Acne is an unfortunate reality for all almost all adolescents and many adults. Approximately 90% of adolescents and 25% of adults experience acne at some point in their lives making it one of the most extensive medical conditions in the world, and responsible for about 30% of all visits to the dermatologists (over 17 million people in the United States). While not life threatening, acne can leave life-long emotional and physical scars — a reminder of the embarrassment and self-consciousness that came with the pimples. No one wants to get zits.

So what exactly is acne? It’s a disorder resulting from the action of hormones on the skin's oil glands that leads to plugged pores and outbreaks of lesions commonly called pimples or zits. Acne lesions usually occur on the face, neck, back, chest, and shoulders.

Unfortunately, acne is not easy to treat. Traditional therapies have a variety of side effects and sometimes require months to work, if they work at all. Topical creams and lotions can cause redness and irritation. Oral antibiotics can cause upset stomach, light sensitivity and yeast infections in women, and studies indicate about 40% of skin bacteria have become resistant to antibiotics, making them a doubtful ally in the fight against skin breakouts.

There are several over-the-counter and prescription medications for acne. Some are applied directly to the skin, others are taken by mouth, and others are injected into the acne cysts or pustules. Acne may require a combination of oral, topical, and surgical treatments (although, most acne does not require surgery). Some treatments may take several weeks to work, and your skin may actually appear to get worse before it gets better.

If your condition is serious, it is best to consult your dermatologist. The internet is also a resource to help you find extensive information and options for your condition and treatment.