Comedonal acne is characterized by the presence of whiteheads and blackheads. There are certain topical medications that are geared towards the treatment of these blemishes specifically. For instance, topical tretinoin (Retin-A) has long been considered the standard of treatment for comedones or whiteheads and blackheads. Recently, however, some newer topical medicines have been developed to attack these symptoms.

Nodulocystic acne is characterized by large, tender, red, and purple acne "bumps" or cysts under the skin. It can be quite severe, disfiguring and emotionally upsetting. Often this form of acne will not respond to traditional topical treatments nor traditional antibiotics. It is in these severe cases, that systemic isotretinoin becomes the treatment of choice. It is quite effective most of the time. It requires monitoring by a dermatologist skilled in using this medication.

    Everyone wants smooth, blemish-free skin, and the emotional impact of acne, especially on young girls, can be devastating. It's important to react, but not overreact. Don't do permanent damage to skin by picking at it. Keep your skin clean. See a professional if you feel any medication is warranted. And have patience, as only time will cure acne permanently.

Pustular acne appears just how it sounds. The presence of small pustules or tiny red pimples characterizes this form of acne. One recommended treatment is Acne Lotion. The best approach to this form of acne depends on the severity. If it is mild, often over the counter Benzoyl peroxide lotions or washes may be effective. In severe cases, benzoyl peroxide washes may not be enough, and topical antibiotics may be prescribed. Topical erythromycin gel 2% is a traditional approach, though there are many new topical medicines that are quite effective. Still, Pustular acne may be so severe that topical medicines need to be used in conjunction with oral medications. Classically, oral tetracycline has been used to treat acne, but tetracycline has been found to cause side effects, many of them quite serious. There are many newer oral antibiotics that your dermatologist can recommend. For very severe acne, systemic isotretinoin has become the treatment of choice. This medicine is very effective at treating resistant cases as well as severe cases of Pustular and Comedonal acne. This medication requires careful monitoring by a skilled dermatologist.

1. Misconception: Poor hygiene causes acne.
   Acne is not a result of dirt or surface skin oils. Vigorous washing and scrubbing will irritate the skin and only make acne worse. The best approach is to gently wash your face twice a day with a mild soap, pat dry and use an appropriate acne treatment.
2. Misconception: Diet causes acne.
   Studies haven't found a connection between diet and acne, so eating chocolate, french fries or pizza won't cause acne or make it worse.
3. Misconception: Stress causes acne.
   The ordinary stress of day-to-day living is not an important factor in acne, but severe stress that needs medical attention sometimes is treated with drugs that can cause acne. If you think you may have acne related to a drug prescribed for stress or depression, consult your physician.
4. Misconception: You have to let acne run its course.
   Acne can be cleared up. If the acne products you've tried haven't worked, see a dermatologist.

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