Acne

Acne is commonly associated with adolescence, but it can occur in adults as well. As many as 85% of Americans will have acne at some point in their lives.

Acne

laser acne scar treatment in new york, ny

Acne affects more than your skin. We understand how even the mildest breakout can negatively impact your self-confidence and self-esteem. Acne can range from the occasional pimple to extreme, ongoing breakouts that might go on for several years. Severe breakouts have been linked to anxiety and depression in studies. 

While there is no cure for acne, our board-certified dermatologists have the expertise, experience, and devices necessary to get your acne under control.

 

What Causes Acne?

Three processes in the skin can lead to the formation of acne:

  • Dead skin cells collect and clog your pores
  • Sebaceous glands produce too much oil in the follicles
  • Bacteria builds up in your pores, leading to breakouts

Acne is not an infection of the skin, but an inflammatory condition. Factors that can increase your likelihood of a breakout include:

  • Genetics
  • Hormones
  • Stress
  • Mechanical causes such as makeup or dirt accumulated during a workout
  • Diet (studies have suggested foods such as milk and refined, processed foods that contribute to a high glycemic diet may result in acne)
acne treatment dermatologist in new york

Acne Symptoms

Acne can develop almost anywhere on the body and most commonly appears on the face, neck, chest, back, and shoulders. While blackheads and whiteheads (also known as comedones) are the most common acne lesions, other types can develop as well. Inflammatory lesions like these are the most likely to leave scarring behind:
  • Papules – small, red, and raised bumps, may be tender but often are not
  • Pustules – small, red pimples containing white or yellow pus, can be tender
  • Nodules – solid, inflamed, often painful lumps beneath the skin’s surface
  • Cysts – large, soft, usually painful lumps containing pus deep beneath the skin’s surface

 

*photo taken before COVID-19

 

Acne Medication Options

Some patients respond quite well to topical or oral medications for managing their acne. These medications include:

Topical Medications:

  • Retinoids
  • Benzoyl peroxide
  • Azelaic acid

Oral Medications:

  • Antibiotics (Tetracycline, Doxycycline, Minocycline)
  • Hormone (androgen) blockers (Spironolactone)
  • Isotretinoin (Accutane) – requires ongoing monitoring while on the medication

*photo taken before COVID-19

 

acne medication dermatologist in new york
laser acne treatment in new york
acne treatment dermatologist in new york

Procedures to Treat Acne

When topical and oral medications are not effective, other procedures are available. These might be used in combination to produce the best possible result. Procedures include:

  • Cortisone injections – used for shrinking lesions and accelerating healing
  • Chemical peels – control acne by removing outermost layers of skin
  • Photodynamic Therapy (PDT) – utilizes light therapy to kill bacteria and shrink oil glands

*photo taken before COVID-19

 Laser Acne Treatments

The board-certified dermatologists and laser experts at the Laser & Skin Surgery Center of New York also offer a variety of lasers that can address even the most severe acne breakouts. With a variety of devices available, we can customize your treatment to produce the best possible results. Options include:

  • Isolaz – combines wavelengths of light with suction to clean out pores and reduce acne-causing bacteria
  • Smoothbeam – targets the sebaceous glands with wavelengths of light to reduce oil production
  • Excel V – addresses skin redness that often accompanies acne breakouts
  • Nd:YAG – a Q-switched laser that also treats redness and inflammation common with active acne

We also offer a new technique that combines the Excel V with the Nd:YAG in a single treatment to further enhance your results.

*photo taken before COVID-19

Can Acne be “Cured”?

