Acne is a medical condition that can result in social concerns and permanent scarring. We take acne patients seriously and utilize a full range of treatments including topical retinoids (such as Retin-A®), topical and oral antibiotics, mechanical extractions, cortisone injections of cysts, microdermabrasion, BBL phototherapy, and Accutane®.
Patients, parents, and physicians often dismiss acne as a malady not worthy of medical treatment until it is too late. Acne is a serious disease that often requires treatment by a medical provider.
What is acne?
Acne is a disease of pilosebaceous units (hair follicles and their associated sebaceous glands). Sebaceous glands secrete a thick, fatty material called sebum and patients with high sebum production have a greater risk of developing acne.
P. acnes is a normal human skin bacterium and the dominant microbe in sebum. If the bacteria overgrows in sebum it causes changes in consistency of the material leading to plugging of the duct. This results in a comedone. If the duct opening is closed the comedone appears white and is referred to as a whitehead. If the duct is open, exposing the sebum to the air, the material turns black and the comedone is called a blackhead.
Frequently, P. acnes also irritates or inflames the lining of the hair follicle. The follicle may become a red and tender bump called a papule. Papules may progress to pustules that have red bases with puss in the center. If the follicle wall ruptures it can form large, painful, solid nodules or puss-filled cysts. Cysts often lead to scaring.
Types of acne
Acne lesions can be divided into two general types: inflammatory and non-inflammatory.
Non-inflammatory. This type of acne is limited to whiteheads and blackheads.
Inflammatory. When P. acnes leads to inflammation of the hair follicles the disease is called inflammatory acne. Inflammatory acne is classified as mild, moderate, or severe based on the number of lesions present. Severe inflammatory acne includes cystic acne.
Mixed. It is not uncommon for a patient to have both types of acne at the same time.
Treatments for acne
Acne is a serious and common problem that causes sufferers to seek all manner of “cures.” The bottom line is that it is a disease that needs to be treated in most cases by a medical provider. Medical treatments for acne include the following:
-Jan Marini Benzoyl Peroxide
-Acne Extractions and injections
-Obagi® Clenziderm System
Acne scarring can affect many individuals. For a dramatic improvement of the acne scarring, we recommend fractional resurfacing, or Profractional as it is referred to at Dèjá Vu Skin & Vein Center. This procedure is highly recommended, and minimal downtime is involved. The wound healing process post procedure produces fibroblasts that generate new collagen, plumping the skin and repairing the imperfections.
Dr. Manley will evaluate your condition and advise the best treatment plan to treat your acne and acne scarring.