Acne & Acne Scar Management
ACNE TREATMENTS
1. Acne facial with PDT Light Therapy
Acne facial incorporates the use of blue photo light therapy which kills pimple- causing bacteria. Blue Light treatment is FDA-approved for the treatment of acne vulgaris. The blue light works by killing pimple-causing bacteria (Propionibacterium acnes). Each session lasts for 60 minutes and recommended treatment course is 1 session every 2 weeks.
Skin Benefits Of Blue PDT Light Therapy
Blue light therapy has a wavelength of between 405nm to 420nm and is predominately used for its anti-bacterial benefits and therefore used in acne treatment.
Blue light at wavelength of 415nm is absorbed by a molecule called porphyrin. P.acne bacteria contain an abundant amounts of porphyrin. The absorption of blue light by porphyrin creates singlet oxygen (free radicals) which are released into the bacteria, killing the bacteria.
Blue light is also anti-inflammatory. However for best results blue light is used in combination with red light therapy, for its additional skin rejuvenation and wound healing benefits.
Summary of benefits include;
+ Stimulates collagen production
+ Anti-bacterial treatment
+ Treats mild acne without irritation
+ Increases hydration levels and natural moisture retention
+ Reduces oil production
+ Prevents future breakouts
+ Evens skin tone and texture
+ Reduces hyperpigmentation
+ Calms redness & inflammation
+ Treats enlarged pores and sebaceous glands
+ Stimulates circulation & lymphatic system
+ Accelerates skin repair & healing
+ Increases cell permeability and absorption
2. MEDICALIA ACNE FACIAL with LED Light
Medicalia acne facial is designed to refine pores, reduce inflammation, absorb oil and control oil production. With antibacterial and natural antiseptic ingredients, skin is healed, oil is reduced yet properly hydrated. It includes an antiseptic mask with rich blend of active ingredients Includes Glycolic Acid, Zinc Oxide, Sulfur & Camphor Gives healing, soothing, purifying & tightening benefits Reduces visible pore size & prevents bacteria growth Leaves skin calm, refined & healthy.
3. Acne Peel
Our acne peels quickly dries out your pimples and helps prevent new ones from coming out. Chemical peels are used as an adjunct to medical therapy in acne because they produce complementary rapid therapeutic effects and improvements in skin appearance and textures. It has a beneficial effect on white heads and black heads but more importantly, it helps dry out inflamed lesions. Peels allow topical acne medications to to be absorbed more efficiently into the skin and may also lighten acne marks.
Medicalia Zinc & Peptides Peel
The Zinc & Peptides Peel features skin exfoliating, lightening, repairing, rebuilding and healing ingredients that are essential for acneic skin control and management of acne sequelae. Zinc PCA works to moisturize the skin, regulate sebum production to address excess oil accumulation, has skin antioxidant and immune strengthening effects, and acts in conjunction with Vitamin A to repair, heal and renew the skin. With the addition of a regenerating peptides complex comprised of Palmitoyl Tetrapeptide-5, Panthenol, Sodium Hyaluronate, and Dunaliella Salina, an algae extract that possesses antioxidant benefits, this repairing compound promotes healthy skin recovery and cellular reproduction, and delivers pro-anti-aging effects. In a synergistic combination with Hexylresorcinol, Glycolic, Phytic, and Lactic Acids which exfoliate and lighten the skin, this peel formula provides controlled keratolysis with epidermal texture renewal and follicular de-clogging. Ideal for the effective and expedited management of acne conditions, accelerated aging, and other skin conditions. Indicated for acne lesions, scarring, mild eczema and psoriasis, epidermal hyperplasia, oily skin, solar keratoses, hyperpigmentation, fine lines and wrinkles. Recommended for all Glogau classifications. For best results, a series of peels may be necessary. Not for sensitive skin.
Salipeel Plus (25% Salicylic with 15% Azelaic Acid Peel)
Salipeel Plus is a superficial peel. It combines the effectiveness of salicylic acid with that of azelaic acid. Recommended for acne-prone, oily skin, it helps tackle excessive oiliness and the resultant uneven skin tone and open pores. The azelaic acid in this peel effectively reduces the bacteria build-up and inflammation caused by acne. Azelaic and salicylic acids team up to refine skin quality – making skin look smoother, brighter, and more radiant.
How does Salipeel works?
This peel combines the efficacy of salicylic acid and azelaic acid.
When there are acne lesions, salicylic acid thins out the skin and causes it to peel off. This also results in unblocking pores where oil and dead skin are trapped, putting a stop to the creation of blemishes. It also peels off the scars from previous acne breakouts.
