Aesthetic Facial Body Plastic Surgery
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Published Author & Facial Plastic Surgeon Dr. Philip Young!


Acne Skin Care Treatment to Treat Active Acne by Seattle's Sir Harold Delf Gillies Award Winning Dr. Philip Young. We invested over 15 years to formulate our Five to Seven Step method that treats a variety of Acne Scars and is finished in a couple of hours. Learn More About the Acne Scar Vitalizer Treatment Today!

Below is specifically our Before and Afters from our Acne Skin Care Approach in our Seattle Bellevue Office:

Acne Topical Skin Care Regime to Treat Active Acne
Before Acne Topical Skin Care Regime to Treat Active Acne Breakouts
After Acne Topical Skin Care Regime to Treat Active Acne Breakouts after about one month of treatment
After a month Acne Topical Skin Care Regime to Treat Active Acne Breakouts


After a year Acne Topical Skin Care Regime to Treat Active Acne Breakouts

Below is our Introductory video on the Acne Scar Vitalizer Treatment. Our unique approach can treat all types of Acne Scars with one treatment that is done in about 2 hours:

Click here to see more videos on Acne Scarring with our Acne Scar Treatment Playlist!

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

We are going to discuss our Scientific Approach for Acne Skin Care Management here for you.  If you are interested at anytime about scheduling an appointment you can email, call (425-990-3223 Office) and even text message us (425-505-0938 Mobile) at anytime. Click here if you would like to find out more about our consultation process. If you live out of town, we can set up a phone consultation for you and show you how to take the 5 basic photos you will need. For more information on preparing for your procedure we have an informative Plastic Surgery Patient Care Page and Wound Care and Scar Prevention Page.

See an example of one of our patient’s experiences with our Acne Skin Care System here: Acne Skin Care Regimen Before and Afters.

Topical Skin Medications to Treat Active Acne:

We like to start with an effective topical skin regime for Active Acne. Probably the most effective of these products that you will see below is the at home peels. If you are having bad acne, we would likely first start you on some oral antibiotics and the peels along with some antibiotic ointment. After clearing up your active acne, the skin care regimen can be started one by one. We would start you with the at home peels, then add a Retinoid. If you are still having issues we would then consider the Azelaic Acid and Dapsone. You can read about these two medications in the links below:

Here is our basic starting approach for Acne Prevention:

  1. Start your at home peels on Sunday night once a week. Basically put it on and take it off immediately when you first start using at home chemical peels. You can then increase it by the number of times of week and how long you keep it on your skin. Just be careful not to burn yourself and cause scarring. If in doubt, just put it on and take it off immediately. Don't put any skin products on after the chemical peel. Start these peels first and then add on Retin A and then Azelaic Acid and Dapsone respectively & slowly as tolerated. To approach specific pimples you can be more aggressive and put it on and take it off immediately but you can do it more often as tolerated.
  2. Start the Retin A on Wednesday night and only do that once a week as well. You can increase that as tolerated and for each of the products you never want to put it on if you are ever red or irritated. Retin A can make you sensitive to sunlight so it should only be applied during the nighttime.
  3. For the Azelaic Acid 20 % Cream or Dapsone 5%, do this once a week for starters and do it on Friday nights. You can increase that as tolerated but you never want to put it on if you are ever red or irritated. If tolerated you can increase it eventually to 2 times a day.

For Active Acne:

  1. If you just have blackheads and occasional pimples that are mild and less than 5% of your face we would suggest a 2% salicylic acid cleanser or a Glycolic 2% / Salicylic 2% Combo. This is something we suggest for prevention and active acne. We would also suggest an at home glycolic peel which is vital for both prevention and active acne
  2. For more significant breakouts with pimples that are covering more than 5-10% of your face, we would consider adding a topical antibiotic with the above, such as clindamycin gel or erythromycin gel. During Active Acne we would suggest not using Retin A and Azelaic Acid or other medications in the beginning of treating the Active Phase of Acne.
  3. For Moderate Acne, where you the pimples are starting to coalesce to nodules we will want to add oral antibiotics to the mix, using oral Doxycycline or Monocycline. This can be even started at an earlier stage based on what we see.
  4. For anything more significant, Oral Isotretinoin (Accutane) would be considered. But this would be the very last resort. We would treat you with the help of one of our dermatologist colleagues.

