Acne vulgaris affects most people at some point in their lives. It is a chronic inflammation of the pilosebaceous unit, which involves the following factors:
External factors may trigger or aggravate acne:
Fractional Energy Devices treat active acne together with concomitant post-inflammatory erythema and depressed scarring. The choice of which device to use would for the acne scar treatment depends on the depth of the scarring present and patient factors.
Using a carbon photo-enhancer that penetrates into pores, Carbon Laser Peel targets active acne and coarse pores, as well as producing a controlled peel to improve the skin’s radiance and promote a smooth glowing complexion.
Unlike most carbon laser peel using nanosecond lasers, we use the high power picosecond laser, Discovery Pico Plus, to produce more photoacoustic effects. Unlike most picosecond lasers, Discovery Pico Plus has a photothermal mode as well which, together with the carbon photo-enhancer, kills acne bacteria and stimulates collagen renewal.
A special insulated radio frequency probe is used to apply radiofrequency energy to the sebaceous glands causing recurrent acne. Mean reduction of more than 80% after 3 sessions were observed in studies.
Vascular lasers (such as pulsed dye lasers, yellow lasers, long-pulsed diode or NdYAG) target haemoglobin in blood vessels destroying them. They are useful for inflammatory acne but don’t help with depressed scarring.
Hydradermabrasion incorporates the simultaneous medicinal serum infusion (such as chemical peels, antioxidants, etc), crystal-free exfoliation and vacuum extraction. The vacuum extraction unblocks the pores, the serum infusion treats the acne, while the exfoliation stimulates skin renewal.
Intense Pulsed Light (with special acne and vascular filters) and blue/red phototherapy kill acne bacteria and generate an anti-inflammatory effect
Chemical peels target most of the pathophysiological factors involved in acne vulgaris. They:
Corticosteroid injections work rapidly for acne cysts, with quick relief sometimes within 24 hours. However, they do not control acne and should only be used on an ad-hoc basis.
Acne is a complex and multifaceted process that starts from blockage of the pores but is influenced by the individual response to inflammation and bacterial infection.
Dr Wan believes that an aggressive multipronged approach combining treatments, medications and lifestyle changes should be utilized to quickly achieve tight acne control to prevent permanent scarring. All factors contributing to the pathogenesis of acne should be simultaneously addressed for complete suppression of the acne process.
An overly conservative approach restricting usage of effective treatments and medications for acne may result in irreversible scarring, hence Dr Wan first achieves tight control before gradually de-escalating therapy.
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