Acne Treatment

Acne. Everything you need to know

Acne
Treatments
Acne Scars

What is Acne?

Acne is a widespread dermatological condition that affects almost everyone at some point in their lives. It occurs when oil (sebum) and dead skin cells become trapped within the oil-producing (sebaceous) glands, creating a plug known as a comedone. When bacteria such as Cutibacterium acnes multiply within these blocked follicles, they trigger inflammation near the surface of the skin. Depending on the severity of the condition, different types of visible blemishes can appear — including blackheads, whiteheads, papules, pustules, nodules, and cysts.

Understanding Acne Triggers

While acne is often associated with adolescence, it can persist into adulthood and occur at any stage of life. Hormonal fluctuations, stress, diet, certain medications, and the use of comedogenic (pore-clogging) skincare products may all contribute to flare-ups. In many cases, there is a strong genetic component as well, meaning that individuals with a family history of acne may be more prone to experiencing breakouts.

Acne Cheek
Acne Close Up

Most cases of acne can be treated effectively

Most cases of acne can be treated effectively, but there is no single solution that works for every individual. At Northside Dermatology, the dermatologists and acne GPs who consult at the clinic offer comprehensive assessments to determine the root causes and contributing factors of each patient’s acne. Treatment plans may include:

  • Topical Therapies: Such as retinoids, benzoyl peroxide, azelaic acid, or antibiotic creams.

  • Oral Medications: Including antibiotics, hormonal treatments like the contraceptive pill, spironolactone, or oral isotretinoin for more severe cases.

  • In-Clinic Procedures: Options such as chemical peels, laser therapy, or light-based treatments may be recommended for managing active acne and reducing post-acne pigmentation or scarring.

  • Lifestyle and Skincare Guidance: Patients receive tailored advice on skincare routines, product recommendations, and dietary considerations that support overall skin health.

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Acne Treatments

At Northside Dermatology, we take a holistic approach to acne, combining prescription treatments, in-clinic therapies, and evidence-based skin care to manage breakouts, reduce inflammation, and minimise the risk of scarring.

Aviclear Laser
AviClear is a revolutionary laser treatment that targets the root cause of acne—excess oil production—for long-term, drug-free skin clarity.
Best for: Acne prone skin
Down time: No downtime
Comments: The latest technology
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The Acne Rosacea Clinic
Our Acne Rosacea Clinic offers fast-tracked appointments with our dermatology team, providing timely assessment and treatment for acne without the long wait.
Best for: All acne sufferers
Down time: No downtime
Comments: Fast turnaround and diagnosis
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What About Acne Scars?

Acne scars are created when a breakout penetrates the skin deeply and damages the underlying tissues. The body responds to this damage by engaging its natural healing mechanism and producing collagen to rebuild the affected tissue. However, it is not a perfect system. If the body produces too much collagen or too little collagen, a scar forms. This scar remains after the acne itself has cleared.

Acne scars can be stubborn, but there are many treatments available to improve their appearance. In the vast majority of cases, it is necessary to use a combination of treatment modalities to completely address a patient’s scarring. Tailoring the treatment to the individual is essential to achieve the best outcome. Contact Northside Dermatology to schedule an appointment with a specialist dermatologist.

Find out more: Acne Scars & Treatments 

Aviclear treatment for acne at Northside Dermatology.

AviClear Laser: The Breakthrough in Acne Treatment

AviClear is the first and only TGA-cleared energy device specifically designed to treat mild to severe acne at the source. Unlike creams or medication, it targets the oil glands with precision, reducing sebum production and helping prevent future breakouts. This gentle, drug-free treatment is safe for all skin tones and suitable for patients who want a long-term solution without downtime or harsh side effects.

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Frequently asked questions

What causes acne?

A number of factors can contribute to the development of acne, including:

  • Genetics: There is a tendency for acne to run in families, suggesting there is a genetic component that can increase your risk of developing acne.
  • Hormones: Hormonal changes caused by puberty, pregnancy, menopause, stress or a medical condition can increase oil production which in turn can stimulate acne.
  • Diet: A high glycaemic index (GI) diet full of processed and refined foods can worsen acne. Consumption of dairy products can also exacerbate acne in some individuals.
  • Cosmetics: Thick makeup and skincare products can clog the sebaceous glands, as can some hair products that come into contact with the skin.
What skincare products should I use if I am acne prone?

For mild cases of acne or oily skin, a good skin care regimen may be sufficient to manage the condition. Look for lighter formulations of cleansers, moisturisers and sunscreens with labels like “non-comedogenic” and “oil-free.” Incorporating active ingredients like niacinamide, alpha hydroxy acids, beta hydroxy acids, benzoyl peroxide and topical retinoids into your routine can help balance sebum activity, clear congestion and prevent acne from forming. We recommend introducing one active ingredient at a time, as many can cause irritation. Our dermal clinicians can review your current skincare routine and help you find the most beneficial products for your skin. Book your appointment with our dermal clinicians.

