Treatment of Acne
Before the application of the method of acne treatment, the patient should be fully informed about the following:
- nature and natural history of acne vulgaris
- causes of acne onset
- importance of proper monitoring by the treating dermatologist
- evaluation of the results of the applied method and possible side effects
- explanation of the expected gradual improvement in symptoms during treatment
Although acne treatment is a combination of experience and scientific knowledge, a solid understanding of the different types of medication and their proper use in both monotherapy as well as combination therapy provides the foundation for the correct treatment regimen.
There are several therapy treatment options for acne treatment with or without medication such as phototherapy topical therapies, chemical peelings and LASER. More specifically, the increase of bacterial resistance to antibiotics, the adverse effects of drugs, as well as a lack of response to the usual therapies have led to the research for therapeutic methods without medication, like phototherapy and LASER.
The Objective of Acne Treatment
The main objective of acne treatment is to minimise the negative psychological impact caused by acne and to prevent the formation of scars. This can be achieved through the elimination of existing acne lesions and the prevention of new lesions and/ or scars formation by:
- Controlling increased sebum production and/or reduction of sebum levels.
- Controlling pore keratinisation/hyperkeratinisation.
- Treating of the bacteria involved in acne pathophysiology.
There are many available effective treatment options for the treatment of acne. However, the selection of the appropriate therapeutic regimen depends on the severity of acne.
Acne Treatment aims to:
- relieve patients from symptoms
- eliminate current lesions
- reduce acne’s activity
- prevent the formation of new lesions and scars
- lessen the negative effects on in patient’s quality of life
Successful Acne Treatment depends on:
- the patient’s good understanding of treatment application
- the compliance with the doctor’s instructions to avoid the risk of relapse
- extensive and complete control of the patient’s history by the dermatologist
- patient preferences and abilities to choose the appropriate treatment
Additional reasons for poor response and compliance to treatment:
- (P. acne) resistance to antibiotics in patients that are compliant with their treatment regimen
- persistent and/or difficult acne cases
- treatment intolerance and/or undesirable effects due to treatment
- inadequate dose of antibiotic agent when treatment with medications is proposed
Factors affecting compliance with therapy:
|Improvement of treatment compliance||Decrease in treatment compliance|
A good relationship between the dermatologist and the patient
Feeling shame due to appearance
Psychosocial factors (stress & depression)
The importance of prompt diagnosis of acne
A proper diagnosis is performed based on the patient’s clinical examination and skin analysis with the advanced system Canfield VISIA®. In cases of adults with acne, then other possible causes leading to acne persistence are considered such as in the case of women where there may be the use of inappropriate cosmetic products or their hormonal profile. In addition, if there is the possibility of rosacea, then a specialised laboratory examination is performed in order to confirm or not the presence of the Demodex folliculorum mite, which is involved in the pathogenesis of the specific skin condition.
Included with the diagnosis:
- immediate microscopic examination
- prompt diagnosis of the causes of acne’s persistence
- recommendation towards the use of appropriate cosmetic and cleansing products
- treatment progress monitoring through complexion analysis system Canfield VISIA® on a regular basis