Medical Aesthetics & Wellness



The number of P.acnes increases, and breaks down sebum info irritating free fatty acids which stimulate and immune response. White blood cells weaken the follicular wall resulting in rupture and increased inflammation

  1. P. acnes proliferates
  2. Folice wall can rupture


Acne/breakout-prone skin

Acne is a disorder of the skin marked by papules, comedones  or cysts. Increased sebaceous activity or inflammation are often present as well.


Increased sebum and P. acnes bacteria build up behind the plug and trigger and inflammatory response.

  1. Sebum  increases
  2. Bacteria and sebum build up under plug
  3. Inflammatory response

Grades of acne:

acne simplex

Grade I- is a considered acne simplex and may include open or closed comedones.

Inflammatory lesions and cysts are not typically seen. Scarring is unlikely in acne simplex as the lesion tend to be superficial; however, patient excoriation may lead to hyperpigmentation or texture changes.

Grade II- is also considered acne simplex and will include the open or closed comedones seen in grade I, as well as papules and pustules. Cystic lesions as scarring are uncommon.

Grade III- is a form of acne vulgaris, where inflammation and bacterial lesions are typical. Open and closed comedones may also be seen and scarring will be more likely than with lower acne grades. Medical prescription intervention may be necessary.

Grade IV- sufferers experince deeper cystic and nodular lesions, as well as papules , pustules and comedones. Scarring is very common due to the depth of lesions. Medical prescription intervention is recommended.

Normal folice

  1. Hair folice
  2. Open pore
  3. Sebaceuos gland

          produces oily sebum


Ruptures in folice wall with marked inflammation and tissue destruction with possible scarring.

  1. Follicular wall raptures
  2. Inflammation and tissue destruction

Closed Comedone

Androgen hormones increase the adherence of keratinocutes to the folice wasll and increase sebum production, resulting in plugged pore

  1. Keratinocytes adhere to folice wall
  2. Sebum production increases

Acne scars can be treated with the following procedures: