Dermatologist-Based 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 individuals annually from early adolescence through adulthood. Although pimples and breakouts are common, getting the right acne treatment isn’t always so straightforward. With an abundance of over-the-counter topical treatments, skin care products, oral medications, and in-office treatments, it can be a challenge to select just the right treatment options for one’s specific type of acne. An experienced board-certified dermatologist, such as Dr. Green in NYC, can customize your acne treatment plan to help you manage your breakouts and prevent and treat acne scars.

There are a number of factors that cause acne, including genetics, hormone changes, skincare regimens, environmental factors, diet, stress, and sleep patterns. To treat acne, Dr. Green starts by collecting a thorough medical and family history and physically evaluating your skin condition. Once the underlying factors have been assessed, Dr. Green will recommend the acne treatments best suited to the patient’s skin type, age, and type of acne present. Often, the best acne treatment is a unique combination of acne medications like isotretinoin, spironolactone, or oral antibiotics, specially formulated skincare products, in-office treatment options 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 regarding customized acne treatment.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience treating some of the most discerning men and women from around the world, including acne and acne scar treatment. For her dedication to her patients and expertise, she is consistently voted as one of New York’s best dermatologists by Super Doctors, Castle Connolly, and New York Magazine. Dr. Green takes pride in the relationships that she builds with her patients, taking the time required to understand the specific skin concerns of every individual to artfully customize their treatment approach in a way that centers the particular needs and goals of each patient. She developed a line of specially formulated skincare products, MGSKINLABs Inc., that includes advanced acne products designed for individuals with acne-prone skin. When you work with Dr. Green to resolve your acne and reduce your acne scars, she will recommend a combination of the best skincare, acne medications, and in-office treatments to provide you with ideal results and a clear complexion that lasts.

What is acne?

Acne, or acne vulgaris, is a medical skin condition caused when oil glands become clogged with dead skin cells, excess sebum, and other debris. Sebum is a natural oil that keeps the skin healthy, soft, and moisturized. When too much sebum is produced, it can become trapped in oil glands along with dead skin cells and bacteria, resulting in inflammation, redness, and pain. While most people associate acne with adolescence, individuals of any age can experience an acne breakout. Acne can occur anywhere on the body where there are sebaceous glands, although it is most common on the face, chest, and back. Untreated or poorly treated acne can lead to permanent scarring or hyperpigmentation. If you are experiencing any active acne breakouts, consulting with a board-certified dermatologist like Dr. Green as soon as possible is crucial to prevent scarring and achieve clear skin.

What causes acne?

Although anyone can potentially be affected by acne, some factors increase the likelihood of having a breakout. Acne is considered to have a genetic component, usually running in families. Patients can simply be more prone to experiencing acne breakouts as a result of the way their skin naturally produces and secretes sebum. Hormone changes, such as those during puberty, pregnancy, and around one’s menstrual cycle, can also cause breakouts. In particular, androgens, or male sex hormones like testosterone, have been linked to higher rates of acne breakouts as they increase sebum production in the sebaceous glands. Breakouts can also be caused by factors like stress, diets that are rich in sugar and fat, and poor sleeping or hygiene habits.

When you consult with an experienced board-certified dermatologist, such as Dr. Green in NYC, you will thoroughly discuss your family and medical history, your skin care regimen, and other environmental factors that may be contributing to your acne breakout. Dr. Green may collect and send a sample of blood to the laboratory to be evaluated for any hormonal abnormalities that could indicate increased breakout. Determining the underlying cause of your acne with Dr. Green is the best first step in understanding and managing your breakouts.

Before and after Accutane 1 and 5 months

How to tell if your acne is hormonal or bacterial

When considering acne treatment, it is important to understand the root cause of the acne breakout. Two common causes of acne include hormonal fluctuations and increased levels of acne-causing bacteria on the skin’s surface. While hormonal and bacterial acne can look very similar, some characteristics can help differentiate the two. Hormonal acne typically worsens during times of hormone changes, such as puberty, menstruation, menopause, or discontinuation of birth control. Bacterial acne typically worsens due to excessive sweating, improper hygiene, and the use of comedogenic or oily skincare products. Hormonal acne is most commonly found around the lower face, chin, and jawline, while bacterial acne is most commonly found on the T-zone (forehead, cheeks, and nose), chest, and back.

However, the best way to tell if acne is hormonal or bacterial is to consult with an expert board-certified dermatologist like Dr. Green. Individuals can experience breakouts that are hormonal in nature, bacterial in nature, or a combination of both simultaneously. As hormonal and bacterial acne have different types of treatment, Dr. Green will assess your medical history and acne breakout to determine what the cause may be. She may order bloodwork to be done to see if the breakout is due to any hormonal abnormalities. In some cases, she may send a culture of the breakout to assess if there is a bacterial infection present. After the results are back, Dr. Green will then be able to determine the best acne treatment for the breakout.

What age is acne the worst?

A common misconception is that acne is a skin condition for adolescents. Acne can affect individuals well into adulthood, though it is more common in teenagers and younger adults. Reports estimate that around 85% of individuals aged 12 to 24 are affected with acne; however, adults in their 30s, 40s, and even 50s can still experience acne. Additionally, adult women are more likely to have acne than adult men due to hormonal fluctuations.

What are the different types of acne?

Acne can be classified as inflammatory or non-inflammatory types. Inflammatory acne is most closely associated with the development of acne scars, as the inflammation of these lesions can cause extensive damage to skin tissue and lead to irreparable collagen loss. Non-inflammatory acne is a more mild type of acne that typically does not cause any pain, swelling, or residual scars. Overall, there are six types of acne lesions. Papules, pustules, cysts, and nodules are inflammatory types of acne, while blackheads and whiteheads are non-inflammatory types of acne. Blackheads and whiteheads are commonly known as comedonal acne.

