Acne Treatment

According to the American Academy of Dermatology, acne vulgaris is the most common skin condition in the United States, affecting nearly 50 million people each year from early adolescence through adulthood. Although pimples and breakouts are common, finding the right acne treatment isn’t always easy. With many over-the-counter topical treatments, skincare products, oral medications, and in-office procedures available, choosing the most suitable option for your specific type of acne can be challenging. Dr. Michele Green in NYC is an internationally renowned expert in acne and acne scar treatment and will create a personalized acne treatment plan tailored to your skin type, tone, and acne condition.

Several factors contribute to the development of acne, including genetics, hormonal fluctuations, skincare routines, environmental influences, dietary habits, stress, and sleep patterns. To treat acne, Dr. Green begins by gathering a detailed medical and family history and performing a physical evaluation of the skin. After assessing the underlying factors, Dr. Green recommends the most suitable acne treatments tailored to the patient’s skin type, age, and severity of acne. Often, the most effective acne regimens include a combination of medications such as isotretinoin, Spironolactone, or oral antibiotics, specially formulated skincare products, in-office procedures like chemical peels or laser treatments, and topical prescription medications like clindamycin, erythromycin, or retinoids. Consulting an experienced, board-certified dermatologist—such as Dr. Green in NYC—is the best first step toward personalized acne treatment.

Dr. Michele Green is an internationally renowned, board-certified dermatologist with over 25 years of experience treating acne in some of the most discerning men and women from around the world, including those with acne and concerns about acne scars. Recognized for her dedication and expertise, she is regularly honored as one of New York’s top dermatologists by Super Doctors, Castle Connolly, New York Magazine, and The New York Times. Dr. Green values the relationships she builds with her patients, taking time to understand each individual’s specific skin concerns and customizing treatment plans to meet their unique needs and goals. She also founded MGSKINLABs Inc., a line of specialized skincare products featuring advanced acne treatments designed for individuals with acne-prone skin. When working with Dr. Green to address your acne and reduce scars, she will recommend a personalized combination of the best skincare products, medications, and in-office treatments to help you achieve optimal results and maintain a clear, lasting complexion.

What is acne?

Acne, also known as acne vulgaris, is a skin condition caused when oil glands become blocked by dead skin cells, excess sebum, and other debris. Sebum is a natural oil that helps keep the skin healthy, soft, and hydrated. When excessive sebum is produced, it can become trapped in oil glands along with dead skin cells and bacteria, leading to inflammation, redness, and pain. Although many associate acne with adolescence, people of any age can develop it. Acne can occur anywhere on the body where sebaceous glands are present, but it is most common on the face, chest, and back. If left untreated or poorly managed, acne can cause permanent scarring or hyperpigmentation. If you’re dealing with active breakouts, seeing a board-certified dermatologist, such as Dr. Green, as soon as possible is essential to prevent scarring and promote clear skin.

What causes acne?

Although anyone can potentially be affected by acne, certain factors increase the likelihood of experiencing a breakout. Acne is thought to have a genetic component, often running in families. Patients may be more prone to breakouts due to the way their skin naturally produces and secretes sebum, which can clog hair follicles. Hormonal changes, such as during puberty, pregnancy, or around menstrual cycles, can also trigger breakouts. Specifically, androgens, or male sex hormones like testosterone, have been linked to higher acne rates because they increase sebum production in the sebaceous glands. Breakouts can also result from factors such as stress, diets high in sugar and fat, and poor sleep and hygiene habits.

When you consult with an experienced, board-certified dermatologist like Dr. Green in NYC, you will discuss your family and medical history, skincare routine, and other environmental factors that might contribute to your acne. Dr. Green may also take and send a blood sample to the lab for testing to check for hormonal issues that could increase the risk of breakouts. Identifying the cause of your acne with Dr. Green is the first step toward understanding and effectively managing your breakouts.

Before and after Accutane 1 and 5 months

What are the different types of acne?

