Acne

important Information

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Active Acne Breakouts Important Information - Breakouts are  the #1 Diagnosis for Dermatologists

Active Acne Breakouts affects 50 million Americans, making it the most common skin condition in the US
85% of teens experience acne. IT can consist of whiteheads, blackheads, pustules, which are commonly called pimples, papules, cysts, nodules, and zits.
American spends over $3 billion annually on acne treatments
Acne often causes psychological and physical cosmetic issues such as anxiety, low self-esteem, depression, and permanent acne scarring.

Active Acne Breakouts Important Information

Acne can come from many sources, most common is an inflammatory skin disorder associated with nodular skin lesions with scars and irregularities on the face during the later stages.

Did you know we can get rid of scars too, but let us get the acne under control first? It is a difficult problem affecting millions of teenagers and adults. The exact cause is unknown, although factors such as dietary habits, skin irritants (detergents), hormonal changes, certain medications, stress, nutritional deficiencies, etc. have been implicated in the etiology. Sometimes acne occurs for the first time later in life. Acne infections are a result of Propionibacterium along with Staphylococcus aureus.

Ematrix Sublative Radio Frequency Machine, important information, acne treatments, scars, hormonal changes, medications, stress, diet, skin care products, not washing face, physical activity, job, sugar, dairy, weather, breakouts, blackheads, pustules, whiteheads,

There are many different methods of management of acne, unfortunately, many are temporary. Several prescription and over the counter products provide varying degrees of clearance of lesions. We use the Cynosure Picosure Focus Lens Array, Intense Pulsed Light Treatments (IPL) Photofacials, Palomar 1540 & 1440 Fractional Laser, Syneron Sublime Elos Technology, Dermaplaining, Chemical Peels, Microdermabrasion, Syneron e-Matrix RF Technology and other lasers to stop the acne at the core; the underlying cells in the epidermis.

These lasers produce cause a significant reduction in the level of inflammation in the lesions. The laser uses heat and light to destroy the acne, causing bacteria to shrink the gland and eliminate bacteria in the skin. This may cause an initial breakout, but acne will begin disappearing from the inside out within a few weeks.

Full Laser Glossary

The goal of the treatment is aimed at reducing the level of the bacterial population in the lesion providing a healthy environment for healing. Dieting and other factors also need to be addressed along with multiple laser treatments with preservation depending on patients needs.

Medication Duration of Impact Major Challenges

Over the Counter, OTC's

zit creams, Panoxyl, Stridex, Rodan, and Fields

6 - 10 weeks

  • Ineffective long term
  • Irritating to skin
  • Cause excessive dryness of skin

Antibiotics

6 - 10 weeks

May promote bacterial resistance. Yeast infections and reduction in the potency of birth control pills in women. Percentage of Americans are growing antibiotic-resistant. Many patients oppose these systemic treatments.

Accutane, Renova, Retin-A, Tazorac, Differin, etc...

Teratogenic, Inflammatory bowel disease, excessive dryness, and chapped lips, etc. Negative social public situations can cause depression (Accutane)

Please Review – Patients please review our Sun sensitive Meds List to determine if and when laser treatments are best for you. 

Sun Exposure Concerns:
Remember – Redness may turn brown if exposed to the sun! Please stay out of direct sunlight for 2 weeks before and after treatment and avoid sun exposure to the treated area for 4 to 6 weeks before treatment. You must apply sunblock daily to treated areas, especially facial areas with a broad spectrum minimum SPF 30+ after treatment, reapply every 2-3 hours. Avoid tanning before+after sessions, may inhibit melanin regeneration, which may result in hyperpigmentation (white spots) or other side effects.

Photo Sensitive Medication List

 

 

 

Pre and Post Recommendation Icon

Differences between Light-Based Acne Treatments

Light Source Benefits Concerns

PHOTODYNAMIC THERAPY

ALA + Blue Light (412 nm)

  • Effective on some
  • Single treatment session
  • Usable on all skin types
  • Unpredictable outcomes
  • No Deep Extraction
  • The lengthy duration of impact

VISIBLE LIGHT 532 nm

  • Effective on some
  • Single treatment session
  • Usable on all skin types
  • Unsafe on darker skin types
  • No effect on sebaceous gland
  • May requires cooling gels
  • The lengthy duration of impact

INFRARED AND NEAR

INFRARED 1450 nm

  • Usable on Skin Type I-V skin
  • Only FDA cleared for mild to moderate inflammatory acne.
  • High pain levels result in poor compliance, tolerance
  • Often requires cooling gels
  • Low effect on sebaceous gland

BROADBAND LIGHT / IPLS

  • Usable on Skin Type I-V skin
  • Only FDA cleared for mild to moderate inflammatory acne.
  • May need several treatments
  • No Deep Extractions
  • The lengthy duration of impact

Surgical scar removal procedures are painful, invasive and have a chance for complications.

Clinical Outcomes

  • FDA cleared and effective on a wide range and severity of acne for all skin types
  • Mild to moderate inflammatory acne (acne vulgaris)
  • Comedonal acne, hormonal acne, pimples on scalp,
  • Pustular acne, Murad acne

Most Effective on Severe Acne

  • Noticeable improvement after the first treatment
  • Dramatic results post third treatment

Additional Benefits of Treatment

  • Clearance of post-inflammatory sequelae of acne
  • Visible reduction in pore size
  • Improvement in skin texture

 male doctor speaking with female patient undergoing Clinical Outcomes

Types of Breakouts

Acne Type White Head

Whiteheads - Stay underneath the skin and are small, white blemishes.

Acne Type Black Head

Blackheads - These are noticeable black blemishes that appear on the skin’s surface.

Acne Type Nobules

Nodules - Large pimples stem deep inside of the skin and are usually painful.

Acne Type Papule

Papules - Small, pink bumps that are visible on the skin’s surface.

Acne Type Cysts

Cysts - Filled with pus, visible on the surface and can be painful. Cysts can cause acne scars.

Acne Type Pustules

Pustules - Red at the base and filled with pus.

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