Medical Dermatology

Acne and Rosacea

Acne and rosacea are two of the most common conditions in dermatology. They can, at times, be disfiguring and leave permanent scarring. We have many effective medications to combat acne and rosacea. For comedonal acne (whiteheads and blackheads), one of the first line treatments is a retinoid. The over-the-counter versions of retinoids are often ineffective. There are several different strengths in several different vehicles (creams and gels mostly) that we can tailor to your skin and your condition's severity. Topical antibiotics and other topical medications (such as Aczone, a dapsone medication, Finacea, an azelaic acid, and several sulfa-containing lotions) can also be helpful. Newer treatments such as Soolantra (ivermectin) and Winlevi (clascoterone) can be helpful for the right patient. For the deeper, cystic acne, we often use oral antibiotics. Occasionally we will use anti-androgen medications such as spironolactone. For more resistant cases, Accutane (isotretinoin) is very useful, but the risks and benefits as well as your medical history must be weighed carefully before starting it. Lifestyle changes can also be an important part of treatment, and we will discuss this in detail with you as appropriate to your specific condition.