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Video:How to Treat Moderate Acne

with Dr. Debra Jaliman

Moderate acne has wide varieties of topical, prescription, in-office, and at-home treatments available. In this dermatology video from About.com, learn about some of the most highly recommended acne treatments.See Transcript

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Transcript:How to Treat Moderate Acne

Hi, I'm Dr. Debra Jaliman, a board certified dermatologist in New York City and author of the book Skin Rules: Trade Secrets From a Top New York Dermatologist here to talk about how to treat moderate acne.

Treating Moderate Acne

There are many treatments for moderate acne, anywhere from ranging from cleaning out your skin with a facial, where we do a medical facial to clear out all of the blackheads, whiteheads and even if you have a few cysts we inject them with an intralesional steroid preparation of hydrocortisone. Or, using antibiotics, for example we use time-released antibiotics: anything from a Minocylcline or Tetracycline to treat the acne.

Topical Treatments for Moderate Acne

Then there are many topical preparations that we use for moderate acne, for example, we use preparations with Clindamyacin combined with benzoyl peroxide, we use Clindamyacin alone, we use retinoids, now retinoids are combined with many other treatments, now they combine retinoids with hyaluronic acid to make it easier on the skin so it's not as irritating.

Another way we treat acne is by using salicylic acid. Salicylic acid comes in many concentrations: it comes from .5, a half a percent, all the way up to 2%. So if you have very oily skin, you may want to choose a 2% concentration. You can get salicylic acid over the counter.

Prescription Preparations for Acne

There are other medications that are used: there's a Dapsone gel that's very effective for moderate acne. That's a prescription preparation that we often use, and what it does is it's anti-inflammatory for acne so it kills the inflammation in the skin and the other preparation that we use a lot in moderate acne is azalaic acid which is also anti-inflammatory.

We sometimes use spironolactone which is a hormone blocker for moderate acne, and what that does is it blocks the testosterone in the skin. Also we use birth control pills. Some birth control pills have FDA approval for moderate acne and what they do is they block the testosterone in the skin.

In-Office Procedures for Acne

We also use sonic cleansing systems, we also use red lights and blue lights: it's an in-office procedure and what it does is, it brings oxygen to the base of the skin right where the oil gland is and also helps heal the acne very quickly and we use it twice a week for about four week so it's 8 sessions and it's also very effective for treating acne.

So as you can see there are in-office procedures for treating moderate acne as well as at-home procedures for treating moderate acne. But I think for most people with moderate acne, you may want to see a board-certified dermatologist to get some internal medication as well. If you have any other questions about moderate acne, please go to About.com.

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