Inflammatory acne

• Papules — Papules are acne lesions that appear as raised bumps on the skin, typically 1 centimeter or smaller in diameter. Papules are lesions that do not contain pus but rather are composed of solid material. They can develop into abscesses if they later become filled with pus.

• Pustules — A pustule is an acne lesion, usually less than 1 centimeter in diameter, that is filled with pus and appears as an inflamed and red bump on the skin.

• Cysts — Cysts, often referred to as “blind pimples,” develop deep below the surface of the skin where topical treatments can not penetrate. They are lesions filled with pus that do not come to a “head” like other types of acne but present as large, red bumps that are often painful. A dermatologist should treat cysts as soon as possible to prevent acne scars from developing effectively.

• Nodules — Nodules, much like cysts, are larger and more painful than many other types of acne. These lesions form deep below the skin’s surface, too, and do not form a “head” but instead look like a firm red bum. The biggest difference between cysts and nodules is that cysts are pus-filled, whereas the material within nodules is a harder, firmer substance. Like cysts, nodules are closely associated with the formation of acne scars and should be treated by a dermatologist immediately.

Non-inflammatory acne

• Blackheads — A blackhead is a type of comedone with an opening at the surface of the skin. Exposure to oxygen is what gives this type of acne its dark color, 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 type of pimple that forms when dead skin cells and sebum clog the pores. They do not have any exposure to air but instead are covered with skin, preventing oxidization of the material built up inside the pore.

What is the most common type of acne?

The most common types of acne lesions are comedonal acne, often referred to as whiteheads and blackheads. Comedonal acne forms when oil glands at the base of hair follicles in the skin produce excess sebum that, in combination with dead skin cells, bacteria, and dirt, clog the pores in the skin. Whiteheads are covered with skin and do not have any exposure to oxygen, causing them to look like flesh-covered bumps. Blackheads are open comedones and appear dark in color due to the oxidization of the debris, sebum, and dead skin cells inside the pores that occur after exposure to air. A board-certified dermatologist, such as Dr. Green in NYC, should always be your first resource to treat acne. Working with a dermatologist helps guarantee the acne treatments in your plan are well-suited to the specific types of acne you have, as well as best prevent acne scars from forming.

When do you need to consult a dermatologist for acne treatment?

Ideally, consulting with a board-certified dermatologist is step one for patients who are struggling with any type of acne, whether it be mild acne or moderate to severe acne. Treating breakouts quickly and correctly is the best way to prevent acne scars from developing, which are often more difficult to treat than the acne lesions themselves. If you have a family history of acne, have inflammatory acne that has started to lead to the development of acne scars, or have acne that is persistent or unresponsive to over-the-counter treatments, you should consult with board-certified dermatologist Dr. Green. Although these indications may mean that it’s time to visit a dermatologist, you can schedule a consultation with Dr. Green at any time to learn more about how to keep your skin healthy, radiant, clear, and youthful. Patients with acne breakouts often have feelings of self-consciousness due to their breakouts, and early treatment of their skin condition can restore feelings of confidence.

In addition, if your acne lesions have resolved and you are struggling with the appearance of acne scars left behind from previous breakouts, Dr. Green in New York City can help. Just as there are many varieties of acne lesions, there are many different types of acne scars that may form, including icepick scars, boxcar scars, and rolling scars. No two patients with acne, however, will develop acne scars in the same way, and it is important to customize acne scar treatment for each patient. Once your acne breakouts are under control, Dr. Green can tailor a treatment plan best suited to your specific acne scars to leave you with clear, radiant skin.

Female treated for acne with Accutane: 5 months

How do doctors treat acne?

The most effective acne treatment for any given patient varies depending on the type of acne they have. Patients may have a single kind of acne or a combination of types. Depending on the underlying cause of acne and the type of acne present, treatments can include oral antibiotics (such as doxycycline, minocycline, and tetracycline), topical antibiotics, oral contraceptives (birth control pills), chemical peels, laser treatments, and HydraFacial. During your acne treatment consultation with Dr. Green, you will determine which combination of in-office treatments, acne medications, and skin care products is best suited to clearing up your skin.

Acne surgery

A highly effective way of treating an acne breakout is through an in-office procedure known as acne surgery. Dr. Green often utilizes this procedure in her private Upper East Side office to eliminate and heal painful acne breakouts. During the treatment, the acne lesions are opened, and all of the dead skin cells, excess oil, debris, and other impurities trapped in the pores are extracted. Intralesional corticosteroid is then injected to shrink the acne lesion and reduce inflammation in the area to ensure that no scarring occurs. If the cysts are large, the lesions may need to be drained first before injecting the steroid. There is no downtime after the procedure, and patients can resume their daily activities afterward. Acne surgery is best paired with oral and topical antibiotics to reduce acne-causing bacteria and minimize inflammation.

Laser treatments for acne

The VBeam laser is a pulsed dye laser that uses a specific wavelength of light, 595nm, to eliminate acne-causing bacteria, reduce inflammation, and eliminate red pigmentation. This laser can also treat a variety of other skin concerns, including rosacea, broken capillaries, stretch marks, and post-inflammatory hyperpigmentation. There is no pain associated with the procedure, and the VBeam laser is additionally equipped with a patented Dynamic Cooling Device to maximize patient comfort. For optimal treatment, patients typically require four to six treatment sessions spaced one month apart. The VBeam laser involves no downtime, allowing patients to schedule their procedures easily.

