Acne Vulgaris, the 8 Stages of Acne, Skin Care, Adult Acne, and Scar Removal Options.

by: Stephen M. Seabrook

 

What is Acne Vulgaris? This is a medical term used to describe most cases of acne. It really isn't as bad as it sounds! Vulgaris doesn't mean that the acne is vulgar, only that it means that it is common.

Be aware that there are many factors that contribute to acne. First, research indicates a propensity for acne may well be inherited. Parents who had acne in their teenage and young adult years may have children who are likewise prone to having acne in their teen and young adult years.

Next, clogged skin pores are certainly a major contributing factor for acne out-breaks. When pores become clogged with an excess production of sebum and mix with dead skin cells or makeup that isn't sufficiently cleaned from the skin, problems start to develop. When skin pores are clogged, bacteria are produced and pus starts to form causing a pimple, a white head or a black head.

The most commonly accepted causes for acne are hormonal imbalances. Hormones in boys and girls may become unbalanced during puberty, during menstrual cycles, when starting or stopping birth control pills, during times of extreme stress, and at other times as well.

All of the above situations can cause the body to over produce a male hormone which causes the sebaceous glands to produce sebum. The sebum combines with dead skin cells to block pores and acne develops. So, basically, it still comes back to blocked pores.

Other causes for acne include a lack of vitamins, minerals and trace elements that the body needs to maintain a healthy skin. Vitamins A, E and B6 are especially important in maintaining healthy skin as are zinc, essential fatty acids (EFA), Chromium and Selenium.

Most diets of teenagers and young adults do not contain these vitamins, minerals, and trace elements in sufficient quantity to maintain healthy skin and to help prevent the onset of Acne.

Acne: The 8 Stages:

Full blown, Stage 8 acne doesn't usually develop overnight. Acne is progressive condition. Acne is one of the diseases that are so common that it is sometimes just disregarded as a serious problem...like the common cold. It has been estimated that 95 of people will have at least a mild case of acne at some point in their lives.

Acne, much like the common cold, is usually treated by the sufferer with over-the-counter medications that alleviate the symptoms of the disease in the belief that it will simply go away all by itself....eventually. And, it usually does but not always.

Most people throughout their life will have the occasional pimple, zit, white head or black head.

Although these pesky little outbreaks do seem to appear at the most inopportune times, they really aren't a serious problem that requires medical attention. A little over-the-counter acne facial wash to help prevent another outbreak will usually take care of the problem. It isn't a big deal. This kind of acne is referred to as Stage 0 and really nothing to be concerned about unless the acne progresses to subsequent stages.

Acne stages are graded from 0 through 8. Zero is the least severe and 8 is the most serious of the stages. The stages are as follows:

Stage 1: There will be white heads and black heads with some mild inflammation. The outbreaks will start to occur more frequently. Using products that contain Benzyl Peroxide are in order.

Stage 2: There will be some papules in addition to the white heads and black heads. Papules are skin lesions that are solid and raised but usually small. This is still considered to be a very mild case of acne. Treatment can be continued using over-the-counter products that contain Salicylic Acid.

Stage 3: Stage 3 is the same as stage 2 but with more frequent occurrences.

Stage 4-5: Pustules begin to appear. Now, it's time to schedule an appointment at a dermatologist.

Stage 6-7: Nodules and cysts are forming. Scarring is going to start happening at this stage. Your dermatologist will begin to take more drastic action.

Stage 8: Breakouts are almost continuous and include nodules and cysts. There are modern technologies that will help and your dermatologist will advise you.

Acne Skin Care:

As we know, our hair follicles secrete sebum. Sebum makes its way up the hair follicles to the skin pores where it lubricates and protects the skin. Sometimes there are oil glands which get overworked, get enlarge, and produce too much sebum. The sebum can get trapped in the hair follicle.

When this happens the pores get clogged and black heads or white heads form and the bacteria start to multiply at an alarmingly fast rate.

Once you understand this process, you can see the reasoning behind the advice about caring for skin that has black heads, white heads and pustules on it.

The first piece of advice about caring for acne infected skin is to never pick at the pimples. Don't try to pop them and drain them. This will not cure them no matter what anybody tells you. Popping them will only serve to make them worse...not better.