Acne is classified into two main categories: inflammatory and non-inflammatory. Inflammatory acne is most closely associated with the development of scars because the inflammation in these lesions can cause significant damage to skin tissue, leading to irreversible collagen loss. Non-inflammatory acne is a milder type that typically does not cause pain, swelling, or residual scars. Overall, there are six types of acne lesions. Papules, pustules, cysts, and nodules are inflammatory forms, while blackheads and whiteheads are non-inflammatory. Blackheads and whiteheads are commonly known as comedonal acne.

Inflammatory acne

• Papules — Papules are raised acne lesions that typically measure 1 centimeter or less. They do not contain pus but are made of solid material. If they fill with pus later, they can develop into abscesses.
• Pustules — A pustule is an acne lesion, usually smaller than 1 centimeter across, filled with pus and appearing as a red, inflamed bump on the skin.
• Cysts — Often called “blind pimples,” cysts develop deep under the skin’s surface where topical treatments can’t reach. They are pus-filled lesions that don’t form a visible “head” like other types of acne but appear as large, red, painful bumps. A dermatologist should treat cysts promptly to help prevent scarring.
• Nodules — Similar to cysts, nodules are larger and more painful than many other types of acne. These lesions develop deep beneath the skin’s surface and do not form a “head”; instead, they appear as a firm red bump. The main difference between cysts and nodules is that cysts are filled with pus, while nodules contain a harder, firmer material. Like cysts, nodules are closely linked to the formation of scars and should be treated promptly by a dermatologist.

Non-inflammatory acne

• Blackheads — A blackhead is a type of comedone with an opening at the skin’s surface. Exposure to oxygen causes this type of acne to darken, as the buildup of sebum, dead skin cells, and debris in the clogged pore becomes oxidized.
• Whiteheads — A whitehead is a type of comedone that is closed at the skin’s surface. Whiteheads are a kind of pimple that forms when dead skin cells and sebum clog the pores of the skin. They have no exposure to air but are covered with skin, which prevents oxidation of the material built up inside the pore.

How to tell if your acne is hormonal or bacterial

When considering acne treatment, understanding the root cause of the breakout is crucial. Hormonal fluctuations or bacterial infections can both trigger acne. Although hormonal and bacterial acne may seem similar, certain features can help distinguish them. Hormonal acne usually worsens during times of hormonal change, such as puberty, menstruation, menopause, or when stopping birth control. It often appears as deep, painful cysts, typically on the lower face, chin, and jawline. Bacterial acne, however, results from bacterial growth in clogged pores and is characterized by pustules and papules. This type of acne tends to worsen with excessive sweating, poor hygiene, and the use of comedogenic or oily skincare products. It is commonly found on the T-zone (forehead, cheeks, and nose), as well as on the chest and back.

The best way to determine if acne is hormonal or bacterial is to consult with a board-certified dermatologist, such as Dr. Green. People can experience breakouts that are hormonal, bacterial, or a combination of both. Since hormonal and bacterial acne require different treatments, Dr. Green will evaluate your medical history and the features of your acne to find out the cause. She might order blood tests to check for hormonal imbalances and may send a sample of the breakout for lab testing to detect a bacterial infection. After reviewing the results, Dr. Green can recommend the most effective treatment for your acne.

Female treated for acne with Accutane: 5 months

What do most dermatologists recommend for acne?

Fortunately, many treatment options, medications, and topical creams are available for treating acne breakouts on the face and other parts of the body. Different types of acne can appear on the skin simultaneously, making it essential to select treatments and medications tailored to your specific type of acne, its severity, and your skin type and tone. When you see Dr. Green for acne treatment, she will review your medical history, skin concerns, and bloodwork to determine the best combination of in-office treatments, acne medications, and skin care products to clear your skin.

Acne surgery

A highly effective method of treating an acne breakout is through an in-office procedure called acne surgery. Dr. Green frequently uses this procedure at her private Upper East Side office to remove and heal painful acne lesions. During the treatment, the acne spots are opened, and all dead skin cells, excess oil, debris, and other impurities trapped in the pores are extracted. An intralesional corticosteroid is then injected to shrink the acne lesion and reduce inflammation, thereby lowering the chance of scarring. If the cysts are large, the lesions might need to be drained first before the steroid is injected. There is no recovery period afterward, and patients can return to their daily routines immediately. Acne surgery is most effective when combined with oral and topical antibiotics to reduce acne-causing bacteria and decrease inflammation.

