Treatment For Cystic Acne – Part 2

In today’s blog post, let’s discuss spironolactone as a treatment for cystic acne in more detail. First let’s recap our prior discussion. We discussed how spironolactone blocks the activity of hormones called androgens that can trigger acne-prone oil glands to become overactive. Spironolactone is effective against cystic acne because it reduces the levels of acne-causing androgens through a variety of means to decrease overall androgen action of the oil glands.

Spironolactone Is Very Effective

Acne cyst
Acne Cyst

Spironolactone can be a very effective treatment for cystic acne. Patients at the Advanced Acne Institute are often unfamiliar with this treatment option. They have usually tried a variety of less effective therapies to treat cystic acne, including topical medications and oral antibiotics — usually without much success. Sometimes, antibiotic pills seem to help in the beginning but more often they do not offer a satisfactory long term solution for cystic acne.

Spironolactone Is Usually Well Tolerated

Spironolactone is usually a very well tolerated treatment for cystic acne. Most patients have very few side effects from spironolactone. Because spironolactone can cause certain birth defects if taken while pregnant, women who take this drug are advised to use two forms of effective birth control during treatment. Birth control pills are also helpful in reducing the possibility of breast tenderness or irregular menstrual periods that can result as side effects from taking spironolactone. Patients are also counseled on the possibility of potassium retention by the body caused by this drug. Patients are monitored for this potential side effect by blood testing periodically during treatment. Patients with normal kidney function usually don’t have any problems with potassium levels during treatment. Also, patients are advised not to take potassium supplements during treatment.

Treatment of Acne Is Actually A Side Effect


Treatment of cystic acne with spironolactone is actually a side effect of the original use of the drug, which was formulated as a blood pressure medication. Because spironolactone can reduce blood pressure even when taken to treat cystic acne, patients are counseled to watch for symptoms of low blood pressure such as light headedness, and their blood pressure is monitored at each office visit. This drug also functions as a diuretic or water pill so some patients who take it for acne can notice the need for frequent urination.

Spironolactone Should Not Be Used For All Patents

Not all patients can take spironolactone for treatment of cystic acne. Because spironolactone blocks male hormones called androgens, it should not be given to treat acne in women who have or have had certain hormone-responsive cancers, such as certain breast, uterine or ovarian cancers. Also, patients with a strong family history of these types of cancers should consider the risks when deciding whether to take this drug.

There are other potential side effects and other factors to consider when deciding on spironolactone as a possible acne treatment. For those who take this medication, spironolactone is usually a very effective method of acne cyst therapy.

Treatment For Cystic Acne

Treatment for cystic acne is a common reason that patents come to the Advanced Acne Institute. Before coming to the AAI, many patients have already seen multiple doctors for treatment for cystic acne without much improvement. Many patients were given topical medications by other doctors as the only treatment for cystic acne. It’s not surprising that they have not gotten better because topical creams and gels are almost always ineffective as treatment for cystic acne. In fact, topically applied medications are often not that helpful for lesser forms of acne so it would not be expected that these forms of therapy would help much as treatment for cystic acne.

Cystic Acne Requires Aggressive Therapy

acne cyst
Acne Cyst

Unlike treatment for other forms of acne, treatment for cystic acne often requires aggressive treatment options. Depending on the circumstances, different treatments may be indicated to treat cystic acne. For example, some patients have cystic acne involving only an occasional acne cyst. Patients that only have an infrequent acne cyst may respond well to a less aggressive treatment regimen. Some patients, for example, are able to control their acne with medicated injections that treat cysts when they erupt. So if a patient only develops a solitary acne cyst once a month, then perhaps this less aggressive acne treatment may be right for them.

Spironolactone Is Effective


On the other hand, some patients have more frequent cystic acne breakouts and require a more aggressive and consistent treatment regimen. Let’s first discuss another subset of patients with cystic acne. Women who develop cystic acne can be treated with hormonal treatments for cystic acne. A pill called spironolactone can be a very effective remedy for cystic acne in this type of patient.

