Acne is the most common skin condition for dark-skinned adolescents and adults, and is often the main reason for a dermatologist visit for people of color. Acne is caused by oil glands producing too much sebum, a fatty lubricant. Sebum clogs the pores, which leads to outbreaks of lesions or pimples. People of all ages and races get acne, and it is estimated that nearly 85 percent of the population develops the condition at some point in their life.
Types of Acne
Inflammatory acne is the most common type of acne experienced by people with black skin. This type of acne is easier to treat than non-inflammatory acne. Inflammatory acne occurs when lesions become red, tender bumps. These are called papules. When papules fill with pus, they are called pustules. Papules and pustules are both inflammatory acne, and they start as comedones, which are blackheads and whiteheads. The more severe forms of acne, such as nodules and cysts, are less common in black people.
Treatment
One of the most effective products used for inflammatory acne is benzoyl peroxide. Benzoyl peroxide is an antibacterial, and it helps dry the excess oil on your skin. It works well on dark-skinned individuals because their skin is usually less dry, so it causes less flaking or peeling. Dermatologists sometimes prescribe a retinoid, which is a derivative of vitamin A, but care must be taken to avoid the sun's ultraviolet rays when you're on this medication. Chemical peels and laser therapy can also be used in the treatment of acne on black skin.
Scarring on Black Skin
Acne may be generally less severe on black people, however, there is a greater occurrence of scarring on people with color. This scarring is known as post-inflammatory hyperpigmentation, which are the dark marks left on the skin after the acne is gone. This can be seen on all skin types, but is more noticeable on darker skin. According to the American Academy of Dermatology, these marks may take months or years to go away. There are treatments, including chemical peeling and microdermabrasion, that may help fade the scars.
Prevention/Solution
Since scarring is a main concern for people with black skin, acne prevention is key. Although acne is not totally preventable, there are certain things you can do to keep it under control. Your skin should be cleansed thoroughly twice daily with a mild, non-abrasive soap. Use a topical acne product for black skin to reduce bacteria. When using cosmetics or facial creams, choose one that is labeled "non-comedogenic" or "non-acnegenic."
What to Avoid
Sometimes black hair products contain greasy substances that can aggravate your acne. Avoid these products since they come in contact with your skin, especially along the hairline. Never squeeze or pick at blemishes as this can make your condition worse. When cleansing, do not rub vigorously. Pat dry with a towel instead of rubbing. Contact a dermatologist if acne does not clear up, or becomes worse.
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