Acne is a common skin disease that affects most of people at some time during their lives. Acne is most common in adolescents although for some people it may only first appear in their mid twenties and can even persist into middle age.


 

 


What is acne?—Our faces and bodies are covered with tiny hairs that fit into a hair follicle, or 'pore'. Deep within these pores are glands that produce natural oil called 'sebum'. Sebum's function is to keep the skin lubricated and prevent it from drying out.

Acne occurs when the oil glands respond abnormally to levels of the male hormone testosterone. Excess oil is produced which combines with dead skin cells on the top layer of the skin. A sticky mixture is formed which blocks the skin pores, trapping oil and bacteria inside. As the oil glands continue to produce excess oil the follicle begins to swell producing blackheads, pimples, spots, and whiteheads.

Acne is more common among teenagers because it is only with the onset of puberty that the body begins to produce hormones.

Scarring—People often squeeze spots and blemishes because of their unpleasant appearance. This can however cause increased inflammation and in extreme cases lead to permanent scars of the face.


Typical treatments for acne include a variety of over-the-counter and prescription lotions and solutions that include antibiotics, retinoids and vitamin A derivatives. Some patients benefit from the use of peels that use glycolic or salicylic acids but these can cause dryness of the skin and irritation. Additionally oral treatments include drugs that inhibit the production of acne-causing hormones while in women the use of the oral contraception pill has been shown to help lessen acne.

Acne scars have proven notoriously difficult to treat and traditionally dermatologists have used surgical procedures that remove the scar (excision), chemical peels, or abrasion techniques that literally scrape the scar off the skin using a wire brush or rotating diamond-edged wheel (dermabrasion).


1. Active acneDevelopments in laser technology now offer a breakthrough in the treatment of active acne. Fotona’s DualisSP system uses a high power laser to penetrate the skin and target the bacteria that produces the inflammation associated with acne. This bacteria releases molecules called porphyrins which when exposed to a certain wavelength of light (the laser beam) increase in number until they destroy the bacteria.

Unlike many other laser systems the Fotona’s DualisSP has both an erbium laser that allows the minimal penetration required for the gentle resurfacing of acne-scarred skin, and a neodymium laser to penetrate deeper in order to destroy the active bacteria in acne (propionobacterium). As a result the DualisSP is a comprehensive solution to the misery of acne.

2. Acne scars—Lasers have been used to treat acne scars for several years. In such treatments the laser is used to remove skin so that new skin can form in its place. Unlike chemical peels and dermabrasion with laser resurfacing the penetration depth into the skin is more easily controlled. The laser gently vaporises the acne-scarred surface of the skin so that undamaged skin below is revealed. Unlike many other techniques laser resurfacing is bloodless, gentle and complete recovery is achieved within days.


BEFORE AFTER – 4 months post treatment
BEFORE AFTER – 10 days post treatment
BEFORE AFTER – 10 days post treatment
BEFORE AFTER – 10 days post treatment


Call Coastal Skin Center now to set up an appointment 207.667.2422 or 888.379.5664

37 Commerce St. in the new Ellsworth Business Park
Ellsworth, ME 04605
A Division of Coastal Health Center