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 22

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

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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 18 reviews

Best acne treatment

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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.

Utilize atopical antibiotic in the morning and alternate...

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  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 Dermatologic Surgeon
4.0 out of 5 stars 4 reviews

So many acne treatments, so little time

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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

Acne Treatment

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Hello and thank you for your question.

While acne is a condition that is prevalent for many teenagers, it is a skin concern that can also extend into adulthood. It is a complex problem that occurs for numerous reasons, including the buildup of bacteria, an increase in oil production and the irregular shedding of dead skin cells.

Stress and hormones can also influence the development of acne. Although living with acne can be a frustrating experience, there are a variety of treatment options available that can treat your active acne and help keep your skin clear such as BLU-U, Chemical Peels, Vibradermabrasion, Prescription Medications, and Photodynamic Therapy.  I recommend booking a consultation with an expert for a personalized treatment plan.   I wish you the best of luck. 

Best Acne Treatment?

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Acne is the most common skin disorder and can be a long-term condition. It involves the oil glands around each hair. Hairs grow from a "follicle," which can become plugged by oil. Once the follicle is plugged, germs invade and cause bumps that can fill with pus and become red, swollen, and sometimes painful.

Acne can range from mild to very bad! 

Some topical (applied to skin) products won't really treat very severe acne. 

People of all ages can get acne, including newborns and older adults. Acne is most common on the face, back, neck, and chest. There is no cure for acne, but you can treat the symptoms by keeping hair follicles from getting plugged. Once a bump has formed, you can use medicines that help with the redness and swelling.

The most common type of acne medicine is a cream or gel that you put on your skin. Many of these can be bought without a prescription. These medicines may help if your acne is mild. Benzoyl peroxide is the most common type. It is in most over-the-counter acne medicines.

If over-the-counter medicines don't work, your doctor can prescribe other types of medicine. These are usually antibiotics or retinoids. These medicines can cause dryness or redness. If this becomes a problem for you, your doctor can tell you ways to make your skin feel better.

If you have very bad acne, your doctor may prescribe pills. You may need to take these for several months before your skin gets better. If you do seek assistance from a doctor, it is important for them to explain the range of acne--from mild to severe, inflammatory and noninflammatory--and the approaches to treatment. 

Because acne is such a common condition, there are many treatments out there. Some are supported by data, others aren't. Some treatments are expensive, but that doesn't necessarily mean they are better. Overall, give response to treatment some time. How much time? Depends on the severity of your acne, and can range from weeks to months. 

A new App analyses you skin and built for you a suggested Acne management routine

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Of course, live Dermatologist advice is the best .

But, if you want some immediate answers and advice there is a new app exactly for you. The new MDacne IOS app offers an immediate image analysis of your skin, looking at the number, type, and severity of your pimples.

Based on Dermatologists’ based algorithms it built a personal plan, Video guides you for optimal daily management routine and provides you with daily reminders and tips to keep you committed to the treatment.

Download the new "MDacne" App Apple's iTunes App Store. 

Yoram Harth, MD
Israel Dermatologist

Acne treatment options

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There are many options for acne treatment. I classify them into 3 groups. Topicals, oral antibiotics and oral Accutane. Proactiv is only Benzoyl Peroxide, which will only help partially. Clindamcin and tretinoin are very good options to add to the regimen. Oal antibiotics are very powerful and these include Dxycyclin, and Minocyclin. Accutane is a great option for people with chronic acne. 

Ben Behnam, MD
Santa Monica Dermatologic Surgeon

Acne Treatments Differ from Patient to Patient

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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
3.9 out of 5 stars 17 reviews

Treatments for Acne

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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

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.