fbpx
Select Page

ACNE & ACNE SCARS

*all photos are our actual patients results

Complex acne treatment

The patient had

  1. Peelings x5
  2. Biorevitalisation  x3
  3. Filler
  4. Weight loss programm
  5. Prescription skin care

Acne is a common problem at VISTA Clinic Australia Melbourne. Simple pimples, but can significantly impact quality of life and general self-perception of the affected by acne person. Sometimes acne can also leave a scar for life, which requires real skills and experience to remove acne scars ( we do acne scars removal at VISTA Clinic Australia, cosmetic clinic Melbourne, but prefer rather to work on prevention than fixing scars later).

There are number of options can be used to treat acne at the Melbourne cosmetic clinic. However, we have to be realistic that acne often have underlying problem with general health (i.e., hormonal changes, food intolerance, genetics, increased sebum production, glucose metabolism issues etc), therefore treatment of the skin only would be not enough.

Experienced and specializing in cosmetic doctor will assess acne skin using few different machines and likely to arrange blood test and swabs during the comprehensive acne counsultation.  Success in acne treatment often relies on treating the cause of acne, whenever possible.  VISTA Clinic Australia Melbourne  invested into a number of machines for the most precise diagnoses and then tayloring individual treatment to each patient. Our cosmetic clinic in Melbourne also uses the best products for our patients.  Doctor consult about your concerns, treatments available, underlying causes of acne and skin inflammation, pores, including black or white pores, skin pigments spots and irregularities, which common problem after acne. All treatments will be customised to your life and work situation to ensure best results for you.

 

Consultation can include treatment (subject to time availability) on the same day, prescription medications, arrangement of necessary blood or radiology tests, assessment with a specialised equipment, lamps and other advanced level innovations.

Consultation fee $150 (some cases may be medicare eligible).

For the best acne treatment book appointment at our Melbourne clinic.

Individually tailored skin treatment

 

  1. Course of peelings
  2. Underlying problem diagnosis and treatment
  3. Prescription skin care
  4. Acne scar procedure
Treatment Description Downtime Number of sessions Cost
Acne scar subcision Restructure scar irregularities under skin to flattend up the skin Nill but up to 2 weeks 1-4 From $300
Doctor’s grade Microneedling (DermaPen, Dermaroller) Parallel micro channels to create even skin surface Nill or up to 2 days 3-10 From $270
Peeling Prescription only  multi-level Dr Miller’ peel address scar, inflammation, infection, including dermal mites, pigmentation, skin glowing and whitening. Nill, up to 3 hours.*Patients with dermal mites  mite experience some minor  peeling off on day 3 Effect after 1st, but ideally 3-5 to achieve permanent result.10 days apart or as doctor determines

$150 (nose, cheecks, glabella and chin)$ 250 (full face)

$ 350 (all exposed areas  – face+neck+decoltage+hands)

TCA Cross Strong TCA applied to depressed scar, causing targeted inflammation and collagen stimulation Nill or 1 week. Maximum effect in 6 months 1-2 $300 per session
Prescription medications Topical (prescription only strength retinoids, anti-inflmatory etc) or systemic medications, as doctors’ assessment. nill Treatment course from 6 weeks. Included into cost of consultation ($150).
Skin transplant Your own skin transplanted from healthy zones to scar depression Up to 1 week 1 From $350

Why is it important to treat acne?

Acne can significantly impact quality of life and general self-perception of person. Sometimes acne can also leave a scar for life, which requires real skills and experience to remove.

There are number of options experienced and specialising doctor can offer to the patient. Doctor usually consult about your concerns, treatments available, underlying causes of acne and skin inflammation, pores, including black or white pores, skin pigments spots and irregularities, which common problem after acne. All treatments will be customised to your life and work situation to ensure best results for you.

Acne is one of the most common skin conditions, affecting most teenagers between 16 and 19 years and up to 20% of adults. For many people acne is a real problem. It’s painful, distressing and embarrassing and can significantly affect self esteem.

What Causes Acne?

Acne is caused by excess production of sebum. Sebum is a wax that keeps the skin waterproof. It is produced by the sebaceous glands, which are attached to the hair follicles in the skin. For reasons not  understood, acne prone skin produces too many skin cells. These extra skin cells mix with sebum and block up the skin pores. Because sebum is still being produced, it builds up causing swelling, which may then burst out into the surrounding layers of skin. This causes inflammation, pain and redness. Propriones acne bacteria may invade the area, and pus can form.

What acne counsultation with doctor include?

Consultation can include treatment (subject to time availability) on the same day, prescription medications, arrangement of necessary blood or radiology tests, assessment with a specialised equipment, lamps and other advanced level innovations.

Consultation fee $150 (some cases may be medicare eligible).

ACNE SCARS treatment options and subcision?

