Acne

Did you know the skin is the largest organ in the body? It responds to all sorts of stimuli, both internal and external. That means it’s affected by the foods we eat, our stress levels, our digestive function, our hormones, environmental factors, skin care products and so much more. 

Acne is an inflammatory skin condition with a variety of different mechanisms at play. This includes but is not limited to: 

• Genetic predisposition to hyper-proliferation of skin cells
• Hyperkeratosis 
• P. Acnes 
• Hormonal imbalances
• Increased sebum production 
• Inflammation 

The presentation of acne varies among individuals. Some common signs and symptoms that are seen clinically include: 

• Local pain and/ or tenderness
• Comedomes
• Papules
• Pustules
• Nodules
• Affected areas: face, chest, back, arms 

Dr. Paiano performs a physical examination, together with an extensive patient intake and health history, and laboratory testing. A correct diagnosis is the key to treatment and management of any condition, but especially important in acne and acne-like skin concerns.  

Dr. Paiano works closely with her patients to put together a treatment plan that is best suited to each individual. It often involves a combination of nutrition counselling (education and empowerment around nutrition and specific foods that lead to inflammatory pathways and break outs), topical and/ or oral botanicals, orthomolecular medicine, sleep hygiene and education, stress management and lifestyle counselling.