What's the Best Acne Treatment?

My Proactiv acne routine isn't working well enough for acne.  My acne is pretty bad and painful.  Are there acne treatments that are best to get rid of it for good? I heard laser acne treatments may be best.

Doctor Answers (18)

Blue light therapy is a treatment that uses light to...

+7

Blue light therapy is a treatment that uses light to kill the acne causing bacteria. Perfect for those allergic to topical and oral antibiotics.

Acne needs to be treated two ways:

- Unclog the pores

- Kill the bacteria that causes the inflammation.

Ideally it should be treated with both modalities. Blue light is just half the answer. Cooltouch is a laser light source that shrinks the oil gland and results in decreased bacteria counts as well.

Patients do best when also using a retinoid ( Retin-A, Differin, Tazorac) because these products act to prevent the clogs in the pores, as well as are anti-inflammatory.

The most complete product to treat acne is still Accutane. If properly prescribed, it decreases bacteria because of its action on the sebaceous glad, unclogs the pores and is anti-inflammatory as well.


New Orleans Dermatologist
5.0 out of 5 stars 9 reviews

So many acne treatments, so little time

+2

As you can see from the many different answers, there is no best treatment for acne. There is no one treatment that works best for every patient. A partnership between an experienced dermatologist and an experienced cosmetic surgeon is often necessary to arrest the acne process and treat the scarring associated with previous outbreaks.

The first step in the process is to stop acne outbreaks. This is best treated by consultation with a dermatologist. The next step is to erase the painful marks left behind. While no acne treatment can recreate unblemished skin, treatments can improve the texture of the skin.

It can take several treatments over years to get optimal results. In patients with darker skin, the options are more limited and more troublesome. Consultation with an experienced cosmetic surgeon is key to obtaining optimal results.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

Utilize atopical antibiotic in the morning and alternate...

+2
  1. Utilize atopical antibiotic in the morning and alternate a retinoid with a benzoyl peroxide derived at night.
  2. Blue light/red light combination LEDs are helpful to diminish acne causing bacteria and diminishing inflammation.

Neil Sadick, MD
New York Dermatologist
5.0 out of 5 stars 1 review

Acne Treatments Differ from Patient to Patient

+1
There is no one wonder treatment for acne; a board-certified dermatologist is the best professional out there to determine which approach is the best. We have great new topical medicines, oral medicines and several newer lasers and light sources that work really well for acne. As well, there are several devices that can be used at home, purchased at a derm's office — so consult with your doctor and see what is best.

Michael Gold, MD
Nashville Dermatologic Surgeon
4.5 out of 5 stars 9 reviews

Best acne treatment

+1
This is an excellent question. Fortunately there are many treatments for acne these days. I’d recommend starting with some non aggressive treatments and work your way up if need be. You may want to start with some topical prescriptions such as Differin, Steiva A etc. These can do wonders on acne if used correctly. You should get some mild peels done with this as well. I’d recommend Salicylic, Glycolic, Resorcinol etc. The peels will help your skin turn over and aid in minimizing bacteria. You can then move up to laser treatments, light treatments, microneedling etc. If all else fails then an oral medication, such as Accutane, will be the last resort. Acne can be managed very well and if treated quickly will not leave any scarring.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 74 reviews

Treatments for Acne

+1

There are several different treatment options for clearing up acne.  One should schedule an appointment with a Dermatologist if interested in a medically based treatment, which could consist of a topical medication such as a Tretinoin along with a systemic medication such as Doxycycline.

There are also cosmetic based acne treatments that your physician may recommend.  Cosmetic based treatments are not typically covered by insurance, but can be extremely effective for patients suffering from acne.

One cosmetic based treatment that your Dermatologist may recommend is a Chemical peel, which includes the application of acid to the skin once every 4 weeks.  These acids chemically exfoliate the top layers of skin, signaling the cells inside the skin to produce more rapidly.  The ultimate result of Chemical peels include a rapid skin turnover that prevents pores from becoming clogged.

An additional cosmetic based treatment is the Laser Acne treatment.  Treating acne with Intense Pulsed Light (IPL) often delivers better aesthetic results (especially on inflammatory acne) without the side effects associated with topical and oral acne medications.  IPL treatments target and destroy the bacteria responsible for acne, helping to prevent future breakouts from occurring on the face, chest and back.  The number of recommended treatments can vary anywhere from 4 to 8 treatments.

It is best that you consult with your Dermatologist to determine the best treatment option for your acne.

Syed Amiry, DO
Virginia Dermatologic Surgeon

Cool Touch for Acne

+1

I personally am a fan of Cool Touch for acne.  The laser light targets and shrinks the oil glands.  It also stimulates and regenerates collagen.  This combination allows the acne to resolve and the scars to become smoother.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 15 reviews

Best Acne Treatment

+1

There is no 'best' acne treatment for every patient.  If you are experiencing painful breakouts, it is important to visit your dermatologist for treatment, before permanent scars develop on your skin.  Laser treatments are an excellent option for treatment painful acne breakouts.  The best laser acne treatment may be different for every patient, but I find that the most effective therapies are Photodynamic Therapy, Isolaz Acne Therapy, and Red/Blue Light Therapy.  These treatments each work in a unique manner to kill the acne-causing p. acnes bacteria and treat and prevent active acne.  These therapies are often used in combination with each other, in addition to prescription medications for acne.

Eric Schweiger, MD
New York Dermatologic Surgeon
3.5 out of 5 stars 10 reviews

Laser Acne Treatment

+1
I would suggest the Elos Laser Acne treatment. It works by combining Bi-Polar Radiofrequency and Blue Light energies to penetrate the skin to precisely target and destroy active acne-causing bacteria, while simultaneously slowing excessive sebaceous oil production. Treatments help to reduce active acne and speeds up healing time.
Elos Laser Acne treatment is effective in all skin types and the number of treatments depends upon the severity of acne. Treatments are made comfortable by the placement of topical numbing crème, with further comfort provided by cooling the skin surface. There is no associated down time with treatments, and normal activities can be started immediately the procedure is performed.
 
 

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 100 reviews

Combination approach

+1

It is important, first of all, to get a proper medical evaluation as sometimes acne may have an underlying medical cause.  In my experience, a combination approach with chronic home care, topical and oral prescription based treatment, and cosmetic treatment (e.g. peels/lasers) when needed gives the best result.  Most important thing is that acne treatment should be tailored specifically to individual patients to achieve the best result.

Chang Son, MD
Fort Lee Dermatologist
5.0 out of 5 stars 1 review

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.