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Acne and Acne Scarring

Acne affects nearly 100% of the population at some point. For some, acne may be mild and transient; for others, it can be severe and long lasting. Scarring from severe acne can be permanent and disfiguring.

Acne usually begins around the time of puberty and can persist into middle age. Acne lesions form when the opening of oil glands (called sebaceous glands) in the skin become blocked. Trapped oil builds up within the glands, which can cause inflammation. The swelling within the oil gland can become so intense that the oil gland (and associated hair follicle) can rupture. This can lead to further inflammation.

While the surge of hormones during puberty likely triggers this process, other factors such as stress, diet, and hormones may also play a role. A bacterium called Propionibacterium acnes that is normally present on the skin may also play a role in development of acne, but the precise link is still unclear. Any person with moderate to severe acne should be seen by a physician to discuss treatment options because of the risk of scarring.


Acne Treatment


If you have seen your dermatologist and exhausted all the traditional treatments, we may be able to help. Acne blemishes are a troubling condition for many - young and old alike - often marring an otherwise beautiful complexion. Though a difficult condition to care for, several options exist to treat acne and acne scarring. At Rejuvena, we typically treat acne with BLU-U therapy, with or without levulinic acid, and in some instances in combination with Vibradermabrasion. We have also had success treating acne with D.O.T. Fractional CO2 advanced skin resurfacing. Additionally, we may recommend a change in skin care regimen with or without an antibiotic to augment your procedures.

   BLU-U 4170 Therapy

BLU-U generates a narrow band of blue light which causes a photodynamic effect within the pylosebaceous gland that kills P. acnes, the bacteria primarily responsible for acne vulgaris. The BLU-U 4170 utilizes patented, proprietary technology to deliver uniform narrow band blue visible light that efficiently activates porphyrins within the P. acnes bacteria. This creates a toxic bacteriocidal environment in the sebaceous gland that inhibits the obstruction of the sebaceous follicle and formation of acne lesions. When used in a series of brief (approximately 16 minutes) exposure sessions, it provides a simple, safe and non-invasive treatment regimen.

   Levulinic Acid (Levulan Kerastick) Treatment

Depending upon your skin and acne characteristics, we will often combine levulinic acid treatments with the BLU-U to augment and hasten results. Levulan Kerastick, 5 amino levulinic acid, is applied to the actinic keratoses (acne) for about an hour prior to the BLU-U treatment. The Levulan is then absorbed by the acne cells where it is converted to a chemical that makes the cells extremely sensitive to light. When the acne cells are exposed to the BLU-U, a reaction occurs which can destroy the acne cells.

   Vibradermabrasion

In some instances, we will utilize Vibradermabrasion treatments with the BLU-U, as well. The Vibraderm provides a mild exfoliation of affected cells, aiming to break the acne—inflammation—hyper-pigmentation cycle. Vibradermabrasion is a crystal and suction- free microdermabrasion system that utilizes a diamond tipped paddle. The hand-held paddle oscillates at a very high speed to exfoliate your skin and encourage collagen growth with no downtime.

   D.O.T. Fractional CO2 Skin Resurfacing

DOT CO2 fractional skin resurfacing creates thousands of tiny microscopic treatment zones in the skin. D.O.T. treatments are primarily for acne scarring, but we have also seen improvement in acne when treating acne scarring. DOT CO2 also induces immediate skin tightening and stimulates new collagen growth for smoother, firmer rejuvenated skin. DOT will reduce skin pore sizes and improve skin texture. Unlike the original CO2 resurfacing technologies, DOT CO2 provides excellent results with far less downtime.


Acne Scarring Treatment


Acne scars form wherever acne advances to the point of injuring the dermis or deeper tissue. These injuries arise as an inflammatory response to sebaceous follicles becoming plugged with oils, bacteria and dead cells. The result is the formation of a scar – that discolored fibrous tissue with abnormal collagen function that replaces our healthy skin. Successful treatment of a scar requires both the removal of damaged epidermal tissue and the stimulation of new collagen to improve the region's tone and texture.

At Rejuvena, depending upon your skin type, scarring damage and goals, we typically treat acne scarring with Vibraderm, with or without the Med-Lite photo-rejuvenation procedure (namely, the "Rejuve"), or the advanced D.O.T. CO2 fractional resurfacing system. The Med-Lite Rejuve procedure requires a minimum of six treatments spaced approximately three weeks apart. It utilizes rapid laser firing and photo-acoustics to stimulate breakdown of the scar tissue and formation of new collagen fibers to decrease pitted scars and pigment changes.

D.O.T. (Dermal Optical Thermolysis) treatments for acne scarring can result in significant improvement with 3 - 4 treatment sessions. DOT CO2 fractional resurfacing therapy creates thousands of tiny microscopic treatment zones in the skin. The DOT resurfacing laser beam is fractionated into a precise scan of thousands of microdots of energy. Each dot of energy - only 350 millionths of a centimeter in size - replaces the skin and collagen structure beneath while the microburst of heat energy from the carbon dioxide laser source tightens the surrounding collagen skin structure. DOT CO2 also induces immediate skin tightening and stimulates new collagen growth for smoother, firmer rejuvenated skin. DOT will reduce skin pore sizes and improve skin texture. Unlike the original CO2 resurfacing technologies, DOT CO2 provides excellent results with far less downtime.

Dr. Hardt or a member of her experienced staff can design a comprehensive treatment program to address your current condition, as well as a plan for blemish prevention and overall skin health.

At Rejuvena, we do not charge for consultations. To schedule your free consultation, please email or call us at (405)842-1100.

Questions and Answers
Q: Who can be treated with the various acne or acne scarring treatment options?
Q: What should I expect directly after treatment?
Q: How many treatments will it take to clear acne?
Q: How many treatments will it take to improve acne scarring?
Q: How quickly can I expect to see results?
Q: Will the acne come back after the series of treatments?
Q: Do these treatments hurt?
 
     
 
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