Acne is a very common skin condition, affecting virtually everyone at some point in their lives. It is triggered by many different factors, including hormonal fluctuations, irritants like topical steroid application, diet and certain medications. Acne is due to an overproduction of sebum, a buildup of dead skin cells and an accumulation of bacteria. Some people experience mild non-inflamed acne called acne simplex, while others have inflamed acne or acne vulgaris, which is severe and can be painful. Acne treatment is a collaborative effort between physicians and skin care professional, hence it takes a longer treatment protocol for good results.


Acne treatment usually begins with topical retinoids (e.g.tretinoin, adapalene), in combination with topical antibiotics (e.g. clindamycin, erythromycin) or antiseptics (e.g. benzoyl peroxide-containing preparations), followed by oral antibiotics (e.g. doxycycline or minocycline).

In women a cyproterone-containing contraceptive pill can be useful if there are no contraindications.

Isotretinoin is used primarily for severe cystic acne and acne that has not responded to other treatments. In cases of hormonal acne, such as in women in their 20s and 30s with cyclical acne, often a course of isotretinoin can permanently improve acne obviating the need for lifelong hormonal manipulation.


Medications are usually prescribed for teen acne but recently the use of light-based therapies for improving acne in adults has gained popularity. Laser light in the red-to-blue spectrum is effective at killing the bacteria that causes acne, as well as decreasing inflammation.

The laser works not by heat, but by activating a protein that is released by the Propionebacterium acnes bacteria to become a killer protein that destroys the bacteria and the surrounding inflamed acne cells. The effectiveness of light-based treatments is increased by adding a photosensitizing solution to the face, called photodynamic therapy (PDT).

Chemical peels
Salicylic acid peel

Salicylic acid treats acne by exfoliating the dead skin. It also has the ability to penetrate the pores of the skin. These two actions opens the ducts and keeps the follicles clear. This in turn clears off the debris like dead skin cells and prevents the breakout of acne.

Black Peel

Black Peel combines the natural exfoliating and nourishing properties of Black Acetic Acid with the proven healing factor of Potassium Iodide to create a chemical peel unlike any other. This in turn enhances exfoliation and skin recovery for more effective skin renewal, and reduces acne.

Acne Scar Treatment

1. Microdermabrasion

It has been one of the most popular acne treatments available in the market for several years now. There are three reasons for the popularity of microdermabrasion treatment

1. Effective at reducing acne
2. Painless and non-invasive treatment
3. Comparatively lower costs

There are other medical acne treatments available in the market such as laser acne therapy, which can be more effective at treating acne. However, compared to laser acne treatment, microdermabrasion is more reasonably priced.

Microdermabrasion with peels can be used safely at regular intervals and this helps the skin to get better results and also cuts down the treatment period.

All these treatments require 6-8 sessions with maintenance to get the best results.

2. Chemical Peels
Yellow peel

Is a combination of retinaldehyde, (a natural metabolite of beta-carotene and Retinol), with 3 tyrosinase blockers (skin lightners) these are: Phytic Acid, Kojic Acid and Azelaic Acid. There is Vitamin C and Bisabolol as anti-oxidants and anti-inflammatory agents in this formulation as well. This peelwas designed to offer a deep dermal stimulation, with minimum exfoliation and with a fast regeneration of the skin (48 hours).

3. Lasers
Er:YAg lasers

They are solid-state lasers whose lasing medium is erbium-doped yttrium aluminium garnet (Er:Y3Al5O12). The lasers typically emit light with a wavelength of 2940 nm, which is infrared light. Er:YAG lasers have been used for laser resurfacing of skin and treating acne scarring, deep rhytides, and melasma.

Fractional Laser

Fractional laser treatment works by targeting both the epidermis and dermis. It does this by delivering a laser beam that is divided into thousands of tiny but deep columns of energy into the skin. These are called microthermal treatment zones (MTZs). Within each MTZ old epidermal pigmented cells are expelled and penetration of collagen in the dermis causes a reaction that leads to collagen remodelling and new collagen formation. By using MTZs, the laser targets and treats effectively within this zone whilst surrounding healthy tissue remain intact and unaffected.

4. Fat derived stem cell Grafting

Stem cells are harvested from the abdomen and washed. These are concentreated and then injected in very small quantities in the form of beads in the area of volume loss. This technique is very useful in areas where the cystic acne has left defects in the overlying skin specially in the cheeks and temples.

5. Subscision

This is a minimally invasive technique that is used to release the tethering of the skin to the deeper tissues due to scarring. This is usually done under local anaesthesia and gives very good results with depressed scars.

6. Face lift

Acne scars make the cheek skin heavy as a result it shows premature signs of aging. Minimal incision face lift is occasionally done to improve the midface area and this makes the scars less visible.


Avoidance of sun exposure is recommended. Adequate sun protection should be used while being outdoor with broad spectrum coverage.

Avoid facial waxing

Stop isotretinoin prior to any procedure

The Cosmetic Surgery Institute is happy to provide the full range of above mentioned treatments. The newer laser therapies are done by Dermatologists and trained personal.

Diet prescription &diet charts are provided to improve the overall health so as to prevent acne breakouts.