Dr. Cedric Strong, MD MBA
Dr. Strong was always inspired by his father, a doctor who also sought to help and serve his community.
After completing his residency at Tufts University in Massachusetts, Dr. Strong worked at hospitals in Florida and New Hampshire before moving to Hawai’i in 2007. (He still wonders how he made it through all those harsh New England winters.)
Dr. Strong experienced the unique pressures of Hawaiian healthcare right away. He traveled between the islands for several years treating patients before putting down roots in Honolulu. Dr. Strong loves his work in Hawaii, and is inspired everyday by the place and people to make a positive difference both in his own life and in the community.
Although concerning, acne is curable with correct treatment and cleanliness. Of note, treatment lasts about 4-6 weeks. However, treatment is important to continue even when the acne clears. Additionally, treatments include over-the-counter topical creams and skin cleansers. To learn more about acne and what causes acne breakouts, read below.
Acne is very common. It can affect the face with tiny clustered white, red or black spots. It can also affect the chest or shoulders. The common symptoms range from pus-filled pimples to red and tender bumps on the skin. The most common age group is between 13 and 24 years. It affects both males and females. In fact, males are more prone to acne. To add, over 80% of teenagers have suffered from acne in their lives. If left untreated, acne cures itself within 4-5 years. Around 30% of the acne-prone people need medical treatment. This is because of the stubborn nature of their acne and to prevent scarring and itchy skin, too.
What causes acne breakouts
Acne forms as oil and dead skin cells block hair follicles under the skin. Thus, causing a spot to form. Often, bacteria grow inside the blocked hair follicle. As a result, the spot turns red and can be painful. To start, hormonal imbalance is the primary cause of acne for teens during puberty. In girls and women, certain issues cause acne to get bad. Issues such as polycystic ovary syndrome, for instance. Similarly, in boys, too much testosterone can cause increased acne. It can also cause the thinning of hair on the head, excess hair growth on the face, and more. Certain chemicals like halogenated hydrocarbons can also cause acne in middle-aged people.
Keeping acne in control
- Try to avoid using heavy make-up since acne forms from blocked sweat pores. Many use make-up to cover their acne. Yet, that can make it worse. It is important to allow the skin to breathe. Use skin-friendly, natural and mild make-up.
- Avoid touching your face if you have acne. This prevents the spreading of infection to other parts of the body or other people. Picking or squeezing the pimple will cause further inflammation and scarring.
- Excess sweating or humid conditions worsen acne. Wearing tight nylon clothes block sweat pores and aggravate the acne condition.
- Some medications like phenytoin for epilepsy or steroid creams and ointments for eczema are known to make acne worse. We also know contraceptive pills to improve or worsen acne. Also, anabolic steroids taken by bodybuilders worsens acne.
Myths about acne
- Acne is from unclean skin. Yet excessive face washing can make acne worse.
- Stress and anxiety do not cause acne. It aggravates acne if it is already present. Acne is a complicated reaction to bodily changes. For example: changing hormones or hyperactive sweat pores. Acne cures on its own with age.
- Acne is not cured by drinking lots of water. Alcohol, excess consumption of tea, coffee or soda increases acne. Diets high in sugar content or milk products do not make acne worse.
- Sunbathing or sunbeds do not help to clear acne.
Skincare for people with acne
The goal of acne treatment is to unblock the pores or hair follicles. Additionally, it’s important to prevent and treat any infection in the existing acne. Treatment focuses on what causes acne breakouts. It also focuses on preventing it from happening.
- Gentle removal of blackheads on nose and cheeks may contain the spread of pimples.
- Physicians recommend washing the face and affected area with warm water twice a day. Skin doctors prescribe medicated facial washes instead of strong soaps. Antiseptic washes are also helpful.
- Do not scrub hard when washing acne-affected skin. Topical acne treatments may dry the skin. Use a fragrance-free, water-based moisturizing cream. Avoid using oily creams or oils as they clog pores.
- Avoid the use of abrasive soaps and cleansers containing granules, astringents, or exfoliating agents. Excess washing and scrubbing cause more inflammation and makes acne worse. The skin should be air-dried. Therefore, towels can spread the bacteria.
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North Shore, Oahu
"I thought the whole process was pretty cool. To be able do this all on the phone instead of wasting an hour or two to see my doctor and wait all that time to speak with my doctor for only 5 minutes. The best part was I didn't feel rushed either during the video consult. The doctor really took her time speaking with me and more so than my regular doctor would have the time to do so with me.
This was so convenient for me and my family, especially since we are traveling and this saved me a trip to Urgent Care, who knows how long that could have taken. I appreciate how prompt the doctor and the staff were with contacting me.
This was so great for my Dad to use as he is visiting from another country and he doesnt have health insurance. For something as simple as an earache, we didn't have to spend so much money on a quick doctor's visit. Plus the doctor was able to help my Dad sooner than our scheduled appointment!
"Everything was very helpful from the initial call down the getting my prescription. I wish I could take this service back home with me to Canada!"
The whole experience was super fast! That was thee fastest appointment I have ever had, especially for something as simple as a prescription refill. Plus I had to pick my son up for school.
The fact that I was able to do all of this without getting out of my bed. From the time I made my appointment to hearing my prescription is ready, its been less than 1 hour.
Video consult was my favorite part. I've never done a telemedicine visit before and it was cool. I can really see this being great for people with busy schedules, not to mention there is nothing like this in Hawaii yet.
"Convenience from the comfort of your own home. Some times it can be a hassle getting out of house when you're already not feeling well to see your doctor, or even just to get a refill. But this is a very convenient service."
"Just being able to do it at home and ON TIME was great, because I didn't have to spend the time to commute and spend time in the waiting room to MAYBE see my doctor at my scheduled appointment time. The doctor called me as soon on the dot of my appointment time."
Waimea, Big Island
The best part was definitely seeing the doctor on the video call. It is comforting as a patient that there is a real doctor on the other end laying eyes on me and the symptoms I could be having.
Kona, Big Island
"The doctor was great and took his time explaining my symptoms and treatment! Actually the whole experience was fantastic! I can't believe how efficient you guys are. It hasn't even been 30 minutes and I've already been contacted by pharmacy that my prescription is ready. This was great. I would definitely use this service again and highly recommend to others!"
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