Acne occurs when the skin’s sebaceous glands become overactive creating cellular debris that plugs the glands. Bacteria accumulate in the blocked gland and leads to the formation of pimples, cysts and inflammation. Acne generally begins in puberty but in some people can last well into adulthood. Others develop adult acne!
Rising hormone levels during adolescence, cause enlargement and over activity of the oil glands in the skin. The canals that bring this oil to the surface become blocked with keratin (a protein that is part of the skin). When these oil glands are overactive and the canals are blocked, the bacteria that normally live on the skin and in the oil become trapped.
Even though you may be told to wash frequently, acne is not a disease caused by improper cleansing. For example, the blackness of a blackhead is not dirt, but is due to the accumulation of the normal skin pigment in the oil glad ducts.
At Castleknock Cosmetic Clinic Dublin we recommend a cleanser, or you can wash your face with a mild antibacterial soap twice a day. If one’s skin is very oily, it may be washed more often. Over washing or scrubbing tends to irritate the skin and will make acne worse. Therefore, do not use any abrasive cleaners or cleansing pads.
Shampooing is also important in acne therapy. The oilier your hair is, the more often you should shampoo it. Also, it is best to keep hair off the face as much as possible. Often using a dandruff shampoo is helpful, particularly if you have fine bumps on the forehead. For covering blemishes, many preparations may have been formulated to match skin colour. These cosmetics should be water based. Most cosmetics and skin products that are safe to use on acne-prone skin will say “non-comedogenic”, “oil free”, or “won’t clog pores”. Look for these labels on your facial products. Greasy applications such as Vaseline, cocoa butter, cold cream and vitamin E oil should be avoided. If the face is dry, we can recommend a moisturiser for your skin type.
Acne need not be feared as something untreatable. In recent years many new and effective forms of treatments have been developed. At Castleknock Cosmetic Clinic Dublin we want to prevent scars. Years of untreated acne can leave a lifelong imprint on a person’s face causing irreversible emotional trauma. While acne may not be curable, it is usually controllable.
Since acne is affected by many things, I usually design an individual tailored approach for each patient. Thus, the course of therapy will vary according to such factors as age, gender, type of acne, its severity and extent, and the patient’s day-to-day activities.
Mild acne is treated with one or a combination of topical medications. The purpose of these is not only to treat existing acne lesions, but to prevent new blemishes from forming. Therefore, these are applied to acne prone areas, not just directly on the present pimples.
Some people may find these creams to cause the face to become a little dry, pink or feel taught. This is normal. If your face becomes too irritated or “raw” feeling, our advice at Castleknock Cosmetic Clinic Dublin is not to stop the creams, just decrease the frequency of application (i.e. apply every second of the third day).
Moderate and severe acne is usually treated by topical medicines with the addition of oral antibiotics. Since different combinations work better for some patients than others, you are usually evaluated every four to six weeks until the acne is well controlled. Acne oral medications are available by prescription from Castleknock Cosmetic Clinic Dublin after seeing dr Kahlout who will diagnose and commission a suitable treatment for you.
Irregular pigmentation of the skin is treated with this technique. During a chemical peel treatment at Castleknock Cosmetic Clinic Dublin a mild acid is applied to the skin, which caused the outer layer to be removed. Different chemical concentrations are used, depending on your skin colour. In general the desired result is very mild peeling. The goal is not to remove pigment in one treatment. A light peel is used in addition to bleaches, retinoids and sunscreens.
Resurfacing CO2 Laser Peel
Fractionalised CO2 Laser skin resurfacing at Castleknock Cosmetic Clinic Dublin induces an autoimmune response and mild peeling to the skin.
We use Intralesional Corticosteriod Therapy if one or several painful acne cysts or large pimples develop, fast relief is available with this relatively painless procedure at Castleknock Cosmetic Clinic Dublin after thorough consultation with Dr Kahlout. Each cyst is given a single injection of a specific steroid solution, using a very tiny needle. This will give you overnight improvement in your appearance as well as decrease scarring and hyperpigmentaion.
Since hormones dramatically affect acne, I often use speciality birth control pills to treat acne in females. However, some oral contraceptives can worsen acne. If you are taking one of these pills, then a switch to a less androgenic pill usually improves acne.
Spironolactone is a mild diuretic that blocks certain androgenic hormones that aggravate acne. I will often prescribe this to a woman with acne with or without an oral contraceptive. Unfortunately, males cannot take the hormonal treatments because of possible feminizing side effects.
Ultraviolet Laser Treatment
Ultraviolet Pulsed light photofacial is similar to lasers but with a larger more diffused beam for safe and comfortable treatment. Ultraviolet Fotofacial Pulsed light System remedies acne on few fronts:
1. UV light kills acne-causing bacteria trapped in the sebaceous glands.
2. Laser heats the sebaceous glands to decrease sebum production, which would lead to future acne.
3. Laser therapy diminishes blood supply to the active follicles
The light delivered by the Ultraviolet fotofacial system at Castleknock Cosmetic Clinic Dublin is a unique specially filtered, long pulse width that delivers energy to the skin over a relatively long period of time (compared to outdated systems). This makes the pulses safer and more comfortable. Most people do not report the sensation experienced as painful.
At Castleknock Cosmetic Clinic Dublin, Dr Kahlout will assess the severity of your acne on your initial consultation. A detailed explanation of the treatment plan will be given. If required adjuvant therapy can be implemented in the form of either oral prescribed medication of topical applications, or both. The beneficial effects of the chosen therapy will work with the Ultraviolet Fotofacial treatment to achieve a better outcome for you.
Photos Before & After
Medications are dispensed through a prescription. Consultation fee with Dr Hazem Kahlout are €70 per visit
UV Laser Treatments
Full Face €200
Chemical Peels €450
Fractional CO2 Laser Resurfacing €1250
Dermaroller home use €250
Inter-lesional injection €150