Inflammatory Acne

After 2 Sessions IPL

Inflammatory Acne Forehead

What causes acne?
Most people develop acne during adolescence. It is most prevalent in those aged 16 to 18 years. The reasons are due to sex hormones and overgrowth of the skin cells at the surface of the skin. Typical skin changes include a greasy skin (seborrhoea), comedones (blackheads & whiteheads), and inflammatory spots (pustules). Persistent severe inflammation can lead to scarring and small pits.

Which treatments are effective?
Your GP will typically prescribe topical cleansers, topical antibiotics and oral antibiotic treatments. These are fairly effective for mild to moderate acne. More severe disease may be helped with the oral contraceptive pill (Dianette). If these treatments fail, a specialist opinion is usually necessary. We have four dermatologists in the clinic who can advise about specialist treatments.

Specialist Therapies at Hove Skin Clinic:

Chemical Peels (Tricholoacetic Acid/Jessners Solution)

We offer a range of chemical peels in the clinic for the treatment of superficial acne scarring and pigment disturbance. Dr Shergill and Dr Hextall specialise in this technique. Medical chemical peeling is much deeper than offered by beauticians and other therapists. It can cause shedding of the skin for 5-7 days and we would notmally expect patients to book for a consultation prior to a peel to assess whether the treatment will be of benefit and to discuss any potential risks.

Intense Pulsed Light (IPL) Therapy
In recent years, it has been shown acne can be improved by laser thrapy with Intense Pulsed Light (IPL). The IPL travels deep into the skin to switch-off inflammation and improve redness. We recommend 3-4 sessions of treatment at 4-weekly intervals. At the clinic we have two IPL lasers that can be used to treat acne safely. IPL sessions cost £80-£120. Please telephone to book an appointment directly with one of our specialist nurses or aesthetic practitioners.

Blue Light Therapy Combined with ALA (Aminolaevlunic Acid)
We are one of the first specialist clinics to have blue light for treating acne. This wavelength of light (430nm) is able to treat harmful bacteria and can be combined with a topical photosensitiser on the skin to improve results. Several sessions are required and the treatment is most beneficial in those patients with inflammatory acne.

Isotretinoin (Roaccutane)
Isotretinoin is called a retinoid and works by stopping excess growth of the skin surface cells, which helps unblock pores and stop inflammation. This has a cure rate of 85% with a 4-6 month course. Side-effects are due to a reduction in grease production that leads to dry lips, dry eyes, and dry patches of skin on the body. Occasionally, muscle aches can be experienced and there is a small risk of mood disturbance. Few patients stop the drug despite side-effects. The overall benefits outweigh any side-effects for the majority of patients. Women of child-bearing age must use strict contraception throughout treatment and may need monitoring throughout treatment. Only consultant skin specialists can prescribe Isotretinoin in the UK. It is the most effective treatment for acne.

What treatments are available at the clinic for acne scarring?
Acne scarring is diffuclt to treat but may be helped by Intense Pulsed Light, Microdermabrasion, Topical retinoids (Adapalene Cream/Retin-A), or Chemical Peels. IPL works by promoting collagen sysnthesis in the skin and treating redness. Microdermabrasion removes the surface skin layers and helps promote collagen re-modelling. It is usually combined with topical retinoids to maximise results. Chemical peeling can also help but deep peels are often required to achieve the best results. More aggressive treatments such as laser dermabrasion and surgical dermabrasion have become unpopular because of side-effects that comprise of pigment disturbance (loss of colour/increased colour) and worsening of scarring in some cases.

How much do treatments cost at the clinic?

Isotretinoin (Specialist Consultation Fee £80-£120 plus £120-£300 for medication)

IPL Laser Therapy (£80 per session)

Microdermabrasion (£80 per session)

Adapalene (Differin)Cream (£20 per 30g tube)

How do I book an appoinment?

Simply telephone the clinic helpline on 01273 719834

GP referral letters are only required if you are planning to claim any consultation fees from your private medical insurance company. Please note that few insurance companies will pay for medication.