Acne Treatment Toronto - Toronto Acne Clinic

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.

What is LED Light Acne therapy with Lumi Facial®?

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 Comedo It 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 cysts An 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.
Increased androgens	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.
Excess sebum production	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.
Drugs that might causes Acne	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.
Heredity	If one of your parents had acne, there's a good chance you will, too
Menstruation	Hormonal changes during this period.
External factors	Skin irritation caused by hot, humid weather, heavy sweating, excessive sun expose, pressure from wearing headbands or chinstraps.
Some cosmetics	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:

Never squeeze any lesion	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.
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.
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.
Birth control pills	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.
Take minerals daily	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.	Research has shown there is no connection between what you eat and the development of acne.
Stress.	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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