A History of Acne Treatments

Acne is an age-old and common skin condition that affects millions of people worldwide. It is characterized by the presence of whiteheads, blackheads, papules, pustules, and sometimes cysts on the face, back, chest, and shoulders. In my previous blog we talked about the negative impacts acne can have on a person both physically as well as emotionally. As you might expect, treating acne is not a new phenomenon.

Throughout history, people have searched for effective treatments for acne. The earliest records of acne treatments can be traced back to ancient civilizations such as the Egyptians, Greeks, and Romans. These civilizations used various natural remedies to combat acne. For example, the Egyptians used a mixture of honey and milk to treat acne, while the Greeks and Romans used a combination of sulfur and lead to create topical ointments. Clearly there was little known about the cause for the breakout and the Egyptians seemed to be trying to make the skin healthy (with milk and honey) while the Greeks and Romans wanted to poison something unhealthy (with sulfur and lead) in the blemish.

In the Middle Ages, acne was considered a result of impure blood or demonic possession. As a result, treatments focused on blood purification and exorcism. Bloodletting, a practice that involves removing blood from the body, was a common treatment for acne during this time. Other remedies included herbal concoctions and religious rituals.

During the Renaissance period, advancements in medical knowledge led to a more scientific approach to treating acne. Italian physician Giovanni Battista Morgagni proposed that acne was caused by the overproduction of sebum, a natural oil produced by the skin. This theory laid the foundation for future treatments targeting sebum production.

In the 18th and 19th centuries, sulfur became a popular treatment for acne. It was believed to have antibacterial properties and was used in various forms, including soaps, creams, and ointments. However, sulfur treatments often had unpleasant side effects such as skin irritation and a strong odor.

In the late 19th and early 20th centuries, advancements in chemistry led to the development of new acne treatments. Benzoyl peroxide, a compound with antibacterial and exfoliating properties, was discovered in the early 20th century. It became widely used in over-the-counter acne treatments and is still a common ingredient in many acne products today.

In the mid-20th century, the introduction of antibiotics revolutionized the treatment of acne. Oral antibiotics such as tetracycline and erythromycin were prescribed to reduce inflammation and kill bacteria associated with acne. These medications were effective for many patients, but their long-term use was often associated with antibiotic resistance and other side effects such as light and sun sensitivity.

In the 1980s, a breakthrough in acne treatment occurred with the introduction of isotretinoin, commercially known as Accutane. Isotretinoin is a derivative of vitamin A and is highly effective in treating severe acne. It works by reducing sebum production, preventing the formation of comedones (clogged pores), and decreasing inflammation. However, isotretinoin also has potentially serious side effects, including birth defects and mental health issues, leading to strict regulations and monitoring for its use.

More recently, technology has contributed to the development of new acne treatments. Laser therapy, photodynamic therapy, and light-based treatments are being used to target acne-causing bacteria, reduce sebum production as well as to calm inflammation. These treatments show promise in providing effective results with minimal side effects. We will go into each type of acne treatment we do in Thornton at or spa. Acne treatments in Thornton are coming of age! .