VBeam laser acne treatment

The VBeam laser is the gold standard for treating redness caused by acne breakouts. It is a pulsed dye laser that uses a specific light wavelength of 595 nm to eliminate acne-causing bacteria, reduce inflammation, and remove red pigmentation. This laser can also treat other skin conditions, including rosacea, broken capillaries, stretch marks, and post-inflammatory hyperpigmentation. The procedure is painless, and the VBeam laser is equipped with a patented Dynamic Cooling Device, which increases patient comfort. Typically, patients need four to six treatment sessions, spaced one month apart, for optimal results. Since there is no downtime, patients can easily schedule their treatments.

Acleara laser for acne treatment

The Acleara laser is a newer device on the market that combines intense pulsed light (IPL) with vacuum technology to treat acne. The filtered broadband light kills acne-causing bacteria on the skin’s surface, reduces sebum production, and lessens inflammation and redness, while also vacuuming out buildup from clogged pores. There is no downtime or pain with the treatment, but multiple sessions are necessary. Since the Acleara laser can be costly and its effects are only temporary, Dr. Green typically prefers more long-term treatments for acne.

Photodynamic therapy to treat acne

Photodynamic therapy (PDT), also called light therapy, has proven to be an effective treatment of acne breakouts. PDT works by applying a topical photosensitizer that reacts to a specific wavelength of light. The photosensitizer is applied to the treatment area and absorbed by the target cells. After a certain period, a light source is used on the area to activate the photosensitizer, which produces oxygen radicals that destroy the targeted cells. Light sources for PDT can include lasers, red, blue, intense pulsed, and visible light. Because sunlight can reactivate the photosensitizer, it is important to avoid direct sunlight for 24 to 72 hours after treatment. In addition to treating acne, PDT can also be used for skin cancer cells, psoriasis, precancerous lesions, and age-related macular degeneration. Several treatment sessions are usually needed for the best results, depending on the severity of the acne.

Chemical peels to treat acne

Chemical peels are an effective way to rejuvenate skin and treat acne breakouts. They use a chemical exfoliant to remove dead skin cells and debris from pores, killing bacteria that cause acne and helping keep pores clear to prevent bacterial growth. Dr. Green often uses trichloroacetic acid (TCA) for chemical peel acne treatments. TCA application increases skin cell turnover and helps clear pores to achieve a clear, healthy, smooth complexion. Most patients require a series of chemical peels, spaced three to four weeks apart, for optimal results. In darker skin tones, Dr. Green utilizes mesopeels to gently exfoliate the skin and remove hyperpigmentation without causing any irritation. When choosing a chemical peel, it’s important to consult with an expert, such as Dr. Green in NYC, because not all peels are safe for patients with darker skin tones.

Before & After: Accutane 3 months

HydraFacials as an effective acne treatment

A HydraFacial is a three-step, medical-grade treatment that cleanses, gently exfoliates, and deeply nourishes the skin. Its proprietary vortex fusion technology effectively extracts sebum, dead skin cells, and debris trapped in the pores, which can lead to acne. The infusion of antioxidants, vitamins, and peptides after the cleansing and exfoliating steps helps enhance the skin’s natural protective barrier. A HydraFacial can also be customized with LED light therapy and specialized boosters. The red LED light reduces redness and inflammation, while the blue LED light targets and destroys acne-causing bacteria on the skin’s surface. Boosters with specific active ingredients can be infused to address various skin concerns, including acne, redness, dullness, and signs of aging. The Murad Clarifying Booster, which contains salicylic acid for a deeper pore cleanse and green tea extract to soothe irritation, makes a great addition to a HydraFacial. The ZO Rozatrol Booster is also effective for patients with acne, as it minimizes visible redness. During your consultation with Dr. Green, she will evaluate your skin type and overall condition to choose the most suitable booster for you.

Oral medications for acne treatment

Antibiotics

Antibiotics are often prescribed for acne because they help inhibit and reduce the growth of bacteria that cause the condition. Doxycycline, tetracycline, and minocycline are among the most common oral antibiotics used to treat acne. Many dermatologists also prescribe Oracea, a form of doxycycline, to manage acne.