Azelaic acid enhances the effect of the salicylic acid. It kills the bacteria that block and infect pores. It also treats pimples and soothes the swelling caused by acne.
This peel also contains green tea extract which improves blood circulation, tones the veins and retards cell ageing.
What to expect?
For a few minutes after application of the peel there may be a whitish layer. But this inflammation settles immediately and the treatment has no downtime.
With a recommended 4-8 sessions administered with 15-day intervals, this treatment will balance skin oiliness, heal acne and lighten acne scars.
4. Acne Triple Therapy
Our Acne Triple Therapy combines the effectiveness of 3 procedures - Acne Facial with PDT Light, Acne Peel & Laser Peel, to combat the different causes of acne. Improvement can be seen after the 1st session, but for long-lasting effects, we advise between 6-10 session. This treatment can also lighten acne marks and minimize pores.
BEFORE & AFTER PHOTOS
5. Laser Brightening Facial
Our laser brightening facial is proven to reduce skin oiliness even after the 1st session. Less oil in the skin means less chances of getting pimples. It also shrinks the pores and lightens acne marks.
6. Carbon Laser Peel
A carbon laser peel is a revolutionary treatment that is completely painless with minimal-to-zero downtime. It is highly beneficial for people with oily skin, blackheads, enlarged pores, dull skin, and acne on the face or body. It is also an excellent way to exfoliate and refresh your skin, providing an instant refreshed appearance and leaving skin feeling softer, smoother and firmer.
Benefits of carbon laser peel:
Cleansing:
Carbon has the ability to absorb oil and contaminants from deep within the pores. When the laser is passed over the treatment area it targets and destroys the carbon particles, taking any absorbed material with it.
Exfoliating:
As the carbon is targeted by the laser, it blasts away dead skin cells, blackheads and effectively exfoliates the skin. The result is softer, radiant skin with reduced pore size and a more even skin tone.
Rejuvenating:
Carbon peels also target the deep layers of the skin to stimulate collagen production, which in turn produces firmer, plumper skin, reduces fine lines and wrinkles, and leaves skin feeling tighter and glowing.
Acne and Oil Destroying:
The heat produced by carbon peels has 2 additional benefits. It reduces the P.Acnes bacteria responsible for acne, allowing for better management of pimples and outbreaks, and it also shrinks sebaceous glands (oil producing glands), resulting in less oil production, and therefore reducing congestion building up in the pores. Treatments can be performed on any part of the body, including the back and chest.
As with all skin treatments, carbon peels should be supplemented by a good skin-care routine, and daily use of a high-spectrum sunscreen. Noticeable results can be experienced after a single treatment, but for maximum long-term results we recommend regular treatments.
7. Acnelan by Mesoestetic Spain
Acnelan is an advanced professional medical method for intensive treatment of skin types prone to acne and seborrhea. This treatment unclogs pores, removing deep impurities while improving skin texture.
This product line incorporates the innovative m.acne complex formula with active ingredients that create a synergy with cross-cutting effects on the different factors that trigger breakouts in acne-prone and seborrhoeic skin by:
- Reducing the level of hormone involved in androgen excess related to acne-prone skins.
- Clears the pilosebaceous canal.
- Slows sebum production.
- Controls bacterial proliferation.
- Reduces and smooths inflammatory
ADVANTAGES OF ACNELAN
- 5-α reductase inhibition. This reduces levels of DHT, allowing better prevention and control of androgen excess.
- Unblocking of the pilosebaceous canal. This encourages keratolysis of abnormally thick stratum corneum and unblocks skin pores.
- Decrease in sebum production. This slows down the secretory activity of sebaceous glands.
- Control of bacterial proliferation. This inhibits the growth and reproduction of the strains making up the skin flora, which may infect blocked pilosebaceous canals.
- Less redness and epidermal swelling. This reduces and soothes the intensity of the inflammatory process of acne outbreaks.
- Lightening of post-acne hyperpigmentation. This improves the appearance of hyperpigmented areas of skin after an acne outbreak.
8. Dermedics Mesotherapy
Dermedics mesotherapy is an innovative treatment that can target different skin problems with just 1 procedure. By combining different serums in a cocktail, and applying it through microneedling, we can help you treat your acne, lighten acne red and brown marks, and give you a smoother, softer skin!
⭐MESOACNE is a serum designed for oily and combination skin with a tendency to pimples, blackheads and whiteheads. Ideal soothing solution for irritated skin with acne problems and post-acne pigmentation.
⭐MESOCAPIL is a strengthening serum created for skins prone to broken capillaries, redness, puffiness and cellulite.
