Combination therapy for acne vulgaris: results of the use of topical drugs and hardware techniques

Acne vulgaris – common worldwide chronic skin disease. According to the Global Burden of Disease study, approximately 85% of young people aged 12-25 have acne. This disease affects the pilosebaceous complex of the skin and is non-inflammatory (open and closed comedones) or more often inflammatory (papules and pustules) in nature. It is well known that acne can negatively affect the psychological state of any patient, regardless of the severity and severity of the disease.

This article by estet-portal.com shows a case from the practice of Dr. Paloma Cornejo Navarro :

Treatment of acne vulgaris: first-line therapy

According to the current consensus, in almost all patients with acne, a combination of topical retinoids and topical antimicrobials is recommended as first-line therapy. This approach is more effective than any of the monotherapies, since it allows you to neutralize several pathogenic factors at once.

Combined approach to the treatment of acne scars: the possibilities of mesotherapy and PRP However, to obtain optimal results, the above measures are often not enough. Therefore, in his practice, the doctor supplements the acne vulgaris treatment plan with laser and IPL therapy. This allows you to reduce the duration of the course and improve the results of treatment. In his practice, the doctor supplements the acne vulgaris treatment plan with laser and IPL therapy. This allows you to reduce the duration of the course and improve the results of treatment.
Combination therapy for acne vulgaris: topical retinoids + hardware techniques 

A 24-year-old female visits a doctor complaining of worsening skin texture and acne. At the examination stage, a large number of active elements, pigmented macules and papules, as well as erosions and rounded atrophic scars were revealed. According to the patient, she constantly touches the rashes and tries to get rid of them on her own.

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The patient was offered a combination of topical retinoids, antibiotics, laser and IPL therapy as a treatment. following pattern:
• topical retinoids + clindamycin, alternating with a depigmenting cream containing kojic and phytic acids, as well as arbutin;
• four treatments of non-ablative laser (FRAX 1550) and IPL-therapy (on the Nordlys machine) with a frequency of once a month. In addition, the patient was advised to use oil-free cosmetics.

All procedures were performed after application of a topical anesthetic (7% lidocaine + 7% prilocaine + 6% tetracaine).



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All procedures were performed after applying a topical anesthetic (7% lidocaine + 7% prilocaine + 6% tetracaine).

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• then – FRAX 1550, stain – 10 mm, F – 47 J, pulse duration – 4.5 ms, five passes.

At the end of the procedure, the patient was prescribed a regenerating cream and sunscreen with SPF 50 until the skin condition returned to normal. After skin repair, the patient should have resumed

treatment of acne vulgaris.

The patient was completely satisfied with the results of the treatment.


Second procedure:

• filter VL (555-950): single pulse 9 ms, F – 14.5 J;
• then – FRAX 1550, stain – 10 mm, F – 55 J, pulse duration – 5.5 ms, five passes.


Third procedure:
• filter PR (530-750): double pulse 2.5 ms, F – 4 J;

• then – FRAX 1550, stain – 10 mm, F – 55 J, pulse duration – 5.5 ms, five passes.

Fourth procedure:• only FRAX 1550, spot – 10 mm, F – 60 J, pulse duration – 6 ms five passes.

Working with acne from Roman Shkolny: drug therapy and laser techniques

Results:

significant improvement in vascular and erythematous component, reducing the number of acne elements, improving the quality and smoothing the texture of the skin. The patient was completely satisfied with the results of the treatment.

Adapted from The PMFA Journal.

improving the quality and smoothing the texture of the skin. The patient was completely satisfied with the results of the treatment. Adapted from The PMFA Journal.

improving the quality and smoothing the texture of the skin. The patient was completely satisfied with the results of the treatment. Adapted from The PMFA Journal. Watch us on YouTube: