I have a few questions. How is adult acne treated? Is there a solution for dark circles under the eyes? What about laugh lines? Thomasene R., Atlanta, GA
Adult acne can be mild to moderate to severe. The treatment depends on the type of acne you have. Mild to moderate acne can be treated by an aesthetician or skin care specialist. A severe case of acne will be present with under the skin cysts or nodules. This form of acne warrants a consultation with a dermatologist. By seeking the services of a skin care professional or dermatologist you can save a lot of time and money. Individuals who self-treat spend hundreds of dollars trying to figure out which product is best. The professional will assess the problem and suggest specific products and treatments to get you on your way to blemish-free skin.
There are many causes for dark circles. Lack of sleep, allergies, family history, ethnic background (South Asians and Mediterraneans are predisposed to lower and upper lid darkness) as well as poor nutrition. Aging is another factor to consider. As we age, the skin becomes thinner in the eye region, resulting in the underlying blood vessels being more readily seen. Allergic reactions cause the eyes to be itchy. Constant rubbing of the eyes will facilitate the pigment cells to be stimulated, which deposits melanin to this area.
In regards to expression lines, the muscles of the face are attached to the skin. Over a period of time the repetitive squinting of the eyes, furrowing of the brow, and constant smiling or laughing will produce expression lines. These lines deepen as we get older. There are ingredients such as Alpha-Hydroxy Acids (AHA), vitamin A creams or lotions, or anti-wrinkle serums that can temporarily soften the appearance of lines. For more effective results, injections of Botox will temporarily relax the upper facial muscles for approximately 3 to 4 months. Juvaderm or Restylane, a filler, will dramatically soften those laugh lines (parentheses around the mouth). These injectables may last up to 12 months. Only seek the services of a dermatologist, plastic surgeon or trained medical personnel for these specialized treatments.

