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    Acne is an inflammatory condition of hair follicles that is prompted by occlusion (clogging) of pores.  Treatments are thus directed at opening the pores and controlling the inflammation.  Acne is stimulated at puberty when increased oil production occurs under hormonal influence (particularly androgens such as testosterone).  Oil leads to occlusion and is a source of nutrients for bacteria that live on the skin.  When the bacteria feed on the oil they break it down into factors that cause inflammatory cells to migrate into the follicle.  Understanding these processes will help you understand the basics of acne treatment. 

    Treatments for follicular occlusion (clogged pores).  Follicular occlusion leads to whiteheads and blackheads.  Factors affecting this include oil production and a build up of dead skin cells around the opening of the follicle (the pore).  Treatments include keratolytics that break up these dead skin cells such as the common over-the-counter treatments benzoyl peroxide, salicylic acid, and glycolyic acid.  Treatments that break up oil include various cleansers.  The gold standard for treating follicular occlusion are the Vitamin A-derived topicals called retinoids.  Retinoids both decrease oil production and decrease the stickiness of dead skin cells around the pore.  Retinoids can be either over-the-counter topicals such as adapalene 0.1% or prescription topicals such as higher strength adapalene, tretinoin or tazarotene.

    Treatments for inflammation.  Anti-inflammatory strategies include antibiotics to decrease bacterial presence on the skin as well as products that work directly to inhibit inflammatory pathways.  Antibiotic therapies include many topicals such as the facial cleansers as well as benzoyl peroxide; prescription topical antibiotics include clindamycin, erythromycin, and azelaic acid.  Products that inhibit inflammation directly include the prescription topical dapsone.  When inflammation is severe, oral antibiotics are often considered.  The most common class of oral antibiotics is the tetracycline family which includes doxycycline and minocycline; tetracyclines are both anti-bacterial and have an ability to inhibit inflammatory pathways directly.

    Severe cases of acne: In cases in which the standard therapies have failed to control the severest form of acne (nodulocystic), isotretinoin, an oral retinoid commonly known by its previous brand name Accutane, can be considered.  Because of the many potential side effects of this medication, this drug should only be prescribed by the professionals in a dermatology office.

    Other strategies:

    spironolactone and certain oral contraceptives (OCPs) for women:  these reduce levels of pro-acne testosterone; these agents are particularly helpful for women who have acne in the beard area and who have pre-menstrual flares

    photodynamic therapy (PDT) (Blu-U): PDT can decrease oil production in the skin and appears to kill bacteria as well; it is used for moderate to severe acne

    As always, you can contact our office to answer any questions or concerns.

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    ... Acne Age Spot Removal Facials/HydraFacial Laser Hair Removal Moles (Nevi) Psoriasis Rashes Rosacea Pediatric Dermatology Skin Cancers Warts BLU-U MOHS   Acne Acne is the most frequent skin condition seen by medical professionals...

    Photo-rejuvenation (IPL)
    ...Overall improves rosacea and mottled pigmentation, reduces sun spots, age spots, freckles and sun damage, stimulates collagen formation and small red vessels...

    Cosmetic Services
    ...Overall improves rosacea and mottled pigmentation, reduces sun spots, age spots, freckles and sun damage, stimulates collagen formation and small red vessels...

    IPL Photo Rejuvenation
    The Lumenis® IPL (Intense Pulsed Light) The Lumenis® IPL Photorejuvenation treatment enables your physician to offer you remarkable results on a range of skin concerns such as age and sun spots,freckles, birthmarks, rosacea and broken capillaries...

    HYDRAFACIAL options
    ...Also helps prevent new pigmentation formation ROZATROL – helps minimize the appearance of redness and rosacea prone skin   RESTORATIVE HYDRAFACIAL: This treatment is a SIGNATURE HYDRAFACIAL while adding a CTGF Booster (Connective Tissue Growth Factor) to help improve the appearance of skin tone, texture, and elasticity...

    Age Spot Removal
    ...Overall improves rosacea and mottled pigmentation, reduces sun spots, age spots, freckles and sun damage, stimulates collagen formation and small red vessels...

    Facials - HydraFacial
    ...   The bonus of having the HydraFacial completed in the doctor’s office is that we can offer additional products as an adjunct to the procedure and other products to go along with the facial that can only be obtained from a physician, achieving greater results for specific concerns such as antiaging, rosacea and acne...

    ROSACEA Rosacea is an inflammatory condition of the hair follicles primarily of the face...

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