The Acleara laser is a newer laser on the market that uses intense pulsed light (IPL) in combination with vacuum technology to treat acne. The filtered broadband light kills acne-causing bacteria on the skin’s surface, minimizes sebum production, and reduces inflammation and redness while simultaneously vacuuming buildup out of clogged pores. No downtime or pain is associated with treatment, and multiple treatment sessions are required. As the Acleara laser can be expensive and temporary, Dr. Green will typically turn to more effective treatment options, such as acne surgery or oral medications.

Photodynamic therapy (PDT), sometimes referred to as light therapy, has also been proven to be an effective acne treatment option. PDT relies on using a topical photosensitizer that is sensitive to a specific wavelength of light. The photosensitizer is applied to the treatment area and absorbed by the targeted cells. After a specified time, a light source is placed on the treatment area to activate the photosensitizer – as it activates, oxygen radicals are produced, killing the targeted cells. Light sources for PDT can include laser, red, blue, intense pulsed, and visible light. As sunlight can reactivate the photosensitizer, it is crucial to avoid direct light or sunlight for 24-72 hours post-treatment. In addition to acne lesions, PDT can be used to treat skin cancer cells, psoriasis, precancerous lesions, and age-related macular degeneration. Multiple treatment sessions are typically needed for the best results, depending on the severity of the acne.

Chemical Peels

Chemical peels are a great treatment option for rejuvenating the overall appearance of the skin and treating acne breakouts. They use a chemical exfoliant to remove dead skin cells and debris from the skin’s pores and kill acne-causing bacteria to keep the pores clear and inhibit bacterial production. Dr. Green often employs trichloroacetic acid (TCA) to perform chemical peel acne treatment. TCA application stimulates skin cell turnover and clears the pores to create a clear, healthy, smooth complexion. Most patients require a series of chemical peels spaced three to four weeks apart for the best results. Depending on the severity of the breakouts, Dr. Green may recommend combining chemical peels with topical or oral medications and specifically formulated skincare products.

Before & After: Accutane 3 months

HydraFacials for Acne Treatment

HydraFacial is a three-step medical-grade hydra dermabrasion treatment that is used to cleanse, gently exfoliate, and intensely nourish the skin. The vortex fusion technology is exceptional for extracting sebum, dead skin cells, and debris that are trapped in the pores and causing acne. The infusion of antioxidants, vitamins, and peptides that follow the cleansing and exfoliating steps helps to enhance the natural protective barrier of the skin. A HydraFacial can also be supplemented with LED light therapy and specially formulated boosters. Red LED light can be used to reduce redness and inflammation, while blue LED light can be used to eliminate acne-causing bacteria on the skin’s surface. Boosters are applied to the skin after cleansing and exfoliating to deliver targeted active ingredients to the skin. The infusion of a booster serum can help treat various skin conditions, including acne, redness, dull skin, and aging skin. The Murad Clarifying Booster is an excellent addition to a HydraFacial, containing salicylic acid to provide a deeper cleanse of the pores and green tea extract to soothe irritation. The ZO Rozatrol Booster is also excellent for patients with acne, as it decreases visible signs of redness. When you consult with Dr. Green, she will assess your skin type, condition, and acne breakouts to choose the best booster for you.

Acne Treatment with Oral Medications

Oral medications are often one of the best ways to treat and prevent acne breakouts. Many different medications can be prescribed based on the type, cause, and severity of the breakouts. Oral antibiotics are often one of the first medications prescribed as they work to limit and reduce acne-causing bacteria. Doxycycline, tetracycline, and minocycline are among the most common antibiotics prescribed for acne. Many dermatologists will also prescribe Oracea, a form of doxycycline, for acne management.

Women experiencing acne can use spironolactone, birth control pills, or a combination of both to treat breakouts. Spironolactone is a type of hormonal therapy used to treat breakouts in patients with an underlying hormonal imbalance, such as patients with Polycystic Ovary Syndrome. For these patients, spironolactone will help decrease the androgen (testosterone) levels and treat their acne. In other patients, it helps regulate the hormonal changes that can cause adult acne. Oral contraceptives are used to manage hormonal acne breakouts by regulating your hormonal cycle. The FDA has approved some oral contraceptives to treat women with hormonal acne. Three popular brands of birth control pills to treat acne are Yaz, Ortho Tri-Cyclen, and Estrostep, which combine estrogen and progestin. Some potential side effects of birth control pills are weight gain, nausea, mood swings, and an increased risk of blood clots. Women should avoid cigarette smoking while on oral contraceptives as this increases their risk for blood clots. Adult women experiencing acne post-menopause can turn to hormone replacement therapy (HRT) for treatment. HRT entails the supplementation of estrogen and progesterone to combat lowered levels of these hormones after menopause. Supplementation can come in various combinations of pills, gels, creams, patches, or inserts.

Oral isotretinoin, commonly known as Accutane, is often recommended for the treatment of severe acne, cystic acne, or recalcitrant acne that has not responded to other treatments, including oral antibiotics and retinoids. Accutane is typically a short 20-week course of medications, although some patients may need a longer duration of treatment depending on their response to the medication. After treatment, 95% of patients experience no new breakouts or pimples. The remaining 5% of patients can undergo a second course of Accutane to eliminate their acne. The most common side effect associated with this oral vitamin A derivative is dry skin, lips, and eyes. Patients must take certain precautions while using Accutane, as the medication can cause increased photosensitivity as well as elevate liver enzymes. Refraining from alcohol consumption and limiting dietary fat intake are recommended for patients on Accutane. Monthly visits and bloodwork are required in order to obtain an Accutane prescription with a board-certified dermatologist. In addition, Accutane can cause severe congenital disabilities in a developing infant when taken during pregnancy. Patients who can become pregnant must have monthly pregnancy tests and either pledge to abstinence or use two methods of birth control during treatment.

