Laser Acne Removal I Treatment for Asian & Ethnic Skin – Dr Peter Kim

If you are looking for optimal acne management, you have come to the right place. Let us show you our results.

What is Acne?

Acne is a skin condition that occurs when your hair follicles become plugged with oil and dead skin cells. It then gets infected and causes an acute inflammatory skin condition. It is especially distressing in Asians as the acne spots leave dark skin scars.

How Comon is Acne?

The onset of Acne Vulgaris peaks in early puberty, affecting more than 85% of Australian adolescents aged 16-18. It usually resolves in males during their early twenties, but in females can persist into the thirties and forties.

Is Acne a Chronic Disease?

Ance is not just a self-limiting disorder of teenagers. It has many of the defining features of chronicity, including prolonged course, the pattern of reoccurrence, acute outbreaks, and psychological and social impact that affects the quality of life.

What is the psychosocial impact of Acne?

Acne can be embarrassing. Mild acne can have as profound a psychological effect as severe acne.

It can lead to social withdrawal, preoccupation with acne, distorted body image, low self-confidence and self-esteem, depression and suicide.

Successful acne management treats both physical and psychological effects.

Evaluating the impact of acne on psychosocial health

A review of the evidence gathered from case reports and small case-control surveys found that:

  • 18% of acne-affected patients reported clinically important depression.
  • 44% reported clinically important anxiety
  • 6% reported active suicidal ideation

People with acne had greater impairment in mental health scores than those with asthma, epilepsy, diabetes, back pain, arthritis or coronary artery disease.

What are the triggers of Acne?
  • History. genetic factors, stress, androgen, excess sweating, crushing syndrome, polycystic ovary syndrome, smoking
  • Drugs and chemicals.
  • Environment. Exposure to heat and humidity (eg saum), exposure of skin to greases
  • Foods. Diet does not generally affect acne but there is limited evidence that some dairy products, high glycemic index foods and chocolate may aggravate acne.
  • Rubbing and irritation. Mask wearing has increased the rate of acne.
What are the factors that do not influence acne?

Despite popular myth, lack of exercise, lack of hygiene, and greasy hair hanging over the face do not have any effect on acne.

What are the causes of Acne?

Four primary factors interact in a complex manner to produce acne lesions, and it is important to consider all four factors when selecting a treatment.

  • Increase sebum production.
  • Cutibacterium acnes colonisation.
  • Disturbed follicular keratinisation and formation of keratin plugs.
  • Release of inflammatory mediators into the skin, triggered by sebum and keratin breakdown products.
How do you grade the severity of Acne?

There is no standardised grading system, but the condition is often categorised as mild, moderate or severe on the basis of predominant lesion type.

However, it is important to grade acne. Grading acne helps to determine the appropriate course of treatment and monitor treatment response. Optimal use of acne medication involves recognising the specific acne lesion clinically and then selecting an appropriate treatment.

What is the biggest problem associated with acne?

Apart from the psychological effect, the biggest problem with acne is the scar.

Acne lesions can develop into permanent scars, often due to a lack of adequate and timely treatment.

What are the different types of acne scarring?

Acne scars can be classified into two main types: atrophic scars and hypertrophic scars.

Hypertrophic acne scars are caused by an overproduction of collagen in the skin, which results in an abnormal buildup of tissue that makes the skin appear raised or lumpy. These types of acne scars take longer to heal and may require surgery to remove them completely.

Atrophic acne scars are caused by the loss of collagen in the skin, which leads to thinning and depression in the skin. This type of scarring is more common in people who have had acne for many years. Atrophic acne scars can be minimized with certain skincare products.

Atrophic scars can be further classified into:

  • Ice-pick scars – these are deep, narrow, pitted scars.
  • Rolling scars – broad depressions with a sloping edge.
  • Box-type scars – broad depressions with sharply defined edges.

Although scarring is significantly more likely to occur with severe to very severe acne, mild to moderate acne can lead to atrophic scarring in a surprising proportion of people.

Who is more likely to get scarring?

Individuals with these factors are more likely to get scarring:

  • severe acne
  • family history of scarring
  • extent and duration of inflammation
  • time to effective treatment of acne

Additional risk factors may include:

  • manipulation of lesion
  • the young age of onset
  • frequent relapses
  • localisation to the trunk
  • ethnicity
What is the prevalence of scarring

In 2017, in a prospective study of 1942 patients with active acne, 43% had acne scarring.

What are the treatment options?

We usually start individuals with these treatments:

  • Acne creams
  • LED light treatment or Photodynamic therapy for acne
  • Gentle skin peels
  • Skin cleanser.

Most individuals will get a good response from these treatments.

If these treatments are ineffective in controlling your acne, Dr Peter Kim will start acne investigations and prescribe other medication.

How do the treatments work?

How Does Skin Cleanser work?

To help control acne breakouts, look for a cleanser that is strong enough to remove dirt and keep skin clean. Avoid harsh face soaps that can strip your skin of its natural oils. Harsh cleansers and scrubbing will only leave you with red, irritated skin that can promote flare-ups of your existing acne.

How Do Acne Creams Work?

There are two creams we recommended. They both have the same active topical antibiotics which will treat bacterial infection. The B Cream has antiseptic which synergistically treats the bacteria. The E Cream has vitamin A which dries up the sweat gland.

If the D cream does not work, there is a chance that the E cream might work.

How does the LED light therapy work?

There are various colours of lights. Some colours are antiseptic. We generally use Blue to Red light to treat acne.

What is Photodynamic therapy for acne?

It is also known as Photodynamic peel. It is like a super-LED light therapy.

Photodynamic therapy is a non-invasive treatment for acne that uses light and topical medication to clear up breakouts. The patient’s skin is first treated with a photosensitizing cream that makes acne spots more sensitive to light. When the patient exposes their skin to blue or red light, the active ingredient in the photosensitizing cream, psoralen, becomes activated and kills almost all of the bacteria. It is also effective in shrinking the size of sweat glands so that there is less sebum to clog your pores which causes acne.

The medication used for the ‘Photodynamic Peel’ to treat acne skin is a prescription medication and it is only available to doctors. Dr Peter Kim has presented numerous presentations on Photodynamic therapy at major cosmetic conferences.

How does the chemical peel work?

A chemical peel works by removing the top layer of the skin. The top layer of the skin is a dead skin layer that tends to clog up the pores. By removing it with a gentle chemical peel, your pores will stay open and clean.

Disclaimer

As per Good Medical Practice Guideline, we would like to notify you that:

  • ‘Any Laser procedures carry risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’
  • ‘Previous success is not a promissory indication of future success.’
  • All before and after photos on this site are Dr Kim’s results.
  • Copyrights are reserved by Asian Cosmetic Surgery Clinic (Dr Peter Kim Cosmetic Clinic).

Disclaimer (important notice)

As per Good Medical Practice Guideline, we would like to notify you that:

  • Any surgical, invasive, nonsurgical, or laser procedure carries risks.

  • Complications do and can occur.

  • Previous success is not a promissory indication of future success.

  • Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

  • All before and after photos on this site are Asian Cosmetic Surgery Clinic’s results.

  • Copyrights reserved by Dr Peter Kim.

The next step

If you have any questions or concerns about laser acne removal, please feel free to contact us. Dr Kim has helped hundreds of patients achieve their desired results. We would be happy to discuss the procedure with you in more detail and answer any questions you may have. To book an appointment, call 9411 4880.

Our principal clinic, Asian Cosmetic Surgery Clinic (Dr Peter Kim Cosmetic Clinic) is located in Chatswood. For your convenience, Dr Kim also consults at Haymarket, Eastwood and Cabramatta.

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