Doctor insights on:
Ultraviolet Acne Treatment
Options exist: Consult with a board certified plastic surgeon or dematologist to evaluate your personal options. This may include lasers, chemical peels, dermabrasion or prescription skin care. There are many options and you need a regimen tailored to your specific situation and expected results.See 1 more doctor answer
Rx's best: Since you are a female, your physician may be able to identify a mild hormonal problem putting you at extra risk. Over-the-counter stuff is weak. I start with topical Clindamycin with or without a retinoic acid derivative, adding a systemic antibiotic if needed (erythromycin might be a good choice if you can tolerate it). Only dermatologists can use the strongest medications.See 1 more doctor answer
Several types: It really depends on the type of acne and severity of the acne. If is is moderate to severe, oral antibiotics with topical treatments prescribed by a dermatologist is necessary. If it is very severe, Accutane may be necessary. It is is mild, topical prescriptions may help alon.See 1 more doctor answer
Scientific: It's unfortunate if you're 25 & haven't yet been rx'd effectively. Mildest cases may respond to topical benzoyl peroxide. Next step is topical Clindamycin or something similar, retinoic acid derivative if many blackheads. If not clear in a month or so, a systemic antibiotic for a guy, maybe tetracycline 500 2x/day; for the toughest cases Accutane will clear you tho it's not pleasant.
Rx: If it's worrisome enough to write healthtap, you deserve a 21st century rx. I start with topical clindamycin, with a retinoic acid derivative if there are many blackheads, maybe benzoyl peroxide if not. Nastier acne or if present on the trunk usually requires an appropriate systemic antibiotic as well, and for the deep stuff, dermatologists have the big guns. Should be manageable. Good luck.
Scientific Rx: Two weeks trial of topical benzoyl peroxide alone. This clears most mild acne. If not clear, physician's office visit. Options may include topical retinoic acid derivative, topical clindamycin, the oral contraceptive pill for a woman who can take it, and/or an appropriate systemic antibiotic right for the patient. Tough cases referred for isotretinoin. Manage as a chronic disease. Good luck.
Yes: Blue light with aminolevulenic acid can work in some patients. Not sure about how your insurance may pay for it but i feel some patients do well with it. Often i will suggest it for a patient who might need accountant but they either don't want to go that route or cannot go that route.
Pain with Acne Light: It depends on whether levulan chemical is used. The chemical will make it more uncomfortable, but probably make the treatment work better. The treatment will also work without the medicine. It creates oxygen in the glands, which is toxic to the bacteria. It is a good adjunctive treatment, but nothing beats Isotretinoin for long-term resolution of acne.
For severe cases: Accutane is a very strong but very effective drug for acne. It has potential serious side effects and requires close monitoring. That said, i know multiple patients who have had phenomenal improvements with Accutane that say they would do the treatment over. I recommend you see a local dermatologist for a consultation and more information.