Acne is one of the most common skin conditions we see at Esse Dermatology and it’s not just a teenage problem. Breakouts can affect people of all ages, and knowing how to treat acne safely and effectively is key to restoring skin health and confidence.

Whether you’re dealing with blackheads, whiteheads, or deeper cystic acne, here’s a guide to understanding your treatment options and knowing when it’s time to seek professional help.

Understanding the Causes of Acne

Acne forms when hair follicles become clogged with oil and dead skin cells. This can be triggered by:

• Hormonal changes (especially during puberty, pregnancy, or menstruation)
• Excess oil (sebum) production
• Bacteria on the skin
• Certain medications or skincare products

Stress and diet may also play a role in some individuals, though triggers can vary from person to person.

Over-the-Counter vs. Prescription Treatments

Mild acne can often be managed with over-the-counter (OTC) options:

• Benzoyl Peroxide: Reduces bacteria and dries excess oil.
• Salicylic Acid: Helps unclog pores and reduce inflammation.
• Adapalene (Differin): A topical retinoid now available without a prescription that promotes cell turnover and prevents clogged pores.

For moderate to severe acne, or if OTC products aren’t helping after a few weeks, it’s best to consult a dermatologist. At Esse Dermatology, we may recommend:

• Topical prescriptions like stronger retinoids or antibiotics
• Oral medications, including antibiotics, hormonal treatments, or isotretinoin (for severe cases)
• In-office procedures such as VI Peels or Aerolase NeoDerm laser

Lifestyle Tips for Clearer Skin

Acne treatment isn’t just about what you apply it’s also about how you care for your skin day-to-day. Consider these habits:

• Avoid touching or picking at blemishes
• Use non-comedogenic, oil-free skincare and makeup
• Wash pillowcases regularly
• Clean your face gently – no scrubbing!

Consistency is key. Many acne treatments take a few months to show visible improvement.

When Acne May Be More Than Skin Deep

Persistent acne can affect more than just your skin. Scarring, discoloration, and emotional stress are common among those struggling with breakouts. If acne is impacting your confidence or mental health, it’s important to seek help early.

Let’s Find a Treatment Plan That Works for You

At Esse Dermatology, we understand that no two acne cases are alike. That’s why we offer personalized treatment plans tailored to your skin type, lifestyle, and goals. If you’re in the Charlotte area and looking for expert guidance, we’re here to help.

Schedule a consultation today and take the first step toward clearer, healthier skin.

How to Prevent Skin Irritation from Retinoids: Tips from Charlotte Dermatologists

Topical retinoids like tretinoin and adapalene are powerful tools in dermatology. They help treat acne, smooth fine lines, fade dark spots, and improve overall skin texture. But for many people, these benefits come with a temporary side effect: irritation.

If you’ve experienced dryness, redness, or peeling from a retinoid, you’re not alone. The good news? With a few simple adjustments, you can minimize irritation and keep your skin comfortable while reaping the long-term benefits.

Why Retinoids Cause Irritation

Retinoids speed up the skin’s natural cell turnover, which can initially disrupt your skin barrier and lead to:

• Dryness or tightness
• Flaking or peeling
• Redness or sensitivity
• A burning or stinging sensation

Start Low and Go Slow

The key to success with retinoids is patience:

• Begin with a low concentration (such as OTC adapalene 0.1%)
• Apply only a pea-sized amount for your entire face
• Start with every third night, then increase frequency gradually

Your skin needs time to build tolerance. Rushing the process often leads to more irritation.

Moisturizing Is Essential

To reduce dryness, apply moisturizer after your retinoid – or try the “sandwich method”:

1. Moisturizer
2. Retinoid
3. Another layer of moisturizer

This buffers the retinoid while still allowing it to be effective. Look for hydrating ingredients like ceramides, hyaluronic acid, or glycerin.

Avoid Other Irritants

While adjusting to a retinoid, steer clear of:

• Exfoliating scrubs or acids (like AHAs or BHAs)
• Harsh cleansers or toners
• Alcohol-based products
• Prolonged sun exposure without sunscreen

A gentle skincare routine is best – think mild cleanser, retinoid, and moisturizer.

When to See a Dermatologist

If irritation persists or worsens despite adjusting your routine, it’s time to consult a dermatologist. At Esse Dermatology, we can assess your skin, recommend alternatives, and guide you through a personalized retinoid plan.

We also offer prescription-grade options and tips tailored to your unique skin type and goals.

We’re Here to Support Your Skin Journey

Retinoids can be transformative for your skin and with the right approach, you don’t have to suffer through uncomfortable side effects. Whether you’re new to retinoids or struggling with irritation, the team at Esse Dermatology is here to help.

Schedule a visit today to get started on a routine that works with your skin, not against it.

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