Spironolactone works by blocking hormones that can otherwise cause the acne-prone oil glands to become blocked and inflamed. Because spironolactone works at the basic level of acne formation, it can be a very effective treatment for cystic acne. Many female patients at the Advanced Acne Institute who have cystic acne breakouts are controlled very effectively on spironolactone. Many of these patients often comment on how this form of treatment for cystic acne has helped them to achieve clear skin for the very first time. Of course spironolactone is not the best treatment for everyone. A careful medical history must be taken for each patient before considering using this drug.

Isotretinoin Treatment For Cystic Acne

Treatment of cystic acne in patients with the most severe forms of acne cyst breakouts usually requires a medication called isotretinoin, also known as Accutane. Isotretinoin is the most effective form of treatment for cystic acne. Isotretinoin works by calming the oil glands and preventing them from becoming overactive. This is the most effective acne treatment of all for acne cysts. We have many patients at the Advanced Acne Institute who are currently under treatment using isotretinoin. Patients with even the most severe forms of cystic acne often respond well to this drug.

More About Isotretinoin Treatment For Cystic Acne


Before beginning treatment with isotretinoin it is important to discuss the potential side effects. Although most patients respond well to isotretinoin treatment without significant side effects, there are some important considerations to discuss with each patient beforehand. For example, this medication can cause severe birth defects if taken by a pregnant woman. Therefore, all female patients are required to use two forms of birth control before starting a course of isotretinoin. Other potential side effects also need to be discussed before considering using this drug.

The Advanced Acne Institute Has Gone International

Advanced Acne Institute Awards Certificate In Advanced Acne Management

Dr. Michael Zangani
Dr. Michael Zangani (left)
Receives Certificate from
Dr. Arthur Colsky

The Advanced Acne Institute is proud to present the first Certificate in Advanced Acne Management to Michael Zangani, M.D. Dr. Zangani recently traveled to the Advanced Acne Institute all the way from Norway to participate in our Physician Training Program in Advanced Acne Management. Our innovative mentorship program trains physicians in advanced techniques in acne treatment. Our first international graduate, Dr. Zangani trained at the Institute with Dr. Arthur Colsky, our Founder and Medical Director. We enjoyed hosting Dr. Zangani at the Institute and we hope to have a continued association with him in the future. We wish Dr. Zangani the best of success in his commitment to bring the principles of advanced acne treatment to Norway.

Teen Acne Treatment – Part 4

Medical Acne Facials

In today’s blog post we’re going to discuss an acne treatment for teenagers that we perform at the Advanced Acne Institute called a Medical Acne Facial. In this therapy regimen, our acne doctors focus on the patient’s acne breakouts and target them with various directed therapies. The goal of the Medical Acne Facial is to achieve rapid results. It is designed to work in conjunction with other forms of treatment. For example, if a patient is being treated with an oral prescription acne medication, he or she can still benefit from Medical Facial therapy.

The components of a Medical Acne Facial include:

  • acne assessment;
  • acne pore extractions;
  • medicated injections;
  • chemical exfoliation; and
  • skin barrier repair

The combination of therapies in this treatment regimen can help to open and purge blackheads and whiteheads and to reduce inflamed pimples. A Medical Facial can also remove the build-up of dead skin cells on the skin surface and within the pores. Working together, this can offer rapid relief of many acne symptoms. Let’s discuss each component of the Medical Facial therapy.

Acne Assessment

When performing a Medical Acne Facial, the first step is to carefully assess the type and degree of acne that the patient is experiencing. For example, it is important to know if a patient has mostly blackheads and whiteheads or if the patient also has large, inflamed pimples. This will affect how aggressive this treatment should be and what type of acne to focus on the most. For patients with mostly whiteheads and blackheads, then the focus should be on pore extractions and exfoliation. In contrast, those who have large pimples would benefit most from medicated injections and calming anti-inflammatory treatment.

Acne Pore Extraction

Acne pore extractions help empty the compacted dead skin cells and debris from the clogged acne-prone pores. Utilizing special instruments, this treatment works by the application of balanced pressure to the acne-prone pores, resulting in the forced removal of the pore’s contents. The special instruments that are used work very differently than simply squeezing the pores with one’s fingers. Using fingers to push out the pore contents can lead to rupture of the acne-prone pores, resulting in inflammation and possible scarring. Some pores are very deep and difficult to extract. For these pores the acne doctor may use a needle to open them at the top, which enables easier extraction.

