Medical dermatology
Acne
Acne is one of the most common reasons patients see a dermatologist, and one of the most under-treated. We build a regimen around your skin type, severity, and goals, with prescription options that go well beyond what's available over the counter.
What it is.
Acne is a chronic inflammatory condition of the hair follicle, driven by oil production, follicular plugging, the bacterium Cutibacterium acnes, and inflammation. It can present as blackheads and whiteheads, deeper red papules and pustules, or painful nodules and cysts that scar.
Who it affects.
Acne most commonly begins in adolescence, but adult-onset and persistent acne, especially along the jawline and chin in women, is increasingly common. Hormones, genetics, certain medications, and skincare products can all contribute.
How we treat it.
Most patients do best on a combination regimen: a topical retinoid plus an antimicrobial or anti-inflammatory agent. Moderate to severe cases may benefit from oral antibiotics, hormonal therapy (in women), or isotretinoin. We adjust the regimen over time as your skin responds.
When to come in.
If over-the-counter products aren't working after 6–8 weeks, or if you have any cystic lesions, scarring, or post-inflammatory pigmentation, it's time for a prescription evaluation.
Common questions.
Will my acne come back if I stop treatment?
Often, yes. Acne is chronic, and most regimens are designed for ongoing maintenance. We taper to the lightest effective regimen once you're clear.
Is isotretinoin (Accutane) something you prescribe?
Yes, for severe, scarring, or treatment-resistant acne, when appropriate. We'll walk through risks, monitoring, and the iPLEDGE program in detail.
Related conditions.
Next step
Ready to schedule your visit?
Send a quick message and our team will reach out to schedule. Most patients can be seen within the same week.