Acne & Acne Scarring

Acne

Acne is considered to be one of the most common skin conditions and affects millions of people in the United States. Caused by numerous factors including clogged pores and debris, excessive oil production, and bacterial overgrowth, acne can be persistent, and finding the right treatment for it may seem like an upward battle. Contrary to popular belief, acne is indiscriminate of age and impacts the lives of children, teens, and adults alike. And while many people have to deal with the irritating pimples, whiteheads, blackheads, and cysts that comprise acne, few know what can be done to achieve clearer skin once and for all. Many opt for over-the-counter treatments and home remedies, or simply allow the acne to “run its course”. While this may work for some, acne that is left untreated can result in dark spots and pigmentation, redness, permanent scars, and even lowered self-esteem. Unfortunately, while there is no single miracle treatment that works for all, here at Metro Laser & Aesthetics, we work with you to create the best treatment plan for you.

What can I do to treat my acne?

Medical Treatments

Medical treatments are available to help conquer your acne. Please refer to our dermatologists at Metro Dermatology, who can help find a medical treatment plan that works for you. Most medications and medical procedures are covered by insurance, so if you would like to consider medical treatments, schedule an appointment with a dermatologist or dermatology PA or NP at Metro Dermatology today!

Gold Photothermal Therapy (Gold PTT)

For mild to moderate acne, the new, cutting edge Gold Photothermal Therapy
(Gold PTT) can work wonders in helping you achieve clearer, smoother skin.
With Gold PTT, gold nanoparticles are massaged gently into the pores and
sebaceous glands of your face by our aestheticians using an ultrasound device. A laser is then used to heat up and activate the gold particles, targeting the pores and oil-producing glands. This effectively eliminates bacteria, reduces the size and activity of sebaceous glands thereby reducing the number of acne and oil production over time to noticeably improve the appearance of your skin.

Gold PTT FAQs

Gold PTT is a great treatment option for those suffering from mild to moderate acne.

Arrive at your appointment with a clean, washed face without any lotion,
sunscreen or makeup. We recommend that you wear comfortable clothing for
treatment. Bring a wide-brimmed hat, sunglasses, and a scarf to protect yourself from the sun after the procedure.

Mild redness is common and expected after the Gold PTT treatment. There may be a transient flare of existing acne because of an immunological response to damaged sebaceous glands from the heat generated during the activation of gold nanoparticles.

The treatment, including the application of the gold particles, the high-frequency treatment, and the long-pulsed YAG laser treatment, will take about 30 minutes.

Avoid sun exposure and apply gentle moisturizer and sunscreen, when outside.

There is no downtime with the Gold PTT treatment, and many clients are able to return to their daily routine immediately after the treatment.

Most clients start to see results after 1 month of treatment. Usually treatment cycles take place once a week for 3 weeks.

Photodynamic Therapy (PDT) with Aminolevulinic Acid (ALA)

Photodynamic Therapy (PDT) with Aminolevulinic Acid (ALA) is a novel, highly
effective treatment method for mild, moderate and severe cases of acne. For this treatment, our aestheticians will apply the photosensitizing agent, aminolevulinic acid (ALA) to your skin. After a period of incubation, the area is then exposed to a red light source optimized for the treatment of acne. PDT with ALA is a safe method of acne therapy and there are no risks for systemic side effects as oral medications are not required for this treatment.

PDT with ALA FAQs

The ideal candidate for PDT is someone with mild to severe cystic acne who
does not want to take systemic medications.

Arrive at your appointment with a clean, washed face without any lotion,
sunscreen or makeup. Bring a wide-brimmed hat, sunglasses, and a scarf to
protect yourself from the sun after the procedure.

Patients are able to drive after the PDT treatment and do not require a driver.

You may continue all prescribed medications unless advised otherwise by your
doctor.

If you have an event coming up, we recommend that you book your PDT
treatment at least 2 weeks prior to the event to allow for a full recovery.

When you arrive at your appointment, one of our aestheticians will apply
Aminolevulinic Acid (ALA) to your skin. Expect to wait 30 minutes to 1 hour after the application of ALA, as the incubation period is required for successful treatment. Afterward, a panel of red light will be illuminated on the treatment area for an amount of time designated by your skin specialist.

During the treatment, you may feel a slight stinging sensation due to the
Aminolevulinic Acid (ALA). Patients rarely feel discomfort during the treatment, but please be sure to notify a member of our team if you do.

After the treatment, most clients experience mild dryness of the skin, swelling, redness, and a burning sensation. It is also common to develop a sunburn-like reaction. Depending on a number of factors, including the severity of your condition, the incubation time, and skin sensitivity, it is expected that you will experience mild to severe peeling of the skin.

Including incubation time and light therapy, you can expect the PDT treatment to take about 1-1.5 hours.

Strict avoidance of sun exposure for 48 hours is strongly advised. Sun exposure immediately after PDT treatments can result in hyperpigmentation and increased the severity of post-treatment aftereffects.

During the peeling process after your PDT treatment, do not forcefully remove the peeling skin. Instead, use a hydrating moisturizer and allow the peeling skin to exfoliate naturally.

With PDT, recovery is relatively simple and straightforward. While the severity of the aftereffects varies between individuals, with the proper post-procedure care, most clients are able to return to their normal activities immediately.

However, it is advised that you remain out of the sun for at least 48 hours to avoid hyperpigmentation. We also recommend that you avoid excessive exercise until the peeling process is complete to prevent further heat and redness.

Results vary from person to person, but most clients see results after a few
sessions of PDT.