Medicated Injections

For patients with many inflamed pores and large pimples, medicated injections are used to achieve rapid improvement. In this treatment, tiny injections delivered directly into the pimples can lead to very rapid healing, usually within one or two days. This can be important as a way to treat large or painful pimples. As part of a Medical Facial, this treatment is just part of the overall control achieved by the Medical Facial therapy.


So far, we’ve discussed assessment of the degree of acne, extracting the acne-prone pores and injecting the inflamed pimples. The final step in the Medical Acne Facial involves exfoliation of the dead skin cell build-up on the skin surface and within the acne-prone pores. This is achieved using a type of chemical peel and is an important method of controlling breakouts in an acne treatment regimen. The exfoliating chemical peel works by loosening the bonds that hold the skin cells together and keeps them stuck along the lining of the acne-prone pores. It also has anti-inflammatory actions that help to reduce the overall redness and irritation that is commonly seen in teenage acne.

Skin Barrier Repair – Hydrating Base™ And Sun Protection

Rotational Therapy Acne System
Rotational Therapy Acne System
with Hydrating Base

Once the therapeutic part of the Medical Acne Facial is completed, the treatment concludes with the application of Hydrating Base to soothe and condition the skin barrier. Then sunblock is applied before the patient leaves the office.

Teen Acne Treatment – Part 3

Blue Light Therapy

In today’s blog post, we’re going to discuss another form of treatment for mild teenage acne. In addition to Rotational Therapy™ that was reviewed in our last blog post, today we will review a treatment called Blue Light therapy.

Blue Light Therapy for Mild Teen Acne

At the Advanced Acne Institute we have many teenage patients who don’t want to use aggressive therapies for their degree of acne. Many of these teenage patients choose to use a form of acne treatment called Blue Light therapy. In Blue Light therapy, the patient is treated with an apparatus that shines a bright blue light source into the areas of skin affected by acne. The blue light works by targeting the bacteria within the acne-prone pores. By reducing the bacteria, inflammation can be reduced, allowing the inflamed pores to heal.

Teen Patients are Happy with Blue Light Therapy

Blue light treatment for acne
Blue Light Acne Therapy

At the Advanced Acne Institute, many patients receiving Blue Light therapy are very satisfied with their results. In fact, many are so pleased with the outcome that they don’t want to give up treatment. They are reluctant to stop therapy after having such a good response. Typically, many patients notice a reduction in the size of pimples and the inflammation associated with their breakouts. Some report a significant lessening of the redness of their skin and an overall calming effect on their acne.

Side Effects of Blue Light therapy are Minimal

One of the most important aspects of Blue Light therapy for acne is the general lack of significant side effects. Of course, any treatment can potentially have side effects that are unpredicted, so this should not be overlooked. Nevertheless, Blue Light therapy isn’t painful and doesn’t lead to sensitivity of the skin to sun or other treatments after each session.

Not all Patents are Candidates for Blue Light therapy

Even though Blue Light therapy seems to be very well tolerated and can be an effective teen acne treatment, not all patients can be treated. For example, patients who have an underlying medical condition that makes them sensitive to light, or those who are taking medications that can promote light sensitivity should avoid Blue Light therapy.

Blue Light Therapy Can be Combined with Other Treatment Options

One of the additional benefits of Blue Light therapy is that it can be combined with other forms of treatment to resolve teen acne. Chemical peels, which we’ll discuss in a future blog post, for example, can also be used in addition to Blue Light therapy. Topical medications can also be used together with Blue Light. Even many oral medications can be used to treat teen acne while undergoing Blue Light therapy. Some of our patients at the Advanced Acne Institute, for example, are taking birth control pills while receiving therapy with Blue Light. This type of combined therapy can be more effective than using only one form of treatment by itself, because the combined regimen can target teenage acne in different ways.

