Daniel Braga aborda Acne: O que Saber e Como Tratar? Dermatologistas Explicam

A acne é um tipo de inflamação na pele que pode deixar cicatrizes e manchas. A acne deve ser tratada independentemente da idade do paciente. Existem quatro pilares principais no desenvolvimento da acne e é fundamental que o paciente faça consulta médica para identificar e tratar o problema. “Os quatro pilares do desenvolvimento da acne são: excesso de produção de sebo, aumento da colonização por bactérias, inflamação e excesso de queratina no folículo. No caso da acne na idade adulta – muito comentada atualmente – alguns fatores podem explicar a piora como: excesso de hormônios andrógenos, alterações hormonais do ciclo menstrual, tabagismo, uso de determinadas medicações e cosméticos, estresse, fatores genéticos e alimentação principalmente rica em alimentos com alto índice glicêmico e excesso de laticínios”, explica a dermatologista Dra. Fabiana Seidl, Membro da Sociedade Brasileira de Dermatologia e da Sociedade Brasileira de Cirurgia Dermatológica.

O tratamento da acne demanda uma prescrição personalizada. “A melhor forma de prevenir e tratar é fazer uma consulta com o dermatologista, que irá prescrever as medicações adequadas de acordo com o quadro e também pode ser necessária uma investigação adicional com exames de sangue e imagem, para descartar alguma alteração que possa justificar o quadro de acne, como a síndrome dos ovários policísticos”, alerta Dra. Fabiana Seidl.  

Dra. Luciana de Abreu, dermatologista da clínica Dr. André Braz, destaca a importância de procedimentos feitos em clínica dermatológica para tratar o problema.  “Recomendo opções na forma de drug delivery associado a tecnologias ou os peelings, entre eles: vitamina C, ácido Azelaico, ácido retinóico, ácido glicólico, acido salicílico, hidroquinona, ácido kojico, entre outros.  Também é comum associarmos o uso de tecnologias como Luz intensa pulsada e lasers, microagulhamento, principalmente quando as manchas de acne tem aspecto avermelhado e arroxeado”, explica Dra. Luciana.  

Muitos pacientes têm dúvidas sobre uso de secativos para acne.  “Existem diversos tratamentos muito eficazes para acne. Todos se baseiam em tratar as causas, como excesso de oleosidade, combater uma bactéria implicada na doença (cutibacterium acne) ou mesmo um controle hormonal. Mas não há uma substância única, de uso externo, secativa, que produza resultados satisfatórios”, alerta a dermatologista Dra. Ana Paula Fucci, Membro titular da Sociedade Brasileira de Dermatologia (SBD), Sociedade Brasileira de Cirurgia Dermatológica (SBCD) e Academia Europeia de Dermatologia (EADV).

Dra. Ana Paula Fucci apresenta seis dicas especiais de skincare para pele acneica:

  • A pele acneica, que normalmente é oleosa, necessita ser higienizada duas vezes ao dia (no máximo 3 – para não ocorrer um efeito rebote, quando a pele aumenta a produção de sebo, de forma compensatória)
  • Devem ser usados sabonetes específicos, que podem ser líquidos ou em barra. Alguns contêm ácido glicólico ou salicílico, potencializando a renovação cutânea
  • Em alguns casos pode ser necessário o uso de loções antioleosidade, para ajudar no controle
  • É importante associar tratamentos tópicos de acordo com a orientação médica – variam de acordo com o grau e gravidade da doença. Casos mais graves podem necessitar de associação com medicamentos de uso oral, como antibióticos ou derivados da vitamina A
  • Recomendo o uso regular de filtro solar, em gel, loção sem óleo ou serum, apropriados para a pele oleosa ou acneica
  • Limpeza de pele realizada por profissionais pode ajudar em determinados casos. Avalie com dermatologista, que saberá a real necessidade, pois em alguns casos pode haver uma piora.

Fontes:

Dra. Fabiana Seidl

Dermatologista CRM RJ 5287852-9

RQE 27351 

Residência médica em clínica médica pela UERJ

Título de especialista pela Sociedade Brasileira de Dermatologia 

Membro da Sociedade Brasileira de Dermatologia e da Sociedade Brasileira de Cirurgia Dermatológica

Título de especialista em clínica médica

Dermatologista formada pelo Instituto de Dermatologia Prof. Rubem David Azulay

Coautora do livro “Doenças da unha” (de Robertha Nakamura e Robert Baran)

Experiência em Dermatologia clínica, cirúrgica e estética

Artigos publicados na área de psoríase, tricologia e unhas

 

Dra. Luciana de Abreu (atua na clínica Dr. André Braz)

Dermatologista especialista pela Sociedade Brasileira de Dermatologia

Mestrado pela UFRJ (ênfase em melasma)

Membro da Sociedade Brasileira de Dermatologia e membro da American Academy of Dermatology

 

Dra. Ana Paula Fucci

Dermatologista formada em Medicina pela Universidade Federal Fluminense(UFF)

Residência em Clinica Médica na UFF e Dermatologia na UFRJ

Título de especialista em Dermatologia (RQE: 19876) – (em 1.996 – 24 anos de experiência)

Membro titular da Sociedade Brasileira de Dermatologia (SBD), Sociedade Brasileira de Cirurgia Dermatológica (SBCD) e Academia Européia de Dermatologia (EADV)

Professora convidada do ambulatório de Dermatologia Estética (Cosmiatria) do Serviço de Dermatologia da UFRJ de 2012 a 2016

Professora em curso extensivo de Cosmiatria, para dermatologistas e cirurgiões plásticos, desde 2017

Participação em diversos congressos dermatológicos ao longo dos anos, como coordenadora e/ou ministrando palestras e cursos práticos

Diversos artigos científicos publicados em revistas médicas indexadas, na área de Dermatologia

 

Agradecimentos: Simone Barros



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