1. Fractional RF
Fractional RF is a non-invasive treatment for acne scars, open pores, wrinkles and stretch marks. It uses fractional energy to deliver heat energy deep into the subcutaneous region. Compared to other traditional lasers, most of the fractional rf energy targets the dermis, thus causing less side effects on the epidermis. The number of treatment sessions will depend on the severity of the scars, but you can already see noticeable results in just 1-2 sessions.
2. TCA CROSS Technique
TCA CROSS (Chemical Reconstruction of Skin Scars) procedure involves depositing small amounts of high concentration TCA (70–100%) onto the surface of the acne scar. This causes a mild inflammatory reaction resulting in the formation of new collagen fibres.
Most patients require 3 to 6 treatments with TCA CROSS for optimum improvement. Treatments may be repeated at 2 to 8 week intervals over 6 months and may be combined with other treatment modalities for best results.
3. Subcision
💉 Treatment: Subcision
👩⚕️ Purpose: Subcision is a minor surgical procedure used for treating depressed cutaneous scars and wrinkles.
🔎 Procedure: Subcision is performed using a special needle or cannula inserted through a puncture in the skin surface. The sharp edge of the needle is used to break fibrotic strands that are tethering the scar to the underlying tissue. The release of the fibrotic strands and new collagen deposition caused by wound healing leads to cosmetic improvement of the scar.
🙋♀️ Patient selection: The decision to perform subcision will depend on the type, location, and severity of scarring; patient preference and expectations; and clinician experience and expectations.
Subcision may be used for the treatment of:
• Depressed distensile scars (due to acne, trauma, surgery )
• Depressed bound down scars (due to acne*, varicella(chickenpox), trauma, surgery )
• *excluding deep ice-pick scars
• Acne scars
Rolling scars
❌Subcision may not be suitable in the following circumstances:
• Patients with a history of hypertrophic or keloid scars
• Current or recent (within 12 months) high dose systemic oral retinoid (eg acitretin, isotretinoin)
• Bleeding or blood clotting disorders (coagulopathy)
• Active bacterial or viral infection
The risks and complications of subcision include:
1. Haematoma due to bleeding (a small haematoma is normal)
2. Pain/tenderness of treated site
3. Infection; this usually presents as localised acneform papule or pustule
4. Temporary post-inflammatory hyperpigmentation(advise sun protection/avoidance)
5. Sub-optimal response or lack of improvement in scarring
6. Injury to nerve or blood vessel, which is most likely in mandibular, temporal and pre-auricular sites
4. Dermedics Microneedling
Dermedics Mesotherapy is not just for BB GLOW treatment, it's also best used for inflamed acne, rosacea, melasma and acne scars.
Different serums can be mixed into a cocktail and infused to the skin using microneedling or after fractional therapy.
Dermedics brand serums are made in Poland. Organic. Fully safe. Trusted quality. Hypoallergenic. Its widely used worldwide by the top clinics and spas.
What serums can we use?
⭐MESOHA+C is a serum benefits:
✔Stimulates collagen synthesis
✔Decreases melanin synthesis
✔Lightens the skin tone
✔Reduces skin discoloration
✔Supports scars reduction
⭐MESOECM is a serum created for:
✔Advanced signs of aging
✔Deep wrinkles and lines
✔Stretch marks
✔Post-acne scars
✔Skin sagginess
✔Lack of skin elasticity and firmness
*credits to booky for the photo
5. Punch Excision for Icepick & Deep Boxcar Scars
Punch excision is a minor surgical procedure wherein the scar is surgically removed using a medical grade "skin puncher". It's a painless procedure and results in permanent removal of the atrophic scar. It may result in a temporary linear or pigmented scar, which resolves in time. Usually, fractional rf is recommended after 2-4 weeks to further smoothen the skin.
6. PLATELET RICH PLASMA (PRP) Treatment (Vampire Facial)
PRP treatment or Vampire Facial is the hottest trend in acne scar treatment and skin rejuvenation. It was made popular by Kim Kardashian who underwent the treatment for skin rejuvenation. It involves extracting a small amount of blood from you, which is then spun down in a centrifuge to separate the plasma. This plasma now contains a higher than normal number of platelets and is called platelet rich plasma, or PRP.
Why Platelets Rejuvenate Skin
Platelets are the cells in the blood that help tissue to heal and grow new cells. The PRP, injected into specific areas of the skin, is like a fertilizer that promotes your own collagen to grow, regenerates tissue, and thus acts as to naturally smooth and tighten the skin. In this way, PRP softens wrinkles and creating smoother skin texture and tone.
