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acne

Acne

Acne is one of the most common conditions I see in clinic, and it isn’t just a teenage problem. A large proportion of my patients are women in their 20s, 30s and 40s who are dealing with hormonal or stress related breakouts, often for the first time in their adult lives.

It happens when hair follicles become blocked with oil and dead skin cells. This creates the perfect environment for bacteria, mainly a strain called Cutibacterium acnes, to multiply and trigger inflammation. Depending on how your skin reacts, this can show up as anything from a few blackheads to painful, deep cysts that leave lasting scars if they aren’t managed properly.

In clinic, I grade acne by severity, because it genuinely changes the treatment plan. Mild or comedonal acne is mostly blackheads and whiteheads with little inflammation. Moderate acne brings in inflamed red spots and pustules. Severe or nodulocystic acne involves deep, painful cysts and carries a real risk of scarring if left untreated.

Getting that grading right is the first job. It tells us whether a good skincare regime will do the work, or whether you need a more medical approach.

Not sure how severe your acne is? Book a consultation, and we’ll grade it properly before recommending anything.

 

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What Causes Acne?

There’s rarely just one cause. In my experience, it’s usually a combination of the following.

-> Hormones. Puberty, the menstrual cycle, pregnancy and conditions such as PCOS are some of the most common drivers I see, particularly in adult onset acne.

-> Genetics. If acne runs in your family, you’re more likely to develop it yourself.

-> Excess sebum production from the skin’s oil glands.

-> Certain medications, including some contraceptives and steroids.

-> Comedogenic cosmetics and skincare that block pores without you realising it.

-> Stress, which can worsen existing acne through its effect on hormone levels.

Diet is a topic I get asked about constantly, and honestly, the evidence is mixed. Some patients do notice flares with high sugar or high dairy diets, but it’s far from a universal trigger, and I’m cautious about patients blaming their diet alone when the real driver is often hormonal.

When you have acne, pores become blocked with dead skin so the sebum (oil) cannot escape resulting in white heads, blackheads and milia. Some people make more oil – for example teenagers due to hormone changes. The blocked pores become infected with P. Acnes bacteria resulting in spots and pimples and even acne. As a result the skin will become more red and inflamed.

By controlling the sebum production and creating a healthy skincare routine, you can treat both the cause and symptoms of acne and have lifelong beautiful skin.

 

 

 

 

 

Our Consultations

Our consultations are in-depth and tailored to you, creating a bespoke treatment plan catering to all of your concerns.

Consultation

Treatments

There are a number of treatments we offer to help the skin. The first thing we recommend is using our cosmeceutical range ZO Skin Health by Dr Zein Obagi. This has incredible results by targeting oil production, cleansing and exfoliating the skin, removing the P. Acnes bacteria, restoring a healthy skin barrier function and restoring a normal skin cycle. By adding in Retinols, you can also improve the texture of skin including acne scarring by helping with the production of fresh skin cells.

In combination with ZO Skin Health, we would also recommend a course of HydraFacials which can fight acne, clean and exfoliate the skin and ensure all debris is removed from pores. This will help to not only target breakouts, but also diminish the appearance of scarring and help to keep your skin pimple free. This is followed by a LED light treatment which is clinically proven to help with healing, promote collagen production and kill bacteria on the skin.

Chemical Peels–The peel will deeply cleans the skin help cleare congestion and stimulate skin renewal.

Laser treatment can also be used to directly treat active acne lesions including underlying cystic nodules. The laser targets the sebum and inflammation at the root of the sebaceous gland destroying acne bacteria.

Once active breakouts are under control, many patients are left with post-acne marks — see our Pigmentation page for more on treating this.

What to Expect at Your Consultation

Your first appointment includes a full skin assessment, a review of your history and possible hormonal factors, and an honest discussion of what aesthetic treatment, or combination of treatments including a tailored ZO Skin Health programme, will actually work for your skin. This is not a one size fits all package. If we feel you need oral medication or hormonal treatment, we’ll refer you to the right specialist.

Frequently Asked Questions

Can acne be cured completely?

There’s no permanent “cure”, but acne can be very effectively controlled and, in most cases, cleared. Ongoing maintenance, often with a ZO Skin Health home care regime, is usually needed to keep it that way.

Does diet cause acne?

For some people, high-sugar or high-dairy diets can worsen breakouts, but diet alone rarely explains acne. We look at the full picture rather than blaming a single food group.

How long does it take to see results?

Most people see visible improvement within 6 to 8 weeks of starting a consistent treatment plan, though severe or hormonal acne can take longer to fully settle.

Can I get acne treated on the NHS?

Yes, via your GP, though referral to dermatology can involve long waits. We offer faster access to aesthetic and skin-health treatment in the meantime, and will refer you on if you need oral medication or dermatology input.

Will treatment help with acne scarring?

Scarring needs a different approach to active breakouts, so I’ll usually get your acne under control first before we touch the scars themselves. Once things have calmed down, Hybrid Laser, Secret RF and SkinPen treatments tend to give the best results.

Do you sell ZO Skin Health products?

Yes, we’re a ZO Skin Health stockist and I’ll build your home care plan from the full range myself, based on your skin type and how severe your acne is.

What is the best treatment for adult acne in Surrey?

For adult acne, we typically start with ZO Skin Health to control oil production and rebuild the skin barrier, combined with HydraFacial and LED light therapy — laser and chemical peels are added for more resistant cases.

Can hormonal acne be treated without medication?

Yes, in many cases — a tailored ZO Skin Health regime alongside in-clinic treatments such as chemical peels and laser can control hormonal acne without oral medication, though we’ll refer you for hormonal treatment if that’s genuinely what’s needed.

 

 

 

Helping you achieve outstanding, natural looking results.