Acne

Acne is a disease involving the sebaceous glands of the skin and effects over 80% of adolescents and many adults. Acne occurs when oil produced by the sebaceous glands do not reach the surface of the skin, but is trapped in the tiny pores or follicles of the skin.  This obstruction may close off the pore, causing the follicles wall to bulge, which creates a whitehead of bacteria.  If the pore does stay open, the top surface of the skin and obstruction may become darkened causing what is commonly known as a  “blackhead”.

In both cases the bacteria, Propionibacterium acne thrives in the clogged follicles.  When the bacteria and the pus leak from these follicles into the surrounding tissue, pimples are formed. Reasons for acne are multi-factorial which range from heredity, hormones, and nutrition.

Available topical treatments for acne are slow and frequently irritating. Oral therapies may be associated with increased bacterial resistance (antibiotics) or possible severe side effects (oral isotretinoin). Hormone replacement is an option in females but may not necessarily be appropriate in all cases.  In vitro and in vivo exposure of acne bacteria to 405-420 nm  ultraviolet (UV) free blue light results in photo-destruction of these bacteria through the effects on the porphyrins produced naturally by Propionibacterium acnes. A narrow band 420 nm UV free blue light has been shown to decrease inflammatory acne lesions. Clearance is about 80% for extended periods.

We take a combination approach to the treatment of acne using all available technologies and research available. Typically we start with a retinoid therapy but also combine chemical peels, microdermabrasion, IPL lasers, and photodynamic therapies which take advantage of blue and red LED light therapies.  There is no one solution for acne as many claim and therefore offer the newest in treatment modalities for our patients so they can gain clearance from this skin condition.