The Department of Medical Services points out that acne in the elderly often occurs in areas that have accumulated sun exposure, such as under the eyes and on the cheekbones. It is found in about 6% of individuals aged 50 and older and can be treated with medication combined with surgery. It is recommended to use sunscreen and avoid smoking to help prevent it.
On August 14, Dr. Skarn Boonrak, Deputy Director-General of the Department of Medical Services stated that acne in the elderly is more common in males than females and is also more prevalent in Caucasians compared to Black individuals. Approximately 6% of the population over 50 years old is affected, but it has also been reported in other age groups.
Currently, the exact mechanism causing this condition is not well understood, but possible contributing factors include prolonged sun exposure and heavy smoking. The skin tissue in the surrounding areas can be damaged or degenerate due to sunlight or tobacco, leading to enlarged pores, atrophy of sebaceous glands, as well as bacterial blockage from organisms like Propionibacterium acnes, Corynebacterium acnes, Staphylococcus albus, and yeast from the Malassezia group, along with fine hairs in the sebaceous glands and hair follicles, resulting in a presentation similar to comedonal acne.
Dr. Natthaya Voravuthin, a specialist in dermatology at the Dermatology Institute, stated that the best treatment involves medications combined with surgical methods, which include:
1. Topical medications, particularly vitamin A acid to dissolve comedones, which helps with the exfoliation of skin damaged by sunlight, and using moisturizers to prevent dryness from vitamin A acid.
2. Oral medications in the vitamin A group (Isotretinoin) along with topical vitamin A acid have shown good results, but patients should see a doctor to monitor liver function and lipid levels before starting and during treatment, as there may be side effects, such as abnormal liver function and elevated blood lipids.
3. Surgical methods, including comedone extraction, curettage, excisional surgery, and carbon dioxide (CO2) laser treatments to open the upper skin layers followed by manual extraction. This treatment is particularly effective for individuals with fair skin.
4. Do not squeeze or manipulate acne by yourself.
5. Wash your face with clean water and use a mild soap or cleanser twice daily.
6. Symptoms of the condition will improve with proper treatment and by avoiding triggering factors.
Understanding Acne in Elderly Populations: Trends and Insights
The prevalence of acne in the elderly has garnered increasing attention, with recent reports indicating that approximately 6% of individuals over 50 experience this condition. Notably, this phenomenon is more common among men than women and is observed more frequently in Caucasians compared to darker-skinned individuals. As society ages, the factors contributing to acne in older adults become essential topics for both medical professionals and patients.
Research suggests that prolonged exposure to sunlight and smoking are significant risk factors for developing acne in older populations. These elements can lead to damage in skin tissues, resulting in wider pores and obstruction of hair follicles by bacteria, akin to traditional acne breakouts seen in younger individuals. With the understanding of these contributing elements, there is a clear avenue for preventative measures and effective treatments.
Looking to the future, dermatological treatments are likely to evolve, focusing on both pharmaceutical and surgical interventions. The use of topical retinoids, such as vitamin A acids, combined with systemic medications like isotretinoin, presents a promising direction. Regular monitoring of liver function and lipid levels will continue to be crucial during these treatments to mitigate potential side effects.
Along with traditional treatments, advancements in cosmetic surgical options offer new possibilities for managing acne scars and lesions. Procedures such as carbon dioxide laser therapy emerged as effective treatments, particularly in lighter-skinned individuals, and are expected to see increased adoption. Furthermore, skincare routines emphasizing gentle cleansing and hydration will likely become more prevalent as awareness grows about the importance of skincare in preventing and managing acne.
Additionally, public health campaigns focusing on lifestyle modifications, such as sun protection and smoking cessation, are anticipated to rise. Educating older adults on the impact of these lifestyle choices on skin health will empower them to take proactive steps in preserving skin integrity.
Ultimately, as the population ages, understanding and addressing acne in older individuals will become increasingly prioritized within dermatology. Innovative treatments, along with comprehensive education and prevention strategies, will pave the way for enhanced skin health in this demographic.