Mind and Body

9 Ways to Treat Acne

Seeing spots? Here are the best methods to clear up blemishes.

1. Tea-Tree Oil
Use it: To treat mild, occasional breakouts.

How it works: Distilled from the leaves of an Australian shrub, tea-tree oil contains antibacterial and anti-microbial compounds called terpenoids that help kill the bacteria that, when trapped behind oil in a plugged pore, lead to acne breakouts. A roller-ball tube makes for easy application.


2. Sulfur
Use it: If you have sensitive skin.

How it works: A time-tested, gentle acne fighter, sulfur “acts like a sponge to draw oil out of blocked pores,” says Dr. Dennis Gross, a New York City dermatologist. This dries up pimples and keeps sebum production in check, helping to prevent future blemishes. Dab directly onto spots with a clean cotton swab (and don’t double-dip).

Good to know: Sulfur has a distinct smell—think rotten eggs. Most preparations that use it contain a masking fragrance. But to play it safe (and avoid scaring off coworkers), apply these products at night.

3. Salicylic Acid
Use it: To treat and soothe red, inflamed blemishes.

How it works: Salicylic acid can have a calming, anti-inflammatory effect on pimples. “It also breaks down the ‘cement’ between cells in clogged pores to help unplug them,” says Dr. Valori Treloar, a dermatologist in Newton, Mass., and a coauthor of The Clear Skin Diet.


4. Benzoyl Peroxide
Use it: To spot-treat a blemish fast.


Good to know: Initially, it can cause dryness and redness. Also, “it bleaches towels and clothes,” says Dr. Zoe Draelos, a dermatologist in High Point, N.C.

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5. Retinoids
Use them: Nightly to prevent breakouts.





6. Blue-Light Therapy
Use it: If you want the latest preventive treatment—and don’t mind plunking down some cash for it.

How it works: Once or twice a week, you use a handheld device to aim a beam of blue light onto your skin. “Its wavelength hits and kills acne-causing bacteria,” explains Draelos, so any brewing pimples never come to the surface.

Good to know: This method won’t address existing blemishes. Doctors typically suggest combining blue-light therapy with other remedies, such as topical treatments. At-home devices are smart alternatives to multiple costly treatments at a doctor’s office.

7. Oral Antibiotics
Use them: If you experience painful bumps below the skin surface and your pimples leave lasting marks, says  Jonette Keri, an associate professor of dermatology at the Miami Miller School of Medicine, in Florida.


Good to know: It’s considered safe to take oral antibiotics for several months, but they’re not for the long term. Doctors usually prescribe them to get a severe condition under control and may then switch to topical treatments. Some antibiotics must be taken on an empty stomach, so read the label carefully.

8. Oral Contraceptives
Use them: If you break out without fail around the time of your period.

How they work: Acne in adult women is often due to fluctuating hormones. Birth control pills contain ingredients that, while controlling your menstrual cycle, alter your body’s androgen, a sex hormone that can increase oil production and cause blemishes. Three brands—Ortho Tri-Cyclen, Estrostep/Fe, and Yaz—have been approved by the Food and Drug Administration (FDA) to treat acne.

Good to know: Drugs aren’t the only way to keep hormone-related breakouts in line. In general, getting adequate sleep, lowering stress levels, and eating a diet rich in antioxidants can help, too, says Treloar.

9. Isotretinoin
Use it: When you have severe, cystic, inflammatory acne that has not responded to other therapies.

How it works: This oral medication destroys abnormal oil glands where acne and cysts form. Over a typical four- to seven-month course, oil production is normalized and breakouts occur less frequently. Isotretinoin was once sold under the name Accutane but is now called Sotret, Claravis, or Amnesteem (there is also a generic form).

Good to know: It can cause severe birth defects, and you will be required to participate in iPledge, a program approved by the FDA that commits you to using two forms of birth control and taking a doctor-administered pregnancy test in order to fill a prescription each month. You must wait at least three months after going off the drug before trying to get pregnant.