There is no “cure” for acne. Even when treatments offer long-term improvement, there is always a possibility the acne could return. Our physicians at the Laser & Skin Surgery Center of New York have the experience and expertise to customize effective acne treatment plans for patients at any age.
Younger patients may find that once they stop their acne treatment, the breakouts return. This is a more common issue with topical treatments and much less frequent in Accutane users. However, it is important to understand that since there is no cure for acne, you could experience symptoms even after stronger treatments are completed. To learn more about acne, visit medlineplus.gov

*photo taken before COVID-19

 

acne doctor in new york
acne treatment before and after in new york
laser acne treatment in new york
acne scar treatment before and after in new york

Dealing with Acne Scarring

Even when the breakouts finally end, individuals are often left with residual scarring from the lesions. This is one good reason to treat acne in its early stages, to avoid permanent damage to the skin.

The Laser & Skin Surgery Center of New York offer a variety of treatment options for acne scarring. These procedures have improved dramatically over the past several years thanks to cutting-edge laser technology. While acne scarring cannot be “cured,” most of our patients experience substantial improvement with laser treatment.

Some of the devices used for this purpose include:

Non-ablative fractional resurfacing:

Ablative fractional resurfacing:

The best treatment option will depend on the types of scars and the unique characteristics of each patient. In many cases, a combination of lasers is used to achieve the best results with acne scarring.

 *photo taken before COVID-19

Publications

“Treatment of Atrophic Facial Acne Scars With Microneedling Followed by Polymethylmethacrylate-Collagen Gel Dermal Filler.” Dermatologic Surgery, 2019 Dec.

 “Acne scarring: A review of available therapeutic lasers.” Lasers in Surgery and Medicine, 2016 Feb.

“Use of a picosecond pulse duration laser with specialized optic for treatment of facial acne scarring.” JAMA Dermatology, 2015 March.

“Successful Treatment of Acneiform Scarring with CO2 Ablative Fractional Resurfacing.” Lasers in Surgery and Medicine, 2008 August.

“Treatment of Atropic Facial Acne Scars with the 1064nm Q-switched Nd:YAG Laser.”  Arch Dermatol. 2004 Nov.

Real Acne Patients Before and After photos

No results found.

Acne In The News

Aesthetic Derm News features Dr. Roy Geronemus

Aesthetic Derm News features Dr. Roy Geronemus

Dermatology Times featuring Dr. Arielle Kauvar

Dermatology Times featuring Dr. Arielle Kauvar

Allure Magazine Features Dr. Roy Geronemus

Allure Magazine Features Dr. Roy Geronemus

NY Times features Dr. Roy Geronemus

Acne Questions and Answers

Q: Can I Reduce My Chances of Getting Actinic Keratosis?

A: Limiting your exposure to the sun can reduce your chances of developing actinic keratosis. Wearing sunscreen daily can also reduce your chances of developing actinic keratosis. 

Q: Can Actinic Keratosis Develop Into Cancer?

A: Yes. If left untreated, it is possible for a squamous cell carcinoma to develop.  Treatment is recommended as soon as possible to avoid this possibility. 

Q: How Fast Does Actinic Keratosis Develop?

A: Actinic keratosis can take years to develop. 

Q: Who Is At Risk For Developing Actinic Keratosis?

A: Everyone is susceptible, but precautions can be taken to reduce your chances. Excessive sun exposure, family history, fair skin and/or light eyes can greatly increase an individual’s chance of developing skin cancer. 

Q: How Much Does Treatment Cost?

A: Treatment costs vary by patient. Contact your dermatologist to figure out a treatment that is best for you. 

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Our 30,000+ sq foot dermatology center in New York is the most comprehensive, state-of-the-art laser and cosmetic skin surgery center in the world. Over the past 30 years we have contributed to the development and testing of many devices, fillers and treatments that are now standard care, so our patients know they are always receiving the most innovative, cutting-edge treatment available.

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Contact us 

Manhattan:

 

317 East 34th Street New York, NY 10016

Monday – Friday: 8:00am – 7:30pm

Saturday & Sunday: September through June by appointment only

(212) 941-5055

Southampton:

 

325 Meeting House Lane, Bldg. 1, Ste. C Southampton, NY 11968

Tuesday - Friday: by appointment only

(631) 305-2402

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