Spironolactone

Spironolactone is a hormonal therapy used to treat breakouts linked to abnormal androgen, or male hormone, levels. It works to lower testosterone levels and treat associated acne. In other patients, it helps regulate hormonal changes that can cause adult acne. Spironolactone is frequently prescribed for patients with Polycystic Ovarian Syndrome (PCOS) to control acne outbreaks.

Oral contraceptives

Oral contraceptives are another type of medication used to treat hormonal acne in women. The FDA has approved three oral contraceptives—Yaz, Ortho Tri-Cyclen, and Estrostep—for the management of acne. Possible side effects of birth control pills include weight gain, nausea, mood swings, and an increased risk of blood clots. Women should avoid smoking while on oral contraceptives, as it raises their risk of blood clots.

Hormone replacement therapy (HRT) can be prescribed for adult women experiencing acne after menopause. HRT involves replacing estrogen and progesterone to address the decreased hormone levels following menopause. It can be administered in various forms, including pills, gels, creams, patches, or inserts.

Accutane

Isotretinoin, commonly known as Accutane, is often recommended for severe acne, including nodular or cystic types, as well as antibiotic-resistant cases that do not respond to other treatments. Accutane is typically prescribed as a 20-week course, though some patients may need a longer duration depending on their response. After treatment, 95% of patients experience no new breakouts or pimples. The remaining 5% may undergo a second course of Accutane to clear their skin. Common side effects include dry skin, lips, and eyes. Patients must take precautions, as Accutane can cause increased photosensitivity and elevated liver enzymes. Avoiding alcohol and limiting dietary fat are advised during treatment. Monthly visits and blood tests are required to obtain a prescription from a board-certified dermatologist. Additionally, Accutane can cause severe birth defects if taken during pregnancy. Women capable of becoming pregnant must have monthly pregnancy tests and either abstain from sex or use two methods of birth control during treatment.

Topical medications for acne treatment

Topical antibiotics, such as erythromycin, clindamycin, and Dapsone (Aczone), are often prescribed to treat mild acne. These topicals help kill acne-causing bacteria on the skin’s surface.

Winlevi is a topical acne medication designed to treat breakouts caused by hormonal effects in both men and women. This prescription cream contains clascoterone, an androgen receptor inhibitor that blocks hormones responsible for excess sebum production, helping to keep pores clear and unclogged.

Epiduo, or Epiduo Forte, is a topical prescription that combines adapalene and benzoyl peroxide. Adapalene is a vitamin A derivative that promotes skin cell turnover to remove dead skin cells, oil, and debris from pores. Benzoyl peroxide kills bacteria on the skin that cause acne and helps reduce excess oil within the pores.

Topical retinoids are highly effective for treating acne breakouts. Retinoids and retinoid-like products, such as tretinoin, tazarotene, and adapalene, are skincare products derived from vitamin A that work by exfoliating dead skin cells from the skin’s surface, thereby promoting skin cell turnover and renewal. Dead skin cells, sebum, and debris are removed more quickly, preventing them from becoming trapped within the pores and causing acne. 

Best topical skincare products for acne treatment

Many patients with acne can benefit from a skincare routine that includes the right active ingredients and formulations to effectively treat acne. Renowned, board-certified dermatologist Dr. Michele Green has created MGSKINLABs, a line of topical skincare products that are highly effective for addressing various skin concerns, including acne, anti-aging, hyperpigmentation, and uneven skin texture. When you consult with Dr. Green, you’ll have the chance to discuss a suitable skincare routine and decide which products to include. She will work with you to develop a personalized skincare plan that uses the appropriate topical medications and products to help you achieve a healthy, clear, and smooth complexion that lasts.

The Acne Kit from MGSKINLAB features a three-step routine designed to clear skin and reduce pore size. The first step involves cleansing with the Pore Minimizing Cleanser, which contains glycolic and salicylic acids to gently exfoliate the skin and remove excess oil. Next, the Retexturizing Pads, which also contain glycolic and salicylic acids, are applied to exfoliate dead skin cells and help prevent clogged pores, thereby decreasing the likelihood of acne breakouts. Finally, the Acne Spot Treatment, containing benzoyl peroxide, is applied to active pimples to kill bacteria and unclog pores.

