"Acne is a very common skin condition that doesn't magically stop after your teen years," says Christopher Dallo, MD, FAAD, Dermatology at ARC Medical Plaza Specialty in Cedar Park. When pores become clogged with oil, dead skin cells, and bacteria, it can lead to inflammation and redness. This can present as a range of symptoms, including pimples, blackheads, whiteheads, or cysts. "The good news is you don't have to live with acne — there are many effective treatments available, and your dermatologist can help find the right one," Dr. Dallo adds.
Creating a personalized plan
When consulting with an ARC dermatologist or advanced practice clinician (APC), their first step will be to assess your skin type, the severity of your acne, and your overall health. From there, they can create a personalized skin care routine. "There's no one-size-fits-all solution for acne," notes Dr. Dallo. "That's why a personalized treatment plan makes such a difference in getting clear, healthy skin." Treatment options can include:
- Topical treatments
- Oral medications
- In-office dermatology procedures
The goal of any acne treatment is to clear the skin while also preventing scars and future breakouts.
Topical treatments
Topical treatments are often the first step in managing acne. These can include either over-the-counter (OTC) or prescription creams, gels, and cleansers that work directly on the skin. When used consistently as part of a daily skincare routine, these products can improve symptoms and support clearer skin over time.
Common OTC topical acne treatments include:
- Benzoyl peroxide: Kills bacteria.
- Salicylic acid: Unclogs pores.
- Adapalene (a retinoid): Regulates cell turnover.
- Other effective options include tea tree oil for inflammation, sulfur for drying, and hydrocolloid patches to protect blemishes.
Common prescription topical acne treatments include:
- Retinoids and retinoid-like drugs: Prevent clogged pores.
- Antibiotics: Kill excess skin bacteria and reduce redness and inflammation.
- Azelaic acid and salicylic acid: Unclogs pores and have antibacterial properties.
Oral medications
For severe acne or acne that does not respond to topical treatments alone, a dermatologist may recommend a prescription oral medication. These treatments require monitoring by your dermatologist to ensure safe and effective results.
Types of oral medications include:
- Antibiotics: Reduce bacteria and inflammation.
- Combined oral contraceptives: Help regulate oil production.
- Anti-androgen agents: May be considered for women and adolescent girls if oral antibiotics aren't helping.
- Isotretinoin: Prescribed for people whose moderate or severe acne hasn't responded to other treatments.
In-office dermatology procedures
In-office dermatology procedures can be used along with medications to improve the skin more quickly. These treatments may help reduce active breakouts, calm redness, and improve the look of scarring. Options can include:
- Chemical peels
- Light therapies
- Extractions
"Even stubborn or severe acne can be managed with the right combination of therapies," says Dr. Dallo. "Our goal is not just clearer skin today, but healthier skin long term."
About ARC Dermatology
For more than 20 years, ARC Dermatology has helped Austin-area patients achieve healthier skin through personalized, expert care. Our dermatologists and APCs make access to specialized dermatological treatment easy with services available at multiple locations in Austin, Cedar Park, Round Rock, Georgetown, and Hutto. We also offer a broad range of medical aesthetic services.
Call today to schedule an appointment
Dr. Dallo is a Fellow of the American Academy of Dermatology and is accepting new patients of all ages. To make an appointment with Dr. Dallo, book online or in ARC MyChart.