Acne Treatment

What is acne?

The way acne affects the skin can vary tremendously between individuals. Some of us may just get an odd spot from time to time. For others, acne can cause persistent, large and inflamed pustules and nodules which may leave a blemish or a scar during the teenage years and beyond. We are able to help the whole spectrum of acne, from mild to severe, and have particular expertise in managing persistent acne in adults. Treating acne at an early stage will prevent permanent blemishes and scars from developing.

Acne treatments at Belgravia Dermatology

  • Detailed consultation and skin analysis by a Dermatologist to design an individualised treatment plan
  • A bespoke skin care regime to suit your skin type
  • Antibiotic tablets
  • Spironolactone
  • Roaccutane (Accutane, isotretinoin)
  • Manual extraction or hyfrecation (heating) of comedones
  • Excel V Laser (532nm) to reduce redness (as for the V-beam Pulsed Dye Laser)
  • Intense pulsed light (IPL)
  • Chemical peels

What are the types of acne?

Acne may be comedonal, where the lesions are either blackheads (open comedones) or skin coloured bumps (closed comedones). Acne may also be inflammatory, in which red and inflamed spots and pustules develop. Sometimes inflammatory lesions can become very large and develop into nodules (lumps) and cysts.

What is hormonal acne?

Hormonal acne is very common in women. Hormonal acne occurs because skin cells become very sensitive to male hormones such as Testosterone. Women produce small quantities of male hormones and this may be enough to trigger acne. Hormonal acne looks like usual acne but may cause more deeper nodules and cysts, that last for longer periods. Hormonal acne causes spots on the chin and jaw line & also around the mouth. Hormonal acne can also cause acne over the whole face and back. Spots may be triggered just before or during a menstrual period. Hormonal acne does not respond well to treatment with acne creams, and antibiotics. In some cases hormonal acne does not respond well to treatment with Roaccutane (Accutane). Hormonal acne often comes back after a course of Roaccutane (Accutane) has successfully cleared it.

Who gets acne?

Acne is most common during the teenage period amd  90% of teenagers get acne at some point. However, acne is not just a teenage problem.  30% of those in their twenties and 20% of those in their thirties are also affected by recurrent acne. Adult acne is increasingly common and we see a large number of adult sufferers in our practice.

What are the causes of acne?

  • Hair follicles clog up because the cells lining them become sticky
  • The sebaceous glands produce too much sebum which gets trapped in hair follicles because of the sticky cells clogging them
  • Proprionobacterium acnes is a bacteria that builds up in the sebum that has collected in clogged follicles
  • This causes inflammation and spots, nodules and cysts
  • The treatments we offer are designed at addressing each of the three causes of acne.

How is acne treated?

Following a detailed consultation, our Dermatologists will be able to offer you treatments which are tailored to the type of acne you have taking into account your age, the previous treatments you have had, your lifestyle, and your goals. We offer a range of latest treatments which may be recommended alone or in combination.

What are the effects of acne

Visible acne lesions on the face can be embarrassing and frustrating, and it is common for many sufferers to feel significant psychological distress from them. Lesions themselves may cause discomfort and bleeding, and can lead to permanent scarring of the skin.

 Why should acne be treated?

Treating acne improves quality of life significantly, and can transform self-confidence and self-esteem. Treating acne early is important to prevent scarring.

I already have acne scars – is it too late?

Definitely not. The first step will be to gain control of the acne so that new scars do not form. Once this is achieved we can work through different treatments to improve the scars including laser therapy, Tixel thermo-mechanical treatment, lasers fillers, subcision, steroid injection, TCA cross and many others. It is never too late.


Treatments for acne at Belgravia Dermatology

  • About – Almost 30% of people in their 20’s get acne. This can be really difficult and embarrassing.
  • Treatments – We  offer prescription creams, prescription tablets such as Roaccutane (Accutane, Isotretinoin) and Spironolactone and hyfrecation of comedones  to control acne.
  • Self help – Avoid picking at spots however tempting this may be – as this can increase the chance of a scar developing.
  • Next step – Treating acne at an early stage will prevent permanent blemishes and scars from developing. If you would like to discuss how to improve your acne then please contact us to arrange an appointment with on of our experienced Dermatologist.

How effective are acne treatments?

Acne treatments are very effective and almost everyone will derive an improvement or clearance in their acne from the treatments which we offer at Belgravia Dermatology. Our goal is to also provide you with long term management strategies so that your acne remains under good control in the future.

What should I do next?

If you suffer from acne or from scarring secondary to acne then please arrange to see one of our Dermatologists who will be happy to help.

  • Make an appointment

  • Call us on

      +44 (0) 207 112 8622

    (Mon-Fri 9am to 5pm)

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