What is Acne?
The term acne is used to describe a condition which may include comedones (blackheads and whiteheads), red pimples, and even large nodules. The condition affects mainly the face, but may appear on the shoulders, back, chest, arms, and buttocks.
What causes Acne?
The cause starts with the sebaceous (oil) glands that connect to hair follicles. These glands of the skin secrete and oily material called sebum, which normally softens and lubricates the skin. The oil is excreted into the hair follicles which creates plugging of the hair follicles with dead skin cells. When there is no inflammation, this leads to closed comedones (whiteheads) or open comedones (blackheads). The black color is not due to dirt, but rather from chemical changes in the cells. Finally, a bacterium called Propionibacterium acnes thrives off of the sebum, overgrows, and attracts your body’s immune cells, leading to inflammation and red bumps or nodules.
At CCSD, we treat all types of acne and acne rosacea with a variety of customized medications and therapies.
- Blue Light Therapy kills off the acne causing bacteria and is a great adjunctive treatment.
- SilkPeel Microdermabrasions with salicylic acid clarifying solution help unplug pores and fade red spots.
- PCA Skin® peels can be used on face or body to treat acne and resolve the dark spots left behind.
- Hormones, especially during pregnancy or breastfeeding, can lead to a worsening of acne and there are several safe medications and treatments we use for these patients.
- If your acne breakouts are under control, but acne scaring is still an issue, then our SmartXide DOT laser therapy will help improve your skin’s texture.
Acne Scars & Treatments
Acne scarring comes in many forms and can be improved by a variety of methods, depending on the type of scar.
- Ice Pick Scars – These scars are deep and narrow, with an abnormal base and walls. There are two main methods of treatment: Punch excision and TCA Peel performed by Dr. Lauren Fine.
- Box Car Scars –These scars look like chicken pox scars in that they are round or oval, with abnormal walls and bases. They can be shallow or deep. There are surgical and non surgical treatment options depending on depth and location: Punch excision or elevation, filler substances (like Bellafill®), Fraxel Dual, SmartXide DOT Fractional CO2, or microneedling with PRP.
- Rolling Scars – These scars appear worse in overhead lighting and disappear when the skin is stretched. There are surgical and non surgical treatment options depending on the location: Subcision and filler substances.
Make an appointment today with our Board Certified Dermatologists to learn all about how you can combat acne and feel comfortable in your skin!