Moisturizer is a vital step in any skincare routine, even for those with oily or acne-prone skin. Skipping moisturizer can actually worsen acne because moisturizing helps loosen sebum in the pores, making it easier to remove with other acne treatments, and also strengthens the skin’s natural protective barrier. Many people with acne-prone skin prefer a lightweight, oil-free moisturizer that won’t clog their pores. MGSKINLABS, Inc.’s Ultimately Sheer Hydrating Lotion is perfect for acne-prone skin, as it is enriched with aloe and rosewater, providing instant hydration without feeling heavy or blocking pores. Additionally, the lotion features an improved pore-regulating formula that helps control oil production, prevent excess sebum, and leave a matte finish.

One of the biggest myths about acne-prone skin is that it’s okay to skip sunscreen. Sunscreen is a vital part of any good skincare routine. Patients may hesitate to apply sunscreen at the end of their routine if they struggle with acne, as many sunscreens contain formulas that clog pores and can cause more breakouts. Choosing a non-comedogenic lotion for sunscreen is an ideal option for those with oily or acne-prone skin. Dr. Green’s MGSKINLABs, Inc. offers a non-comedogenic Hydrating Sunscreen with SPF 50 that combines moisturizer and SPF into one product. This type of sunscreen is ideal for individuals seeking to simplify their skincare routine, maintain healthy and moisturized skin, and protect against UVA and UVB rays that can contribute to skin cancer and premature aging.

28 year old female, acne treatment – 3 month

What type of acne causes acne scars?

Acne scars are damage to the skin tissue caused by inflammation of untreated acne lesions. Typically, inflammatory acne lesions such as cysts, nodules, papules, and pustules lead to scars; however, non-inflammatory acne lesions can also cause scars if they are picked at or become inflamed. There are two types of acne scars: atrophic and hypertrophic. Atrophic scars result from insufficient collagen production during healing and may appear as rolling scars, boxcar scars, or ice-pick scars. Hypertrophic scars form due to excess collagen during healing and appear raised, sometimes growing larger than the original lesion—this condition is known as a keloid. Post-inflammatory hyperpigmentation refers to the darkening of an area where an old acne lesion once was. This hyperpigmentation occurs as a result of inflammation, which triggers melanocytes to produce excess melanin. Post-inflammatory hyperpigmentation is not considered true acne scarring because it is not caused by permanent damage to underlying tissue.

Do acne scars go away on their own?

Unfortunately, acne scars result from permanent damage to the underlying scar tissue and do not heal on their own. Additionally, while post-inflammatory hyperpigmentation can lighten over time, it may take months or even years for the pigment to fade. Due to the variety of acne scars, skin types, and tones, treating scars can be more difficult than treating the acne itself. It is essential to consult a healthcare professional, such as a board-certified dermatologist like Dr. Green, as soon as a breakout occurs, because early treatment is crucial in reducing the risk of scarring. Once your acne is under control, Dr. Michele Green in NYC can create a personalized plan for scar treatment. 

What treatment is the best for acne scars?

Dr. Michele Green, in her private New York City office, offers a range of non-invasive cosmetic procedures at her dermatology clinic to treat acne scars. Popular options include laser resurfacing, chemical peels, microneedling, and dermal fillers. Often, the most effective way to minimize acne scars is a customized combination of treatments, since many patients have different types of scars. When you meet with Dr. Green, she will evaluate your skin type, tone, and concerns about acne scars to develop a personalized treatment plan that results in clear, radiant skin.