Teen Acne Treatment Part 2 – Rotational Therapy

In our last blog post, we discussed various aspects of teen acne treatment. We reviewed why acne treatment is so important with regard to both physical and psychological scarring that can result from unhandled acne. We also discussed how a treatment regimen should be designed to effectively control each teenager’s type of acne in order to prevent the frustration and further psychological effects of continued acne breakouts. In today’s blog post, we’re going to discuss some of the forms of teen acne treatment.

Treatment For Mild Teenage Acne

Treatment of mild teenage acne takes a variety of different forms. At the Advanced Acne Institute we utilize a number of different mild acne treatment options including topical prescription therapy, medical acne facials, chemical peels, Blue Light treatment and oral contraceptives. Let’s discuss each one individually.

Acne Treatment With Topical Therapies

Some cases of teenage acne can be effectively managed with topical therapies. Usually, we reserve topical treatment for acne that only involves blackheads or whiteheads with or without mild pimples. Overall, however, at the Advanced Acne Institute, we often don’t rely solely on topical prescription therapy for acne treatment because it is often not a very effective option. This is somewhat different than other doctors who prescribe many different topical prescription therapies for teenage acne treatment. However, at the Advanced Acne Institute we find that relying slowly on topical creams and gels gives sub-optimal results.

Rotational Therapy™ As Treatment For Mild Breakouts

Just because topical medication doesn’t always lead to dramatic improvement doesn’t mean that they have no role as adjunctive therapy in treatment of teenage acne. At the Advanced Acne Institute we developed an acne treatment system called Rotational Therapy. Rotational Therapy consists of separate medicated treatments that are used in alternating fashion. This rotating treatment regimen delivers different medicated ingredients at different times, to target acne on multiple fronts.

Acne Treatment With B-Clenz™

Let’s first consider B-Clenz, the first component of Rotational Therapy. B-Clenz incorporates benzoyl peroxide in an effective concentration balanced by additional botanical ingredients that together promote improvement of blackheads, whiteheads and mild pimples. The effect of Rotational Therapy is to target the bacteria within acne-prone pores as well as the overall development of abnormal pores. This leads to lessening in the overall degree of acne development. B-Clenz is used during the week as a wash-off treatment. It is applied and rubbed into the skin of the face and body where acne is forming. After rubbing in effectively, the treatment is washed off either in the sink or shower.

Saliclenz® Acne Treatment

The second component of Rotational Therapy is Saliclenz, which contains the teen acne treatment called salicylic acid. Salicylic acid works by gently exfoliating the dead and stuck-on skin cells that line and clog the acne-prone pores. Saliclenz is applied on the weekends in the same manner as B-Clenz, and washed off in the sink or shower. Together with B-Clenz, these two medicated therapies target the pores to treat and prevent blackheads, whiteheads and pimple formation.

Hydrating Base™ Is Integral To Acne Treatment With Rotational Therapy

Rotational Therapy Acne System
Rotational Therapy Acne System
with Hydrating Base

The third part of Rotational Therapy is the Hydrating Base. The Hydrating Base serves to condition the skin and prevent disruption of the skin barrier. This helps to prevent the dryness and irritation that often accompanies the inflammation of acne and the harsh effects of topical acne medicines. In addition, another important effect of Hydrating Base is to hydrate the skin sufficiently without triggering excessive oiliness. The Hydrating Base is applied twice each day, morning and evening.

Rotational Therapy Has Other Benefits

There are other advantages to using the Rotational Therapy system that we discuss with our patients when we recommend it. There are additional components of the Rotational Therapy system as well, that are used depending on the type of teenage acne under treatment. We’ll discuss these advanced uses of Rotational Therapy as well as other forms of mild teen acne treatment in future blog posts.

Teen Acne Treatment

The Importance Of Treating Teen Acne

Patients who come to the Advanced Acne Institute for teen acne treatment comprise one of the largest segments of acne patients that we treat. It is widely known that acne is a very common problem for teenagers and the importance of acne treatment cannot be overstated. Acne can have significant effects on teenagers in many aspects of their lives. We often prescribe a course of pimple treatment for teens who are significantly affected by their acne breakouts. Some teens who come to us for treatment have very mild acne while others have severe acne.