However, there are things that you can do that really will help.

The first thing you can do is to wash your face with a mild soap or a sulfur based soap. Wash your face with just your finger tips. Don't ever use a wash cloth as it holds germs and bacteria. Rinse your face with clean water several times to ensure you remove all traces of soap, and then pat it dry with a clean towel. Do not rub your face with the towel and never use the same towel twice without it being clean.

Take a good multi-vitamin and multi-mineral supplement every day and drink at least 8 full glasses of water (not soda) every day. The vitamins and minerals will supply nutrients that are absent from most diets and the water will help to hydrate the skin as well as to flush toxins out of your system.

If you use over-the-counter acne medications, be certain that you follow the directions carefully and that you use a good sunscreen when you are outdoors as some acne medications make the skin more prone to sunburn.

Adult Acne:

Acne is not just a problem for teenagers and young adults. Once a person survives the teenage years, you would think that they don't have to deal with the embarrassment of acne any longer, right? Well....not exactly.

The sad truth is that about 25 of women will have acne at some time in their 20s, 30s or even 40s. Although there has never been a real cause established, it is believed that most adult acne is caused by the same thing that causes teenage acne...hormonal changes.

A doctor will sometimes prescribe hormonal treatments that will clear a case of adult acne right up. As with teenage acne, adult acne is not caused by diet. Stress has often been cited as one possible cause of adult acne but that assertion has never been verified.

Treating adult acne is a bit more difficult than treating teenage acne. Adults have the concern of drying out their skin that teenagers don't normally have to deal with. Adults don't want pimples; but, they don't want wrinkles, either. A dermatologist should be consulted if the acne is long lasting or is severe.

There are many treatments that are available to adults who suffer from acne. Most of the effective treatments are only available by prescription. Adults should not use over-the-counter acne medications that are intended for the treatment of teenage acne. These products tend to dry the skin and adults need to be concerned about wrinkling as well as acne.

A case of adult acne is not a happy occurrence to say because those ugly bumps always seem to occur at the most inopportune times and while a teenager may be embarrassed by acne, an adult is even more devastated.

Fortunately, there are treatments and a dermatologist has a lot of weapons in his arsenal to fight adult acne.

Acne Scar Removal Options:

Life hardly seems fair sometimes! First, a teenager or a young adult must suffer through acne, treat it, and have to live with it...sometimes for years. Then the acne is gone; but, the scars are there as a painful reminder of the mental and emotional agony the acne sufferer had to endure.

You're right, life doesn't seem fair; but, acne is one of those sad facts of life that some if not most of us have to deal with. The good news is there is help; unfortunately, it isn't free or cheap!

There are two basic procedures that are used to remove ugly pits and scars left over from a bad case of teenage or young adult acne. Laser resurfacing is the least expensive of the two available acne scar removal procedures. Dermabrasion is the second procedure.

Laser resurfacing can be done in the dermatologist office instead of a hospital so that provides a much greater financial savings. A laser is used to remove the top layer of skin and also to tighten the middle layer of skin.

The dermatologist will use a local anesthetic to help reduce the procedure pain. It usually takes several days for the skin to heal after a laser resurfacing procedure is completed. Very often, multiple resurfacing treatments must be done to achieve the desired results.

The second procedure used to remove acne scarring is called dermabrasion. In this procedure, a rotating wire brush is used to remove the top layer of skin. The body continually produces new skin and the new layer will be smoother than the layer that was removed. It usually takes between 10 days and 3 weeks for the skin to heal after a dermabrasion treatment. Once again, multiple treatments may be required to eliminate the scarring.

Acne may seem to be a devastating condition but with proper skin routine, vitamins, and over the counter products, most cases will not be severe. Remember, proper cleansing goes a long way towards minimizing outbreaks, so don't be afraid to cleanse your face 5 - 6 times a day of more if needed.

