Acne is a complex inflammatory condition of the sebaceous glands that can cause spots, open comedones and closed comedones. At DAGDERM, treatment starts with a detailed dermatology assessment. The doctor evaluates the type and location of lesions on the face, back or chest and considers factors that may aggravate acne, including skincare, stress, hormonal changes and medicines. Based on this assessment, the dermatologist prepares an individual plan that may combine topical or oral treatment with suitable skincare. When appropriate, treatment may be supported by medical peels, laser therapy or microneedling, with the timing selected according to the condition of the skin.
Acne is often associated only with teenagers, but it can also persist or begin in adulthood. Lesions most often occur in the following areas:
Topical treatment
Topical treatment is commonly used for mild and moderate acne and to maintain results after oral therapy. Depending on the patient’s needs, the dermatologist may recommend products that regulate keratinisation and unclog pores, reduce inflammation and bacterial proliferation, limit the formation of new comedones, and support the skin barrier.
Systemic treatment
For more extensive inflammation, painful nodules, lesions on the torso or a high risk of scarring, the dermatologist may consider oral treatment. Depending on the individual case, this may include anti-inflammatory or antibacterial therapy, hormonal treatment in selected patients, or retinoids such as isotretinoin for severe acne.
Some systemic treatments require medical supervision, laboratory monitoring and strict pregnancy prevention. Oral medicines should not be started without a doctor’s guidance because they can cause serious adverse effects.
Supportive in-clinic procedures
Procedures may complement medical treatment and address post-inflammatory pigmentation or scars. The method and timing depend on whether acne is active. Options may include medical peels, treatments supporting the reduction of sebum and comedones, and skin-remodelling procedures such as microneedling or fractional laser therapy, usually after active inflammation has settled.
A dermatology assessment is essential. Aggressive procedures performed during an active flare may irritate the skin and worsen the condition.