acne and pimple problems

What is Acne?

Acne is a common skin condition that occurs when hair follicles become clogged with oil (sebum) and dead skin cells. It often presents as blackheads, whiteheads, pimples, or cysts and typically affects the face, chest, back, and shoulders. While most common during adolescence, acne can affect individuals of all ages.

Acne

What Causes Acne?

 Acne develops due to a combination of factors, including:

Excess oil production

Clogged hair follicles

Bacteria (Cutibacterium acnes)

Hormonal changes

particularly during puberty, menstruation, pregnancy, or due to certain medical conditions

Genetic predisposition

Certain medications or skincare products

Lifestyle factors such as stress, diet, and improper skincare routines may also contribute to flare-ups, although they are not direct causes.

How is Acne Treated?

 Acne treatment depends on the severity and type of acne and may include:

  • Topical treatments: Retinoids, benzoyl peroxide, salicylic acid, antibiotics, or azelaic acid

  • Oral medications: Antibiotics, hormonal therapies (such as birth control pills), or isotretinoin/accutane for severe or resistant cases, or to prevent further scarring.

  • Procedural therapies: Chemical peels, laser treatments, light therapy, or extractions performed by a dermatologist

  • Skincare guidance: Tailored recommendations for gentle cleansing and non-comedogenic products

 

Early and consistent treatment can help prevent scarring and improve both skin health and self-confidence. A dermatologist can create a customized plan to effectively manage acne and reduce its impact on your skin.

Isotretinoin (Accutane®) for severe cystic acne

Isotretinoin, commonly known by brand names like Accutane, is a powerful oral medication used to treat severe or treatment-resistant acne, particularly cystic or nodular acne that hasn’t responded to other therapies. It works by reducing oil gland size, decreasing oil production, preventing clogged pores, and calming inflammation. Isotretinoin has one of the highest cure rates for acne—studies show that up to 85% of patients experience long-term clearance after a course. However, it carries some risks, including birth defects if taken by a woman who is or becomes pregnant during the treatment, potential liver issues, elevated fatty acids (triglycerides), dry lips and skin, and possibly mood changes. Despite these risks, when carefully monitored by one of your dermatology providers at Darabi Dermatology, isotretinoin can offer life-changing results for patients struggling with persistent and scarring acne.

Accutane-Before

Accutane (before)

Accutane-After

Accutane (after)

self-schedule your appointment now on our website

What Causes Acne Scars?

Acne scars develop when inflamed blemishes penetrate the skin deeply and damage the underlying tissue. As the acne lesion heals, the body produces collagen to repair the area. If too little or too much collagen is produced, a scar may form. There are different types of acne scars, including:

  • Atrophic scars: Depressed or pitted scars such as icepick, boxcar, and rolling scars
  • Hypertrophic or keloid scars: Raised scars caused by excess collagen production during healing
  • Post-inflammatory hyperpigmentation (PIH): Dark spots left after acne heals (not true scars but can be distressing)
Acne-Scarring

How Acne Scars Affect People

Acne scarring can have a significant emotional and psychological impact. It may affect self-esteem, confidence, and social interactions, and in some cases, can lead to anxiety or depression. Many people seek treatment not only for physical improvement but also to enhance their overall well-being and quality of life.

What Treatments Are Available?

Several effective treatments are available to improve the appearance of acne scars. Treatment choice depends on the type and severity of scarring and individual skin type. We evaluate your skin during a consultation and make the best recommendation for you. Options include:

Microneedling with PRP (platelet rich plasma)

Stimulates collagen production and improves skin texture

Laser therapy

Fractional CO₂ laser can resurface the skin and reduce scarring

Chemical peels

Remove damaged outer skin layers and reduce pigmentation

Dermal fillers

Add volume to depressed scars and smooth the skin surface

Subcision

A minor surgical procedure that releases fibrotic scar tissue beneath the skin that tethers the scar to deeper tissue

Topical treatments

Prescription-strength retinoids or lightening agents for hyperpigmentation

A consultation is essential to determine the most appropriate and effective treatment plan for your skin.

Rosacea

Rosacea is a chronic skin condition that causes facial redness, visible blood vessels, and sometimes acne-like bumps, most commonly affecting the cheeks, nose, chin, and forehead. It typically affects adults between the ages of 30 and 60, with fair-skinned individuals being more prone, and is more common in women, though men often experience more severe symptoms. While the exact cause is unknown, triggers like sun exposure, hot beverages, spicy foods, alcohol, and stress can worsen it. Treatment focuses on managing symptoms and may include topical or oral medications to reduce inflammation, laser therapy to minimize visible blood vessels, and lifestyle modifications to avoid known triggers.

Rosacea

Our skin care line

Our dermatology clinic offers a curated selection of medical-grade acne skincare products designed to support clear, healthy skin. Each product is carefully chosen for its effectiveness in targeting breakouts, reducing inflammation, and preventing future blemishes—without compromising skin integrity.

Product Line- SalPad Daily

SalPad Daily

Salicylic acid cleansing pads to exfoliate clogged pores, reduce blackheads and white heads. Antimicrobial to reduce acne causing bacteria. Gentle peels to exfoliate: 0.5% Sal acid, antimicrobial oligopeptide, 1% glycolic acid, 1% lactic acid

Product Line- RosAcne Cleanser

RosAcne

Creamy non-drying cleanser with 3% colloidal sulfur antimicrobial to reduce acne/rosacea causing bacteria. Fragrance and paraben-free.

Product Line- Azeliacin

Azeliacin

Gentle cream with 5% azelaic acid ester, anti-inflammatory and skin repairing 4% niacinamide, moisturizing hyaluronic acid, antimicrobial quassia extract for acne, rosacea and hyperpigmentation. Propylene glycol, paraben and fragrance free.

Before-after-salycilic-acid

Salicylic acid gentle chemical peel

A salicylic acid chemical peel is an excellent treatment option for both teenage and adult acne. This peel works by penetrating deep into the pores to dissolve excess oil and exfoliate dead skin cells, helping to unclog pores and reduce breakouts. In addition to clearing active acne, it can also improve skin texture, minimize the appearance of acne scars, and reduce inflammation, making it a versatile choice for those struggling with acne-prone skin.

self-schedule your appointment now on our website