Pulsed-Dye Lasers (PDL)
Vbeam® / Vbeam® Perfecta/ Vbeam® Prima


A pulsed-Dye Laser (PDL) is used to deliver beams of light to the active,
inflammatory acne lesions on your skin to decrease oil production by heating up the sebaceous glands, kill bacteria that cause inflammation of sebaceous glands, reduce redness of acne and acne scars by indirectly targeting nearby blood vessels, and promote collagen growth of the surrounding skin.

PDT with ALA FAQs

PDL FAQs

The Pulsed-Dye Laser is a great treatment for those struggling with mild to
severe acne.

Arrive at your appointment with a clean, washed face without any lotion,
sunscreen or makeup.

During the laser session, we will cover your eyes with an eyeshield to protect your vision. Our skin specialists will determine the appropriate parameters for your laser treatment based on their evaluation of your skin. Once the PDL treatment commences, you may notice bright sparks of light, even with your eyeshield on. To minimize discomfort, a cold burst of air will be sprayed onto the treatment spot at the same time that the laser is being emitted.

PDL is a quick and easy lunchtime treatment that can be completed in about 10 minutes.

Apply a moisturizer and sunscreen if you are going outside.

There is no downtime with PDL treatments, and many clients are able to return to their daily routine immediately after the treatment.

Usually, several treatments are required to start seeing the results. The
treatments can be performed weekly.

Intense Pulsed Light (IPL)

With Intense Pulsed Light (IPL) Therapy, short bursts of intense light are
delivered to the skin. Perfect for those suffering from inflammatory acne, this non-invasive photofacial utilizes precisely targeted wavelengths of light to help kill the bacteria in your pores and reduce redness without any downtime.

PDT with ALA FAQs

IPL FAQs

IPL is a great option for those suffering from mild to severe acne. However, IPL is not for everybody, and some interactions with the procedure can prevent you from being an ideal candidate.

If any of the following apply to you, you must inform our aestheticians and skin specialists of this ahead of time:
– active viral or fungal infection
– recent sunburn or are planning to be exposed to the sun
– cancer
– lupus
– photosensitivity
– history of keloids or hypertrophic scarring
– epilepsy
– pregnancy
– breastfeeding

Arrive at your appointment with a clean, washed face without any lotion,
sunscreen or makeup.

When you arrive your for IPL treatment, our aestheticians will apply a cold gel to your skin and provide eye covers to protect your vision. The skin specialist will then use the IPL handpiece to flash short pulses of intense light to the treatment area.

The treatment takes 10 to 20 minutes.

Apply sunscreen and avoid going out onto direct sunlight.

There is no down time. You may go back to work without restriction except sun exposure.

Several treatments are needed to see the result. The treatment may be
performed weekly.

Acne Facials, Extractions & Chemical Peels


Acne facials, extractions, and chemical peels can be a great addition to your acne management routine. By promoting skin exfoliation, these procedures can help reduce the appearance of inflammatory and comedonal acne. Acne Facials and Chemical Peels utilize a variety of medical-grade chemicals including Salicylic Acid, TCA, and Glycolic Acid to help shed layers of the skin (varies depending on the chemical and strength) to reveal brighter, healthier skin. Comedonal Extractions are a manual method of clearing your skin, where our aestheticians carefully clean out the blackheads and whiteheads that are clogging your pores. At Metro Laser & Aesthetics, our trained aestheticians are renowned for having the softest touch! Ask about our acne facials and extractions as part of a maintenance package, so that you can enjoy clearer skin year-round!

PDT with ALA FAQs

Acne Facials, Extractions & Chemical Peels FAQs

Mild to severe acne patients can undergo these treatments by our expert
aestheticians.

Arrive at your appointment with a clean, washed face without any lotion,
sunscreen or makeup.

There may be mild discomfort or burning sensation during different parts of the treatment. There may be some transient redness and swelling that resolve under an hour after the treatment.

Depending on the condition of the acne, the treatment may last 30 minutes to two hours.

Apply mild moisturizer and sunscreen. Avoid touching the face and exposure to the sun.

You may return to work the next day.

The treatment can be performed every two weeks. Most patients start to
see the results after two or three treatments.

Acne Scars

When acne is left untreated or if it is excessively manipulated without the proper techniques or tools, what can result are unsightly, permanent scars. An inflammatory acne lesion usually develops when a pore or follicle becomes clogged with excess oil, debris, and bacteria. As the follicle becomes densely packed with these materials, the follicle ruptures, causing damage to the skin and tissue. While your body should be able to naturally heal and repair the damage by producing collagen and elastin, sometimes inadequate production or overproduction of these structural fibers can result in the development of depressed or raised acne scars.

What can I do to treat my acne scars?


There is no one-size-fits-all treatment when it comes to acne scarring. At
Metro Laser & Aesthetics, our skin specialists take a multimodal approach
to treating acne scars, specially formulating treatment plans based on the
unique needs of your skin and utilizing their extensive training and dermatologic experience. With their dermatologic know-how, our skin
specialists will help correct your skin blemishes including discoloration and surface irregularities to even out your skin tone and texture and reveal your natural beauty.
We may use the following devices or techniques.

Fractional Lasers
eCO2/Mosaic

Radiofrequency Devices (RF)
Infini/Genius

Pico Lasers
PicoCare MLA/PicoPlus Dual Focus

Long Pulsed Nd-YAG Lasers/Alexandrite (Alex)
Clarity

Thulium Laser
LaseMD

Pulsed-Dye Laser (PDL) / VBeam Perfecta

Subscission

CROSS Technique

Filler (Hyaluronic Acid) injection

Microneedling