Acne is often thought of as a cosmetic problem that simply runs its course. The American Academy of Dermatology (AAD) warns bad acne can have a profound effect on the way you feel about yourself--as well as on how others perceive you. The severity of acne is often in the eye of the person looking in the mirror. Your "bad acne" may be a type the AAD defines as mild or moderate. However, for successful treatment of very severe acne, a dermatologist's help is absolutely mandatory.
Step 1
Note what type of acne you have. The AAD notes acne can present in many different forms, such as blackheads, whiteheads, papules and pustules--less severe forms. Bad acne may consist of deep, painful inflamed cysts or nodules that heal very slowly. This type of acne can cause disfigurement and scarring. In fact, you may already notice scarring after acne lesions heal.
Step 2
Consider how well your home treatment plan has worked to resolve your acne. According to the AAD, mild cases of acne may resolve in four to eight weeks with good hygiene (washing the face twice a day using a mild cleanser) and use of over-the-counter topical treatments that contain benzoyl peroxide, sulfur, resorcinol, salicylic acid or lactic acid. Bad acne won't respond to over-the-counter treatments, even after you've given your regimen enough time to work.
Step 3
Listen carefully to what your dermatologist tells you, if you choose to see one. Ultimately, only a medical professional can accurately diagnose the severity of your skin condition. More troublesome forms of acne are typically treated differently than acne that's mild or moderately severe. Your dermatologist may recommend oral medications such as antibiotics or isotretinoin, the latter is one of the most common and effective treatments for very bad acne.
Step 4
Assess, honestly, how your acne makes you feel and act. Severe or persistent acne can make you feel self-conscious, embarrassed and depressed--you may even experience feelings of hopelessness and find yourself avoiding social situations. If you feel having a clear complexion would increase your ability to form interpersonal relationships or get a job, it's time to take your dermatologist's advice to heart.
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