Treatment Is Important For All Degrees Of Teen Acne

Teenage Acne
Teen Acne

One of the most important considerations in teen pimple treatment is to address all types and degrees of teenage acne. We hear all too often the common belief by parents that “he’ll grow out of it” or “she’ll have to learn to deal with it like I did when I was her age.” While many people feel this way about teen acne, the reality is that acne can have significant physical and emotional effects on teenagers. When deciding on the type of acne treatment to prescribe for a teenage patient, we take into account how much acne affects each teenager’s self-esteem and self-confidence. Some teenagers are not bothered by even very severe acne, while others are significantly affected by very minor breakouts.

Our Treatment Is Tailored To The Physical And Emotional Aspects Of Each Teenager’s Acne Breakouts

When teenagers come to the Advanced Acne Institute for treatment of teen acne, we inquire form the teenager and their parents about how their acne is affecting them adversely. We often hear from the parents that the teenager is so preoccupied with his or her acne that he or she is unable to concentrate fully on their schoolwork. Other teenagers who come for treatment are so bothered by their acne breakouts that they don’t socialize with their peers as much as they should because they are embarrassed by their pimples. This is the type of information that we need to know in order to prescribe the most appropriate treatment for each patient.

The Potential For Physical And Emotional Scarring

Another aspect of teen acne is the risk of scarring, both physically and emotionally. Some teenagers are prone to develop significant scars as a consequence of their acne breakouts. Others don’t develop much in the way of physical scars but can suffer from emotional and psychological scarring with repercussions that can last a lifetime. For both of these types of teenage patients, treatment must limit the potential for scarring as quickly and effectively as possible. This is why it is important to offer a course of acne treatment that is strong enough to really control teen acne.

Treatment Should Be Effective

It is common to see teenage patients who come to the Advanced Acne Institute seeking effective alternatives for acne treatment after having tried a variety of other therapies without success. For example, using topically applied creams or gels as the sole treatment for severe teen acne is very unlikely to offer much improvement. Nevertheless, it is not uncommon to see teens with severe acne who have been given topical remedies for their acne as the sole intervention. This is a common circumstance because treating teenage acne can be more challenging than treating adults with acne.

Prescriptions for Acne
Prescriptions that Work

Many doctors who do not specialize in acne treatment are reluctant to use stronger acne treatment options on teenagers. This is because some of the stronger therapies have the potential for various side effects. However, it is important to also consider the side effects of using a sub-optimal treatment. For example, if a particular treatment is prescribed that does not effectively address the type of acne being treated, the teenager can become frustrated with the lack of any visible progress. This can lead to even more significant effects on the psychological consequences of teen acne.

We’ll discuss the types of teen acne treatment in a future blog post.

Rotational Therapy™ – New Improved Formulation

At the Advanced Acne Institute we are continuously innovating and advancing our treatment strategies. We’d like to announce our newly reformulated Hydrating Base™, part of our Rotational Therapy Acne Treatment System. The new formulation has greater moisturizing and conditioning properties to help hydrate and calm acne-prone skin. The new formulation remains oil-free and noncomedogenic or acne-safe. In addition, we’ve replaced the pump bottle with a jar in order to easily allow access to every drop of Hydrating Base.

Our patients have spoken and are providing very positive reviews for the new formulation. The greater soothing properties are especially relied upon by our patients with moderate to severe acne who depend on Hydrating Base to keep their skin under control. The new fragrance-free formula leaves the skin surface feeling soft and moist without the heaviness of conventional moisturizers.

Rotational Therapy Targets Acne Through Different Acne-Fighting Ingredients

Rotational Therapy is a highly successful acne treatment system that serves a central role in patient care at the Advanced Acne Institute. The rotational regimen allows targeting of acne through different proven acne-fighting ingredients. Unlike other systems that incorporate active ingredients in a harsh base, Rotational Therapy is composed of gentle compounds that help the skin to resist dryness and irritation.