Topical prescriptions to treat acne

Topical antibiotics and hormonal acne treatments may also be prescribed by a dermatologist like Dr. Green, depending on the type of acne you’re dealing with. Topical antibiotics such as Erythromycin, Clindamycin, and Dapsone (Aczone) are commonly used to kill acne-causing bacteria on the skin’s surface. Winlevi is a topical prescription medication for acne designed to treat acne breakouts due to hormonal effects in both men and women. This prescription acne cream contains clascoterone and is an androgen receptor inhibitor, which blocks hormones producing excess sebum, keeping pores clear and unclogged.

A dermatologist may also prescribe tretinoin (Retin-A) to treat acne. Retinoids and retinoid-like products such as tretinoin are a class of skincare products derived from vitamin A that works by exfoliating dead skin cells from the top layers of the skin. Dead skin cells, sebum, and debris are sloughed away at an increased rate, preventing the material from becoming trapped within the pores that cause acne. Dryness is the most common side effect that patients experience from using retinoid topical treatments, as well as mild flaking and some redness. It is normal for patients to undergo a skin purge when they begin treatment with a product like tretinoin, as it works to reveal new and healthy skin cells below the surface layers; it also removes the material in the pores that clog them.

Epiduo, or Epiduo Forte, is a topical prescription that combines adapalene and benzoyl peroxide. Adapalene is a vitamin A derivative similar to tretinoin that increases skin cell turnover to exfoliate dead skin cells, sebum, and debris from pores. Benzoyl peroxide kills bacteria on the skin that contribute to the development of acne and dries up the excess sebum within the pores.

28 year old female, acne treatment – 3 month

What is the best skin care for acne?

Many patients struggling with acne can benefit from using a skincare regimen that includes the right active ingredients to fight acne. Internationally renowned board-certified dermatologist Dr. Michele Green has developed a line of topical skincare products that are incredibly effective for acne blemishes. The Acne Kit from MGSKINLABs consists of a three-step system that is designed to clear skin and minimize the appearance of pores. The Pore Minimizing cleanser contains glycolic and salicylic acid, perfect for eliminating acne. These two active ingredients gently exfoliate the skin’s surface and break down excess oil to clear acne. The Retexturizing Pads, also containing glycolic and salicylic acid, provide at-home peel benefits, exfoliating away dead skin cells and keeping the pores from becoming clogged to prevent acne breakout. Finally, the acne spot treatment containing benzoyl peroxide can be applied to any active acne lesion to kill acne-causing bacteria and unclog pores.

Moisturizer is a non-negotiable step in any skincare regimen, including for individuals with oily or acne-prone skin. Acne breakouts can actually be worsened by avoiding using moisturizer since moisturizing helps to loosen sebum in the pores, making it easier to remove with other acne products, as well as enhancing the natural protective barrier of the skin. Many patients with acne-prone skin prefer to use a lightweight, oil-free moisturizer that will not clog their pores. MGSKINLABS, Inc.’s Ultimately Sheer Hydrating Lotion is the perfect product for acne as it is rich in aloe and rosewater, instantly hydrating skin without feeling heavy or clogging pores. Additionally, the Ultimately Sheer Lotion has an enhanced pore-regulation formula that helps control oil production, prevent excess sebum production, and leave a matte finish.

One of the biggest myths about acne-prone skin is that it’s okay to skip sunscreen. Sunscreen is another essential component of any good skincare routine. Patients may be opposed to the application of sunscreen at the end of their routine if they struggle with acne since many sunscreens may have formulas that clog their pores with the product and lead to more breakouts. Choosing a non-comedogenic lotion formula for sunscreen is an ideal option for those who have oily or acne-prone skin. Dr. Green’s MGSkinLabs, Inc. produces a non-comedogenic Hydrating Sunscreen with SPF 50 that combines a moisturizer and SPF into a single product. This kind of sunscreen is the perfect option for those who want to reduce the number of steps in their skincare routine, keep their skin moisturized and healthy, as well as protect against UVA and UVB rays that contribute to the development of skin cancer and signs of premature aging.

When you consult with Dr. Green, you will have the opportunity to discuss a proper skincare routine, including which products should be part of your regimen. She will work with you to create a customized skincare protocol that incorporates the right topical medications and products to provide you with a healthy, clear, smooth complexion that lasts.

Which treatments are Best for Acne Scars?

Acne scars are extensive damage to skin tissue caused by inflammation of untreated acne lesions. They can be hypertrophic (raised) or atrophic (depressed). Acne scars can often be harder to treat than the acne lesions themselves, and it is essential to consult with a board-certified dermatologist like Dr. Green as soon as acne breakouts develop in order to minimize the risk of acne scars forming. Once your acne is under control, Dr. Green will be able to devise a plan for acne scar treatment. Often, the best method of diminishing acne scars is a unique combination of different treatment options, as many patients are left with a combination of acne scars.

Hypertrophic scars form due to excess collagen production during tissue healing. Dr. Green will also use steroid injections to reduce scar tissue and shrink hypertrophic scars. Atrophic scars result from too little collagen produced during tissue healing. Often, laser resurfacing treatments are one of the best treatments for atrophic scars. Lasers like Fraxel and eMatrix work to heat the inner layers of the dermis to stimulate new collagen production, evening out skin texture and reducing the appearance of acne scars.

