SkinRepublic

Dear Dr. Jen,

I have many blackheads on my face. What causes it?  How do I treat them so that it never comes back?  Will facials help?

Myra

Dear Myra,

When oil and dead skin accumulate in an open follicle or pore, a blackhead forms.  An overproduction of oil will lead to formation of more blackheads.  Oxidation of the oil causes it to become black in color, and not poor hygiene.

Irritation of blackheads with the use of scrubs or harsh cleansers can worsen your condition.  Facials with some hydroxyl acids (like glycolic acid) can help loosen up the blackheads.  Extraction via a blunt comedone extractor, when done by an expert, will also leave you with a clean face.

The most helpful agents you can use on your face are those that will prevent blackheads from forming in the first place.  Look for products containing hydroxyl acids (salicylic acid, glycolic acid, lactic acid, mandelic acid, malic acid) or adapalene.  Incorporation of these products in your usual skin regimen will ensure your skin will be blackhead-free for good!  Best of luck!

Dear Dr. Jen,

I am undergoing a lot of stress lately and I noticed that I am also itchy on my arms and neck. Is there a relationship between stress and skin?  If so, what can I use to calm down my rashes?

Celestia

Dear Celestia,

Dry, irritable and sensitive skin also known as eczema or atopic dermatitis, can flare up with stress, lack of sleep, cold temperature, hot temperature, dust and even exercise.  There is a definite link to skin and stress.  In stressful situations, you will often find yourself unconsciously scratching your skin. Sometimes, hair falls off or you can find lines on your nails.  Coping with psychological stress is a must.

Proper hydration of skin with hypoallergenic lotions is key in preventing itchy skin from acting up.  However, if you are already itchy and red, applying a steroid-based topical lotion will diminish the rashes.  Intake of anti-histamines will also help.  Be wary of anti-histamines mixed with some oral steroids.  It is important NOT to take any oral steroids for eczema, also NOT to scrub your skin with loofah or exfoliating soap.

If you are unsure what you've got, visit your nearest PDS derma to be guided accordingly.

Dr. Tan is a diplomate of Philippine Dermatological Society (PDS) and is affiliated with Perpetual Succour Hospital (PSH). For information on PDS, check http://www.pds.org.ph/. For questions or concerns, please text to: 0932 857 7070; or email to: [email protected]; or call The Freeman: (032) 2531276, or PSH: (032) 233 8620 and 232 5929. Your inquiries will be forwarded to Dr. Tan.