Acne is the most common skin condition in the US, affecting between 40-50 million people, both adults and teens.
It is well know that a bacteria that lives on the skin, Propionibacterium acnes, causes acne. Other culprits are increased oil production, blocked pores and hormonal irregularities. Dr Goodlerner and her nurse practitioner Edie Moore are experts in developing a personal treatment plan tailored for your skin and your lifestyle. Dr Goodlerner also has her own acne kit for teens “stronger than Proactive”. Whether it is your teenager or you who is suffering from acne, schedule an appointment now to get on the right track.
While men and women both develop acne in adolescence, adult women have persistent acne more often than adult men. The acne lesions in adult women frequently occur on the lower half of the face and the jawline and worsen during the menstrual cycle. Hormonal therapy such as oral contraceptives with or without spironolactone, an anti- androgen, is very effective for adult acne in women.
It is well know that a bacteria that lives on the skin, Propionibacterium acnes, causes acne. Other culprits are increased oil production, blocked pores and hormonal irregularities. The standard treatments include: topical antibiotics to decrease bacterial colonization, topical vitamin A or tretinoin to exfoliate and prevent blocked pores, oral antibiotics to kill bacteria and reduces inflammation, and Isotretinoin, an oral vitamin A medication which reduces oil production. For women, dermatologists often recommend oral contraceptives to block female testosterone and reduce oil production. Spironolactone, another type of testosterone blocker, can be used with oral contraceptives, to increase the acne clearing effect.
Some patients do not completely improve with the above treatments or do not want to take oral medication. Light in the blue color range ( longer wavelength than UV light) has been shown to reduce or kill acnes bacteria on the skin. The light treatments are an excellent supplement to topical medication and can reduce the need for oral medication. For more severe acne, the light can be used with a light-activated topical medication AKA, photodynamic therapy. This treatment is FDA approved for other skin conditions, not yet for acne. It can be used as an adjunctive treatment for difficult to treat acne. At the time of this writing, photodynamic therapy for acne was not yet covered by insurance.