The Fraxel Dual laser is essentially a combination of two different lasers: an Erbium 1550nm laser and a Thulium 1927nm laser. The Erbium 1550nm setting is best for treating acne scars, fine lines and wrinkles, and uneven skin texture, while the Thulium 1927nm setting is best for sun damage and discoloration. During treatment, the Fraxel laser delivers fractionated laser energy deep within the dermis, stimulating collagen production to reduce the appearance of acne scars and tighten and smooth the skin. As the laser only treats a fraction of the skin at a time, the surrounding skin is left unharmed, leading to faster recovery times. Patients can expect mild redness for 48 hours after treatment, which resolves on its own. Typically, patients treating acne scars require three to five Fraxel treatments spaced four weeks apart for optimal results.

While the Fraxel laser is excellent for acne scar treatment, it is not a safe option for every patient. Dr. Green will turn to the eMatrix laser to treat acne scars in patients with darker skin tones, as it is safe and effective for all skin tones and types. The eMatrix laser is a noninvasive, nonablative laser that uses radiofrequency energy to heat the inner layers of the dermis while leaving the top layer of skin intact. The heating of the dermal layer triggers the body’s natural wound-healing process, stimulating the production of new collagen. With eMatrix, this new collagen works to create smoother, more even-textured skin and reduces the appearance of acne scars. Similarly to the Fraxel laser, eMatrix is associated with minimal downtime, with patients experiencing 48 hours of redness after treatment. Multiple treatment sessions spaced four weeks apart are required for the best cosmetic results.

Another great acne scar treatment is microneedling. Microneedling is another treatment option that uses tiny, surgical-grade needles to stimulate the body’s natural wound-healing process and increase collagen production. Microneedling can be complemented with a depigmentation serum for individuals experiencing post-inflammatory hyperpigmentation or discoloration from old acne. Dr. Green can also incorporate platelet-rich plasma (PRP) into microneedling sessions for accelerated healing. PRP is taken from a patient’s blood and contains growth factors and proteins necessary for tissue regeneration and healing. Dermal fillers can also be used in acne scar treatment to smooth out acne scars and stimulate new collagen production. For patients experiencing post-inflammatory pigmentation from old acne, the VBeam laser can help eliminate red pigmentation from the skin. Chemical peels are also incredibly effective at sloughing off dead, pigmented skin cells to reveal healthy, new skin cells underneath.

When relying on laser resurfacing for acne scars, it’s important to work with an expert dermatologist, like Dr. Michele Green in NYC, who can determine the best treatment for your scar type and skin type. Laser treatment options that aren’t suited to your skin type or tone can result in unwanted side effects, including hyperpigmentation, hypopigmentation, and scarring. Dr. Green has vast experience with laser skin resurfacing for various patient needs and can work with you to help determine the safest and most effective laser treatment for you.

FAQs about Dermatologists and Acne Treatment

What heals acne overnight?

Unfortunately, no product can completely heal pimples overnight. However, benzoyl peroxide-based spot treatments are excellent for drying out acne lesions and killing acne-causing bacteria. Often, these spot treatments can be used overnight to reduce the size of an acne lesion. Over-the-counter pimple patches containing hydrocortisone can also be applied before sleeping to reduce inflammation and the size of a pimple. However, it is often a combination of in-office treatments, oral medications, topical prescription creams, and targeted skincare products that are best for treating and eliminating acne. These treatment options do not work overnight, and it can take time to see a noticeable difference in the skin. A board-certified dermatologist like Dr. Green can assess your acne and skin type to devise an acne treatment plan to heal and get rid of your acne.

How much does acne treatment cost?

The cost of acne treatment is influenced by a number of contributing factors, including the experience level of your provider, the geographic location of the office in which you are treated, the extent of your insurance coverage, and the severity and type of acne being treated. Acne breakouts that are more severe, including cysts and nodules, will require more extensive acne treatments than breakouts that consist of blackheads or whiteheads. During your consultation for acne treatment with Dr. Green in her private dermatology office, located in the Upper East Side neighborhood of Manhattan, you will discuss your medical history in-depth and any previous treatments that you may have had. Dr. Green may order bloodwork to be collected to rule out any underlying factors causing the breakouts. You will then have the opportunity to develop a customized acne treatment plan with Dr. Green that works best for you and addresses the underlying causes of your acne. At this time, the total cost of your acne treatment can be estimated.

Will insurance cover my acne treatment?

Acne is considered a medical skin condition, and most health insurance policies will cover treatments with a dermatologist. Additionally, HSA/FSA can usually be applied to skin care products, acne medications, and topical treatments for acne. Although insurance typically covers acne treatment, you should contact your insurance provider to get more information about the specific benefits and coverage of your individual treatment and health insurance.

What acne treatments are safe during pregnancy?

Treatment options for acne breakouts are much more limited during pregnancy and breastfeeding. Topical and oral acne treatments have the potential to enter the bloodstream and affect a developing infant. Many acne treatments have not been evaluated for safety during pregnancy or breastfeeding and are not advised for use to avoid risking any side effects.

Azelaic acid, clindamycin, and erythromycin are topical acne treatments that are considered safe for pregnant and breastfeeding individuals. Isotretinoin, Spironolactone, and Tazarotene should never be used during pregnancy. Always consult with both your board-certified dermatologist and OBGYN prior to beginning any acne treatment while pregnant, breastfeeding, or planning to become pregnant.

How to clear acne quickly

Many people want to know, “How can I clear my acne quickly?” The quickest way is also dependent on the type of acne that you have. Acne is a medical condition characterized by dead skin cells, excess sebum, and other debris trapped in clogged pores along with acne-causing bacteria. In-office treatments, such as acne surgery and intralesional cortisone injections, can improve your acne flare the same day. In addition, oral medications and topical retinoids and creams work to reduce sebum production, exfoliate clogged pores, and minimize inflammation and redness. While some treatments can help quickly reduce the appearance of a pimple or breakout, some acne treatment options take weeks or months to take full effect if you have extensive or hormonal-based acne. The rate at which a treatment works can also depend on the cause and type of acne. Consulting with a board-certified dermatologist like Dr. Michele Green as soon as a breakout occurs is the quickest and most effective way to get your pimples under control for clear, radiant skin.