The Rotational Therapy acne treatment system includes B-Clenz™, which incorporates an optimal concentration of benzoyl peroxide. B-Clenz is applied to the acne-prone areas twice daily on Monday through Friday. After massaging into the skin and leaving on for one to one and a half minutes, B-Clenz is then washed off in the sink or the shower. B-Clenz works by killing acne bacteria and works to clear acne-prone pores.

Saliclenz is a second component of the Rotational Therapy system. Like B-Clenz, Saliclenz is massaged into the skin twice daily and washed off after one to one and a half minutes. It is used only on Saturday and Sunday. Saliclenz works by helping to exfoliate cell buildup on the skin surface and deep within the acne-prone pores.

Rotational Therapy Acne Treatment System

Rotational Therapy Acne System
Rotational Therapy Acne System
with Hydrating Base

The final arm of the Rotational Therapy acne treatment system and a central factor in the system is the Hydrating Base. Hydrating Base is designed to effectively hydrate and condition the skin surface to protect the barrier from the harsh effects of acne-induced inflammation as well as from the drying effects of surface treatments for acne. Hydrating Base balances B-Clenz and Saliclenz to support their therapeutic actions without compromising the skin surface barrier.

The Advanced Acne Institute is dedicated to continued innovation such as our newly formulated Hydrating Base. We continue to explore optimized treatment options for acne and look forward to introducing additional new therapies in the future.

Prescription Acne Treatments That Really Work

Now that we’ve discussed some of the acne treatment options that don’t work and the pitfalls of listening to the loud voices that attempt to convince you otherwise, let’s turn our attention to prescription acne treatments that really work.

It’s pretty obvious that people with significant acne are going to need a significant treatment to gain control over their acne breakouts. This usually means that they will need prescription acne treatments. Patients come to the Advanced Acne Institute all the time after having tried many other treatment options without success. By the time patients make it to the Advanced Acne Institute, they’re often very frustrated and are desperate for an effective treatment plan. So let’s discuss prescription treatments that really work to handle acne.

Prescriptions for Acne
Prescriptions that Work

At the Advanced Acne Institute, our goal is to deliver effective treatment from the start, which almost always includes prescriptions for acne treatments. First we get to know our patient and discuss expectations. We determine what each patient is striving for and how aggressive they want to be in their treatment plan. Not everyone is searching for completely clear skin, so prescription acne treatments are not always needed. For example, some patients only want to achieve a certain degree of improvement. Others want only to use a regimen that will keep their acne stable. The majority, however, are searching for a treatment that will result in completely clear skin, so prescription acne treatments are almost always required. So the next step is to examine the patient and then discuss a treatment plan tailored specifically for him or her; a plan that has a good expectation of actually working.

Mild Acne

Let’s get more specific, starting with what is considered mild acne. For example, a patient who has only blackheads or whiteheads would likely benefit from a treatment program that would obviously be less aggressive than someone with more severe acne such as with acne cysts and scarring. However, this is not always as simple as it seems. It is important to know that even mild forms of acne are not always easy to treat, even with prescription acne treatments. In fact, sometimes the so-called mild types of acne are even more resistant to treatment than are more severe forms. This is because we often rely on topical therapies to treat mild acne. Topical acne therapies can be either over-the-counter or prescription acne treatments. We use medications such as topical retinoids, topical antibiotics, benzoyl peroxide, salicylic acid and a lot of other creams, gels, lotions and washes. Sometimes, these options actually show improvement. Some patients with mild forms of acne do very well with these options. The problem is that many do not. Most patients might get a little better but usually never reach complete clearing of their breakouts. So many patients who start out with just topical medications often become frustrated with their lack of results and eventually start searching for more effective options, including other prescription acne treatments.

Topical Acne Medications

Before we turn our attention to other options, let’s be clear on the role of topical medications in managing acne. When used alone, something we call “monotherapy,” topical regimens are less often helpful. We usually incorporate topical medications into an overall treatment program. Topical acne treatments can play an important role for a variety of reasons. First of all, studies support the use of topical benzoyl peroxide to control the bacteria that grow inside acne-prone pores. This is especially important when an acne patient is under treatment with oral antibiotics. The benzoyl peroxide can limit the ability of the bacteria to become resistant to the antibiotic. Also, the use of an appropriate topical regimen can be an effective skin care strategy to assist with cleansing and improving the skin’s quality and texture and can help to exfoliate skin cells on the surface and within sticky pores.

