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The treatment of the care of the skin of the Acne of Murad will give it that the clear smooth acne peels it always exempts ve dear. The Acne complains of constantly on as, as… its life and everything really suck and material. Acne is an multifactorial illness that, causing lives - to threaten, has deep effect The microcomedo is the primary lesion in acne Reduction of comedones and Propionibacterium acnes is the main aim of treatment Most effective acne regimens treat inflammatory and comedonal acne lesions with a combination of antibacterial and retinoid drugs O Acne is thus common that if could argue that it is a normal occurrence in the human development. Its prevalence was esteem in 95%-100% in the boys 16-17-year-old and 83%-85% in 16-17-year-old girls.1 the initial presentation is generally acne of the comedonal, progressing to lesions inflammatory inside of 2-3 years, 2 that they are arisen then in the incidence and severity to reach at least its more serious period of training enters the ages of 14 and 17 years in the girls and of 16 and 19 years in the development boys.1 of the acne of the comedonal in an advanced age, in the girls, more seems predictive of a more severe illness in a Acne years.3 been slow will decide for the most part for the age of 23-25 years; not obstante, 1% of men and 5% of the women still load lesions of the acne in 40 years of age.4 Assim, is the acne a worthy illness of the treatment, or a normal occurrence that must be ignored, because it will cease being eventually a problem for the majority of affected individuals? The interest on the acne is the one of the reasons most common so that the new patients consult to practitioner medical, as soon as direct cost of consultations and the diversion of medical services it needs to be made examination in the customer in all the evaluation of the value to deal with this event “pparently normal” life. Added to this, we are seeing the development to increase the antibiótica resistance in acnes of the Propionibacterium, 5 a problem exacerbated for frequent suboptimal the use in the long run and spread out of doses of anti-bacterial agents. As well as can one justify the treatment? Firstly, the acne as a circumstance is aesthetically and to the times physically ackward. The acne cystic severe cause pain, the bleed recurrent and the discharge purulent. In rare examples, the patients with acne develop toxicity systemic severe and require the treatment in the hospital. Before isotretinoin estêve introduced, such patients had been extremely difficult of tratar. Secondly, can cause the great affliction in adolescents in a height where they can more less probably deal with social psicològica and unsightliness of the active acne. Being (affecting the face in 99% of cases6), the acne it can reduce the job prospects7 and to create adolescents affected difficulties.8 interpersonal to tell a more social insulation and one self-consciousness of what its peers8 not affected and to try more embarrassment, social inhibition, unhappiness, anxiety, and dissatisfaction thus readily visible with its appearance.9 facial Finalmente, the acne that scarring can cause the trauma psychic in the long run devastating to sufferer it and suggested that such scarring can be a factor of risk for it commits suicide, particularly in men.10 because the current treatments for the acne are very efficient, scarring could be prevented in many cases for the medical intervention adjusted early in the course of the illness. The successful treatment of the acne cystic with isotretinoin seems to reduce the anxiety and depression in treatments hormonal of the Anti-androgen patients.11 such as acetate and spironolactone of cyproterone, tópicas preparations such as adapalene, acid azelaic, topical antibiotics and acid retinoic can help to substitute or to increase the antibiótica therapy, assuring one armamentarium in the long run enough to keep the incidence of the acne scarring to mínimo. Infelizmente, scarring can affect up to 95% of the patients with acne. The degree of scarring is related to the severity and the duration of the acne before the adequate therapy is instituted. A study it even so found that a moment is slow of up to three years between the beginning of the acne and the adequate treatment was enough to cause scarring face in one or another sex, scarring truncal keloidal or hypertrophic was more common in men.12 the same study established that the acne to papular inflamed superficial and the acne cystic could both produce scarring, to find with important implications for our system of healthcare, that subsidises isotretinoin for the therapy failed in the illness nodulocystic only. If scarring hypertrophic to occur must be dealt with by the measures as steroids the intralesional, sheeting of silica or the vascular treatment of the laser, as necessário. Entretanto, scarring in the acne is atrophic better that hypertrophic in the nature, with destruction and dissolution d e tecidos suportar. Nos jovens, a maioria de cicatrizes melhorarão inicialmente, o eritema subside e as cicatrizes maduras sobre os primeiros dois a três anos. Depois que esta melhoria inicial scarring é quieta, mas, sobre o tempo, como o tom facial declina e as lojas gordas facial são resorbed, as cicatrizes tornar-se-ão mais visíveis. Com envelhecimento, a pele do facial começa ceder e parece pendurar literalmente nas cicatrizes. As costas inelastic das cicatrizes ligam a pele, dando lhe uma aparência desigual, sendo conectada em cascata. Th is is amplified by other age-related changes such as the resorption of skeletal and soft tissues. Remedial approaches to acne scarring have improved over the years. The older, less successful treatments such as dermabrasion and chemical peeling have been replaced by the use of resurfacing infrared lasers such as CO2 lasers13 and, more recently, erbium lasers14 to better remove and tighten the skin. An understanding that replacement of the atrophied structures in the dermis and subcutaneous tissues is necessary in severe cases of acne scarring has led to the development of superior dermal and subcutaneous augmentation techniques. Dermal and subcutaneous augmentation is possible by a number of autologous techniques, including dermal grafting,15 lipocytic dermal augmentation,16 fat transfer17 and, more recently, the implantation of autologous collagen and cultured and expanded autologous fibroblasts. Non-autologous augmentation is also possible by way of injections of bovine collagen, fibrin foam, hyaluronic acid or polymethylmethacrylate microspheres. For "punched out" ("ice pick") scars, none of these methods is useful. For these a range of punch techniques is used, involving coring out of scars with an appropriately sized cylindrical instrument, followed by suturing or graft application. Punch techniques can be used to treat many scars at a single operation, and may be combined with resurfacing techniques such as infrared laser treatment.18 Subcision (dermal scarification) is another helpful technique, in which dermal undermining of scars is used to improve the scar tissue by two mechanisms: (i) direct breaking of scar attachments, and (ii) intentional injury of the dermis to induce laying down of new collagen.19 All of these techniques are valuable tools for practitioners seeking to improve the outcome of treating acne scarring, but it would be better still if the problem never arose. A preventable condition such as postacne scarring should be one deserving of the earliest, best and most effective treatment. Comedonal acne · Topical tretinoin, adapalene, or tazarotene applied daily · Salicylic acid · Azelaic acid Mild papulopustular acne · Benzoyl peroxide · Topical gel preparations of benzoyl peroxide with either clindamycin or erythromycin · Oral doxycycline or minocycline 75­100 mg twice daily plus topical retinoid Severe papulopustular or nodular acne · Oral doxycycline or minocycline plus topical retinoid · Isotretinoin 1 mg/kg a day

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