Fight acne by being smart. Take as many preventative steps as possible to avoid situations that create the opportunity for acne to develop. If acne does afflict you, consult a qualified medical professional before deciding on a course of action

How to Successfully Navigate Your Business through an Economic Downturn

How to Successfully Navigate Your Business through an Economic Downturn
by: Terry H Hill

 

An economic downturn is a phase of the business cycle in which the economy as a whole is in decline.This phase basically marks the end of the period of growth in the business cycle. Economic downturns are characterized by decreased levels of consumer purchases (especially of durable goods) and, subsequently, reduced levels of production by businesses.

While economic downturns are admittedly difficult, and are formidable obstacles to small businesses that are trying to survive and grow, an economic downturn can open up opportunities. A well-managed company can realize the opportunity to gain market share by taking customers away from their competitors. Resourceful entrepreneurs capture the available opportunities, from an economic downturn, by developing alternate methods of doing business that were never implemented during a prior growth period.

The challenge of successfully navigating your business through an economic downturn lies in the realignment of your business with current economic realities. Specifically, you, as the business owner, need to renew a focus on your core clients/customers, reduce your operating expenses, conserve cash, and manage more proactively, rather than reactively, is paramount.

Here are best practices that will help you to successfully navigate your business through an economic downturn:

Goals:

The primary goal of any business owner is to survive the current economic downturn and to develop a leaner, more cost-effective and more efficient operation. The secondary goal is to grow the business even during this current economic downturn.

Objectives:

• Conserve cash.

• Protect assets.

• Reduce costs.

• Improve efficiencies.

• Grow customer base.

Required Action:

• Do not panic… History shows that economic downturns do not last forever. Remain calm and act in a rational manner as you refocus your attention on resizing your company to the current economic conditions.

• Focus on what YOU can control… Don't let the media's rhetoric concerning recessions and economic slowdown deter you from achieving business success. It´s a trap! Why? Because the condition of the economy is beyond your control. Surviving economic downturns requires a focus on what you can control, i.e. your relevant business activities.

• Communicate, communicate, and communicate! Beware of the pitfall of trying to do too much on your own. It is a difficult task indeed to survive and to grow your business solely with your own efforts. Solicit ideas and seek the help of other people (your employees, suppliers, lenders, customers, and advisors). Communicate honestly and consistently. Effective two-way communication is the key.

• Negotiate, negotiate, and negotiate! The value of a strong negotiation skill set cannot be overstated. Negotiating better deals and contracts is an absolute must for realigning and resizing your company to the current economic conditions. The key to success is not only knowing how to develop a win-win approach in negotiations with all parties, but also keeping in mind the fact that you want a favorable outcome for yourself too.

Recommended Best Practice Activities:

The Nuts and Bolts… The following list of recommended best practice activities is critical for your business' survival and for its growth during an economic downturn. The actual financial health of your particular business, at the outset of the economic downturn, will dictate the priority and urgency of the implementation of the following best practice activities.

1. Diligently monitor your cash flow: Forecast your cash flow monthly to ensure that expenses and planned expenditures are in line with accounts receivable. Include cash flow statements into your monthly financial reporting. Project cash requirements three-to- six months in advance. The key is to know how to monitor, protect, control, and put cash to work.

2. Carefully convert your inventories: Convert excess, obsolete, and slow-moving inventory items into cash. Consider returning excess and slow-moving items back to the suppliers. Close-out or inventory reduction sales work well to resize your inventory. Also, consider narrowing your product offerings. Well-timed order placement helps to reduce excess inventory levels and occasional material shortages. The key is to reduce the amount of your inventory without losing sales.

3. Timely collection of your accounts receivable: This asset should be converted to cash as quickly as possible. Offer prompt payment discounts to encourage timely payments. Make changes in the terms of sale for slow paying customers (i.e. changing net 30 day terms to COD). Invoicing is an important part of your cash flow management. The first rule of invoicing is to do it as soon as possible after products are shipped and/or after services are delivered. Place an emphasis on reducing billing errors. Most customers delay payments because an invoice had errors, and therefore, will not pay until they receive a corrected copy. Email or fax your invoices to save on mailing time. Post the payments that you have received and make deposits more frequently. The key is to develop an efficient collection system that generates timely payments and one that gives you advance warning of problems.

