Acne & Acne Scarring

Conveniently located to serve the areas of Santa Monica and Los Angeles

There are different types of acne such as cystic acne, adult acne, or simple acne vulgaris that can also result in back acne that can really bother patients. Determining the type of acne one has is the key to proper treatment.


Before we treat acne scars, we need to medically eradicate (get rid of!) the acne. Adult acne may be the result of hormonal changes or stress, and needs prescription medication to be property controlled. Cystic acne has been know to cause severe scarring, and acne scars are among the hardest conditions to treat, especially on ethnic skin. Back acne can also cause discoloration and scarring.

Acne vulgaris, if not very severe, can often be controlled with prescription strong topical creams, chemical peels, and lasers, with no need for oral medication. When severe, however, acne vulgaris, cystic acne and even adult acne require oral medication along with chemical peels and lasers to show real improvement fast.

Back acne is tough because it is hard to reach. Often, use of chemical peels performed in our office, in addition to prescription medication, help clear back acne very fast and effectively. Sometimes a short course of antibiotics is all that is needed to control back acne.

Before & After

Why You Get Acne

Hormones (after puberty) drive your skin to produce more oil. This is why so many teens suffer from acne, as do women later in life (when it’s known as Adult Onset Acne). The red bumps you see are inflammatory lesions of the acne vulgaris where the body is reacting to the oily secretions.

Factors that contribute to or worsen acne:

  • Hormones. Hormonal changes related to puberty, pregnancy, menopause, and using oral contraceptives affect sebum production.
  • Diet. Studies indicate that diets rich in carbohydrates and sugars may worsen acne.
  • Stress. Stress can make acne worse.


To further hasten the process of clearing acne, whether adult acne, back acne, cystic acne or simple acne vulgaris, and to decrease the toxicity of medications, we can use in office procedures discussed below. These treatments help clear both the acne and the scarring from acne simultaneously.


Acne scars are actually different in their appearance. Some are pitted, some rolled, some craters and some are adhesions of the skin to the underlying tissue. Adhesions are as a result of the inflammatory scarring process of the acne.

Subcision is a minor surgical procedure used for releasing these adhesions that cause depressions in the skin. Subcision is performed using a special type of a needle inserted through a tiny point in the skin. We can numb the area before the treatment. The adhesions are released and the skin is able to rise back up to the normal skin level, undoing the depressed appearance of the acne scar.

This needs careful professional training because careless insertion and movement of the needle can cause scarring, and leave the skin open for infection.

If you are not happy with your skin due to acne scars, please give us a call to help you decide what modalities are best to treat your acne scars.

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