Acne is an active medical condition, very common in adolescents, and made worse by the rise in hormones that happens during puberty. A complete medical treatment for acne that is inflammatory with black heads, white heads, pus-filled lesions and cysts, includes: oral antibiotics, and a combination of topical creams that include retinoids and antibiotic/anti-inflammatory creams. If after several months of therapy, you still have cystic lesions, isotretioin oral therapy (also known as Accutane), may be indicated. The course of isotretinoin is typically for 20 weeks, and it is estimated that 50% of patients who have this treatment will not require further medication for their acne. However, given the strong hormonal basis for acne in young adults, some patients will continue to suffer from acne and need topical creams and antibiotics. One relatively new treatment that offers great hope for acne is PhotoDynamic Therapy (PDT) using blue light. Great resolution of acne and lasting results have been seen with this treatment.