4. Re-focus your attention on your existing clients/customers: Make customer satisfaction your priority. A regular review of your customers' buying history and frequency of purchases can reveal some interesting facts about your customers' buying habits. Consider signing long-term contracts with your core clients/customers which will add to your security. Offer a discount for upfront cash payments. The key is to do what it takes to keep your current customers loyal.

5. Re-negotiate with your suppliers, lenders, and landlord:

i) Suppliers: Always keep your negotiations on the level of need, saying that your company has reviewed its cost structure and has determined that it needs to lower supplier costs. . Tell the supplier that you value the relationship you have developed, but that you need to receive a cost reduction immediately. Ask your supplier for a lower material price, a longer payment cycle, and the elimination of finance charges. Also, see if you can buy material from them on a consignment basis. In return for their price concessions, be willing to agree to a long-term contract. Explore the idea of bartering as a form of payment.

ii) Lenders: Everything in business finance is negotiable and your relationship with a bank is no exception. The first step to successful renegotiations is to convince your lenders that you can ultimately pay off the renegotiated loan. You must point out to your lenders why it would be in their best interest to agree to a new arrangement. Showing them your business plan and your action plan that includes your cost-savings initiatives, along with "the how" and "the when" of the implementation of your plan is the best way to achieve this goal. Explain to them that you will need their cooperation to insure that you can survive, as well as, grow your business during the economic downturn. Negotiated items include: the rate of interest, the required security to cover the loan, and the beginning date for repayment. A beginning date for repayment could be immediate, within several months or as long as a year. The key is to realize that your lender will work with you, but that frequent and continual communications with them is critical.

iii) Landlord: Meet with your landlord. Explain your need to have them extend the term of your lease at a reduced cost. Make sure you have a clause in the lease agreement that entitles you to have the right to sublet any or all of the leased space.

6. Re-evaluate your staffing requirements: This is a very critical area. Salaries/wages are a major expense of doing business. Therefore, any reduction in the hours worked through work schedule changes, short-term layoffs or permanent layoffs has an immediate cost saving benefit. Most companies ramped up hiring new employees in the good times, only to find that they are currently overstaffed due to slow sales during the economic downturn. In terms of down-sizing your staff, be very careful not to reduce your staff to a level that forces you to skimp on customer service and quality. Consider the use of part-timers or the current trend of outsourcing certain functions to independent contractors.

7. Shop for better insurances rates: Get quotations from other insurance agents for comparable coverage to determine whether or not your present insurance carrier is competitive. Also, consider revising your coverage to reduce premium costs. The key is to have the right balance-to be adequately insured, but not under or over insured.

8. Re-evaluate your advertising: Contrary to the other cost-cutting initiatives, evaluate the possibility of increasing your advertising expenditures. This tactic realizes the advantage of the reduced "noise" and congestion (fewer advertisers) in the marketplace. The downturn period a great opportunity to increase brand awareness and create additional demand for your product/service offerings.

9. Seek the help of outside advisors: The use of an advisory board comprised of your CPA, attorney, and business consultant offers you objectivity and provides you with professional advice and guidance. Their collective experience in working with similar situations in past economic downturns is invaluable.

10. Review your other expenses: Target an across-the-board cost-cutting initiative of 10-15%. Attempt to eliminate unnecessary expenses. Tightening your belt in order to weather the downturn makes practical, financial sense.

Proactively managing your business through an economic downturn is an enormous challenge and is critical for your survival. However, through well-planned initiatives, an economic downturn can create tremendous opportunity for your company to gain greater market share. In order to take advantage of this growth opportunity, you must act quickly to implement the above best business practices to continue realigning and resizing your company to the current economic conditions.

Copyright © 2008 Terry H. Hill

You may reprint this article free of charge in your newsletter, magazine, or on your website, provided that the article is unedited, and that the copyright, author's bio, and contact information below appears with each article. Articles appearing on the web must provide a hyperlink to the author's web site, http://www.legacyai.com

Terry H. Hill is the founder and managing partner of Legacy Associates, Inc, a business consulting and advisory services firm. A veteran chief executive, Terry works directly with business owners of privately held companies on the issues and challenges that they face in each stage of their business life cycle. To find out how he can help you take your business to the next level, visit his site at http://www.legacyai.com

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