Acne Vulgaris (or just Acne) is the most common
form of
acne, it usually begins in Adolescence where
about 80% of all teenagers suffer from acne and more than a quarter of them will
have permanent, visible acne scars, and 20% of all adults also suffer from acne.
Apart from scarring, its main effects are psychological, such as reduced
self-esteem and, depression.
Acne Treatment Toronto Clinic offer latest alternative to
harmful and often ineffective traditional acne oral treatment ,showing that Acne can be effectively treated with
latest technology like LED
Lights (also know as blue light), chemical peels and Microdermabrasion without harmful oral
medication.
| Acne Before |
Acne After |
 |
 |
|
16 years old Female |
Her dermatologist suggested
"Accutane" oral prescription, but as she was concerned with the
serious side effect of this drug and want to first try
non-invasive approach. |
|
Conditions: |
Moderate Acne (Burton
grade 4), full face, open & closed comedos. |
|
Treatment: |
•
12 LumiFacial "Acne 2" program, 3x week, every 2nd day
• Combination treatment using enzyme peel 2X week, for the first week
• 1 microdermabrasion the last week of the treatment, once acne was
cleared |
|
Treatment results: |
Acne clearing
maintained by monthly treatment.
1 year after initial treatment client is still acne free with the
exception of some minor monthly break-outs (1 or 2 pimples on chin)
associated with her period. |
|
Home
care: |
Lactic acid soup used
daily, morning & night followed by rosemary extract lotion.
Uses benzoic peroxide on pimples. |
Acne treatment
Question and Answers
How Acne Treatment Toronto Clinic treat Acne?
What is
LED Light Acne therapy with LumiFacial®?
How Light - LED (Blue light) Acne therapy work?
Who has Acne?
What are Acne stages?
What Causes Acne?
How to help Yourself?
Myths regarding the causes of acne
Types of Acne Scars
How Acne Treatment Toronto Clinic treat Acne?
Acne treatments have proven to be very complex
problem, as there is no ‘silver bullet’ that will work with all clients, with
different types of Acne. Therefore Celluline’s Acne treatment Toronto
Clinic, applies multiple procedures that employ all available
techniques, to effectively treat acne with one exemption; we will not use any
oral medicine because of numerous adverse affects that are associated with the
Oral Acne drugs. A client with an Acne problem might require customized acne
treatments in order to achieve maximum results. Celluline uses the following
procedures to treat Acne:
- Light LED therapy (also known as Blue
light)
- Chemical peels
- Microdermabrasion
- Topical Vitamins
|
- Exfoliations
- IPL – Intense Pulsed Light
- PDT – Photodynamic therapy – Lavalin
|
Most of the time Acne requires combination of treatments
to completely remove acne and prevents Acne scars.
LumiFacial® use 4 “cell-specific” wavelengths
during treatment, the Soli-Tone 2500 can access targeted
photoreceptors, inducing a therapeutic photo response that improves blemishes,
pigmentation, redness and wrinkles.
We found that Soli Tone system to be
effective and safe compared with other treatment describe in
acne treatment overview. The
blemish clearing treatment uses 4 cell-specific wavelengths favored for their
anti-bacterial and repairing properties. Depends of blemishes condition a
Microdermabrasion treatment might be applied together with Soli-Tone LED
treatment. With LumiFacial LED light treatment you can immediately return to to
normal routine without redness or peeling. Each client face will be analyzed
with Ultra UV Cam skin analyzer and photo will taken before and after acne
treatment for accurate progress monitoring.
How Light - LED (Blue light) Acne therapy work?
Focused LED light destroys the bacteria responsible for inflammation,
stimulates cell growth, decreases pore size, and limits oil production in the
future.
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Who has Acne?
Acne is the most common skin disease in the North America. Many teenagers regardless of race or ethnicity develop
acne. Acne affects approximately 80% of people who are between the ages of 12 to
25 years old. Although a large majority of teens are affected by acne, it can
also occur in adults. Acne is relatively common in women in their 20s to 30s due
changes in hormone levels associated with the menstrual cycle and pregnancy.
Acne is more common in males than in females during adolescence, but more common
in females than in males during adulthood.
DIAGNOSTIC EVALUATION: Initial evaluation of the patient with
acne begins with a complete history. Most patients will have no history or
physical finding to suggest systemic disease as a cause of their acne.
The rapid appearance of acne in conjunction with virilization suggests an
underlying adrenal or ovarian tumor; patients with Cushing's disease or syndrome
and adult onset congenital adrenal hyperplasia may also experience acne
vulgaris. Evidence of virilization includes a deepening voice, decreased breast
size, clitoromegaly, alopecia, oligomenorrhea, and hirsutism. These patients may
require imaging studies of the adrenal glands and ovaries, and/or hormonal
evaluation. Referral to an endocrinologist should be considered in these cases.
