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Philadelphia Acne Treatment Before & After Pictures

Acne Treatment

Acne treatment is among the core treatments performed at our practice. Fortunately, there are various ways to treat acne effectively. Using experience, knowledge, medication, and technology, we treat acne aggressively to deliver best results possible.

Procedure Efficacy

Photodynamic therapy and medication (e.g. Accutane) are most effective for the treatment of severe acne. Medications, facials and laser treatment with PDL (Pulsed Dye Laser) are most effective treatment for moderate acne. Mild acne is best treated by a combination of facials, chemical peels, and microdermabrasion.

mild acnemoderate acnesevere / cystic acne
Photodynamic Therapy-++++++
Medication+++++++++
Facials/ Backcials++++++++
Chemical Peels++++++
Micro-dermabrasion++--
Pulsed Dye Laser-+++++
Smoothbeam Laser-++++

How can we help you?

SKIN
photodynamic therapy

Photodynamic Therapy

The best kept secret for the treatment of Acne

Effective at least as Accutane!

Prefer to take no medication? Photodynamic therapy is your best option!

Treatment Plan

Effective treatment often requires the combination of different modalities to treat all components that make up acne. For best and fast results, medical treatment or photodynamic therapy should be supported by various procedures.

Medical extraction facials, salicylic acid peels and microdermabrasion open up the microcomedos, the starter lesions of all acne. Glycolic acid products and peels also diminish pigmentation from past breakouts.

Time to Results

mild acnemoderate acnesevere / cystic acne
time1-2 months2-4 months4-6 months

Let's start...
First, watch to learn what type of acne you have

Mild Acne? Learn how to treat it

Treatment of Moderate Acne

Treatment of Severe Acne

Topical medical treatments target several components of acne and are usually used to prevent acne breakouts.

When acne is very severe and scar formation is impending, photodynamic therapy or systemic treatments are indicated.

Treatment Comparison

Photo-dynamic Therapy Medi-cations Acne Facial Acne Facial Extraction (*) Chemical Peels Micro-derma-brasion Pulsed Dye Laser Smooth-beam laser
Results +++ +++ ++ ++ ++ + ++ ++
Risks ++ +++ + + + - ++ ++
# of treatments 4-6 NA 2-6 2-6 3-6 3-6 3-4 3-4
Price per treatment $500 varies $65 varies $100, $500/6 $150, $750/6 $250 $250
Insurance Coverage (**) no yes no yes no no no no

(*) A prior medical consultation and an explicit recommendation by the medical provider (not by an aesthetician) is required. Please check the specific rate, your deductible, coinsurance, and co-pay on this procedure with your insurance using ICD9 code 706.1 and CPT 10040.

(**) Copay and deductable might result in out-of-pocket cost

  • Treatment by core causes
      MedicineLaser/light deviceNutritionOther supportive treatment
      Overgrowing skin clogging oil ducts
    • Tazarotene
    • Tretinoin,
    • Adapalene,
    • Isotretinoin
    • Salicylic acid incl. peel
    • Glycolic acid incl. peel
    • Benzoyl peroxide
    • Sulfur
    • Facials with extractions
    • Microderm-abrasion
    • Avoid tanning
    • Use sunscreen regularly
    • Hormone regulation+ response
    • Spironolactone
    • Oral contraceptive
    • Cyproterone acetate (not available in US)
    • Isotretinoin
    • Photodynamic therapy
    • Smoothbeam laser
    • Alfalfa
    • Flaxseed
    • Oats, Celery Parsley
    • Rhubarb Fennel Evening primrose oil
    • Exercise
    • Yoga
    • Meditation
    • Biofeedback
    • Bacterial colonization
    • Topical and some oral antibiotics
    • Sulfur
    • Benzoyl peroxide
    • Photodynamic therapy
    • Blue light
    • Isolaz
    • Visible light (not tanning beds)
    • Antibacterial cleanser
      Inflammation
    • VitaminB3 + zinc + copper + azeleic acid complex
    • Anti-inflammtory antibiotics
    • Isotretinoin
    • Tazarotene
    • Sodium sulfacetamide
    • Sulfur
    • Dapsone (topical)
    • Pulsed dye laser
    • Photodynamic therapy
    • Avocados Nuts,
    • Flaxseed Avoid refined carbo-hydrates
    • Avoid trans-fat
  • Patient Handout

      Introduction

      Appearance is important at any age yet undoubtedly it seems most important in your teenage years and in young adulthood. You are at the prime of your life in a time to form relationships and build your career. A flawless look is most desired during an interview or on your date. It seems unnatural that nature poses the extra burden of acne during this time, as if it wants to test your self confidence.

      While some deal with acne very naturally, most people with blemishes, pimples, zits, painful cysts, dark marks and even scars from past breakouts have a significantly lowered self-esteem. They feel insecure, may not want to go out, develop depression, Many engage in activities that distract them from their ailment which can be positive but unfortunately also negative.

