Acne Treatment - Patients ask Dr. Ringpfeil answers
Please feel free to use the blog below to share information about Acne Treatment or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.
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.
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.
Effective at least as Accutane!
Prefer to take no medication? Photodynamic therapy is your best option!
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.
|mild acne||moderate acne||severe / cystic acne|
|time||1-2 months||2-4 months||4-6 months|
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.
|Photo-dynamic Therapy||Medi-cations||Acne Facial||Acne Facial Extraction (*)||Chemical Peels||Micro-derma-brasion||Pulsed Dye Laser||Smooth-beam laser|
|# 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
|Medicine||Laser/light device||Nutrition||Other supportive treatment|
|Overgrowing skin clogging oil ducts|
|Hormone regulation+ response|
|Bacterial colonization||Antibacterial cleanser|
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.
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.
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.
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.
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.