I can tell you are a fantastic doctor… sure enjoy your knowledge…..wish you lived in Canada 🇨🇦 Please help clarify the truth or myth behind cutting out all sugar from your diet …. will it eliminate adolescence and adult acne. Many TH-cam doctors claim this is the best way to eliminate acne. No meds needed 🤔??
Glad that you found the video helpful! You might be interested in some of the other videos on the channel about diet and acne. Randomized trials do support that a low glycemic load diet can reduce acne (it is the best studied dietary intervention), but the effect size is relatively small and for many it will not be enough on its own.
Yes, sometimes there can be overlap. It is not uncommon to see combinations of acne and rosacea or acne and pityrosporum folliculitis. In these cases, it can be important to use treatment strategies that target both etiologies.
Dr. Barbieri, your videos are always so informative and clear! Thank you for taking the time to make these. A number of my adult male patients who have typical rosacea also seem to me to have plugged follicles similar to comedoes on their nose especially and cheeks. Do you think this is an effect of the sebaceous hyperplasia occurring with this and are not true comedos, which shouldn't occur with rosacea? Would a retinoid help these patients? Thank you so much!
On the nose, I think this could be related to sebaceous hyperplasia and might be on the spectrum of phymatous rosacea. I have found high potency topical retinoids (i.e. tazarotene) to be helpful for some patients.
Hey Dr Barbieri, love your videos. I was putting off accutane, but your videos and guidance have helped me see a Dermatologist and supported my treatment over the last 6 months. I’m curious what your thoughts are on the best ways to deal with scarring? I have uneven texture due to older acne
For atrophic acne scarring, procedures that cause collagen formation such as TCA-CROSS, microneedling, and fraxel laser can all be helpful. Ultimately, it depends on the type of scarring, skin type, and personal preferences regarding risks, downtime, and costs.
Great video, question. Would using hypochlorus acid spray in morning and night instead of a “toner” be appropriate or would that be too much anti microbial property on a daily basis. Thank you
Hypochlorous acid spray is often a pretty mild treatment. It can be helpful to combine antimicrobial treatments with different mechanisms (e.g. clindamycin and benzoyl peroxide).
I can tell you are a fantastic doctor… sure enjoy your knowledge…..wish you lived in Canada 🇨🇦
Please help clarify the truth or myth behind cutting out all sugar from your diet …. will it eliminate adolescence and adult acne. Many TH-cam doctors claim this is the best way to eliminate acne. No meds needed 🤔??
Glad that you found the video helpful!
You might be interested in some of the other videos on the channel about diet and acne. Randomized trials do support that a low glycemic load diet can reduce acne (it is the best studied dietary intervention), but the effect size is relatively small and for many it will not be enough on its own.
Thanks, another great video! Could someone have all these skin conditions discussed here at the same time, in varying degrees and at various times?
Yes, sometimes there can be overlap. It is not uncommon to see combinations of acne and rosacea or acne and pityrosporum folliculitis. In these cases, it can be important to use treatment strategies that target both etiologies.
Dr. Barbieri, your videos are always so informative and clear! Thank you for taking the time to make these. A number of my adult male patients who have typical rosacea also seem to me to have plugged follicles similar to comedoes on their nose especially and cheeks. Do you think this is an effect of the sebaceous hyperplasia occurring with this and are not true comedos, which shouldn't occur with rosacea? Would a retinoid help these patients? Thank you so much!
On the nose, I think this could be related to sebaceous hyperplasia and might be on the spectrum of phymatous rosacea. I have found high potency topical retinoids (i.e. tazarotene) to be helpful for some patients.
Thank you!
Hey Dr Barbieri, love your videos. I was putting off accutane, but your videos and guidance have helped me see a Dermatologist and supported my treatment over the last 6 months. I’m curious what your thoughts are on the best ways to deal with scarring? I have uneven texture due to older acne
For atrophic acne scarring, procedures that cause collagen formation such as TCA-CROSS, microneedling, and fraxel laser can all be helpful. Ultimately, it depends on the type of scarring, skin type, and personal preferences regarding risks, downtime, and costs.
@ thank you. You are a legend
Great video, question. Would using hypochlorus acid spray in morning and night instead of a “toner” be appropriate or would that be too much anti microbial property on a daily basis. Thank you
Hypochlorous acid spray is often a pretty mild treatment. It can be helpful to combine antimicrobial treatments with different mechanisms (e.g. clindamycin and benzoyl peroxide).
@ currently on metro cream & 40 doxy. Hypochlorus acid spray 2x day currently 🤔
People on rosacea care on and off antibiotics and cream, would they be more prone to that anti bacterial acne?
Gram negative folliculitis often occurs in the setting of chronic oral antibiotic exposure.