In addition, it’s very important for an acne dermatologist to institute a skin care regimen to make certain that a patient’s acne is not made worse by an inappropriate skin care routine chosen by the patient. There are many skin care products to choose from and patients are at the mercy of the advertisements and promises of the skin care companies, which can often be misleading. So there are many reasons why an appropriate skin care regimen with topical skin care products is beneficial to an overall acne treatment program.

Rotational Therapy

At the Advanced Acne Institute, we use our proprietary acne treatment system called “Rotational Therapy™” which was reviewed in a previous blog post. Rotational Therapy was developed at the Advanced Acne Institute over years of direct patient observation. The Rotational Therapy system incorporates two medicated wash-off therapies that are used strategically on targeted days of the week to treat acne on dual therapeutic levels. Rotational Therapy also includes Hydrating Base™ which is a very effective skin conditioning lotion that hydrates and conditions the skin to help prevent any dryness or irritation associated with acne. The Rotational regimen was developed to offer the maximal therapeutic effect for a topical treatment program and provides a very effective supportive treatment for patients at the Advanced Acne Institute undergoing prescription acne treatment.

In our next blog post we’ll finally begin to discuss specific treatments that “really work” for treating acne.

New to Rotational Therapy™ – Hydrating Base™ Reformulated

Today’s blog post will highlight the newly formulated Hydrating Base component of Rotational Therapy. To begin, let’s summarize Rotational Therapy. The Rotational Therapy acne treatment system is an innovative and advanced acne regimen that was developed at the Advanced Acne Institute to address the shortcomings of existing treatments. It incorporates a rotating regimen of medicated wash-off therapies centered around a potent skin conditioning treatment. The medicated washes target acne breakouts on multiple levels while the skin conditioner maintains the skin barrier to prevent dryness or irritation.

Let’s discuss how the Hydrating Base works in more detail. The important thing to understand about acne breakouts is that they are very inflammatory and can begin to break down the skin barrier. The continual pimples and inflammation within the skin can fundamentally alter the skin’s ability to heal and repair itself. One of the most important ways to improve healing of acne lesions is to maintain a very effective skin barrier. Let’s examine this a bit more.

Rotational Therapy Acne System
Rotational Therapy Acne System
with Hydrating Base

The skin is composed of different layers, each with its own function. The surface of the skin contains various molecules that help the skin to serve its role as a protective covering for the body. When the skin surface becomes irritated and inflamed, the normal structure of the skin surface becomes altered and no longer is able to optimally protect the body. Also, when the normal structure of the skin’s surface barrier breaks down, the skin reacts by becoming red and inflamed.

Now, there are many reasons that the surface of the skin can become compromised. External factors such as harsh acne creams or gels are a frequent source of skin surface breakdown. Many patients who come to the Advanced Acne Institute have often been treated by previous doctors with topical medications that are very harsh at the skin surface. They often irritate the skin which leads to redness, dryness and discomfort. These conditions usually lead to noncompliance with treatment. Patients just stop using the topical medication because it becomes too uncomfortable.

At the Advanced Acne Institute, we understand how this happens and our acne doctors are very careful not to prescribe treatments that will lead to significant irritation. This is one of the considerations that went into the development of Rotational Therapy acne treatment system. Rotational Therapy consists of high grade ingredients that are effective against acne, yet gentle on the skin surface. Also, the rotational-based regimen helps to prevent significant skin border interruption.

One of the most important components of Rotational Therapy is Hydrating Base. The Hydrating Base component of Rotational Therapy is formulated to provide optimal soothing and calming of the skin surface. Its combined emollient and humectant properties help to hydrate and condition the skin border and prevent inflammation. It also helps the skin to repair and heal itself after harsh insults, such as those from a variety of acne mediations. Our patients love the effects and are careful never to be caught without the Hydrating Base regimen.