How to permanently remove acne

There are many different ways to get rid of acne permanently. Some patients respond incredibly well to targeted skincare ingredients like salicylic acid, glycolic acid, and benzoyl peroxide. Others may require topical prescription creams or oral medications to manage their acne breakouts. One of the most effective treatment options for permanently eliminating persistent, severe, stubborn acne breakouts is Accutane.

Accutane, or oral isotretinoin, is an oral medication that works to increase skin cell turnover, reduce sebum production, and kill acne-causing bacteria. Following a 20-week treatment course, around 95% of patients will see a full elimination of their acne breakouts. Of the remaining 5%, most only require an additional treatment course to get rid of their acne. In order to effectively treat acne, patients must be taking a proper dosage of Accutane. The correct dosage for Accutane is one to two milligrams per kilogram of body weight per day. Subtherapeutic dosages of Accutane will result in a higher reoccurrence of acne after treatment.

If you are considering Accutane for treating recalcitrant acne, it is essential to consult with a board-certified dermatologist like Dr. Michele Green in NYC. As Accutane is metabolized in the liver, monthly visits and bloodwork tests are mandatory to ensure that liver enzymes are not elevated during treatment. Accutane can also lead to serious birth disabilities if taken while pregnant, and patients who are able to become pregnant must take monthly pregnancy tests while using the proper birth control or abstinence. When you consult with Dr. Michele Green in her private Upper East Side dermatology office, she will review all the necessary steps to start Accutane treatment and help you permanently remove your acne.

Do acne treatments work?

Yes! Acne treatments work when the skin care products, topical treatments, in-office procedures, and acne medications in your protocol are designed for your skin type and specific types of acne that you have. When looking to treat acne, it’s important to assess what underlying factors are contributing to the breakouts, the types of acne present, and the patient’s skin type and age. Consulting with an experienced board-certified dermatologist for a customized acne treatment plan helps ensure that you get the right acne treatments for your skin type and your particular needs. Dr. Green is an authority in the field of cosmetic dermatology with over 25 years of experience treating patients with active breakouts and residual acne scars to reveal a healthy, radiant, and clear complexion that lasts. When you work with Dr. Green to treat acne, she takes the time necessary to understand the underlying factors that cause acne and physically assess your skin condition. Your acne treatment with Dr. Green will be specific to the causes of your acne and the types of acne that are present, guaranteeing that your acne treatment protocol works best for you and your skin.

Do laser acne treatments work?

Lasers can be incredibly effective in reducing acne lesions, inflammation, and redness associated with breakouts. Dr. Green often uses the V-Beam laser to treat her patients with acne in her private NYC dermatology office. The VBeam laser works to reduce redness associated with breakouts and kill acne-causing bacteria. In addition to treating acne, the VBeam is considered the gold standard for patients with rosacea, post-inflammatory hyperpigmentation, broken capillaries, and other forms of facial or bodily redness. With no downtime required, the VBeam is an excellent laser for treating acne. Two other lasers that work for acne treatment include the Acleara laser and Photodynamic therapy (PDT). The Acleara laser uses intense pulsed light and vacuum technology to eliminate acne-causing bacteria and reduce sebum production. PDT treats acne breakouts by exfoliating the skin and minimizing bacteria and sebum production.

What gets rid of acne quickly?

Unfortunately, getting rid of acne can take some time. The fastest way to get rid of acne is to consult a board-certified dermatologist like Dr. Michele Green. As there are many different causes of acne breakouts, the first step in treatment is determining the underlying cause contributing to your breakout. After an in-person assessment, Dr. Greeb may order bloodwork or other tests to determine what may be causing your acne. Afterward, she will help you develop a customized treatment plan using a combination of in-office treatments, oral medications, topical creams, and targeted skincare products best suited to your skin type and type of acne.

Will acne go away without treatment?

Acne often begins in one’s teenage years and, for many, can persist into adulthood. While some breakouts may resolve on their own, others will not go away without any form of medical intervention. Additionally, leaving acne untreated can leave behind acne scars, which can result in permanent damage to underlying skin tissue. Acne scars are often more challenging to treat than the initial breakouts, which is why prompt, effective acne treatment is so important. Consulting an experienced board-certified dermatologist, such as Dr. Green in NYC, is the best first step regarding customized acne treatment. Dr. Green has over 25 years of experience treating acne and acne scars, and she will work with you to develop a plan that’s best suited to your particular needs, aesthetic goals, skin type, and skin tone.

What do dermatologists recommend for acne?

Dermatologists recommend many different types of treatments for acne. Acne surgery is a highly effective in-office treatment that removes dead skin cells, excess sebum, and other impurities from clogged pores. It can also reduce inflammation through corticosteroid injections. Chemical peels and HydraFacials are excellent for exfoliating the skin and removing buildup from pores to decrease the formation of acne lesions. Lasers like VBeam work to reduce redness and kill acne-causing bacteria on the skin’s surface.