Acne scars disfigure the appearance of a person and affect the quality of social communication. Back in 1987, Investigators had classified acne scars types descriptively, clinically, or histologically. Modern times, another classification system  is routinely used in
clinical practice and it’s composed from both  clinical and histological criteria to determine the most appropriate acne scars treatment.
Accordingly, three types of acne scars based on width, depth, and three-dimensional structure are recognized in practice: 
(1)ice pick

scars which are not deeper than 2 mm and have sharp margins with depressed tracks oriented vertically to the subcutaneous tis-
sues;

(2)boxcar scars that have round or oval shapes with sharply demarcated vertical boundaries, may be shallow or deep with 0.1-
0.5 mm or ≥0.5 mm depth, respectively. The diameter of such type of acne scars varies from 1.5-4.0 mm. They have wider surface than ice pick scars and are not tapered to a point at the

basis; and 

(3)rolling scars originate from dermal tethers and commonly had a diameter around 4-5 mm. 

There are various methods for treatment of acne scars including the following: dermabrasion,

laser resurfacing

radiofrequency,

subcision,

skin needling,

punch techniques, 

chemical peels

Nokor needle subcision has beneficial outcomes for treatment of acne scars. However, mild to moderate efficacy and recurrence of scars in many cases, side effects, and inflammatory responses make the Nokor needle subcision (NNS) outcome and efficacy
questionable.

Blunt cannula has been proposed as a potentially proper alternative for Nokor needles, and others have implied that cannula may be more efficient in treating acne scars; even laser cannula is employed for treatment of cellulite.

ACNE PATIENT INFORMATION

Acne causes different types of sores and blemishes in the skin. Acne sufferers may have one or more of the following:

Blackheads – these are a collection of dead cells and sebum blocking the pore (the blackness is not dirt, but oxidized sebum).
Whiteheads – sebum builds up behind the blockage causing a lump, which is covered by a thin layer of skin. The sebum stays white as it has had no contact with air.
Papules – the sebum has broken out into the layers beneath the surface of the skin and caused inflammation, so it appears as painful reddish lumps.
Pustules – the inflammation has turned into pus and broken through  the skin to form the classic yellow ‘pimple’.
Cysts and Nodules – these are painful lumps caused by inflammation in the skin.
Open Sores – usually pimples that have been scratched or picked.
Scars – pockmarked, sometimes darkened, areas of skin left after large pustules (and sometimes even small pimples) have healed.

Sebaceous gland activity is governed by the sex hormones. The oestrogens (the female sex hormones) suppress the sebaceous glands, whereas the androgens (the male sex hormones) stimulate them. Males and females have both types of sex hormones. During the teen years the blood levels of sex hormones rise, and this is the reason why acne is more common in teenagers.

Adult acne may often be the result of an hormonal imbalance in females, and it is important to have this investigated, particularly if you have other symptoms of an hormonal imbalance such as irregular periods and/or excess body hair.

Acne treatments

Acne is best treated with a combination of methods in increasing order of strength dependent upon response and severity of the acne initially.

Mild acne is best treated with exfoliating treatments to reduce the number of skin cells and stop them blocking the skin pores. Exfoliating creams and mild skin peels containing glycolic and salicylic acid are particularly good at controlling mild acne. Microdermabrasion is also very effective in unblocking pores. Benzyl Peroxide, an antibacterial compound found in many over the counter acne preparations is also very effective for mild acne.

Moderate and severe acne needs prescription medications to reduce the risk of permanent scarring. Topical prescription Vitamin A cream ( not the ones from beautician, but doctor prescription only) are the most effective skin creams for moderate acne. These Vitamin A creams suppress the sebaceous glands and help to break the acne cycle. Sometimes antibiotics such are prescribed together with these creams, particularly if there is a lot of inflammation and infection in the skin. These may need to be taken for months either continually or in bursts of a few days a month.

Because oestrogen is a sebaceous gland suppressor, the oral contraceptive pill ( OCP ) is also a very effective treatment for female acne sufferers. There are special OCPs which have been formulated to reduce testosterone levels.

For severe acne, oral Vitamin A  is a very effective treatment and may result in long term remission for many patients.

At VISTA Clinic Australia Melbourne we also use special peels (we have own lab of different types and concentrations) at low power to interfere with the overgrowth of keratin and kill the P. acnes bacteria.

In the cases of permanent acne scars, subcision causes remodelling of the skin.

The treatments are used monthly over a cycle of 6 treatments (although good results may occur sooner). This is often combined with microdermabrasion. Treatments cost $350 per session for combination peel and microdermabrasion or $250 for microdermabrasion alone or $150 for peel alone.

For established acne scars we do the above peel/microdermabrasion treatments plus undermine the scars with a needle (subcision). These have a downtime of around 1-3 days and may need to be repeated 2-6 times over a year, but can effect permanent improvements.

As no treatment can 100% fix acne scars in is important to aggressively treat active acne in young people to avoid this skin damage