Acne - Marlene J. Mash, MD

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Medical Dermatology
One of the powerful NEW treatments for acne in Dr. Mash's office is the Isolaz™.

The Isolaz™ Acne and Pore Purification laser is the only FDA system   cleared to treat comedonal (black head/white head) acne. It is:
• The only painless, no downtime laser treatment for acne.
• The only system that   purifies and literally drains your pores from the inside.
• The only system that   combines vacuum and laser to help destroy acne causing bacteria.
Isolaz clinical studies   show immediate results within 24-48 hours, including pore size, reduced redness,   clearing of skin discoloration and immediate drying/flattening of the   blemishes.
• The laser also   rejuvenates the skin with intense pulsed light to rid of the textural and   pigmentary abnormalities that acne often leaves behind.

Technically called "acne vulgaris," this skin disease   affects millions of Americans annually. It can vary from quite mild to extremely   severe. There are two main types of acne: non-inflammatory and inflammatory.

In non-inflammatory acne, there are usually just a few whiteheads and blackheads on the face. With inflammatory acne, the whiteheads become inflamed, and red pimples and pustules develop. In its most severe form, inflammatory acne can cause disfiguring cysts and deep, pitting scars in regions of the face, neck, back, chest and groin.

Acne is categorized by its severity:
1. Mild acne describes a few scattered comedones (whiteheads or blackheads) with minimal inflammation (no pustules).
2. Moderate acne describes a denser collection of comedones as well as red, inflamed, pus-filled lesions (pustules).
3. Severe acne, also called nodular or cystic acne, describes widespread and deep lesions that are painful, inflamed, and red. This form of acne is likely to lead to scarring if left untreated.

About 80 percent of all teenagers develop acne, but this disease can also begin at the age of 25 or 30, particularly for women. No one is certain as to what exactly causes acne or why it usually begins in adolescence, but hormones, primarily testosterone, certainly play a large role. A number of other factors, like heredity, are also important. If one of your parents had acne, there is a greater chance you will develop it as well. 

Acne usually develops when the sebaceous glands and the lining of the hair follicle begin to work overtime, as they do in adolescence. Normally, the lining of the hair follicle sheds cells that are carried to the surface of the skin by the sebum. When the follicle is overworked and clogged, cells and sebum accumulate, forming a plug (comedo).

If the plug stays below the surface of the skin, it is called a "closed" comedo or whitehead. If the plug enlarges and pops out of the duct, it is called an "open" comedo or blackhead because the top is dark. This is not dirt and it will not wash away. The discoloration is due to the way light is absorbed by the skin cells within the opening.

Upon visiting her office, Dr. Mash will examine you and suggest the appropriate treatment for you. It COULD include all or some of the following:
•She might advise a nonprescription acne medicine to apply regularly. Over-the-counter drugs containing sulfur, resorcinol, salicylic acid, and benzoyl peroxide, are all effective for treating mild acne.
• She will tell you to use ordinary hygiene on affected areas, washing your face once or twice daily with your usual soap or cleanser. Deodorant soaps may be used, but they are of no particular value for acne.
• Do not scrub or use a loofa. Friction makes acne worse.
• Do not pick or squeeze. This may worsen scarring.

Her prescrbed options may include:
• Topical treatments such as retinoids (tretinoin, tazarotene, or adapalene) or antibiotics (benzoyl peroxide, clindamycin)
• Oral antibiotics
• Hormonal medications like oral contraceptives
• In severe cases, an oral medication called isotretinoin (Accutane) may be prescribed. This is extremely effective, but side effects may include severe birth defects, changes in blood fats and cholesterols, and mood changes. Because of these side effects, Accutane is usually used only for patients with severe acne, or, in patients who have failed all other treatments.
Bellafill®  for Acne 
Bellafill® is the only injectable collagen treatment with PMMA (polymethylmethacrylate) microspheres approved for the correction of moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years.

To hear testimonials, click here.

Millions of people have scars from the long-lasting inflammation caused by acne. Acne scars occur most frequently in those with moderate acne to severe acne. It remains unknown why some people develop acne scars when others don’t. Many treatment options are available to diminish the acne scars’ appearance. Depending on the type and severity of scarring, improvement with Isolaz can be seen in 4 to 6 weeks.

A new and FDA approved treatment for acne scars is now available from Marlene J. Mash, MD. Bellafill® is the only injectable collagen treatment with PMMA (polymethylmethacrylate) microspheres approved for the correction of moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years.

Bellafill® works in two ways:
  • The collagen provides immediate volume below pitted acne scars to lift them to the level of the surrounding skin.
  • The PMMA microspheres create a matrix that supports your body’s own collagen production.

    To see actual patients' results click the text box at the left and see how Bellafill can help. You don't have to live with it. Come in for a free consultation to see if you are a candidate.

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