Antiseptic wash that kills
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contains chlorhexidine

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Acne and Spots

What is Acne?

Acne is a disease that affects the skin’s oil glands, the small holes in the skin (pores) that connect to the oil glands under the skin.

These glands produce the oily substance called sebum. The pores connect to the Glands by a canal called a follicle. Within the follicle, oil carries dead skin to the surface. A thin hair also grows through the follicle and out to the skin – when the follicle of the skin gland clogs up, a pimple grows, which is the first stage of acne.

Pimples are normally seen on the face, neck, back, chest and shoulders. Acne is not a serious health threat but causes emotional distress to the individual and in cases will leave permanent scars that will remain visible.


The classification used by a Dermatologist to classify the type of acne is broken down into 4 grades or types. Determining the grade is done by a visual inspection of the skin, with a specific criteria used to classify the acne symptoms.The classification used by a Dermatologist to classify the type of acne is broken down into 4 grades or types. Determining the grade is done by a visual inspection of the skin, with a specific criteria used to classify the acne symptoms.

  • Types of non-inflamed comedones
    (blackheads or whiteheads)
  • Types of inflamed comedones
  • Level of breakout activity on the skin
  • Amount of inflammation, if any
  • Areas of the body that are effected

Understanding the type and grade of acne is important in targeting the product to the right consumer. Offering an early stage treatment or as a concomitant treatment with an already used or prescribed treatment.

Grades of acne are also termed as:

  • Grade I - MILD
  • Grade II - MILD TO MODERATE
  • Grade III - MODERATE TO SEVERE
  • Grade IV- SEVERE

GRADE I acne is the mildest form and affects most teenagers and seen in many adults. There may be minor whiteheads but they will be small in appearance, blackheads and in some cases Milia (small raised cysts normally seen around the nose and chin). At grade one stage of acne there is no inflammation to any degree. This type of acne is successfully treated at home by using an OTC brand. Treating acne at this early stage will help the acne exacerbating. The normal treatment would be one containing Salicylic acid.

GRADE II is considered as a moderate form of acne. There will be blackheads and Milia, generally in greater numbers. There will also the increase in pastules (small bumps with a rough texture) and pustules (when the white blood cells rise and can be large and painful). A slight inflammation of the skin will now be visible. Grade II acne can again be treated at home quite successfully, using an OTC brand including one that contains Benzoyl Peroxide to help kill the Bacteria that has now caused the inflamed breakouts.

GRADE III is considered now as moderate to severe acne. The main difference between Grade II and Grade III is the amount of inflammation present, the skin will look reddened and inflamed. Papules and pustules will now be in greater numbers and nodules (A nodule is a growth that forms under your skin. A nodule may be filled with inflamed tissue or a mixture of tissue and fluid. The collection of colored fluid within a nodule may indicate an infection), will now be present. Grade III normally will cover the face, neck, chest, shoulders and upper back. This form of acne will normally be treated by a GP or a Dermatologist, using both systemic and topical treatments.

GRADE IV is considered to be severe and is referred to as “nodulocystic” or cystic acne. The skin will display numerous papules, pustules, nodules in addition to cysts, there is a pronounced amount of inflammation and the breakouts are severe. Acne at this level will extend beyond the face, neck and chin covering all the chest back shoulders and upper arms. All cases of Grade IV will be under the treatment of a Dermatologist and will be treated with powerful systemic medications such isotretinoin capsules and other powerful topical treatments.