Treatments For Acne

Chemical peels represent one of our most effective treatments for acne-prone skin. These controlled applications of chemical solutions, typically containing ingredients like salicylic acid, glycolic acid, or trichloroacetic acid (TCA), work by removing the top layers of skin and stimulating new cell growth. The treatment’s strength can be customized based on the severity of acne and skin type. Light peels are excellent for mild acne and maintenance, while medium-depth peels can address more stubborn cases and help reduce acne scarring.

For patients with PCOD (Polycystic Ovary Disease)-related acne, our approach must be both systemic and topical. This type of acne typically manifests along the jawline and chin, often appearing as deep, painful cysts. Treatment usually involves collaboration with an endocrinologist to address the underlying hormonal imbalance. We often prescribe anti-androgenic medications like spironolactone or oral contraceptives to regulate hormones. Topically, we focus on ingredients that combat both inflammation and oil production, such as benzoyl peroxide and retinoids.

Comedone extraction remains a crucial professional treatment for addressing both open and closed comedones (blackheads and whiteheads). This procedure must be performed under sterile conditions using specialized tools to prevent tissue damage and infection. While it provides immediate visible results, it’s essential to combine this treatment with proper skincare routines to prevent recurrence. We typically recommend scheduling extractions every 4-6 weeks for optimal results.

Back acne, or “bacne,” requires a specific treatment approach due to the unique characteristics of skin in this area. The skin on the back is thicker and often produces more oil than facial skin. Treatment typically involves benzoyl peroxide body washes, exfoliating products containing salicylic acid, and sometimes prescription-strength topical antibiotics. For severe cases, we might recommend oral antibiotics or isotretinoin. Special attention must be paid to lifestyle factors, such as wearing breathable fabrics and showering immediately after exercise.

Spot treatments serve as crucial interventions for sudden breakouts and individual acne lesions. These targeted treatments typically contain higher concentrations of active ingredients like benzoyl peroxide, salicylic acid, or sulfur. For inflammatory acne, we sometimes use cortisone injections for rapid resolution of deep, painful cysts. However, it’s important to use spot treatments judiciously to avoid excessive drying or irritation of the skin.

Professional light and laser therapies have shown remarkable results in treating persistent acne. Blue light therapy targets acne-causing bacteria, while red light can help reduce inflammation. More advanced options like photodynamic therapy combine light treatment with photosensitizing agents for enhanced results. These treatments are particularly effective for patients who haven’t responded well to traditional therapies.

Systemic treatments play a vital role in managing severe or resistant acne. Oral antibiotics like doxycycline or minocycline can help control inflammation and bacterial growth, though we’re increasingly cautious about long-term antibiotic use due to resistance concerns. For severe cases, isotretinoin remains the gold standard, offering the possibility of long-term remission, though it requires careful monitoring due to potential side effects.

The role of skincare routines cannot be overstated in acne treatment. We emphasize the importance of gentle, non-comedogenic cleansers, oil-free moisturizers, and consistent sun protection. Patients must understand that over-washing or using harsh products can worsen acne by disrupting the skin barrier and triggering increased oil production. A balanced approach to skincare, combined with appropriate medical treatments, yields the best results.

Diet and lifestyle modifications often complement medical treatments. While the relationship between diet and acne remains controversial, some patients benefit from reducing dairy intake and maintaining a low-glycemic diet. Stress management, adequate sleep, and regular exercise can also impact acne severity through their effects on hormone levels and inflammation.

Prevention strategies are crucial for maintaining clear skin after successful treatment. This includes consistent use of prescribed medications, regular professional treatments as needed, and careful selection of skincare and makeup products. Patient education about potential triggers and proper skin care techniques helps prevent recurrence and maintains long-term results. We emphasize that acne treatment is often a journey requiring patience and consistency, but with the right combination of treatments, clear skin is achievable for most patients.