In addition to in-office treatments, topical and oral medications are often used for acne treatment. Winlevi, a topical prescription cream, is effective in treating hormonal acne in both men and women, as it inhibits androgen hormones from producing excess sebum. Women experiencing hormonal acne can additionally turn to Spironolactone or oral contraceptives to regulate androgen hormone levels. Topical antibiotics like Clindamycin and oral antibiotics like Doxycycline are excellent for decreasing the levels of bacteria on the skin. Accutane is a highly safe and effective oral medication for patients with recalcitrant acne. Accutane works to decrease sebum production, increase skin cell turnover rate, minimize the size of sebaceous glands, and inhibit the growth of acne-causing bacteria. When you consult with a board-certified dermatologist like Dr. Green in NYC, you will discuss your medical history and skin condition to assess the best treatment for you. Often, Dr. Green will recommend a combination approach to acne treatment, utilizing in-office treatments with topical and oral medications to eliminate your acne for good.

What is the most popular acne treatment?

The most popular topical treatments include products containing active ingredients like benzoyl peroxide, salicylic acid, and retinoids. These ingredients help to exfoliate dead skin cells, break up excess sebum, and keep the pores clear. One of the most popular oral acne medications is isotretinoin, widely known by the brand name Accutane. Accutane is a derivative of vitamin A and treats acne through various mechanisms, making it effective against almost all types of acne breakouts. Isotretinoin reduces the size of the skin’s sebaceous glands and the amount of sebum production while increasing the rate of skin cell turnover. Isotretinoin is incredibly effective, with a high success rate of nearly 95% for those who complete the standard 5-month course—about 50% of people who take Isotretinoin report never having to treat acne again afterward. Of the 5% of patients who do not have success after five months, 50% are completely acne-free after the second course of Isotretinoin. Patients who are breastfeeding, pregnant, trying to become pregnant, or struggling with hormonal acne breakouts are not candidates for Isotretinoin. Depending upon Dr. Green’s expert evaluation of your skin condition and the underlying contributing factors, she may recommend other acne treatments, such as topical or oral antibiotics (clindamycin, erythromycin, doxycycline), hormonal therapy (oral contraceptives, spironolactone), in-office procedures (acne surgery, chemical peels, laser treatments, Hydrafacials), or certain lifestyle changes (targeted skincare, improving sleep, reducing stress, maintaining a healthy diet).

Which treatment is best for acne?

There are many different types of acne treatments available, ranging from in-office treatments and oral acne medications to topical treatments and over-the-counter skincare products. The type of acne treatment that works best for each patient is catered to their specific need. A number of factors, including genetics, hormones, skincare routines, hygiene, diet, and more, can cause acne breakouts. Rather than suffer through trial and error with over-the-counter acne treatments, your acne treatment plan should be customized by an experienced board-certified dermatologist to meet your specific skincare needs. In addition to using a proper skincare routine, Dr. Green typically suggests a unique combination of oral medications and topical treatments to help her patients achieve and maintain healthy, clear skin. When you meet with Dr. Green at her private dermatology office in the Upper East Side of Manhattan, she will work with you to develop a customized acne treatment plan that is best suited to your skin type and the type of acne that is present.

What is the strongest acne treatment?

When thinking about the “strongest” acne treatment option, many people think about Accutane. Accutane, or oral isotretinoin, is a vitamin A derivative that treats and eliminates all forms of acne, including cystic, nodular, or non-inflammatory acne. While once used only as a “last resort,” Accutane is now commonly prescribed to treat all types and severities of acne. In just a short five-month course, Accutane has been proven to eliminate and clear acne permanently in 95% of patients. Of the 5% that experience breakouts again, another short course of Accutane will effectively treat the acne. As Accutane is metabolized in the liver, monthly visits and bloodwork tests are required to ensure liver enzymes are not elevated during treatment. Severe congenital disabilities can occur with Accutane usage during pregnancy, and patients who can become pregnant must attest to either abstinence or two forms of birth control during treatment.

It is important to note that Accutane may not be the right treatment option for you. Acne breakouts can appear differently in each individual, and it is important to consider the medical history and the causes of the acne to determine the best treatment plan. For some individuals, topical prescription creams or other oral medications may be better suited than Accutane. When you consult with Dr. Green in her private NYC dermatology office, she will assess your acne and skin type and formulate an acne treatment plan to leave you with clear, radiant skin.

Will topical treatments help hormonal acne?

Yes, topical treatments can be effective against hormonal acne. Winlevi is a popular, topical treatment option for hormonal acne that contains the medication clascoterone. Clascoterone inhibits androgen or male hormone activity in the sebaceous follicles to reduce sebum production. By preventing the oil glands from producing excess sebum, Winlevi helps prevent future hormonal acne breakouts. Dermatologists may also recommend topical retinoids for acne treatment. Retinoids are topical skincare products derived from vitamin A and work by accelerating the rate of skin cell turnover, sloughing away dead skin cells, and preventing the pores from clogging. Topical retinoids can help prevent new acne breakouts with continued treatment and have minimal side effects from long-term use. Patients can purchase an over-the-counter retinoid or can have a prescription-strength retinoid cream prescribed by a board-certified dermatologist like Dr. Green.

Depending on the severity of the acne, patients may also need oral medication in conjunction with topical treatments. Women experiencing hormonal acne can turn to Spironolactone, an oral medication that regulates androgen hormones, or oral contraceptives for acne treatment. During your initial consultation with Dr. Green for acne treatment, she will collect a thorough medical and family history, physically assess your skin condition, and potentially request lab tests to determine the best course of treatment, including any topical treatment options.

Accutane, 6 months before and after

What treats acne bacteria fast?

There are many different ways to treat acne bacteria. An in-office acne surgery procedure works to remove bacteria, dead skin cells, and sebum in clogged pores to minimize inflammation and acne lesions. The VBeam laser is an excellent acne treatment option that utilizes a 595-nanometer wavelength to eliminate acne-causing bacteria. Chemical peels are effective against bacteria as the acids used are able to destroy acne-causing bacteria. A HydraFacial can be enriched with blue LED light to target and eliminate acne bacteria. Oral and topical antibiotics are also excellent treatment options for reducing acne-causing bacteria on the skin’s surface. With so many treatment options for acne bacteria, it can be hard to determine which one is best. Luckily, a board-certified dermatologist such as Dr. Michele Green will be able to assess your skin and acne to help you choose the best acne bacteria treatment for you.

