Emma

Emma was 10 when she first started getting acne on her face and chest. She tried topical creams and antibiotics before taking two courses of Roaccutane (isotretinoin). Her acne and subsequent scarring have made her feel very self-conscious in the past.

Emma first noticed acne on her face and chest when she was 10 years old. She was the only girl in her year at school with acne and this made her feel a bit isolated. Emma struggled to understand why she was affected when others her age were not. The move to secondary school and meeting new peers was particularly difficult. Her acne worsened and she visited the GP with her mum when she was aged 13. The GP asked about the emotional impact of acne; however, being asked so directly whether others were bullying or being unkind about her acne made Emma even more worried about this occurring.

Emma was prescribed some antibiotics by her GP but one initial problem was that she found it difficult to swallow tablets. After also trying various topical treatments and other antibiotics which did not clear her acne, she was referred on to a dermatologist where she was prescribed a six month course of Roaccutane (isotretinoin). Emma found that her acne gradually began to return after the treatment had finished and so she then took a second course. This cleared her skin and gave her a big confidence boost but she still worried about what others might think of her acne scarring. Her dermatologist offered her treatment for the keloid scarring on her chest and this meant having steroid injections. She found that her confidence continued to improve and she felt less self-conscious about wearing clothes which might show the skin as the acne scars became less noticeable.

Emma began looking online for information whilst she was taking Roaccutane. She wanted to know more about possible side effects as well as improvements for others who had taken the medication. Her dermatologist asked at every appointment in case she had any moderate’ or severe’ side effects from Roaccutane, such as depression; however, Emma only ever experienced those classed as mild’: muscle aches, chapped lips and dry hair. Emma was still required to do compulsory pregnancy tests which she found quite embarrassing because she felt that these were not necessary for her at age 14. She also had to remember to take the tablets at the right times and around meals.

Having a good skincare routine is very important to Emma. She uses one brand of anti-blemish foundation and face wash because she has found that other products can cause breakouts. She is also very careful to ensure that all traces of make-up are removed before bed; this means that Emma prefers to come home, rather than stay over at friends, after nights-out. She does still sometimes get some spots but this is usually about a week before her period is due and is something which she considers normal for young women.

Emma thinks that it might have been good for her to have met some other people with acne when she was younger, perhaps at a local support group meeting. She also thinks that Personal, Social and Health Education’ (PHSE) classes in schools should address acne, its causes and the impact it can have socially and emotionally for young people. However, she doubts that she would have felt comfortable talking about acne in either of these settings at the time when her skin was most severe. Emma thinks that looking online to find out about other peoples experiences of having and recovering from acne can be helpful, although this is not something she did herself at the time.

One of Emma’s neighbours who was a beautician gave her advice about what products would help her skin and which ones to avoid, and gave her a skin care routine which she still uses.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma suggests if you are feeling self-conscious to look at forums and talk to people who’ve had it and come out the other side.

Age at interview 20

Gender Female

Age at diagnosis 10

Being given different options was important to Emma.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma was quite shy and talks about avoiding certain clothes that would reveal acne scars on her body.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma is a lot more confident about meeting people since her skin cleared up after a second round of isotretinoin (Roaccutane). She is in a relationship now and says she still feel self-conscious about her skin.

Age at interview 20

Gender Female

Age at diagnosis 10

Because young children often think acne is related to poor hygiene, Emma suggests that information about the causes of acne should be part of the PSHE classes.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma did browse online support groups and thinks it would have been good to have had people to talk to in person.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma prefers to remove her make-up before going to sleep, which can impact on her social life and hobbies.

Age at interview 20

Gender Female

Age at diagnosis 10

Being asked by her GP whether acne made her feel upset made Emma feel more self-conscious.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma learnt to take tablets when she started on antibiotics for acne.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma had scarring on her chest and worried about wearing low cut tops for some time.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma talks about having acne from age 11 onwards.

Age at interview 20

Gender Female

Age at diagnosis 10

Emma chose her clothes carefully to cover spots on her chest.

Age at interview 20

Gender Female

Age at diagnosis 10