Other important historical data includes a complete medication list.
Known causes of acne include ACTH,
androgens, azathioprine, barbiturates, bromides, corticosteroids, cyclosporine,
comedo extraction, halogens, iodides, isoniazid, lithium, phenytoin, psoralens,
thiourea, and vitamins B2, B6, and B12.
Acne-Like Conditions:
Some other conditions such as
folliculitis may appear like acne. There are many other diseases that may look
like acne. Some of them are rosacea, keratosis pilaris, perioral dermatitis,
milia, etc.
TREATMENT: It takes eight weeks for a microcomedo to mature. Thus, any therapy must be
continued beyond this duration and visible improvement is generally
not appreciated until after 1 to 2 months of acne therapy.
There is no general consensus in the acne
literature, and no clear evidence-based guidelines are available. The following
represents our best interpretation of the literature combined with clinical
experience.
Comedo extraction: Mechanical
removal of comedones can be a useful adjunct to topical therapy in patients with
resistant comedones. Pretreatment with tretinoin cream for 4 to 6 weeks often
facilitates the procedure . To perform the extraction, gently excise the roof or
enlarge the opening of the comedo with an 18-gauge needle, sterile lancet, or
no. 11 blade. Gently but firmly apply pressure with a comedo extractor to the
skin at a lateral angle to remove the keratin plug or milial cyst through the
opening of the extractor. Topical anesthetic cream (EMLA) may be applied for 1.5
to 2 hours prior the procedure to minimize pain.
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What are Acne stages?
|
Mild
to moderate non inflammatory acne
|
Whitehead or Closed Comedo
When the trapped sebum and
bacteria stay below the skin surface, a whitehead is formed. Whiteheads
may show up as tiny white spots, or they may be so small that they are
invisible to the naked eye. In the preteen and early teenage years due
to increased sebum production and abnormal epithelial cell desquamation. |
 |
|
|
Blackhead Acne or Open
ComedoIt is not dirt
and can not be washed away. Blackheads can last for a long time because
the contents very slowly drain to the surface. A
blackhead occurs when the trapped sebum and bacteria partially open to
the surface and turn black due to melanin, the skin's pigment. |
 |
Treatment:
Depends of
Acne condition, to treat blackhead and whitehead acne we might suggest
the LED Light (Blue light), IPL microdermabrasion, extraction, chemical
peels, home mediations (like benzoyl peroxide,) or combinations. Since
this type of Acne is triggered by P. Acne bacteria, recommended therapy
might be LED Blue Light - LumiFecial LED therapy since it is specially design to kill P. acne
bacteria. |
|
Moderate to severe inflammatory acne |
Papule
Papules are small, firm, red-colored
lesions. Although they may contain pus, is not easily seen because of
the redness. Papules often continue to grow in size and become pustules. |
 |
Pustule
Pustule
forms several days later when white blood cells make their way to the
surface of the skin. This is what people usually refer to as a "zit" or
a "pimple", they generally don't have a lot of bacteria
inside. |
 |
Nodules or
cystsAn inflamed lesion can sometimes completely collapse or
explode, severely inflaming the surrounding skin, and sometimes
engulfing neighboring follicles. These lesions are called nodules or
cysts. Nodules also referred to as cysts. Oftentimes, nodules are very
red, swollen, and contain a large amount of pus. They develop deep in
the skin and may be painful. Unlike the other types of lesions, upon
healing, nodules generally leave scars. |
Treatment:
For severe inflammatory acne only today effective treatment is oral
isotretinoin (Roaccutane / Accutane) is a 13-cis retinoic acid. It acts by
reducing sebum secretion, an effect that lasts for up to one year after
cessation of therapy.
The primary
indications for therapy with oral isotretinoin include :
- Severe
nodulocystic acne
- Acne that
improves less than 50 percent after six months of treatment with
oral antibiotics
- Relapsing acne
- Scarring acne
- Acne that
causes undue psychological distress
Since Isotretinoin
is associated with a number of adverse effects, there fore it should be
used only as last resource. |
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What Causes Acne?
No one is certain as to what exactly
causes acne. It usually begins in adolescence, but about 20% of adults also
experience Acne.
Post-adolescent acne predominantly
affects women (76%), in contrast to adolescent acne which has a male
predominance. Bellow is list of major factors that are involved in the
pathophysiology of acne:
- P.
