The term acne is used to describe a condition which may include comedones (blackheads and whiteheads), red pimples, and even large nodules. The condition affects mainly the face, but may appear also on the shoulders, back, chest, arms, and buttocks.

As you probably know, acne is commonly a skin disease of adolescence, but it can affect adults as well. The tendency towards acne often, but not always, runs in families. Treatments which help teens can often help adults as well.

Will the Acne go away?
In most patients, acne tends to subside late in the teens to early twenties. Some patients continue to experience acne throughout adulthood. It is impossible to predict when acne will disappear. While the condition is active, it may alternately erupt and then improve.

What things make Acne worse?
Severe or prolonged stress may aggravate acne. That’s why acne may flare up before examinations, weddings, during new jobs, etc. In women, acne may flare shortly before menstruation because of the influence of hormonal factors. Foods have never been proven to aggravate acne. Still, some patients find that avoiding certain foods will improve their complexions.

What should I avoid if I have Acne?
Rubbing and scrubbing of the face will eventually aggravate acne. Cleansing 2 – 3 times a day is adequate, but washing vigorously may cause more inflammation. Other sources of friction, such as leaning on or rubbing an area of the skin affected with acne, or the pressure from helmets, tight collars or backpacks may also have similarly harmful effects. Squeezing of acne lesions should also be avoided as it may lead to more irritation, inflammation, and prolongation or redness.

How do I control my Acne?
There are a number of different medications, such as topical products, antibiotics, and Accutane, which can help control acne, from mild to severe forms.

Acne Rosacea
Acne Rosacea is a common inflammatory disease of the face – particularly affecting the nose, cheeks, chin, and forehead. In its early stages it most often causes red pimples and pus-filled cysts similar to those seen in ordinary teenage acne. Rosacea is a long-term disorder and usually lasts for at least several years. Typically, flare-ups alternate with periods of less activity. Over a period of time, it gradually “scars” the skin by producing permanent redness of the face, particularly the cheeks and nose. The exact cause of Acne Rosacea is not known, but it is thought to be similar in some respects to teenage acne.

How is Acne Rosacea treated?
If Acne Rosacea is fairly severe, our physician may prescribe antibiotics to help control the inflammation.
Other important considerations with Acne Rosacea:
– Use the prescribed cleanser to wash your face. Wash very gently with your fingertips once or twice daily. Avoid harsh scrubbing.
– All oil-containing skin care preparations, especially moisturizing lotions and cleansing creams, may aggravate Acne Rosacea. Products containing grease or oil should not be used as part of your routine of daily skin care. Such products may be used occasionally during the dry, cold, winter months to relieve chapping.
– There are certain types of cortisone creams which must never be used on the face in anyone being treated for Acne Rosacea. Do not use this type of medication unless it is the one we specifically recommend for you.

“You cannot go wrong with this dermatologist. Dr. Green and his staff are the very best! They go out of their way to assure patient satisfaction. I have used many services in the Bethesda location, and have always been more than satisfied. I highly recommend Dr. Green.” 

Susan E.

Dr. David Green, M.D.

Dr. David Green is a Board certified Dermatologist in Bethesda, Maryland. Dr. Green specializes in Dermatology, Dermatologic Cosmetic and Laser Surgery and the treatment of Varicose Veins and vascular disorders.

He is Certified by the American Board of Dermatology, is a Fellow of the American Academy of Dermatology, and a Member of the American Society for Dermatologic Surgery, and the American College of Phlebology. He treats patients from Maryland, Washington DC, Virginia and throughout the Mid Atlantic region.


Dr. David Green proudly offers services in his Bethesda, Maryland office.

4800 Montgomery Ln.,
Suite LL50
Bethesda, MD 20814
Phone: 301.907.7250


10.32.09: Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices. This is a Maryland safety regulation that governs who can legally perform medical cosmetic procedures.  Dr. Green administers all injectable treatments (including Botox™, Juvederm™, Voluma™, Kyblella™, and other fillers & Sclerotherapy) and laser treatments.