Click here if you want to go back to the Acne Scar Treatment Page.

Below is our Video on the At Home Peels that we introduce here in our Acne Topical Treatment Program:

Click here to see more videos on Acne Scarring with our Acne Scar Treatment Playlist!

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

We are currently carrying the following ten Topix Pharmaceuticals, Inc. Products:

  1. Replentix Power of three cream with Resveratrol
  2. Replentix Clarifying Brightening Polish
  3. Replentix All-trans Retinol smoothing serum 5x
  4. Replentix all-trans Retinol smoothing serum 10x
  5. Glycolix Elite Facial cream 10%
  6. Glycolix Elite 10% Moisturizing Cleanser
  7. Rebrightalyze Enhancement therapy Kit
  8. Replentix Antioxidant sunscreen moisturizer SPF 50+
  9. Replenix All Trans Retinol Eye Repair Cream
  10. Gly-Sal 10%/2% Acne medicated cleanser

Our Personal Skin Care Line by Aesthetic Facial Body Plastic Surgery:

To simplify we have enlisted the help of Topix Pharmaceuticals, INC. and their Skincare Management Systems that have all of the needed products and come in 5 steps explained below. For an even more basic regime, we recommend starting Retin A and an at home glycolic peel for starters.

  1. Cleanse : Cleanse with A) Glycolix Elite 10% Moisturizing Cleanser, B) Gly-Sal 10%/2% Acne medicated cleanser,  or C) Replentix Clarifying Brightening Polish
  2. Rejuvenate : Rejuvenate with A) Rebrightalyze Enhancement therapy Kit, B) Replentix all-trans Retinol smoothing serum 10x, or C) Replentix All-trans Retinol smoothing serum 5x - helps tighten, brighten, and tone the skin
  3. Resurface : Resurface with A) Replentix all-trans Retinol smoothing serum 10x, or B) Replentix All-trans Retinol smoothing serum 5x - Glycolic, Salicylic, and Azelaic all helping to clear up acne and even out texture
  4. Hydrate : Hydrate with A) Replenix All Trans Retinol Eye Repair Cream, B) Glycolix Elite Facial cream 10%, or C) Replentix Power of three cream with Resveratrol -with growth factors to help heal and calm, dry, irritated skin
  5. Protec: Replentix Antioxidant sunscreen moisturizer SPF 50+  - this is a must for any regime involving retinols, glycolic, salicylic or azelaic acid! These products can cause dryness and increased sensitivity to the sun’s harmful rays putting you at risk for brown spots or increased redness.

Patients with Severe Acne:

For patients dealing with severe acne we recommend Topix Retinol Serum and Gly-Sal 10%/2% Acne medicated cleanser (to help lighten and fight acne).

For patients dealing with wrinkles, sun damage, and skin discolorations, follow the above five steps!

Directions : All of these products are used morning and  night as tolerated except for the sunscreen, and Retinol.For most patients they will need to start slow with these products and use as tolerated, using the retinols and glycolic cleansers a few times a week based on how irritated their skin is.

For patients who may already have some of their own products/prescriptions or want to buy their own products somewhere else:

Dr Young suggests starting with an acne cleanser with 2% salicylic acid (you can also add  an acne toner with 2% salicylic acid), Retinol (or a comparable Vitamin A analogue, like Adapalene / Differin), A 15% Glycolic acid lotion (after you tolerate retinol), and sunscreen. He also suggests At Home Glycolic Peels for the full benefit of a basic at home acne skin care regime.

For Our Laser Resurfacing Patients:

If you are going to get a co2 laser treatment you should also be on a Skin Lightener’s containing any or all of these ingredients- Kojic Acid, Azelaic Acid, Mequinol 2% [solag],  etc.