The Fraxel Dual laser combines two types of lasers: an Erbium 1550nm laser and a Thulium 1927nm laser. The Erbium 1550nm setting is best for treating acne scars, fine lines, wrinkles, and uneven skin texture, while the Thulium 1927nm setting is ideal for addressing sun damage and discoloration. During treatment, the Fraxel laser delivers fractionated laser energy deep into the dermis, stimulating collagen production to reduce acne scars and improve skin texture by tightening and smoothing the skin. Because the laser targets only a fraction of the skin at a time, the surrounding areas remain unharmed, leading to a faster recovery. Patients may experience mild redness for up to 48 hours after treatment, which usually resolves on its own. Typically, patients treating acne scars need three to five Fraxel sessions, spaced four weeks apart, for the best results.

While the Fraxel laser is an excellent choice for treating acne scars, it might not be suitable for every patient. Dr. Green prefers the eMatrix laser for patients with darker skin tones because it is safe and effective for all skin types and tones. The eMatrix laser is a non-invasive, non-ablative device that uses radiofrequency energy to heat the deeper layers of the dermis while keeping the outer layer of the skin intact. This heating activates the body’s natural healing process, encouraging new collagen production. With eMatrix, this new collagen helps create smoother, more evenly textured skin and reduces the appearance of acne scars. Like the Fraxel laser, eMatrix involves minimal downtime, with patients typically experiencing redness for about 48 hours after treatment. Several sessions, spaced four weeks apart, are needed for optimal cosmetic results.

For patients with post-inflammatory pigmentation from old acne, the VBeam laser can help remove red pigmentation from the skin. The VBeam laser is a pulsed dye laser that delivers energy to the deeper layers of skin to break up red pigmentation. Besides treating post-inflammatory hyperpigmentation, the VBeam laser also targets red acne scars or lesions, rosacea, broken capillaries, and red or purple stretch marks. There is no downtime with this treatment, and four to six sessions, spaced one month apart, are recommended to achieve the desired aesthetic results.

Subcision with dermal fillers is a common treatment choice for atrophic or depressed acne scars. Subcision is a unique cosmetic procedure that uses a fine needle to break up the fibrous tissue attached to the top layer of the skin. Once the tissue is broken down, Dr. Green injects dermal fillers into the area to replenish lost volume and create a smoother skin surface. Popular dermal fillers for acne scar treatment include Juvederm, Restylane, and Sculptra. Juvederm and Restylane are hyaluronic acid fillers that provide instant volume, plumping, and smoothing the skin. These fillers can last from nine to twelve months, depending on the type used. Sculptra is a liquid filler made of poly-L-lactic acid that acts as a support scaffold for new collagen production. After an initial series of treatments, patients can expect Sculptra results to last up to two years.

Microneedling is another treatment option that uses tiny, surgical-grade needles to stimulate the body’s natural wound-healing process and boost collagen production. Microneedling can be combined with a depigmentation serum for people with post-inflammatory hyperpigmentation or discoloration from old acne. Dr. Green can also add platelet-rich plasma (PRP) into microneedling sessions for accelerated healing. PRP is drawn from a patient’s blood and contains growth factors and proteins needed for tissue regeneration and healing. Patients usually need at least three microneedling sessions to reduce the look of atrophic acne scars or post-inflammatory hyperpigmentation.

Chemical peels are an excellent option for rejuvenating the skin and enhancing its texture and tone. These peels use chemical exfoliants to accelerate skin cell turnover and gently remove dead, pigmented skin cells, revealing healthy, bright skin underneath. Trichloroacetic acid (TCA) peels are often used to minimize the appearance of atrophic acne scars and achieve a clearer, smoother complexion. TCA peels are not recommended for patients with darker skin tones. It is important to work with an experienced dermatologist, such as Dr. Michele Green in NYC, to ensure the peel is appropriate for your skin type and tone.

Mesopeels are specially formulated chemical peels designed to lessen dark spots, discoloration, and post-inflammatory hyperpigmentation in individuals of all skin types and tones. Mesopeels contain proven skin-lightening ingredients, including tranexamic acid, azelaic acid, and kojic acid, which help inhibit melanin production and brighten the skin. Patients typically need four to six treatments to see optimal results.

Accutane, 6 months before and after

Acne Frequently Asked Questions (FAQs):

At what age is acne the worst?

