Novel and Adjunctive Therapies
Recent advancements include light-based therapies (e.g., blue and red light therapy), chemical peels, and laser and IPL treatments, providing additional options for patients unresponsive to traditional therapies or those seeking adjunctive treatments. Microneedling, mesotherapy, PRP, and chemical peels are also modalities used for the treatment of acne and complications, like inflammatory hyperpigmentation and acne scars. Laser treatments and Intense Pulsed Light (IPL) therapy are advanced modalities that have gained prominence in dermatology and medical aesthetics for their versatility and efficacy in addressing a broad spectrum of skin conditions, including acne and its sequelae such as post-inflammatory hyperpigmentation (PIH) and acne scars.
Laser Treatments - Nordlys System in Acne Treatment:
The Nordlys system, employing Selective Waveband Technology (SWT), offers a multifaceted approach to acne management through its advanced laser and light-based therapies. The system functions primarily through two mechanisms: direct bactericidal effects against Cutibacterium acnes and modulation of sebaceous gland activity to reduce sebum production.
1. Intense Pulsed Light (IPL) Therapy:
The Nordlys system employs SWT IPL, a broad-spectrum light-based therapy that can treat a range of skin issues, including acne. IPL works by emitting bursts of intense light absorbed by specific targets (chromophores) in the skin, such as porphyrins produced by C. acnes, leading to bacterial destruction. Additionally, IPL can reduce inflammation, promote collagen production, and improve skin texture. It is beneficial for reducing post-inflammatory hyperpigmentation and erythema associated with acne. The Nordlys system's IPL is particularly effective in targeting both the inflammatory and post-inflammatory aspects of acne.
2. Non-ablative Lasers (Frax 1550 and Frax 1940):
These fractional non-ablative lasers deliver laser energy in a fractionated pattern to the skin without removing the top layer. The Frax 1550 and Frax 1940 promote collagen production and remodeling, effectively reducing inflammatory lesions and improving acne scars with minimal downtime. This approach allows for effective tissue remodeling and collagen stimulation, reducing recovery time compared to fully ablative lasers.
Chemical Peels
The best chemical peel for the treatment of acne largely depends on the patient's skin type, severity of acne, and specific skin concerns. Here are some commonly used chemical peels for acne treatment:
1. Salicylic Acid Peel
Mechanism: Salicylic acid is a beta-hydroxy acid (BHA) that is oil-soluble, allowing it to penetrate and exfoliate within the pores. It has anti-inflammatory and comedolytic properties.
Indications: Effective for treating comedonal and mild inflammatory acne. It helps reduce sebum production and clear clogged pores.2.
2. Glycolic Acid Peel
Mechanism: Glycolic acid is an alpha-hydroxy acid (AHA) that exfoliates the skin's surface, promoting cell turnover and reducing hyperpigmentation.
Indications: Useful for treating mild to moderate acne and post-inflammatory hyperpigmentation. It can improve skin texture and tone.
3. Jessner's Peel
Composition: A combination of salicylic acid, lactic acid, and resorcinol.Mechanism: Provides a medium-depth peel that exfoliates both the epidermis and upper dermis.
Indications: Effective for moderate to severe acne and acne scars. It can also help with pigmentation issues and improve overall skin texture.
4. TCA Peel (Trichloroacetic Acid)
Mechanism: TCA peels provide a medium to deep exfoliation, depending on the concentration used.
Indications: Suitable for treating more severe acne and acne scars. It helps with skin resurfacing and can significantly improve skin texture and tone.
5. Mandelic Acid Peel
Mechanism: Mandelic acid is an AHA with larger molecules, making it gentler on the skin and less likely to cause irritation.
Indications: Ideal for sensitive skin types and those with both acne and hyperpigmentation. It has antibacterial properties and helps in exfoliating the skin gently.
6. Lactic Acid Peel
Mechanism: Lactic acid is an AHA that exfoliates the surface of the skin and has hydrating properties.
Indications: Suitable for patients with dry or sensitive skin. It helps with mild acne and improves skin hydration and texture.
Factors to Consider:
· Skin Type: Choose a peel that is compatible with the patient's skin type (e.g., oily, dry, sensitive).
· Acne Severity: Select a peel based on the severity of the acne (mild, moderate, severe).
· Post-Inflammatory Hyperpigmentation (PIH): If PIH is a concern, peels like glycolic acid or mandelic acid that also target pigmentation may be preferred.
· Previous Treatments: Consider any prior treatments the patient has undergone and any potential for skin sensitivity or irritation.
Salicylic acid peels are generally considered the gold standard for acne treatment due to their ability to penetrate and exfoliate within the pores. However, the best chemical peel may vary depending on individual patient factors, and it is essential to tailor the treatment to each patient's unique skin needs and acne presentation.
Microneedling with RF
Microneedling with radiofrequency (RF) is an advanced, minimally invasive treatment that combines the benefits of traditional microneedling with the added efficacy of RF energy. This synergistic approach enhances skin rejuvenation and acne treatment outcomes by addressing multiple aspects of acne pathogenesis and scarring. Here's an overview of how microneedling with RF works for acne treatment:
Mechanism of Action:
· Microneedling:
1-Collagen Induction Therapy: The mechanical action of microneedling creates micro-injuries in the skin, which stimulates the body's natural wound healing process. This leads to the production of new collagen and elastin, essential for skin repair and rejuvenation.
2-Improved Product Penetration: The microchannels created by the needles enhance the delivery and absorption of topical treatments, such as growth factors, hyaluronic acid, or other anti-acne serums, allowing them to penetrate deeper into the skin.
· Radiofrequency (RF) Energy:
1-Thermal Effect: RF energy generates heat in the deeper layers of the skin (dermis), causing controlled thermal damage. This heat stimulates further collagen production and remodeling, enhancing skin tightening and improving the appearance of acne scars.
2-Sebaceous Gland Modulation: RF energy can help reduce the activity of sebaceous glands, leading to decreased sebum production. This is particularly beneficial in managing acne by reducing one of its primary contributing factors.
Indications for Microneedling with RF in Acne Treatment:
- Active Acne: RF microneedling can help reduce inflammation and bacterial colonization, addressing active acne lesions and preventing future breakouts.
- Acne Scars: This treatment is highly effective for atrophic acne scars (e.g., ice pick, boxcar, and rolling scars) due to its dual mechanism of collagen induction and skin tightening.
- Skin Texture and Tone:The procedure improves overall skin texture, reducing the appearance of enlarged pores and evening out skin tone.
Microneedling with RF is a highly effective treatment for both active acne and acne scars, offering a dual approach that enhances skin rejuvenation and improves overall skin health. When performed by a skilled practitioner, this treatment provides significant improvements with minimal downtime, making it an attractive option for patients seeking comprehensive acne management.
Acne Treatment in Happauge, NY
The integrated NYPAM acne protocols adopt a holistic and individualized approach. This approach facilitates the development of a tailored treatment regimen capable of handling acne across its entire spectrum, spanning from the onset of breakouts to subsequent scarring and pigmentation. Make an appointment for a complimentary telemedicine consultation today.
