This document summarizes different treatment options for acne. It discusses topical treatments like retinoids and antibiotics. It also discusses systemic treatments like isotretinoin, antibiotics and hormonal therapy. Non-ablative treatments covered include light, laser and radiofrequency. Ablative options discussed are peels and lasers. Surgical treatments are also mentioned. The document emphasizes that combining approaches provides best results and maintenance therapy can decrease relapse. It also notes that effective acne treatment can improve patients' emotional outlook.
2. a point prevalence of up to 100%
among adolescents and often
persists into adulthood, with
detrimental effects on self-
esteem.
Sixty percent of all acne cases are so-
called ‘physiologic acne’, the other
40% are those that need continuous
help by a specialist to prevent
physical or psychological scarring
5. Up to 15% of acne patients notice that sweating causes a deterioration in their acne,
especially if they live or work in a hot humid environment; for example, for a cook, ductal
hydration may be the responsible factor
Sweating exacerbate Acne
71. Blue Light
Medical SPA
kill P. acnes and/or causes disruption of sebaceous gland function,
and anti-inflammatory the effect that it is potentiated in PDT
73. These light sources have wavelengths that correspond to an
absorption peak of P acnes endogenous porphyrins causes death
Narrow Band UV
Broad Band IPL
KTP 532nm
Pulsed Dye Laser 595nm
Red light at 610-635nm
90-150u 90-150u
280u 450u
550u
74. RED
Non thermal, non laser light emitted diode (LED)
is a new Acne treatment option
75. BLUE LED
•90u-150u penetration
•Penetrate deeper than UVA
•Confined to the epidermis
•Can Kill Bacteria
•Not effective in PDT
•Prevention rather than treatment
Violet and Blue Light
76. RED LED
Red Light
•Penetrate deep (550u)
•Anti inflammatory
•Healing
•Effective in treating both
inflammatory and non
inflammatory acne
77. Phototherapy with mixed blue-
red light showed better
treatment response than blue
light alone.
78. RED and INFRARED LIGHT
Visible light as monotherapy is not recommended for the treatment of comedonal,
severe papulopustular and conglobate acne.
103. NEAR INFRA
RED
•1064nm Nd
YAG Laser
MID
INFRARED
•1230 nm Nd
YAG
•1450nm
•1540nm
Erbium
Water is the chromophore but no selective damage to sebaceous gland
104. Mid Infra-red Lasers
1320 nm Nd YAG
1450nm Diode
1540nm Erbium
Destroying sebaceous glands secondary to water heating
124. Salicylic Acid Peels
Effective in both inflammatory and comedonal acne. It lessen post
inflammatory hyperpigmentation
An excellent keratolytic
agent, useful against
comedones due to its
strong lipophilicity and
ability to penetrate the
pore