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Acne

Acne is a common skin condition that can be present in any stage of life whether that be infancy, teenage, or adult years. As understood today, acne is primarily an inflammatory condition and is influenced by fluctuations in hormones as well as other environmental and genetic factors. Hormonal changes can play a prominent role in the type of oil produced by the skin, dead skin cells and bacteria can accumulate in the oil inside the pores, and the body can then direct inflammation towards the oil glands. This kind of inflammation can damage the skin’s collagen, resulting in scarring, or can cause persistent hyperpigmentation or redness in areas of prior breakouts.

RECOMMENDED TREATMENTS

Dr. Sherber works with each patient’s individual concerns to customize an acne treatment regimen. This includes a daily skincare routine to both soothe and manage acne, with a focus on anti-inflammatory ingredients. Often, topical anti-inflammatories such as polyphenol antioxidants are effective in calming inflammation, while exfoliants containing salicylic acid are excellent in unclogging pores. In more difficult cases, prescription approaches that offer more potent formulations than over-the-counter skin care may be advised, and could range from short-contact masks to overnight treatments. For certain patients, hormonal testing may be recommended to assess the underlying cause of the acne and to better prevent the development of new acne breakouts.

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For those who are experiencing acne scarring or treatment-resistant breakouts, Dr. Sherber is experienced in structuring low-dose weight-adjusted Accutane regimens to change the behavior of the oil glands permanently and cure the acne definitively.

Hormonal acne in women may be addressed directly with anti-androgenic medications like Spironolactone, or newer topical anti-androgens. There may also be certain vitamins or supplements that can either worsen acne or help with treatment, and Dr. Sherber may discuss these with you as well as dietary glycemic index and other non-pharmacologic approaches to acne treatment.

In-office peels can accelerate results from topical treatments, and laser treatments such as Perméa or Laser Genesis can fade marks and scars left behind from prior acne.