Acne is a common inflammatory skin condition that occurs when the pores of the sebaceous glands become blocked with oil (sebum) and dead skin cells. This leads to the formation of blackheads, whiteheads and deeper inflamed pimples. It most often affects the face, chest and back, where sebaceous glands are more active, and can occur at any age.
Types
Acne presents in different forms. Comedonal acne is characterised by blackheads and whiteheads. Inflammatory acne appears as red or tender bumps and pustules. Nodulocystic acne involves deeper, painful lumps under the skin and has a higher likelihood of scarring. Because acne can vary in severity and pattern, treatment is most effective when tailored to the type of acne present.
Managing Active Acne
Treatment depends on severity. Isotretinoin is often the most effective option for persistent, scarring or severe acne, as it targets the underlying factors that drive the condition, including oil gland activity and inflammation. Other treatments may include topical medications, oral antibiotics and hormonal therapies, depending on the pattern of acne, medical history and treatment goals. The priority is to bring active inflammation under control first, as this helps prevent new scars from forming.
Acne Scarring and Treatment Options
Once acne is controlled, scarring may become the main concern. Acne scars vary in shape and depth, so treatment is selected according to the pattern of scarring and individual skin characteristics. Our clinic offers several evidence-based treatments, which may be used individually or in combination:
– CROSS (Chemical Reconstruction of Skin Scars): A precise technique applying a chemical agent to deeper, narrow “ice pick” scars to stimulate collagen and help them fill out gradually.
– Laser Resurfacing: Fractional laser technology is used to refine uneven skin texture, soften edges of scars and promote controlled collagen renewal.
– Subcision: A minor surgical procedure that releases the fibrous bands tethering depressed scars, allowing the skin to lift and remodel.
– Rejuran Injection: A polynucleotide-based treatment that supports tissue repair, improves hydration and elasticity, and encourages natural skin regeneration.
Our Approach
Most patients benefit from a treatment plan that combines more than one technique. Treatments are spaced appropriately to allow gradual improvement without overwhelming the skin. The aim is to restore smoother texture and improve confidence while maintaining natural results.
Acne is a common condition that can range from mild breakouts to severe, scarring forms. Effective treatment requires an approach tailored to the type of acne and its underlying causes. We provide comprehensive medical management and a range of advanced treatments to support clearer skin and long-term confidence.
Frequently Asked Questions
What causes acne?
Acne develops when the pores of the sebaceous glands become blocked with oil and dead skin cells. Hormones, genetics and inflammation often play a role, which is why it can vary significantly from person to person.
Is isotretinoin safe?
Isotretinoin is a well-studied and highly effective treatment for persistent or scarring acne. It requires monitoring with periodic blood tests and review appointments to ensure safety. For many patients, it provides long-term remission.
Do I need to stop treatment once my skin improves?
Some treatments are used short term to control inflammation, while others are continued at lower doses to maintain results. The specific plan depends on your skin, the severity of your acne and your treatment goals.
Can acne leave permanent scars?
Yes. Inflammatory and deep nodular acne can lead to scarring, particularly if left untreated. Early treatment reduces the risk of scarring and leads to better long-term outcomes.
How do you treat acne scarring?
Scarring is treated using techniques that stimulate new collagen and release tethered scar tissue. Depending on the scar pattern, options may include CROSS, subcision, laser resurfacing and Rejuran injections. Treatment plans are individualised and often combine more than one approach.
How long does it take to see improvement?
Active acne treatment may take several weeks to months to show noticeable improvement. Scar treatments are usually performed gradually over a series of sessions to allow natural skin regeneration.
If you are concerned about ongoing acne or scarring, an individualised assessment can help determine the most suitable treatment approach. We are here to guide you through each step at a pace that feels right for you.