A common misconception is that acne is only a skin condition for teenagers. However, it can affect people into adulthood, although it is more common among teens and young adults. Estimates suggest that about 85% of people aged 12 to 24 are affected by acne; nonetheless, adults in their 30s, 40s, and even 50s can still experience it. Moreover, adult women are more likely to have acne than adult men because of hormonal fluctuations.

How do I stop my facial acne?

Acne breakouts on the face can be very frustrating. Fortunately, Dr. Green offers a variety of acne treatments to help manage and reduce breakouts. Patients with mild to moderate acne may benefit from procedures such as acne surgery, HydraFacials, VBeam laser treatments, and topical or oral antibiotics to reduce inflammation, break up excess sebum, and keep pores clear. Women might be prescribed Spironolactone or oral contraceptives to control hormonal acne. For more severe nodulocystic or persistent acne, Dr. Green may prescribe Accutane to lower sebum production, shrink sebaceous glands, increase skin cell turnover, and eliminate acne completely. During your consultation at her private NYC dermatology practice, she will review your medical history and order necessary blood tests or cultures to identify the cause of your acne. She will then develop a personalized treatment plan that combines in-office procedures, oral medications, and topical creams to help clear your skin and promote a healthy, radiant complexion.

What destroys acne bacteria?

While many products promote cell turnover and help clear pores, antibiotics are the primary treatment for killing acne bacteria, which aids in clearing skin. Although various products support cell renewal and pore clearing, antibiotics are mainly used to eliminate acne-causing bacteria and effectively reduce breakouts. Common antibiotics prescribed for targeting these bacteria include topical clindamycin, topical erythromycin, doxycycline, minocycline, and tetracycline. Benzoyl peroxide, an over-the-counter ingredient, can also be used to decrease bacteria on the skin’s surface.

In-office procedures can also effectively kill acne bacteria. The VBeam laser is a popular treatment that uses a 595-nanometer wavelength to target and eliminate bacteria responsible for acne. Chemical peels are similarly effective, as the acids used can destroy acne-causing bacteria. A HydraFacial, which utilizes vortex technology to exfoliate the skin, can be enhanced with blue LED light to target and eliminate acne-causing bacteria.

What kills acne quickly?

Patients often ask, “What makes acne go away immediately?” While there isn’t a quick fix to clear acne overnight, finding the right treatments for your skin is the most effective way to achieve clear skin. Many ingredients, like benzoyl peroxide and salicylic acid, are available over the counter and can help prevent and treat facial acne. However, most people will need to use topical or oral medications, as well as in-office procedures, for the best results. Board-certified dermatologist Dr. Green can help you create a personalized treatment plan that combines in-office treatments, oral medications, topical creams, and targeted skincare products tailored to your skin type and the specific type of acne you have.

What is the best treatment for acne according to dermatologists?

While there are many skin treatments for acne, no single option is inherently the best. Board-certified dermatologists, such as Dr. Michele Green, offer a wide range of treatments to address atrophic scars, hypertrophic scars, and post-inflammatory hyperpigmentation. The most suitable treatment or combination of treatments depends on the type and severity of acne, as well as your individual skin type and tone.

Treatments like acne surgery, hydrafacials, chemical peels, and VBEAM laser can effectively combat acne. However, the best choice depends on your specific type of acne and skin condition. To find the most appropriate treatment, schedule a consultation with board-certified dermatologist Dr. Green. She will review your medical history and skin condition to recommend the right approach. Often, Dr. Green suggests combining in-office procedures with topical and oral treatments to achieve lasting clearing from acne.

Can acne treatments make acne worse?

Yes, acne treatments can make your skin look worse if they don’t match your skin type and tone or aren’t suitable for your specific acne. Using too many acne products at once, applying them too often, or choosing the wrong active ingredients can cause skin irritation and dryness, which can lead to new breakouts or make existing acne worse.

When starting a new acne treatment, whether it’s a topical medication or an oral one, your skin may go through a purging phase. A purge is when your skin sheds dead skin cells, debris, and sebum that are trapped deep beneath the skin’s surface. A purge can appear as red bumps, which may be mistaken for an acne breakout. However, it’s a common side effect of beginning a treatment that increases skin cell turnover. Allow your new acne treatment a few months to work before deciding to stop, as your skin may worsen before it improves. When Dr. Green treats your acne, she will check your progress regularly to determine whether you’re experiencing purging or if adjustments to your treatment plan are needed.

