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If you have persistent acne that doesn't respond to the first method or if you have severe, cystic acne, then you should consider meeting with a dermatologist who can prescribe other medications. For many women, certain birth control medications can help regulate acne-causing hormones. Since hormones are the initial cause of acne, regulating these hormones can lead to decreased breakouts. Oral antibiotics can decrease the amount of the p. acnes bacteria on your skin, which can decrease inflammation. Oral or topical antibiotics may be one of the first treatments that a dermatologist recommends for persistent acne. Antibiotic treatments will usually require daily dosages for four-to-six months. After which point, they will be tapered off. In addition to some topical antibiotics, a dermatologist may want to prescribe other topical medications. These can range from prescription-strength benzoyl peroxide to azelaic acid or tazarotene and other retinoids. Most of these medications are meant to reduce skin lesions and inflammation associated with acne. Another topical medication called Dapsone gel (Aczone) is especially helpful for hormonal acne in women. Isotretinoin is one of the most effective acne treatments available. However, it's also the medication with some of the most serious potential side effects and risks, and usage is closely monitored. Isotretinoin actually shrinks the size of oil glands, which causes them to produce less oil. Side effects of isotretinoin include increased risk of depression, and it has also been tied to birth defects, so women who are pregnant will not be prescribed the medication. Other side effects may include very dry skin, dry eyes, and increased risk of sunburn. In addition, women who could become pregnant need to take birth control or abstain from sex about one month before, during, and for one to two months after taking Isotretinoin. They also need to take monthly pregnancy tests during this time. The medication is typically taken once or twice a day for sixteen-to-twenty weeks with results that are often permanent. If topical and oral medications do not work for you, then you may want to consider other types of treatments for your acne. Ask your dermatologist about your options, which may include: Laser or light treatments, such as photodynamic therapy. Chemical peels. Extraction of blackheads and whiteheads. Microdermabrasion.

summary: Consult a dermatologist. Ask about birth control. Ask about acne-treating antibiotics. Discuss other topical prescription options. Ask about isotretinoin. Look into other treatments that might be helpful for you.

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Sneakers are the best footwear option if you want to look sporty. That doesn't mean you have to wear the same pair day after day, though! Get a few different colors and styles so you'll always have the perfect shoes to match your outfit. For instance, a pair of black and white Nikes would pretty much go with anything, while a pair of neon Converse would really make a statement. Avoid wearing dress shoes or heels as they don't really give off a sporty vibe. Whether you like tall to-the-knee socks or short, no-shows, your socks can help create that sporty look. You can choose socks made from cotton, acrylic, or synthetic materials. Look for details like vertical stripes or sports logos in colors that complement your sneakers. You can still look sporty even if it's not summer time. Opt for pants like jeans or joggers, wear a long-sleeved shirt, and toss on a hoodie or varsity jacket to keep warm. A beanie, thick socks, and waterproof sneakers are the perfect finishing touches. A raglan shirt underneath a zip-up hoodie and jeans is a great outfit for school in the winter. If you want to rock a dress, skirt, or shorts, wear tights or leggings underneath to combat the chill. Hats are the perfect accessory for sporty looks! Whether you choose a plain one or a cap that advertises your favorite sports team, it's a great way to complete your outfit. Sunglasses are another accessory you can wearjust be sure to choose a sporty style, like a pair of polarized lenses in plastic frames. If you can't wear a hat in class, just put it on during your lunch break or when you're outside. During the school day, simply slip your sunglasses on top of your head. Duffel bags are large enough to hold all your school supplies and sports gear, so they make a great alternative to backpacks. No matter what kind of bag you choose, look for one with sporty details, such as stripes or a brand logo. Pick one in a neutral color so it matches all of your outfits. Watches are an athletic accessory that can take your look to the next level. Rather than choosing a flashy metal watch, opt for something that a real athlete would wear, such as a black waterproof watch. If you play a sport or train frequently, a watch that monitors your hear rate and activity level could be useful. If you run or cycle, a GPS watch might be your best bet. You'll have to take off your jewelry to play most sports, so keep that in mind if you're going for a sporty look. You can leave out the jewelry all together or choose 1 or 2 understated pieces. For instance, a pair of stud earrings, a single bracelet, or a simple necklace would finish off your outfit nicely. Avoid wearing big or flashy pieces of jewelry.
summary: Stock up on sneakers. Wear athletic socks with your shoes. Add layers in colder weather. Top off your look with sunglasses or a baseball cap or visor. Carry a duffel or backpack to hold all your gear. Wear a waterproof watch if you have one. Keep your jewelry to a minimum.