourth generation A acid is also very effective in treating acne scars. I’m curious. Does this from the first generation to the fourth generation mean that the new generation will be better than the previous one? It should be the latest one, like we said the third one. The third-generation compound ointment is more effective because it actually has three times the amount of Adapalene and the third-generation A acid. It also has a low concentration of benzene peroxide , so its antibacterial effect is actually much better than the traditional one . The effect of the fourth generation A acid in the stable period is actually very good. It is impossible for people to keep taking A acid or these anti-acne drugs all their lives . So after you have less acne, we will actually ask them to apply the fourth generation A acid. Instead of A acid, it's a bit like they improved some of the previous shortcomings and then launched a new generation. Because the first generation of A acid actually has very high photosensitivity , you may get sunburned or tanned if you go out in the sun. These , but after the third generation, it actually has a structure with a benzene ring , so its sensitivity to light is actually relatively low. But even if it is the third or fourth generation, we still recommend using it at night because it will be more uncomfortable to use during the day. In addition, a small number of people still have a little light sensitivity, because I have heard many friends say that they may experience dryness and peeling when using A acid or A alcohol, which is definitely the case. You may not encounter it , but the incidence rate is not very low, but it is actually normal. In the first week to the first month of use, some people may experience temporary redness or peeling. In that case, you can use moderate moisturizing. You can also start with a relatively small amount , just apply it thinly at a single point. After it becomes more stable , you can switch to using it every day and then apply it comprehensively . My understanding of acne treatment is roughly It was very early in our country and so on. Are there any new weapons now? Yes, the latest weapon is called a blue laser. It is very special in itself. It is a double wave 1450 plus 450 1450. It can shrink the cortical line . If it doesn’t produce oil or acne, then if it costs 450, it can kill the bacteria in acne called P. acnes. So it is currently the only laser that can control oil, control acne and sterilize at the same time. Therefore, we often use medicines combined with fruit acids to clear acne. There are also advanced blue lasers. Some people will choose oral A acid for treatment. After the acne is relatively stable, we will start to deal with the problem of these acne scars. Before treating the acne scars, we must first understand them. What are the different types of acne scars? There are three most common types of acne scars, such as red acne scars or pigmented scars. We will use triple light for dimpled acne scars because it will have fiber bundles that pull your skin down , so we use it to destroy it first and then Construction methods such as Fraxel laser, flying needle PRP and even advanced micro-needle radio wave treatment have good results. Sometimes when it is powerful, we will even use subcutaneous cutting to cut off these fiber bundles and match some injection parts. Does the treatment mean that the hole will be filled up? Fill it up slowly and it won't disappear once it grows back . Unless you have surgery, you can dig it out and then fill it with skin . But that is more time-consuming and time-consuming , and it doesn't happen just once or twice. In the end, the doctor still has to do it. Is there anything you want to share with our audience? I would like to appeal to all parents , in addition to raising your children to wash their faces seriously. If you have acne and pimples, come to the dermatology department as soon as possible. If I usually wash my face in the morning and evening It shouldn’t matter once , right , just wash it with a mild facial cleanser in the morning and evening. Choose skin care products and cosmetics that suit you. In fact, now middle school girls start to put on makeup. Choosing the wrong skin care products and cosmetics can actually be harmful to your face. Deducting points is not adding points , so let’s go here first for this episode. If you like today’s video, don’t forget to share it. You can also click here to see more videos . So today’s Zhiqi Qiqi is here It's time to call it a day and we'll see each other tomorrow night . Goodbye.