7. Fillers
If you want immediate improvement in your acne scars, then this treatment is for you! We use hyaluronic acid (e.g. Restylane) or Calcium hydroxylapatite (Radiesse) Fillers for our acne scars patients, thus quality is assured. Fillers work best for patients with rolling type of acne scars. For patients with really deep scars, it is advisable to undergo few treatments of fractional rf with either subcision or tca cross to soften the scars. Fillers last from 6-12 months depending on the lifestyle and metabolism of the patient. Mild bruising and swelling are possible side effects so be sure to schedule your treatment.
8. Synergistic Acne Scar Treatment
Synergistic acne scar treatment delivers the best results.
⭐Improvement can be seen in 1-2 sessions! However, depending on the scar type, best results may be achieved after 4-8 sessions.
⭐ Free consultation to assess scar type and discuss treatment options
⭐Treatments:
✔ FractionalRF - different from CO2 laser. This machine delivers thermal energy deep into the dermis, thus minimizing epidermal burn, swelling and prolonged redness
✔ RF Fractional Microneedling - employs 2 different modalities, microneedle and rf heat, to target the deeper layers of the skin. Effectively stimulates collagen production without the severe downtime
✔ TCACROSS - we use 100% trichloroacetic acid peel. This treatment is best for big pores and icepick scars
✔ Cannula Subcision - we use blunt cannula to safely tear the fibrous strands and release the scar. This technique minimizes swelling and bruising as compared to needle subcision
✔ punchexcision - we use a punch instrument to surgically remove the scars. Best for very deep scars
✔ chemicalpeel - treatment option that can be used alternately with fractional treatments
✔ fillers - we use hyaluronic acid (e.g. Restylane) or Calcium hydroxylapatite (Radiesse) fillers to effectively lift the depressed scar tissue. Immediate results that can last up to 1.5 years
Choose among:
2in1 - RF fractional microneedling (RFM) AND TCA CROSS OR subcision
3in1 - RFM & TCA CROSS & subcision
4in1 - RFM & TCA CROSS & Subcision & PRP
5in1 - RFM, TCA CROSS, subcision, prp & biofillers
FAQ on Synergistic Acne Scar Treatments
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9. NEW TREATMENT!!! RF Fractional Microneedling (RFM)
Introducing our newest acne scar treatment- the Radiofrequency Fractional Microneedling (RFM)
RFM delivers the desired energy through gold plated insulated needles that penetrate the skin to a predetermined desired depth. By delivering heat energy from RF to dermis, RFM encourages collagen growth and tissue tightening without harming the epidermis.
Indications:
Acne scars Acne treatment Oiliness Large pores Facial rejuvenation Skin laxity Stretchmarks Leg scars Rosacea
For acne scar treatment, RFM is best combined with PRP as the micro-channels created by the needles enhance penetration of the PRP deep into the skin and allows the additional platelets to contribute to skin healing . It's also best done together with other treatment modalities e.g. TCA CROSS and subcision for faster over-all improvement.
References:
1. Deirdre Connolly, Ha Linh Vu, Kavita Mariwalla, and Nazanin Saedim. J Cnn Aesthet Dermato1. 2017 Sep; l0(9): 12-23. Published online 2017 Sep I.
2. Kesty K, Goldberg DJ. Radiofrequency microneedling for acne, acne scars, and more. Dermatological Reviews. 2020;1:33–37. https://doi.org/10.1002/der2.9
3. Weiner, S.F. Radiofrequency Microneedling. Overview of Technology, Advantages, Differences in Devices, Studies and Indications. Facial Plast Surg Clin N Am 27 (2019) 291–303
Book for your FREE CONSULTATION with our Philippine Dermatological Society Board Certified Dermatologist
📱63933-8638440
☎️(632)8899-3697
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Location: 2nd flr iL Centro Bldg, Sta. Lucia Mall, Cainta, Rizal
🌐www.adranedadermatology.com
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Before and after photos after 1 session of 3in1 combination acne scar treatment using RFM
Please DO NOT DIY TCA PEEL/CROSS!
TCA CROSS, cannula subcision, punch excision, prp, prp biofiller, Hyaluronic acid filler, Radiesse fillers and pico laser.
5in1 Synergistic Acne Scar Treatment includes RF Fractional Microneeing, TCA CROSS, Subcision, PRP and Plasma biofiller
3in1 Synergistic Acne Scar Treatment includes RF Fractional Microneedling, TCA CROSS, Subcision
NEW!!! Calecim Treatment!
SEBACEOUS HYPERPLASIA TREATMENT
Sebaceous hyperplasia treatment now available using RF Microneedle!
New Treatment!!! REJURAN S INJECTIONS
