Commonest skin condition in the clinic
Caused by excessive sebum secretion, clogged pores and bacteria.
Occur on face, neck, chest and back.
Classify as open comedomes, closed comedomes, iflammative acne and cystic acne.
The inflammative and cystive acne cause hyperpigmentation, permanent scarring.
Management of acne should be individualised
First: consult. Find out the trigger factors and assess the severity. Family history, medicine history, environment, and cosmetic and skin care products can be important factors.
Treatment should be comprehensive. Topical cream, oral antibiotic and sometimes isotretinoin will be prescribed by dermatologist. Microdermabrasion and peeling such as glycolic peels and salicylic peels are effective and helps to speed up the acne control.
Complication management
Post acne hyperpigmentation: Skin lightening cream such as Triluma, IPL or pigment laser.
Scarring: Multiples treatment modalities needed, laser, subcision, microneedling, TCA peels.
Summary
Comprehensive management and plan should be discussed with patients. From active treatment to maintenance phase and suitable skin care.