Acne bacteria or Propionibacterium acnes
|
A
bacterium called Propionibacterium
Acnes or P. Acnes is normally found on the skin, but if it gets trapped inside
hair follicles, it can trigger acne. Celluline believe that
P Acne bacteria are one of main acne cause, therefore we use the new
technology called
LED Light (LumiFecial or
Blue Light) therapy to destroy P Acne bacteria that ultimately
prevent acne to develop.
|
- Follicular
Keratinization
|
Excess
skin cells build up on the surface of the skin, clogging the pore. |
|
|
Excess oil production is typically
triggered by an increase in androgen hormones such as testosterone or
androsterone. Both males and females produce androgen hormones, and
their production normally increases during adolescence to help the body
mature. |
|
|
Increases in androgen
hormone levels lead to increased sebum production.
Along with excess sebum production, skin cells can plug a pore and allow
normally occurring P bacteria to flourish.
|
|
|
Some
medications are known to cause acne. Some cortisones, few
anti-tuberculosis drugs (isoniazid and rifampin) and some
anti-epileptic drugs and anti-seizure medications (e.g: Dilantin;
Kapseals) can cause acne. Chlorinated solvents, Anabolic steroids and
lithium, iodine-containing medications.
Hormone medications like contraceptive agents [medroxyprogesterone
injections (Depo-Provera) and older oral contraceptives, testosterone,
corticosteroids [prednisone, methylprednisone, dexamethasone,
prednisolone, betamethasone, cortisone, hydrocortisone, and
triamcinolone], and anabolic steroids [danocrine (Danazol) and
stanozolol (Stomba)]. Other medications known to exacerbate acne include
certain antidepressants, and cyclosporin (Neoral, Sandimmune).
Thyroid Medications (e.g: Propylthiouracil)
Disulfuram (e.g: Antabuse) - prescribed for alcoholic patients
trying to achieve sobriety.
Immunosuppressants (e.g: Immuran) - prescribed to suppress the
immune system; primarily used to prevent organ rejection in patients
awaiting transplants.
Other known causes of acne include ACTH (Adrenocorticotropic Hormone),
androgens, azathioprine, barbiturates, bromides, cyclosporine,
halogens, phenytoin, psoralens, thiourea, and vitamins B2, B6, and B12. |
|
|
If one of
your parents had acne, there's a good chance you will, too |
|
|
Hormonal
changes during this period. |
|
|
Skin
irritation caused by hot, humid weather,
heavy sweating, excessive sun expose,
pressure from wearing headbands or chinstraps. |
|
|
Certain
ingredients within cosmetics may worsen acne, like: petrolatum,
vegetable oils, butyl stearate, lauryl
alcohol, and oleic acid. These ingredients may be contained in moisturizers,
foundations, and pomades. |
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How to help Yourself?
Some people can control and treat their acne by following these simple
suggestions:
|
|
Squeezing may cause
damage to the skin and leave scars. Picking at lesions may also worsen
acne. In some cases, picking can lead to infection. |
-
Wash
your face with a mild soap
|
Remember
to pat the area dry since rubbing or scrubbing the skin can damage it. |
-
Avoid the use of greasy creams or cosmetics.
|
Use only
water-based, non-comedogenic cosmetics instead. |
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Never use very hot or very cold water to wash the acne-prone areas.
|
Using very
hot water will increase oil production, and using very cold water does
not allow for removal of the naturally occurring oils found on the skin. |
-
Remove your make-up before going to bed.
|
Do not use
cold creams or lotions to remove your make-up because they can leave a
greasy film on your skin. |
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Avoid sun tanning or tanning beds.
|
A suntan
can temporarily dry up skin oil, but it can actually cause the skin to
then produce more oil. |
|
|
They work
to treat acne by decreasing androgen hormone levels and thus decreasing
sebum production. It takes three to six months to see their full effect. |
|
|
Like chromium in chromium picolinate capsules or in
brewers yeast, selenium, zinc. It helps
in the activity of hormones. |
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Myths regarding the causes of acne:
-
Diet -
acne is caused by the
foods you eat.
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Research has shown there is no connection between what you eat and the
development of acne. |
|
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Dispute commonly believe that
psychological stress can exacerbate acne, study show that normal
day-to-day stress does not cause acne. However, if you are taking
medications to treat stress, anxiety, or depression, the medication may
contribute to or worsen acne. |
-
Acne is caused by not
washing your face often enough.
|
Acne is not caused by dirt or oils on the skin surface.
Even more, if you wash your face too often and too hard, you may make
acne worse. |
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Book your free consultation at (905) 265 7552
or by
Email:
info@celluline.ca
Address: Celluline, 3883 Hwy 7, Unit 209, Woodbridge, Toronto, ON |