The first step in the process is to clean the skin to reduce surface bacteria while cleansing deep under the skin surface to reduce the excess oils and clear blemishes. Secondly, he can use an exfoliating cream to penetrate pores and aide in the cleaning. With the proper product, he will clean without drying out his skin. Finally, the regimen includes a lotion to hydrate without adding an oily layer to his skin. As an added bonus, Murad offers a spot treatment. Whenever he feels a zit coming on, he will be able to treat it immediately. I also found a redness treatment to help with the blotchy, irritated skin accompanying the acne. I am very excited. I know this a product he can easily use.
In addition to reversing abnormal keratinization, there is evidence that the topical retinoids may have some anti-inflammatory properties. Both adapalene (Differin®) and tretinoin have been shown to do this in different experiments. Because Retin-A has been on the market for more than 25 years, patients will frequently come in and say, "I've already used tretinoin; it didn't work." For many physicians, their first inclination is to try something else. My favorite therapy is a topical retinoid used in conjunction with a combination of benzoyl peroxide and erythromycin.
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