Book
Appt
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: 3750
Last updated: 05/25/2018 9:32 AM,

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)

Doctor was very knowledgable.

#12018-10-03

The med assistant and the doctor were very pleasant and I feel like I can leave knowing that I am ok and had an excellent exam

#22018-03-10

Alana was wonderful. Her manner of dealing with patients is something to be admired.

#32011-11-30 11:47:43

Staff was friendly, attentive and polite. Dr Ringpfeild is the first Dr I seen that has been able to provide a viable resolution for my condition

#42018-12-11

I was pleased that the Dr acknowleged my children and was patient with them during the visit.

#52018-06-20

Dr Ringfell was very attentive to my problem. She reviewed my medical history throughly unlike any other physician that I have met before. I felt that she aswered to all my questions with extreme knowledge and confidence. I am leaving my appointment today reasured that she will find the right diagnosis to my problem.

#62018-04-01

The atmosphere was pleasent and during appointment, didnt feel judged about skin.

#72018-03-08

Friendly staff and very nice office space

#82011-05-27 14:24:47

Everything! I appreciate the fact that Dr. Ringpfeil has a great understanding of my medical condition and how it has affacted my skin. I look forward to seeing her for all my future dermatalogical needs. I really needed a wonderful dermatologist and am grateful to Dr. Sandorfi for referring me to Dr. Ringpfeil.

#92011-01-12 12:15:01

I really liked that I felt as though I was in a warm and friendly environment vs the sterile and cold feel many other physicians offices maintain. I also thought the tablet P.C. was very cool!

#102018-07-25

What can we do better?

(answers:373)

Just don't change what you're doing

#12018-03-14

less waiting time for follow up appointments

#22018-12-03

How about a smile to greet a brand new patient? How about explaining that I need to go and fill out info on the computer instead of pointing over there you need to complete things. I felt like walking out by the rudeness. The medical assistant and phys asst were extremely kind, thorough and helpful. I realized that I was here to seek help for my child and received amazing medical help. Thank you.

#32011-07-11 11:52:49

Shorter wait

#42018-03-29

Get some better parking spaces

#52018-12-02

it was a little warm in the waiting area

#62018-09-04

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.

#72011-07-27 15:04:39

nothing just keep up the good work.

#82018-08-30

maybe classical music on the radio? and some hunting and fishing magazines for the men. but the waiting period is so short it may not matter

#92010-11-08 11:23:38

A sign in front of office to locate parking for first timers would be helpful.

#102018-11-22
Customer Rating : 4.8

Based on 4 ratings