A Gynecologist/Cosmetic Surgeon Tells Why Your Acne Medicine Is Not Working: And How To Fix It

Dr. Charles Bollmann
6 min readAug 6, 2024

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As the Owner/Developer of BARE SkinCare, acne has been one of my main concerns. I first became interested in this problem after my cosmetic surgery fellowship. I was vacationing at the La Jolla Beach and Tennis Club and was watching a tennis match. One of the players was a pretty young female about 15 years old. On closer look, it was obvious that she had severe cystic acne. I felt urged to go up to her parents and suggest appropriate treatment. Still, I decided not to intervene, despite my feeling that acne should be considered an emergency because lack or inappropriate treatment can lead to devastating scarring and emotional disability.

After years of treating acne in my med-spa, I have realized skincare products alone are not the solution. Acne can be a frustrating disease and slathering topical products alone on the face is not always successful.

Reasons Why Acne Medicine Might Not Be Working

  1. It Might Not Actually Be Acne: Acne might be confused with other skin conditions like rosacea, folliculitis, or fungal acne, leading to ineffective treatment.
  2. Not following the medication instructions, such as incorrect application frequency or quantity, can reduce its effectiveness. This is a common problem, especially among young patients.
  3. Inconsistent Use: Skipping doses or not using the medication consistently can prevent it from working properly.
  4. We are a NOW society, wanting immediate improvement. Acne treatments often take several weeks or even months to show significant results. Lack of patience and discontinuing treatment too soon can make it seem ineffective.
  5. Wrong Medication: The chosen medication might not be suitable for the type or severity of acne. For instance, mild acne treatments might not work for severe cystic acne. Severe cystic acne can sometimes require more than skincare products, including peels, lasers, and even surgery.
  6. Hormonal Imbalance: Persistent hormonal fluctuations, such as those during puberty, menstrual cycles, pregnancy, or due to conditions like polycystic ovary syndrome (PCOS), can counteract the effects of acne medication. Also, the wrong oral contraceptive might be the culprit. BCPs that are progesterone-prominent can be the reason. Changing your oral contraceptive might make a difference. Discuss with your gynecologist.
  7. Lifestyle Factors: Poor diet, high-stress levels, inadequate sleep, and poor hygiene can all contribute to acne and reduce the effectiveness of treatments. Young people are often addicted to the things that make acne worse: sodas, sugary sweets, and greasy potato chips.
  8. Product Interaction: Using other skincare products that are harsh, comedogenic, or interact negatively with acne medication can hinder its efficacy. This can be especially true if you are using products from different companies. It is best to use skincare products from the same line that are made to be synergistic with each other.
  9. Resistance: Bacterial resistance to antibiotics can develop, rendering some treatments ineffective. Or the antibiotic prescribed is the wrong one.
  10. Underlying Health Issues: Conditions like thyroid disorders or digestive issues can influence skin health and reduce the effectiveness of acne treatments. Have a physical exam and lab work done by your physician to rule out physical problems.
  11. Environmental Factors: Pollution, humidity, and exposure to irritants can exacerbate acne and undermine treatment efforts. Consider an ionizer to improve the air in your home.
  12. Improper Skincare Routine: Using cleansers, moisturizers, or other skincare products that are not suitable for acne-prone skin can counteract medication.
  13. Allergies or Sensitivities: Allergic reactions or skin sensitivities to certain ingredients in acne medications can irritate and worsen acne.
  14. Overuse of Medication: Over-applying or using too many acne treatments simultaneously can irritate the skin and exacerbate acne.
  15. Psychological Factors: Stress and emotional distress can worsen acne and impact the effectiveness of treatments. Young patients going through puberty and the teenage years frequently have a tornado of stress.
  16. Natural Skin Cycle: Skin renews itself approximately every 28–40 days, and significant improvements might not be visible until a few cycles have passed. Sometimes patience can have rewards.

Conclusion

If your acne medication isn’t working, it may be due to one or more of these factors. Consulting with a dermatologist and cosmetic surgeon can help identify the underlying issues and adjust your treatment plan accordingly. As previously mentioned, other treatments besides medication might be indicated. Patience, consistency, and a comprehensive approach to skincare and overall health are crucial for effective acne management.

BEST WAY TO FIX — The BARE SKIN Way

At BARE SkinCare, we advise working from the inside out instead of starting at the outside with skincare creams or serums. Our holistic approach involves proper nutrition, exercise, and stress reduction coupled with nutraceutical supplements and BARE SkinCare products.

