So the question is- how do we treat acne?
In the latest 2016 guidelines released, the American Academy of Dermatology recommends combination treatment for acne.
The aim of treatment is to reduce acne outbreaks and minimise the dreaded acne scarring.I believe in the combination of good basic cleansing and toning, topicals+/- medication, chemical peels and laser treatment, to obtain optimum results. It should be actively managed to reduce the risk of permanent scarring.
The DC approach to Acne
My approach is to divide and conquer.
Acne can be divided into non inflammatory, inflammatory and scars.
Non inflammatory: comedones, blackheads, whiteheads
1) Blackheads – extraction BY A PROFESSIONAL
2) Whiteheads – retinoids ( retacnyl, differin), AHA peels and scrubs to remove the gunk and unclog the pore. Retin A based creams work well on long term acne control, and have anti ageing benefits too.
Inflammatory: Angry, red, bumpy pimples
1) Benzoyl peroxide based treatment, plus minus oral antibiotics
2) Lasers and AHA based medical peels to control the oil, and increase exfoliation.
3) Blue light and antibiotics to kill p.acne bacteria.
Only when active acne is controlled, can we proceed to acne scar treatment.
Dr Daniel Chang’s 3 STEP ACNE Treatment Formula:
1- Laser/ Light/ Peel
2- Topical medication +/- oral
3- Lifestyle changes ( Pls refer to my lifestyle guide)
Treatment: Medical peels + Laser Light + Blue light therapy ( unclog pores, control oil,kill p. acne bacteria)
Dr Daniel Chang’s GOLDEN rules – 3 steps to acne free skin – DAILY SKINCARE REGIMEN:
- Cleanse gently, splashing with warm water and pat dry
- Apply moisturiser gently. No rubbing.
- Dab anti acne cream, gently, no rubbing, with a cotton bud. Key to effective treatment here are ingredients containing retinoid and benzoyl peroxide. But balancing the side effects require time and careful use. Differin cream, clindoxyl and clindamycin are my top choices for this. (Retin A based creams like retacnyl, differin work best with benzoyl peroxide based antibiotic creams like clindoxyl, but these do cause skin irritation, so its important to learn how best to apply them onto your face.)