Three main products to prepare your skin for CO2 Laser Resurfacing surgery:

  1. Tretinoin (Retinol) Brand Names – Age Intervention Plus MD, Tri-Retinol Complex, Aberela, Airol, Renova, Atralin, Retin-A, Avita, Retacnyl, Refissa, or Stieva-A
  2. A Skin Lightener containing any or all of these ingredients – Kojic Acid, Azelaic Acid, Mequinol, and/or Vitamin C Ascorbic Acid, etc.
  3. Dr. Young may also add in other treatments such as At home Glycolic Peels, Clindamycin Gel, and oral antibotics – See below for more details.
  4. Salicylic Cleansers and make-up may be suggested for patients still dealing with breakouts.
  5. Some patients may need to add  in a hydrocortisone 1% to help with inflammation

The above are suggested products or ingredients that we know to be effective.

Skin Care Regimen for Acne Management can be tricky. As you can see we have many options for our patients. Continue below for directions on how to best use the above suggested  products and additional information on At-Home Glycolic Acid Peels:

Please read about these topical medications on to see if there are any reasons you should not be taking these medications. You can also read more about these Acne Skin Care Topical Medications here.

To best see how you will react to Retinols Apply one application of Retin-A or  Retinol  or Adapalene (These are all retinoic acid derivatives) wait  3-5 days or until all of the redness goes away before you apply the next application. (Doing a test patch in a small area may be the best way to start. You should wait for 3-5 days for the test patch to reveal a reaction.) Keep doing this until you can tolerate the Retinoic Acid on a nightly basis.

Once tolerating the Retin-A daily you can then start the Skin Lightener in addition to the Retin-A and do the same to test. You should wait 3-5 days for all of the redness to subside before applying the next application of the Skin Lightener just as you did with the Retinoic Acid. This approach should be done until you can tolerate both of the medications.

Hydrocortisone 1 % can be started with either the retinoic acid or the Skin Lightener topicals. The hydrocortisone can help decrease the inflammation that is caused by the other two topical applications.

More Information For Laser Patients:

If you are having an Active FX laser procedure, these topical medications should be started 4-5 weeks before your laser procedure and stopped 1 week before your procedure. More current literature, however, is showing that pretreatment with topicals may have no influence on preventing post inflammatory hyperpigmentation in laser resurfacing. These medications should be restarted no earlier than 4 weeks after your laser procedure but you should check with your Doctor first before doing so. If you are doing IPL these medications can also be started 3-4 weeks before your first procedure and then stopped 7 days before your treatments or next treatment. You can resume the Retin-A and the Skin Lightener 7 days after your IPL.

If you are just going to use these topical medications without a procedure, you should use the same approach. Which may mean that you are going to be using just Salicylic Cleansers, Retin A, and the At Home Glycolic Peels for starters then add a Skin Lightener or the Glycolic Lotion as needed. Some people will only be able to tolerate these medications once or twice a week. Everyone is different and you will find out, on your own, how much you tolerate these topical medications. It may be that you tolerate it every other day, every three days, or once a week, etc. While you are starting your topical medication you can call or email your Doctor and / or his staff to help you through this.

At Home Glycolic Acid Peels Instructions:

  1. Cleanse area with mild cleaner/soap
  2. Initially you want to apply the glycolic peel on and take it off immediately by rinsing with water
  3. Later you'll set the timer for 5, 10, 15, 30 secs slowly as tolerated
  4. Apply glycolic acid pads to skin. Note: if burning too badly, shower off immediately
  5. Flush thoroughly with clean, cold water after 30 secs
  6. Increase frequency from: once per week, to twice per week, to three times per week, as tolerated
  7. Increase duration of application from 1-2, 5, 10, 15, 30 secs to 2 min, to 3 min, to 4 min, 5 min, as tolerated

The above are some general recommendations for the at-home glycolic peels. You should be very conservative when you first start doing these. You should never apply these glycolic peels when your skin is significantly inflamed. If you are trying to treat active acne, the inflammation should be limited to just those inflamed and infected pimples. If in doubt, you should consult your doctor here.

Application of Clindamycin Gel:

We suggest using the Clindamycin Gel only when you have active inflammation / infections of your pores. When this is present, we also suggest only spot applications to the infected pore. If you have any questions, please call or e-mail us.

Oral Antibiotics:

Your doctor may also want to prescribe you oral antibiotics as well in the situation where your acne is really severe. Of the choices, your doctor may prescribe you tetracycline, minocycline, doxycycline, erythromycin, or clindamycin.