Acne | Hiro Clinic Cosmetic Dermatology / Cosmetic Surgery

Why do we get acne?

In medical terms, it is called acne vulgaris, which is caused by sebum clogging the pores and inflammation caused by acne bacteria.
Acne is mainly caused by male hormones. Male hormones and progestin hormones, which are very similar to male hormones, are also responsible for acne in both men and women during puberty and before their periods.

Other hormonal imbalances due to stress, lack of sleep, and poor diet leading to high levels of male hormones, can also cause acne.

The development of acne occurs in the following manner:

First, sebum accumulates in the pores due to excessive sebum production or clogged pore openings.
When bacteria such as acne bacteria enter the nutrient-rich sebum accumulation and multiply while eating the sebum, inflammation occurs.
It progresses from a red, raised pimple to a pus-filled pimple.
As the inflammation spreads to the surrounding tissues, it can leave the skin with the tugging, bumps, redness, and darkness of acne scars.

Is acne bacteria bad?

Acne bacteria, like staphylococci, are common to the skin. Normally, acne bacteria maintain the acidity of the skin at a mildly acidic level to prevent the entry and growth of other pathogenic bacteria.
However, acne bacteria prefer airless areas and use sebum as a nutrient, so if they overgrow in clogged pores, they can cause acne.

To reduce the growth of acne bacteria, it is important to wash your face properly. Proper cleansing is to remove sebum and dirt and keep the keratin functioning well, so it is important not to over-wash or under-wash your face. To avoid straining your skin, try to wash gently rather than scrubbing.

Various procedures for acne treatment

Oral and external medications

Common acne treatments include external and oral medications. The treatment period is generally 4 to 6 months, and as the symptoms improve, the amount of oral medication (mainly antibiotics) is gradually reduced, until finally it can be controlled by just ointment medication.

External medicine

Antibiotics – act on the bacteria in the skin and reduce the occurrence of acne.
Tretinoin – helps heal acne by decreasing the function of the sebaceous glands and making it easier to peel off the dead skin cells that clog the pores.

Immediately after the start of external treatment, there will be a certain amount of skin dryness and tingling sensation, but this will gradually lessen.

Oral medicine

Antibiotics – effective when symptoms are severe and when ointments are not very effective.
Vitamins B2 and B6 – known to reduce the activity of sebaceous glands.
Vitamin C- can help improve post-acne inflammatory hyperpigmentation more quickly.

Chemical Peeling

Chemical peels, which are effective in treating clogged pores, are also very effective in treating acne.

By applying glycolic acid to the surface of the skin and removing blockages on the skin surface and in the pores, it is effective not only in improving current acne but also in treating acne that is about to appear.

Peeling requires multiple treatments and therefore needs to be done on a regular basis.

As the skin is stimulated by the peeling, a more beautiful skin can be formed by the iontophoretic treatment of vitamin C or a pack.

Click here for more information about Chemical peeling

Carbon peeling

This treatment removes dead skin cells and clogged pores, making acne less likely to occur and improving acne scars./p>

Carbon peeling is a highly effective treatment for open pores that are difficult to hide with makeup, black nose pores clogged with keratin plugs, and uneven acne scars, and it improves the texture of the skin.

The heat stimulates the production of collagen, which not only tightens the pores but also increases the tension and elasticity of the skin and improves the skin texture.

After the treatment, there is almost no redness or swelling, and you can wash your face and apply makeup right after the treatment, so you can take this treatment as part of your daily life.

Click here for more details about Carbon Peeling

eCO2 Laser

The eCO2 (eco2) laser delivers a large number of micro-units of carbon dioxide gas instantaneously to promote skin replacement and skin regeneration by utilizing the self-healing power of the perforated skin.

Unlike the heat-damaging non-ablative lasers, the ablative lasers work by scraping off the old skin and making holes in it, which allows for more thorough replacement of skin cells and less frequent results.

Since it reaches into the deeper layers of the skin, it is expected to be very effective in treating acne, but the downtime (redness and swelling after the procedure) is longer than with Affirm Multiplex.

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Affirm Multiplex

With two types of lasers, it is possible to replace the skin and tighten sagging skin at the same time, which is essential for the treatment of acne and acne scars, in one session. The well-balanced fusion of the effects of the two wavelengths achieves effects that cannot be achieved with a single laser.

Traditional fractional lasers are associated with pain and downtime problems, and most of them cannot be performed without anesthesia, but Affirm Multiplex has a special cooling system and laser irradiation mechanism that reduces pain and eliminates the need for anesthesia.

This treatment is recommended for those who have previously given up on laser treatment due to downtime and pain.

FNS (Derma Roller)

The ultra-fine needles vibrate at a high speed of 120 times per second to open micro-holes in the skin, powerfully evoking the skin’s natural healing power, producing collagen, and improving the skin’s texture, resulting in the improvement of acne.
In addition, penetration of active ingredients through microholes can maximize absorption even more than mechanical infusion, resulting in very effective skin regeneration.

Compared to traditional dermaroller treatment, each needle is extremely fine, so the scars from the needles are almost invisible.
There is almost no bleeding or scabbing of the needle puncture marks.

This is a new technique recommended for those who are hesitant to undergo treatment with heat-generating fractional lasers.

Photo RF

Photo RF is effective in improving acne by using light and heat to sterilize and damage the sebaceous glands to suppress the secretion of sebum. It is painless and increases the collagen in the dermis, making acne scars less noticeable. It is also effective in toning the skin and tightening pores.

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Iontophoresis

Vitamin C reduces excessive sebum secretion, which is one of the causes of acne, tightens pores, and can also increase skin metabolism by removing active oxygen.

It can improve pigmentation of acne scars and other skin conditions.

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Other acne treatments

In addition to chemical peels, carbon peels, eCO2, Affirm Multiplex, FNS, Photo RF, and iontophoresis, there are several other effective treatments for acne.

Thermacool was originally approved for the treatment of acne and is effective in tightening pores, suppressing the action of sebaceous glands, and improving the unevenness of acne scars by tightening and increasing collagen through heat.

Placenta injections, vitamin C injections, anti-aging drip infusion (special placenta drip), highly concentrated vitamin C drip, and other injections and drip therapies are used to balance the body from the inside and make it less prone to forming. These treatments also help relieve fatigue, whiten and beautify the skin, and are more effective when continued on a regular basis.

Combination of chemical peeling, carbon peeling, eCO2, Affirm Multiplex, FNS, photo RF, iontophoresis, thermacool, injection, and intravenous therapy can also be used to further improve acne treatment.

We provide the best treatment for acne and acne scars with customized treatments for each individual patient.