      What causes acne?

      Acne is caused by a combination of well known factors
      1. Genetic factors that promote clogging of the oil ducts
      2. Hormones that stimulate oil glands
      3. Bacteria that are feeding on the oils in enlarged glands
      4. Inflammatory reaction of the body to enlarged oil glands and presence of bacteria

      Despite the common factors that cause acne, everyone’s expression of acne is unique. Acne needs different treatment on oily skin compared to dry skin. Many people have so called “combination” skin. Therefore treatment must be customized to each person. Care must be taken to avoid over drying of the skin as many prescription acne medicines tend to be formulated in drying rather than emollient bases. Medical treatment should be supported effectively by general skin care such as the use of very gently exfoliating cleansers (not scrubs), sunscreen that do not clog pores and moisturizers when necessary.

      How is acne treated?

      Targeting acne from only one angle may work when acne is extremely mild or just beginning. Customized treatment usually targets multiple causative factors. Retinoids promote proper turn-over of the skin, thereby unclogging the oil duct; acne facials unclog the oil duct and facilitate proper drainage of the oil gland and remove the bacteria infested content. Oral antibiotics and the pulsed dye laser reduce the inflammatory response. The Smoothbeam laser destroys oil glands. Topical and oral antibiotics reduce acne-promoting bacteria. Spironolactone and oral contraceptives help regulate hormonal levels or reduce the available androgens in women. Topical antiandrogens that can be used in men are still under investigation. Please see table below for more detailed information.

      How can we help acne from the inside out?

      The severity of acne can depend on our emotional well-being. Emotional distress can worsen many conditions. Hence, if you have acne stress can break you out more. This is not an imagined response; in fact stress increases your androgen levels and androgens turn up oil production. Effective relaxation techniques may be learned. Sometimes a simple exercise program is all it takes. Yoga, meditation or biofeedback techniques can be extremely beneficial.

      What role does your diet play?

      Reestablishing your balance should be a major effort on the road to healthy skin and will include paying attention to a well balanced diet. Under certain circumstances it can mean going back to basics such as eating raw foods or avoiding dairy, refined carbohydrates, cooked fat and meats. Hormone production is tweaked by alkaloid caffeine found in coffee or black tea and its cousin theobromine in chocolate. Hence avoiding these compounds may be necessary in more difficult to tackle acne or if you notice increased breakouts after ingesting these substances.

      A number of fruit and vegetables are said to reduce acne such as mangos, rhubarb, dark berries, papayas, olives, watercress, fennel, garlic, celery, parsley, wild greens, salad leaves, avocado, olives, flaxseeds, alfalfa, Brazil nuts, pumpkin seeds , oats.

# of surveys: 3749
Last updated: 05/18/2017 4:45 PM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

The doctor and medical assistant took time to explain all of my treatment options and to answer all of my questions completely and honestly.

#12016-12-28

Dr. Heckman gave me a lot of information and listened and answered all of my questions.

#22011-11-17 15:30:47

Dr. Ringpfeil was great. She answered all concerns and questions extremely professionally.

#32017-02-25

Everyone was so nice! I've never been to a doctor's office where everyone is so pleasant and the service is so quick! I didn't wait at all! You guys are great!

#42011-10-05 11:53:28

Physician was very excellant in explaining treatment and cause of skin problem.

#52017-02-02

cleanliness of office, layout of facility, short wait time to see physician, communication skills of physician and medical asst.

#62017-09-03

The overall feel of the office is excellent and comfortable.

#72017-02-05

The professionalism yet friendliness of the entire staff

#82016-11-30

Everything even your choice of music.

#92017-01-15

For an embarrassing situation, medical assistant and doctor made me feel comfortable...

#102017-07-13

What can we do better?

(answers:373)

sometimes I feel the phone staff is not as helpful as it could be, but that is not reflected in the quality of services. Front office is very professional overall.

#12010-11-04 13:29:14

Everything to date that your office has performed has been done professionally and expeditiously. It's a pleasure to deal with all the staff.

#22016-11-18

The only (minor) thing that I was disappointed in was that when I booked the appt. via phone, I was told that in addition to my cosmetic questions and consult, the Dr. would also be able to do my full body check. It turned out that there was not enough time to do both.

#32011-07-27 15:04:39

Shorter wait

#42017-03-23

It was good

#52017-04-27

Parking was a little tight.

#62011-06-09 15:52:46

keep on what you are doing because you are doing a good job

#72016-11-13

Everything was very clean and I cannot think of much you could do better.

#82017-01-22

Have some toys or children books in the waiting room

#92017-02-14

A follow up, even if its an email, after the apt. could help!

#102010-08-23 16:38:55
Customer Rating : 4.3

Based on 33 ratings