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| Acknowledgments | |
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| Acne Anatomy and Physiology | |
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| Layers of Skin | |
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| Cell Renewal in the Follicle | |
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| The Skin and the Immune System | |
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| Acne Bacteria, Fatty Acids, and Inflammation | |
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| How Acne Develops | |
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| Scarring | |
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| In Conclusion | |
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| Genetics and Heredity | |
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| Skin Type | |
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| Ethnic Factors | |
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| In Conclusion | |
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| Hormones | |
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| How Hormones Work | |
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| Hormonal Phases of Life | |
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| Hormones and Monthly Premenstrual Breakouts | |
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| Pregnancy and Acne | |
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| Perioral Dermatitis | |
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| Birth Control Pills and Acne | |
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| Stress Breakouts | |
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| Menopause and Acne | |
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| In Conclusion | |
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| Environmental Factors | |
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| Weather | |
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| Exercise and Acne | |
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| What the Esthetician Can Do about Weather Effects on the Skin | |
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| Geography | |
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| Skin Contact Issues | |
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| Greasy Work Environments | |
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| Client Behavior and Skin Care Compliance | |
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| In Conclusion | |
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| Dietary Factors | |
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| More about Lifestyle than Specific Foods | |
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| Nutrition and Skin Health | |
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| The Basic Building Blocks | |
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| New Dietary Information Relating to Acne | |
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| The Food Rumors | |
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| Isolated Incidences of Food-Related Flares | |
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| Some Basic Good Rules for Everyone! | |
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| In Conclusion | |
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| Cosmetic Factors | |
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| Genetics and Comedogenicity | |
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| Noncomedogenic Emollients | |
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| Other Problem Ingredients | |
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| Products to Watch for Comedogenicity | |
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| Hair Products and Comedogenicity | |
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| Ideal Noncomedogenic Products | |
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| In Conclusion | |
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| Myths and Facts | |
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| Myth or Fact? Stress Causes Acne Flares | |
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| Myth or Fact? Acne Is a Teenage Condition | |
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| Myth or Fact? Teenagers Will Grow Out of Their Acne Problems | |
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| Myth or Fact: Blackheads Are Evidence of Poor Cleansing as the Black Part of the Lesion Is Dirt | |
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| Myth or Fact: Acne Is Caused by Failure to Properly Clean the Skin | |
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| Myth or Fact: Skin Should Be Washed with Hot Water to Kill Bacteria | |
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| Myth or Fact: Using Saunas and Steam Baths Will Help Clean Out the Pores | |
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| Myth or Fact: Constantly Touching the Face May Cause Worsening of the Condition | |
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| Myth or Fact: Washing the Hands and Household Surfaces Is Important to Prevent Acne Spreading or Worsening | |
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| Myth or Fact: Very Oily Skin Needs to Be Cleansed Several Times a Day | |
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| Myth or Fact: Bangs or Hair on the Face Can Worsen an Acne Condition | |
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| Myth or Fact: Drying Agents Such as Isopropyl Alcohol Are Helpful in Controlling Oiliness | |
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| Myth or Fact: Stronger Products with Higher Percentages of Active Ingredients Work Better and Faster | |
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| Myth or Fact: It Is Normal for Skin Starting Acne Treatment to Peel and Flake | |
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| Myth or Fact: Using Skin Peels Are Helpful in Improving Acne Conditions | |
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| Myth or Fact: Using All-Natural Products Is Helpful for Acne Conditions | |
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| Myth or Fact: Acne Is Caused by Accumulated Internal Toxins | |
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| Myth or Fact: Clients with Acne Often See Improvement When Using Benzoyl Peroxide, but the Acne Often Recurs Because the Acne Becomes Resistant to Treatment with Benzoyl Peroxide | |
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| Myth or Fact: Exposure to Sun Will Improve Acne Conditions | |
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| Myth or Fact: Acne Can Be Flared by Using Sunscreen | |
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| Myth or Fact: Having Sex or Lack of Sex Can Cause Acne | |
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| In Conclusion | |
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| Analysis/History/Consultation | |
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| Initial Analysis and Consultation | |
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| Acne Treatment History | |
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| Check Out the Client's Current Products | |
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| Client Priorities | |
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| In Conclusion | |
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| Clearing Concepts | |
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| The Basic Clearing Concepts | |
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| Clearing Concept: Avoidance of Fatty Topicals | |
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| Clearing Concept: Removal and Prevention of Follicular Hyperkeratosis | |
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| Clearing Concept: Antimicrobial Agents | |
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| Clearing Concept: Treatment and Prevention of Inflammation | |
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| Cleansers and Toners | |
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| A Daily Step-by-Step Plan | |
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| Reasons Programs Fail | |
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| In Conclusion | |
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| Clinic Treatments | |
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| Deep-Cleansing Facial Treatments | |
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| In Conclusion | |
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| Referring Esthetic Clients for Medical Care | |
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| Developing Physician Referral Relationships | |
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| Standard Medical Treatment for Acne | |
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| Prescription Antibacterials and Antibiotics | |
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| Coordinating Esthetic and Medical Care | |
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| In Conclusion | |
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| Index | |