Ethnic skin and acne
Treating acne in Asian skin
Overview: Acne is a very common issue for people of Asian descent both in Asia and around the world. Unfortunately, few studies have been performed on people with Asian skin. According to an article in the British Journal of Dermatology, "There are very few studies on the prevalence of acne vulgaris among Asian teenagers." The same is true of Asian adults who suffer with acne.1
What is different about Asian skin: People with Asian skin tend to have a bigger issue with marks left behind after acne lesions heal.2-5 These marks can stick around for a longer time in people with Asian skin and can be challenging to treat. Visit the hyperpigmentation tab at the top of this page for more on these marks. The best bet is to get your acne under complete control first, preventing future breakouts and future hyperpigmentation. Then, once you are clear, if you choose to do so, you can try one of the many treatments for hyperpigmentation. In addition to hyperpigmentation, people with Asian skin have a higher incidence of keloid scarring from acne. Lastly, Asians may respond differently to hormone therapy, but again, research is limited in this area.6
How to treat acne in Asian skin: Acne develops in the same way regardless of skin color, and acne is treated in the same way in people of every ethnicity. Acne can be effectively treated with topical medications such as benzoyl peroxide and oral medications like Accutane.7-8 I outline a highly effective topical regimen here on Acne.org. Many people of Asian descent have had remarkable success with the Regimen.
The bottom line: Prevention is key. Get yourself completely cleared up so you are actively preventing future acne lesions, hyperpigmentation, and scarring. Then, if you so desire, you may try one of the various methods of treating hyperpigmentation.
References
1. Tan HH, et al. "Community-based study of acne vulgaris in adolescents in Singapore." British Journal of Dermatology. 2007; 157(3): 547-51.
2. Alexis AF and Lamb A. "Concomitant therapy for acne in patients with skin of color: A case-based approach." Dermatology Nursing. 2009; 21(1): 33-36.
3. Shah SK and Alexis AF. "Acne in skin of color: Practical approaches to treatment." Journal of Dermatological Treatment. 2010; 21(3):206-211.
4. Kim S and Cho KH. "Treatment of facial postinflammatory hyperpigmentation with facial acne in Asian patients using a Q-switched neodymium-doped yttrium aluminum garnet laser." Dermatologic Surgery. 2010; 36(9): 1374-1380.
5. Ho SGY, et al. "A retrospective analysis of the management of acne post-inflammatory hyperpigmentation using topical treatment, laser treatment, or combination topical and laser treatments in Oriental patients." Lasers in Surgery and Medicine. 2011; 43(1): 1-7.
6. Yeung CK, et al. "A community-based epidemiological study of acne vulgaris in Hong Kong adolescents." Acta-Dermato Venereologica. 2002; 82(2): 104-7.
7. Ahn HH and Kim IH. "Whitening effect of salicylic acid peels in Asian patients." Dermatologic Surgery. 2006; 32(3): 372-5; discussion 375.
8. Lee HS and Kim IH. "Salicylic acid peels for the treatment of acne vulgaris in Asian patients." Dermatologic Surgery. 2003; 29(12): 1196-9.
Further Reading
Sato K, et al. "Anti-androgenic therapy using oral spironolactone for acne vulgaris in Asians." Aesthetic Plastic Surgery. 2006; 30(6): 689-94.
Tu P, et al. "A comparison of adapalene gel 0.1% vs. tretinoin gel 0.025% in the treatment of acne vulgaris in China." Journal of the European Academy of Dermatology and Venereology. 2001; 15 Suppl 3: 31-6.

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