Acne Treatment

Acne. Everything you need to know

Acne
Treatments
Acne Scars

What is Acne?

Acne is a common dermatological condition that affects most people at some stage in life. It develops when oil (sebum) and dead skin cells become trapped within the skin’s oil-producing (sebaceous) glands, forming blockages known as comedones. When bacteria such as Cutibacterium acnes multiply inside these blocked follicles, they can trigger inflammation near the skin’s surface.

Depending on severity, acne may present as blackheads, whiteheads, papules, pustules, nodules, or cysts.

 

Understanding Acne Triggers

Although acne is often associated with adolescence, it can persist into adulthood and may occur at any age. Several factors may contribute to flare-ups, including:

  • Hormonal fluctuations
  • Stress
  • Diet
  • Certain medications
  • Use of comedogenic (pore-clogging) skincare products

Genetics can also play a role, with individuals who have a family history of acne more likely to experience it themselves.

Acne Cheek
Acne Close Up

Effective Management of Acne

While most cases of acne can be effectively managed, there is no one-size-fits-all solution. Dermatologists and acne-specialised GPs who consult at Northside Dermatology offer comprehensive assessments to help identify the underlying causes and contributing factors of each individual’s acne.

Treatment plans may include a combination of the following:

  • Topical Therapies
    Such as retinoids, benzoyl peroxide, azelaic acid, or topical antibiotics.

  • Oral Medications
    Including antibiotics, hormonal therapies (such as the oral contraceptive pill or spironolactone), or oral isotretinoin for more severe or persistent cases.

  • In-Clinic Procedures
    Options such as chemical peels, laser therapy, or light-based treatments may be recommended to manage active acne and support improvement in pigmentation or scarring.

  • Lifestyle and Skincare Guidance
    Individualised advice on skincare routines, product selection, and relevant lifestyle factors that may support long-term skin health.

 

40

Acne Treatments

A holistic approach to acne is supported at Northside Dermatology, combining prescription treatments, in-clinic procedures, and evidence-based skincare. Dermatologists who consult at the clinic may develop tailored plans to help manage breakouts, reduce inflammation, and minimise the risk of long-term 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
Discover Aviclear
The Acne Rosacea Clinic
Our Acne Rosacea Clinic offers fast-tracked appointments with dermatologist who consult with us, 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
Visit Website

What About Acne Scars?

Acne scars form when breakouts penetrate deeply into the skin and damage the surrounding tissue. In response, the body activates its natural healing process and produces collagen to repair the area. If too much or too little collagen is produced, scarring can occur. These marks may remain long after the active acne has cleared.

Acne scarring can be persistent, but a variety of treatment options are available to help improve skin texture and appearance. In many cases, a combination of treatment modalities is required to address different types of scarring effectively. Individualised treatment planning is important to support the best possible outcomes.

To explore suitable options, a consultation can be arranged with a dermatologist who consults at Northside Dermatology.

Find out more: Acne Scars & Treatments 

Aviclear treatment for acne at Northside Dermatology.

AviClear Laser: The Breakthrough in Acne Treatment

AviClear is a TGA-cleared energy-based device developed to treat mild to severe acne by targeting the sebaceous (oil) glands. The device uses laser technology to reduce sebum production, which may help prevent future breakouts over time.

This treatment is drug-free, non-invasive, and suitable for a range of skin tones. It may be considered for individuals seeking an alternative approach to managing acne. A consultation with a dermatologist or clinician is required to determine suitability and develop an appropriate treatment plan.

Discover Aviclear

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 

JoinOurSkinProgram

Supporting Acne Management with Individualised Care

Dermatologists who consult at Northside Dermatology offer personalised treatment plans to address a range of acne concerns, including blackheads, hormonal breakouts, and scarring. Treatment approaches may include evidence-based therapies, prescription skincare, and advanced technologies such as AviClear, selected according to individual skin needs and clinical suitability.

These tailored plans are designed to support clearer, healthier skin over time.

 

Book Consultation
Clear Skin Sign Up

Your Acne Solution Awaits

Struggling with persistent breakouts or post-acne marks? Dermatologists who consult at Northside Dermatology 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.

Book Consultation Today

Two Melbourne Locations

Northside Dermatology operates from modern facilities in Fitzroy North and Reservoir. Consulting dermatologists and doctors offer a range of medical and aesthetic skin treatments, supported by a team of cosmetic nurses and dermal therapists.

View Locations