How to treat different types of acne

Most patients suffering from an acne breakout have a combination of acne types on the skin. Seeking a board-certified dermatologist like Dr. Green is the best way to treat acne safely and effectively. Non-inflammatory acne, like whiteheads and blackheads, can be treated using targeted skincare products, topical prescription creams, and in-office treatments like chemical peels and HydraFacials. Red acne lesions can be reduced in appearance with VBeam laser treatment. Inflammatory acne, including cysts, papules, pustules, and nodules, can be cleared with acne surgery to ensure that no scar is left from the lesion. Additionally, breakouts can be treated with various oral medications, depending on the exact type of acne present.

Are acne treatments supposed to burn?

No, acne treatment should not burn the patient. Many patients express that certain topical treatments for acne are associated with a burning or tingling sensation. A slight tingling sensation is a common experience while using active ingredients like benzoyl peroxide. Still, if the sensation is severe or is accompanied by redness, tenderness, or other skin irritation, the product should be discontinued. One of the benefits of consulting with a board-certified dermatologist for your acne treatment is having an experienced and knowledgeable skincare expert monitoring your treatment and progress, who can make adjustments in your acne treatment plan as necessary. Dr. Green in NYC is an internationally renowned board-certified dermatologist with over 25 years of experience treating some of the most discerning individuals in the world, and she will work with you to create a customized, comfortable skincare regimen that best suits your skin condition, type, and particular needs.

6 months before and after Accutane

Can acne treatments make acne worse? Why is my acne getting worse with treatment?

Yes, some acne treatments may worsen the appearance of your blemishes if you are using the wrong ingredients for your skin type or the type of acne you have, using acne products incorrectly, or if you’ve recently started a new kind of acne treatment. Using acne products incorrectly could indicate a number of different things. Scrubbing skin too aggressively with an abrasive cleanser can result in skin irritation, dryness, and worsening of acne. Using too many acne products in your routine at once, using your acne products too often, or using the wrong kind of active ingredient for your specific acne can result in dry, flaky, irritated skin and worsened acne breakout.

When you start a new acne treatment, whether it is a topical treatment or an oral acne medication, your skin may go through a purging period. A purge describes the process of skin shedding the dead skin cells, debris, and sebum that are in the pores deep below the surface of the skin. A purge can look like red bumps on the surface of the skin that may be mistaken for an acne breakout, though it can often be expected when starting a new acne treatment that works by stimulating skin cell turnover at an increased rate. Give your new acne treatment a few months to determine if it’s effective before giving up on it due to a purge period; skin may look slightly worse before it starts to look better. Being treated for acne by a dermatologist like Dr. Green means that throughout your acne treatment, your progress will be continually evaluated, and it can be determined whether you are purging or if you would benefit more by changing treatment methods.

What fights acne fast?

Acne typically requires medical intervention for effective treatment, and treatment is not always fast. Patients experiencing a breakout can come into the office for acne surgery, where Dr. Green will clear clogged pores and inject inflammatory lesions with corticosteroid to reduce inflammation. Inflamed lesions will typically shrink after a few days of treatment. At home, patients can use benzoyl peroxide spot treatments to dry out acne lesions and kill acne-causing bacteria on the skin’s surface. However, consulting with a board-certified dermatologist like Dr. Green is the fastest way to resolve acne. Dr. Green is an internationally renowned, board-certified dermatologist with a special interest in helping patients with acne-prone skin understand their skin condition, get the right treatment, and achieve healthy, smooth, clear skin. Her line of specially formulated skincare products, MGSKINLABS, Inc., carries a three-step Acne Kit containing the essential skincare products for achieving and maintaining a clear complexion. After careful evaluation, Dr. Green will create a treatment plan to fight your acne and help you achieve clear, radiant skin.

How do I start with acne treatment today?

Acne vulgaris is one of the most common skin conditions in the world, and thousands of patients every year are treated for their acne breakouts to achieve and maintain clear skin. For many, acne breakouts can induce feelings of self-consciousness and negatively impact their self-esteem. Additionally, untreated blemishes have the potential to leave behind acne scars, which can be even more challenging to resolve than the acne lesions themselves. Luckily, there are many effective treatment options for acne breakouts, including topical treatments, oral medications, in-office treatment options, and targeted skincare products. A board-certified dermatologist, such as Dr. Green, can help you choose the best treatment options that cater to your specific skin type and concerns for safe and effective treatment. If you are ready to get rid of your acne for good and achieve clear, smooth skin, Dr. Green is here to help.

Dr. Michele Green in New York City is a board-certified cosmetic dermatologist who is internationally renowned for her holistic approach to treating active breakouts and residual acne scars. Dr. Green holds over two and a half decades of experience treating some of the most discerning men and women from around the globe. She has a particular interest in helping patients who struggle with acne achieve a healthy, clear complexion and has developed a line of specially formulated skincare products, MGSKINLABS, Inc., that includes topical acne treatments designed for acne-prone skin. Dr. Green takes the time to understand the underlying factors that are contributing to the presence of acne, designing acne treatment protocols that have been customized to address the specific skin concerns of each patient. Her dedication to her patients and expertise is reflected in the fact that she is consistently voted as one of New York’s best dermatologists by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. To get started with a customized acne treatment plan, please call the NYC office of Dr. Michele Green at 212-535-3088 or contact us online today to schedule a consultation.