black acne - #20786
I am dealing with this really frustrating issue and not sure what to do about it. Got this sudden outbreak of what looks like black acne on my cheeks, mostly around my jawline and chin. I never really had serious acne issues before, just the occasional pimple here and there. But now, it's like every week there’s a new cluster of these dark spots popping up! I thought they might be just regular acne at first, but they look almost like blackheads? I tried some over-the-counter treatments but nothing's working — they just seem to spread or get darker! I even changed my skincare routine to something gentler because I thought I was irritating my skin, but the black acne just keeps coming. Even tried essential oils and all that trendy stuff! I've also heard that diet might play a role, but I don’t even know where to start! Is this black acne even a different type of acne or just a weird skin reaction? Should I go see a dermatologist or just keep trying random stuff at home? What’s the deal with black acne and how do I even get rid of it?? Any tips or insight would be much appreciated!
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Doctors' responses
Certainly, the sudden appearance of “black acne,” particularly around the jawline and chin, can understandably be frustrating. What you’re describing sounds like it might be a combination of blackheads, which are a type of acne lesion, and possibly post-inflammatory hyperpigmentation, where acne spots heal but leave behind dark marks. Blackheads happen when a pore is clogged with sebum and dead skin cells but remains open, oxidizing the material to give it that black appearance. A gentler skincare routine is a good start, but the persistence of the problem suggests it might need a bit more targeted strategy. Consider introducing products with ingredients like salicylic acid which can penetrate pores to clear out debris or retinoids that speed up cell turnover, potentially helping prevent new blackheads. Keeping your skin well-moisturized is also important to balance the effects of these treatments, which can be drying.
Regarding your diet, while there’s no direct causation established between diet and acne, some people do notice their acne improving by reducing high-glycemic foods like sugar and white bread or dairy products. However, diet changes can vary in effectiveness from person to person, so keep a food diary and note any correlation between consumption and flare-ups. Essential oils are often touted in non-medical circles as cure-alls, but they can sometimes irritate the skin and may not be helpful in managing acne. In this case, essential oils are usually not recommended as a primary treatment approach.
Since your issue seems to be persistent and progressive, consulting with a dermatologist might be wise. They can provide you with topical or, if necessary, oral medications to better control your acne and pigmentation. Treatments like chemical peels or laser therapy might also be considered. They will evaluate whether there are any other underlying skin conditions contributing to this problem. While home remedies can sometimes offer minor relief, these are often temporary and not as predictable as clinically tested treatments. Getting an expert evaluation would be proactive in ensuring your skin gets back on track.
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