Phototherapy for acne

David Goldberg, MD answers: Blackheads after Photodynamic Therapy

I am a 39 year old female. Throughout my years, I've had bouts of acne flare ups that were always treatable. I started developing acne on my back and chest and more stubborn acne on my face in my early 30s. My acne is actually VERY mild, but stubborn.

I tried several treatments and medications, but they didn't really have long-term results for me. Finally, I tried Photodynamic Therapy, and after the first treatment, I noticed several blackheads or clogged pores in areas I had never had them before. I just finished my second treatment and was horrified to see how many MORE blackheads I had developed again, in areas I had never had them before. Is this normal? I don't even want to go for another treatment because I fear it will only get worse. Any comments or suggestions would be extremely appreciated.


David Goldberg, MD
19 days ago

Photodynamic therapy is a new, exciting treatment for resistant acne. This approach is ideal for patients who do not want to take oral treatments for their acne. Like any other effective treatment, however, photodynamic therapy can initially draw out more blackheads. Eventually, these will clear and you should continue to take this treatment.

Post your question

Photodynamic Therapy before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.