Acne Woes: Effective Treatments For Clear, Smooth Skin

What is the best treatment for acne?

Anon, Kumeu.

Acne is a frustrating beast.  It can rear its ugly face at all ages and can fluctuate at different stages of our lives.  Back in the infomercial days of acne skincare, many of us will remember the “miraculous” treatments all the popstars used that seemingly served to only irritate our skin, without any real solution (sorry Beibs).

Several types of acne exist, all relating to different stages of hair follicle blockage and inflammation.  These stages are referred to as Comedomal Acne (red spots and blackheads), Acne Vulgaris (pimples and blackheads), and Nodulocystic Acne (angry red pimples and sores).  Often an array of these features co-exist, and are further categorized as mild, moderate and severe. 

Treating hormonal imbalances, tweaking medications, restricting the use of occlusive cosmetic products and reducing intake of dairy and high GI foods can all help as a starting point to minimizing acne.  Cleansing the face twice daily with a pH-balanced cleanser, ideally containing salicylic acid is the next step, followed by use of topical Retinol (Vitamin A).  The latter is famous for not only controlling acne, but also sports marvelous anti-ageing effects, plumping skin and evening pigmentation.  Hardy versions of retinol are available on prescription.

Chemical peels and microneedling can also help settle the skin; however need to be done on skin without active infection present.  Failing that, oral medication such as doxycycline and isotretinoin (Roaccutane) are an option to really help things clear.  Like any oral medication, these must be prescribed by a Doctor and monitored closely to ensure safety and adequate response. 

As acne clears and scars emerge, these too can be minimized by treatments such as chemical peels and microneedling.  As complex as acne can be, advancements in skincare, topical and oral medications have thankfully altered the course of how we can treat this problem.  Goodbye pizza face, hello smoothness!

Quick Answers:

What is the best treatment for acne?

There is no single best treatment for acne. The right approach depends on the type and severity of acne and often involves a combination of skincare, lifestyle changes, and medical treatment.

What types of acne are there?

Common types include comedonal acne (blackheads and small red spots), acne vulgaris (pimples and blackheads), and nodulocystic acne (deep, painful red pimples and sores).

Can skincare alone help treat acne?

Yes, for mild to moderate acne. Using a pH-balanced cleanser twice daily, salicylic acid, and topical retinol can significantly improve breakouts.

Do diet and hormones affect acne?

Yes. Hormonal changes, certain medications, dairy intake, and high-GI foods can all contribute to acne and may need to be addressed as part of treatment.

When are medical treatments needed for acne?

Moderate to severe acne may require prescription treatments such as oral antibiotics or isotretinoin, which must be prescribed and monitored by a doctor.

Can acne treatments also help with acne scarring?

Yes. Once active acne has settled, treatments such as chemical peels and microneedling can help improve acne scarring and skin texture.

If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz.