Cosmetic & Laser Surgery Institute | Acne
Led by Dr. Diana Parnell, dermatology practice located in Marin County, CA offering the latest in medical and cosmetic dermatology
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Acne

Acne is an inflammatory skin condition involving hair follicles and sebaceous glands. The areas of skin where the hair follicles are most dense, including the face, back and chest are most often affected. Acne is caused by androgens (male sex hormones). It is most prevalent during the teenage years, but it can persist well into adulthood. While good personal hygiene is important, it is, unfortunately, not a cure for acne.

 

The four major components of acne are plugging of the follicle, increased oil production, bacteria, and inflammation. Acne may present with comedones (whiteheads and blackheads), papules or red bumps, pustules, or in severe cases cysts and scars. More often, there is a combination of these lesions.

Comedonal Acne

Comedonal Acne

Comedonal Acne
Acne Vulgaris

Acne Vulgaris

Acne Vulgaris
Acne Vulgaris

Acne Vulgaris

Acne Vulgaris

Scarring can be prevented with early appropriate therapy. Acne cysts can be injected with very low dose triamcinolone and if they are of recent onset, they will stop hurting within about four hours and subside by the next day. We offer same day service for cyst injections to our acne patients without a charge for regular office visits.

 

There are a broad range of treatments available to acne patients including topical antibacterial and antibiotic creams and gels, topical retinoids such as Differin® or Retin A, birth control pills, spironolactone, oral antibiotics and various laser treatments such as Smoothbeam™, Excel V™, Laser Genesis V™, VariLight™, and the BLU-U™( PhotoDynamic Therapy).

 

Severe acne may be treated with oral isotretinoin. Isotretinoin is a derivative of Vitamin A, formally known as Accutane. Brand names include Zenatane™, Claravis™, Amnesteem®, Absorica®, and Myorisan™. Isotretinoin was first approved in the United States in 1982 and has been used widely since that time. It is usually taken for 20 weeks and is the only real “cure” for acne. All other treatments help to control the problem until the patient outgrows his/her acne.

 

Because isotretinoin may cause severe birth defects in women who take it while pregnant, it is highly regulated.  It does not affect eggs or sperm, only the developing fetus.  We participate in the federally mandated iPledge program which oversees the prescribing and dispensing of oral isotretinoin. We can evaluate your skin and recommend an individual treatment plan tailored to your needs.

To learn more about the services we offer or to schedule an appointment, contact The Cosmetic & Laser Surgery Institute today!