The myth of fungal acne, scar tissue caused by microneedles and fools – OUMERE

Wendy Ouriel


Ask a Pores and skin Care Biologist is an everyday weblog submit from OUMERE the place the cell biologist and CEO of OUMERE solutions your skincare questions.

Query: I’ve had zits for a number of years, and what triggered my zits I imagine was the long-term use of chemical peels, microdermabrasion, micro-needling, and skincare use. drying and inflammatory pores and skin. Which took a toll on my pores and skin. The anti-acne merchandise and medicines haven’t labored for me. Whereas trying to find options on-line, I got here throughout blogs and discussion board posts that mentioned fungal zits. What’s fungal zits and have i had it?

-Matt R.


Fungal zits doesn’t exist. There’s both bacterial zits or hormonal zits. There are lots of pores and skin situations that look much like zits however are a distinct illness.

Pimples is the results of hormonal and / or bacterial overproduction of sebum, aggravated by an altered pores and skin barrier and microbiome, resulting in the build-up of micro organism, elevated irritation and pimples. For this reason adolescents have zits (hormonal) and those that disrupt their pores and skin biome have zits (bacterial).

Fungal pores and skin situations exist, it simply is not a sort of zits.

Pityrosporum folliculitis is an instance of a pores and skin illness brought on by a fungal an infection, which seems like zits, however shouldn’t be a sort of zits. Pityrosporum folliculitis happens when yeast (pityrosporum) pushes into hair follicles and makes use of this area to breed and multiply. The result’s pink, itchy pores and skin and an acne-like rash. If in case you have a fungal an infection, your pores and skin may have a rash made up of pink, itchy lumps, typically with a buildup of pus.

Pictures of folliculitis, Solar et al. (2017)

Pimples can accompany a fungal an infection, which can be a supply of confusion for these in search of therapy.

The primary purpose why Pityrosporum folliculitis would not appear to get higher with conventional strategies is as a result of it would not reply to antibiotics (as a result of the yeast shouldn’t be a micro organism) and the perpetrator is within the hair follicle. , which could be troublesome to appropriate. And the longer you go with out correct therapy, the extra yeast will multiply, making the issue worse.

Some folks have a tendency for fungal infections on their pores and skin. Threat components embody:

  1. Dwelling in a damp atmosphere
  2. Profuse sweating (extra than simply the health club, however fixed sweating out of your work, being obese, sure medicines and sure diseases)
  3. Immune problems that scale back your capacity to withstand infections
  4. Diabetes
  5. Sure medicines equivalent to oral steroids and oral contraceptives. And in addition the overconsumption of antibiotics as a result of sure useful micro organism combat yeasts.

You can even get a fungal an infection by utilizing contaminated skincare / make-up, or by introducing an infection into your pores and skin by way of derma rollers, or soiled skincare instruments (jade rollers) or brushes. make-up.

In the event you really feel such as you’ve tried every little thing and your pores and skin is not bettering, you will have a fungal an infection, nevertheless it’s not zits.

To enhance a fungal an infection, you may seek the advice of your physician to find out if an antifungal remedy is best for you. I additionally suggest utilizing a chemical exfoliation to enhance your pores and skin barrier.

Query: After studying your weblog submit on the microneedle, I made a decision to not schedule additional therapy. I had 6 microneedling therapies with PRP. My face was very pink and infected for over per week. I had a sequence of 4 therapies in my late 30s. I’m now 40 years previous. Ought to I anticipate injury sooner or later and might I do greater than keep away from additional therapy? Ought to PRP injections be averted?

-Sara L.


Microneedling causes vital injury to the pores and skin with each process. Typically occasions, folks often use the therapy as a result of they assume it has made their pores and skin firmer or thicker, however it’s creating scar tissue and hardening of the pores and skin. The pores and skin will thicken with the injury, and that is typically seen in those that have had extended publicity to the solar with out safety, and thick, leathery pores and skin outcomes.

The way in which micro-needling works entails piercing the pores and skin to create small scars. To restore injury from the micro-needle, injured tissue overexpresses collagen to create a matrix. In wholesome pores and skin that naturally secretes collagen, collagen matrices give a mushy, plump look. In broken and scarred pores and skin, the collagen matrix that kinds has a hardened texture and a rougher high quality. The result’s thick, leathery pores and skin.

Thickened, leathery pores and skin is brought on by extended publicity to the solar with out safety.

In case your pores and skin is already completely different from micro-needling, the injury is already completed.

One of the best factor to do is what you will have already completed: cease microneedling.

And to keep away from additional injury, keep away from injections and different aggressive therapies. They haven’t any respectable scientific foundation.

Stick with mild skincare daily, and I additionally suggest micro-current procedures carried out by a educated skilled.

Query: I’ve learn your articles and analysis on the dangerous results of Vitamin C serums, and I’ve additionally seen enchancment in my pores and skin after I cease utilizing them. Why, in the event that they’re so dangerous, achieve this many skincare manufacturers have them of their lineup?

-Jessi H.


“There are two methods to go flawed. One is to imagine what shouldn’t be true; the opposite is to refuse to imagine what’s true.

-Søren Kierkegaard

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The references

An, MK, Hong, EH, Cho, EB, Park, EJ, Kim, KH and Kim, KJ (2019). Clinicopathological differentiation between pityrosporum folliculitis and acneiform rash. The Journal of Dermatology.

Solar, KL and Chang, JM (2017). Particular varieties of folliculitis that have to be differentiated from zits. Dermato-endocrinology, 9(1), e1356519.

Verhaegen, PD, Van Zuijlen, PP, Pennings, NM, Van Marle, J., Niessen, FB, Van Der Horst, CM, & Middelkoop, E. (2009). Variations in collagen structure between keloid, hypertrophic scar, normotrophic scar, and regular pores and skin: an goal histopathological evaluation. Wound restore and regeneration, 17(5), 649-656.

Winters, RD and Mitchell, M. (2019). Folliculitis. In StatPearls [Internet]. StatPearls editions.

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