Management of Acne in Women Over 25 Years of Age

Chemical pharmacotherapy options for managing adult acne

INTRODUCTION

The incidence of adult acne is increasing worldwide. Despite clinical overlap with conventional acne, it has distinct features. Areas covered: A literature search of English-language review articles, randomized control studies and retrospective studies conducted over the past 30 years was performed using PubMed and Google Scholar. Search terms included acne, adult, topical medication, oral medication and skin of color. We highlight important clinical features and treatment modalities pertinent to the evaluation and management of adult acne. Given the relative dearth of literature detailing treatment options specific to adult acne, we offer expert opinion regarding management of the condition especially in special populations such as skin of color and pregnancy. Expert Opinion: It is unclear whether adult acne represents a distinct entity or a continuum of adolescent disease. Providers may opt to use topical medication as first-line, but should have a low threshold for switching to systemic therapy given the magnitude of psychosocial and emotional burden associated with the condition.

Combination therapy of acne in women: searching for optimum solutions

Current data on the acne pathogenesis are given. According to the authors, dermatosis is becoming more prevalent among women of mature age. Issues related to the clinical picture, effect of exogenous and endogenous factors on the course of acne, and psychosocial characteristics of delayed acne manifestations in women are described in detail. The essential role of medical and cosmetic products for the complex therapy of acne is discussed. The authors describe their own experience of treating delayed acne using the Hyseac line of medical and cosmetic products in a combination with microdermabrasion and no-needle mesotherapy using the vitaPeel/vital О2 device.

Particular features of acne in women

The author generalizes and summarizes information about epidemiology, pathogenesis, diagnostics and treatment of acne in women. Anti-inflammatory, anti-microbial and keratolytic properties of azelaic acid for the external therapy of acne are examined.

Differential approach to the selection of dermal and cosmetology products for the complex treatment of acne in women

The authors present current data about the epidemiology, clinical picture and principles of diagnostics and treatment of late-onset acne in women. The authors emphasize the leading part of endocrine and hormonal disorders and hyperandrogenism in women with late acne. They provide recommendations for basic skin care for women with the onset of acne at a mature age using medical and cosmetic products of the Matidiane line. The authors share their observations concerning the efficacy of using Matidiane medical and cosmetic products.