A Different Perspective On Acne Most people, including physicians, believe that Acne is caused by excess oils and bacteria called P. Acne. Here is a quote from DermNet NZ: “Why acne eventually resolves is not understood. It does not coincide with a reduction in sebum (oil) production or with a reduction in the number of bacteria.” So if excess oil and bacteria are not to blame, what is? Here is one explanation. P. Acne is a bacterium on everybody’s skin, so if the above presupposition was true we would all get acne. Actually, it plays an important role in the body’s first line of defense. Normal skin needs a PH of 5.5 which is achieved by P. Acne breaking down the oils into fatty acids. This is a good thing. Many harmful bacteria cannot survive in acid. Unfortunately, too much oil leads to too much acid production, thus irritation. Oily skin is rare. Only about 5% of my patients measure high on the meter. Most just have an oily T-Zone. Many acne treatments involve stripping the natural oils off the whole face, thus removing the “food” for P. Acne. It then becomes harmful when it is forced to seek the needed oil beneath skin…in the “sebaceous gland”. It continues to create a pH of 5.5 in its new home where it ought to be 7. Inflammation results, causing swelling. The glands plug off with resulting pimples or pustules. About 95% of acne patients make things worse through excessive cleansing. Acne is complex and influenced by other factors. Hormones stimulate oil production. About 85% of adolescents develop acne to some degree. Genetics, Enzyme Deficiencies, Essential Fatty Acid Deficiencies, certain Drugs, and Stress also contribute. Sun Exposure leads to more dead cells that block pores. Environmental factors include High Humidity, Cosmetics, Moisturizers, Smoking, and Pollution. Don’t just treat the symptoms. There are many more factors involved in acne and to fully understand the cause means that more effective treatment can be set in place. After 24 years of treating acne, I have finally found a product range that provides above average results. While Acutane remains the “gold standard” for severe acne, mild to moderate acne can be treated effectively using a much less aggressive approach. The Environ ß-Active Acne range is a 4-step program addressing underlying causes, while treating symptoms. (Oil secretion, bacteria, inflammation and flaky skin.) It provides effective results through restoring skin’s natural balance. Most of the products contain Australian tea tree oil (antiseptic properties control bacteria and inflammation) and salicylic acid for its mild exfoliant properties. Sebutrol (New improved): A deep, specific pre-cleanser that is the most important step in the control of breakouts. It helps to retain the natural oils of the skin while minimizing excessive secretion of oils from the sebaceous glands, thereby removing the cause of breakouts. Contains mineral oil, tea tree oil and salicylic acid. The mineral oil reduces both blackheads and whiteheads by dissolving the plug that blocks the sebaceous gland. Sebuwash: A mild gel cleanser with a low foaming activity. Contains tea tree oil, salicylic acid and a special ingredient that absorbs the oil. Sebutone: A medium strength toner containing tea tree oil and natural lactic acid, which lowers the pH of the skin and also improves hydration. A low dose of alcohol helps to de-grease the skin, thereby enhancing the penetration of Sebugel-A. Sebugel-A: A gel formula containing a low dose of vitamin A in combination with tea tree oil, Colostrum and Panthenol. It helps to reduce sebum production while moisturizing and soothing the problem skin. It also helps disinfect skin.