What is the strongest acne treatment option?

W the “strongest” or most “powerful” acne treatment, many think of Accutane. Accutane, also known as oral isotretinoin, is a vitamin A derivative used to treat and clear all types of acne, from moderate to severe, including cystic, nodular, or non-inflammatory acne. Although it was once used only as a “last resort,” Accutane is now frequently prescribed for moderate to severe cases or those that don’t respond to other treatments or medications. Typically, a short five-month course results in 95% of patients experiencing no further breakouts. For the remaining 5% who see a return of breakouts, another short course of Accutane usually clears the acne effectively. Since Accutane is processed in the liver, regular visits and blood tests are necessary to monitor liver enzyme levels and ensure they stay within normal limits during treatment. Additionally, severe birth defects can occur if used during pregnancy, so patients who could become pregnant must confirm they are either abstaining or using two forms of birth control throughout treatment.

What clears acne the most?

Many treatments and medications can effectively clear acne from the skin. Oral and topical antibiotics are excellent for treating acne caused by an overgrowth of bacteria on the skin’s surface. Spironolactone and oral contraceptives are highly effective for women whose acne results from hormonal imbalances. Oral isotretinoin, also known as Accutane, is one of the most effective medications for clearing acne, as it can lead to permanent clearance after a short course of treatment. For existing acne on the skin, acne surgery is recommended to extract impurities, unclog pores instantly, and reduce inflammation. Acne surgery is recommended regardless of whether you are taking Accutane or other topical or oral medications, as it promotes healing without forming scars, which can be more difficult to treat later. When you consult with Dr. Green, she will help you select the most suitable treatments for your skin concerns to achieve clear, radiant, and acne-free skin.

Is it worthwhile to consult a dermatologist for acne treatment?

Yes! Although many over-the-counter medications and topicals are available for acne, it is often caused by a mix of genetics and hormones, which can only be effectively treated with prescription medication from a dermatologist. Moreover, inflammation from acne lesions can cause permanent damage to the underlying tissue, leading to scars that are more difficult and complex to treat than the acne itself. Consulting with a board-certified dermatologist, such as Dr. Green, is the fastest way to clear acne and prevent future scarring. Dr. Green is an internationally renowned, board-certified dermatologist with a special interest in helping patients with acne-prone skin understand their condition, receive the appropriate treatment, and achieve healthy, smooth, and clear skin. After a thorough evaluation, Dr. Green will create a personalized treatment plan to help you fight your acne and attain clear, radiant skin.

6 months before and after Accutane

How do I start my acne treatment today?

Acne vulgaris is one of the most common skin conditions worldwide, and thousands of patients are treated for their acne each year to achieve and maintain clear skin. For many, breakouts can cause feelings of self-consciousness and hurt their self-esteem. Additionally, untreated blemishes can leave scars that are often more difficult to treat than the acne itself. Fortunately, there are many effective options for treating acne, including topical products, oral medications, in-office procedures, and specialized skincare treatments. A board-certified dermatologist like Dr. Green can help you choose the best treatment based on your skin type and concerns for safe and effective results. If you’re ready to say goodbye to acne and achieve clear, smooth skin, Dr. Green is here to help.

Dr. Michele Green, a board-certified cosmetic dermatologist in New York City, is internationally recognized for her holistic approach to treating active breakouts and residual acne scars. Dr. Green has over 25 years of experience working with some of the most discerning individuals from around the world. She specializes in helping patients achieve a healthy, clear complexion. She has developed a line of specially formulated skincare products, MGSKINLABS, Inc., which includes topical treatments tailored for acne-prone skin. Dr. Green takes the time to understand the underlying causes of acne, creating personalized treatment plans that address each patient’s specific skin concerns. Her dedication and expertise are reflected in her consistent recognition as one of New York’s top dermatologists by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. To create a personalized acne treatment plan and determine the best skin treatment for your breakouts, please call Dr. Michele Green’s NYC office at 212-535-3088 or contact us online to schedule a consultation today.