What skincare products / topical agents should I avoid when I am acne prone?

Avoiding irritation of the skin can reduce inflammation and acne lesions. Those prone to acne tend to over-cleanse and use harsh products on their skin to reduce congestion. Though this may sound like a logical approach, it is usually counterproductive. Excessive use of oil-stripping products can actually increase irritation, oil production and skin cell turnover, increasing blockage of the pores and resulting in more acne lesions. This will need to be treated before continuing with topical products.

It’s also important to avoid heavy makeup and oil-based products if your skin is vulnerable to blocked pores. Many people use products such as Bio-Oil and rosehip oil on their skin, which can aggravate acne. Non-comedogenic makeup and mineral makeup are safe to use.

Can I change my diet to improve my acne?

A nutritious, balanced diet is essential to good health whether you have acne or not, but evidence suggests that certain dietary changes may help some people with acne-prone skin. Limit your intake of dairy and refined sugar, and try a low glycaemic index diet to regulate your blood sugar levels and hormones. Low GI foods include most fruits and vegetables, legumes, nuts, meat, fish and many grains.

What prescription treatments are available for acne?

More persistent cases of acne may respond best to a medical approach. Topical prescription treatments for acne include antibiotics, retinoids or a combination of the two. Oral antibiotics or retinoids can help reduce bacteria and fight inflammation. For female patients, anti-androgen therapies that regulate hormones are a treatment option. Each of these prescription solutions offers a stronger level of acne treatment than products purchased over the counter.

What is isotretinoin treatment for acne?

The retinoid isotretinoin is the most potent and effective treatment available for severe acne. Isotretinoin is a vitamin A derivative that comes in a capsule and is typically taken once a day with the largest meal. It works by targeting multiple causes of acne simultaneously: excess sebum production, enlarged sebaceous glands, follicular occlusion, bacteria growth and inflammation. Only a specialist dermatologist can prescribe isotretinoin.

Can I be cured from acne?

Isotretinoin is the gold standard for treating and curing acne. The duration of treatment depends on the severity of your acne and your body weight. Most courses last 12 to 18 months, and most patients require only one course to achieve a good result.

For long term control of acne, as of March 2024, we have the option of AviClear laser as an alternative to isotretinoin.  AviClear laser has a similar mechanism of action to isotretinoin, and in the pivotal study, it has been shown to have similar efficacy to isotretinoin at 6 months following treatment.

I have acne but I don’t want to go on medication yet. What should I do?

You can book in for an appointment with our AviClear laser consultant for a complimentary consultation.  Click here to book. 

You can also see a Acne specialist GP via the rapid access acne clinic for both prescription and non prescription treatment options, book here

Do you have a guide on acne management?

Click here  to see Dr Liu’s advice on how to manage your acne and who to see.

If people grow out of acne over time, why is it important to treat?

Acne can improve with time. However, if left untreated, inflammatory, comedonal and cystic acne can lead to permanent scarring. Acne scarring can take a significant emotional toll and, though there are treatments that can improve the appearance of acne scars, they can rarely restore perfect skin. Early treatment is best.

I have acne; which doctor or clinician should I see?

When it comes to acne management, we have three options: 

1. An appointment with GP acne specialist, Dr Emily Tayles

Dr Tayles can discuss a full range of acne treatment options, including prescription creams, antibiotics, anti-androgen medication, oral vitamin A, and the new AviClear laser. If required, Dr Talyes will fast-track you to see a dermatologist if you require isotretinoin (oral vitamin A). A consultation with Dr Tayles does not require a referral. Fees $160 (rebate $76). You can conveniently book online for Fitzroy North (Thursday am) or ring for an appointment in Reservoir (Wednesday am). For booking with Dr Tayles, please click here 

2. Make an appointment with a dermatologist. A prescription for isotretinoin (oral vitamin A) is only available through a dermatologist. A consultation with a dermatologist costs $330 (rebate $81). Please call us to book 

3. A complimentary appointment with our AviClear laser consultant to discuss the new AviClear laser. Please click here to book 

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Clear Your Skin Today With Our Acne Treatment Programme

Take control of your skin with a personalised treatment plan tailored by our dermatologists. Whether you’re dealing with blackheads, hormonal breakouts, or scarring, we combine evidence-based therapies and advanced technology like AviClear and prescription skincare – to help you achieve clearer, healthier skin.

 

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Your Acne Solution Awaits

Struggling with persistent breakouts or post-acne marks? Our expert dermatologists offer tailored acne treatment plans, from medical therapy to cutting-edge laser technology like AviClear and CO2 resurfacing. We’re here to help you achieve clearer, healthier skin that lasts.

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Northside Dermatology operates in state-of-the-art facilities in Fitzroy North and Reservoir. All acne treatments are performed by trained doctors or dermatologists, ensuring your skin is in the safest hands.

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