Our doctors have developed nutraceutical supplements with specific ingredients designed to improve acne. BARE supplements are formulated by Dr. KeriLyn Bollmann. M.D., FACP, a board-certified internist and specialist in Integrative Medicine, was elected as a “Top Doc” in Phoenix, Arizona by her peers.

BARE by Dr. Bollmann's ‘Teen Spirit’ Supplement fills this role for acne problems.

Why “Teen Spirit”?

This targeted formula is designed to banish acne, nurture clear skin, and help you face the world with unshakable self-assurance.

🌼 Clear, Healthy Skin: Your skin is your canvas, and “Teen Spirit” is your brush. Our specialized formula tackles acne at its roots, promoting a complexion that radiates confidence and vitality.

🔍 Understand Your Skin: Acne is often a messenger from within, influenced by factors like stress, hormonal imbalances, gut health, hygiene practices, and food sensitivities. “Teen Spirit” doesn’t just treat the symptoms; it maximizes the nutrients needed for whole skin health.

🌿 Holistic Skin Support: We believe that true beauty starts from the inside out. That’s why our acne formula is carefully crafted to provide comprehensive skin support. Plus, because a healthy gut is essential for clear skin, “Teen Spirit” includes a highly effective multi-species daily probiotic in the program.

🤩 Confidence Unleashed: Imagine waking up every day with the confidence to take on the world. “Teen Spirit” empowers you to be the best version of yourself, so you can shine with self-assurance in every situation.

🌱 Natural Ingredients: We prioritize your well-being. “Teen Spirit” is crafted with natural ingredients, free from harsh chemicals, ensuring your journey to clear skin is both safe and effective.

💪 Your Time to Shine: Whether you’re battling the occasional blemish or seeking a complete skin transformation, “Teen Spirit” is your trusted companion on the path to clear, healthy skin.

🔒Don’t let acne hold you back from unleashing your teen spirit and embracing life with confidence. Reclaim your radiance, nurture your clear skin, and empower your teen spirit to face the world with unshakable self-assurance. Choose “Teen Spirit” and let your inner glow shine through!

SUPPLEMENT FACTS — BARE Teen Spirit

Nutraceutical Supplements for Acne contained in BARE “Teen Spirit” Supplement

  1. Quercetin: Anti-inflammatory, antibacterial, antioxidant, and regulates sebum production.
  2. Stinging Nettle: Anti-inflammatory, antimicrobial, astringent, diuretic, and nutrient-rich.
  3. Bromelain: Anti-inflammatory, exfoliating, antibacterial, promotes wound healing, and pain relief.
  4. Rutin: Anti-inflammatory, antioxidant, strengthens capillaries, and antimicrobial.
  5. N-Acetyl-L-Cysteine (NAC): Antioxidant, anti-inflammatory, regulates keratin production, antibacterial, and sebum regulation.
  6. Dihydroquercetin (DHQ): Anti-inflammatory, antioxidant, antibacterial, sebum regulation, and promotes wound healing.
  7. Vitamin C (Calcium Ascorbate): Anti-inflammatory, collagen synthesis, antioxidant protection, reduces hyperpigmentation and is gentle on sensitive skin.
  1. Black Pepper Extract: Antimicrobial, anti-inflammatory, antioxidant, and enhances absorption.
  2. Zinc: Anti-inflammatory, antibacterial, sebum regulation, and wound healing.

In addition, we recommend BARE Probiotic for Acne to supplement “Teen Spirit”

  • Balancing Gut Microbiome: Restores beneficial bacteria in the gut.
  • Reducing Inflammation: Calms the skin.
  • Strengthening Skin Barrier: Improves resistance to acne-causing bacteria.
  • Regulating Hormone Levels: Helps control androgens.
  • Inhibiting Acne-Causing Bacteria: Competes with and inhibits P. acnes.

BARE SkinCare’s Holistic Acne Solution

We recommend a comprehensive approach, combining our targeted nutraceutical supplement, “Teen Spirit,” and Probiotic with our Complete Skincare Routine. This holistic method ensures you address acne from the inside out, promoting clear, healthy skin.

Acne treatment

It’s important to consult with a healthcare professional or dermatologist to determine the most suitable probiotic strains and dosage for your specific needs.

At BARE SkinCare, we feel this holistic approach to this unfortunate condition is the best remedy available. Try our supplement, “Teen Spirit” with Probiotic, add BARE Skincare’s Complete Routine, and be on your way to healthy, radiant skin.

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Dr. Charles Bollmann

Charles Bollmann, MD, FACOG, FAACS, Owner BARE SkinCare, OB/GYN, Cosmetic Surgeon, Founding Member American Holistic Medical Assn, Quora Best Writer