Acne

Acne develops through four primary factors: excessive oil production, clogged pores from dead skin cells, bacterial overgrowth (Cutibacterium acnes), and inflammation. Contributing factors include genetics (81% of acne variance), hormones, diet, stress, and environmental triggers. Family history increases your risk 3-4 fold.

Our Bromley clinic provides professional acne treatment for patients aged 14 and above. We offer age-appropriate care with parental consultation for patients under 18. Treatment protocols are tailored to each developmental stage, ensuring safe and effective protocols for teenagers and adults.

No. While 85% of people aged 12-24 experience acne, adult acne is increasingly common. Up to 15% of women develop new-onset acne in adulthood, and many continue experiencing breakouts into their 30s and 40s. The average age of acne sufferers has risen to 26.5 years.

Most treatments require 6-8 weeks for initial improvement, with significant results visible by 12-16 weeks. Severe acne may require 6-12 months for optimal clearance. Consistency is crucial – stopping treatment prematurely often leads to relapse.

While some mild acne may improve naturally, moderate to severe acne typically requires professional treatment. Untreated inflammatory acne carries high risks of permanent scarring and post-inflammatory hyperpigmentation. Early intervention significantly improves outcomes.

Yes, when performed by qualified professionals. We offer gentle superficial peels appropriate for patients aged 14 and above. These treatments help with comedones, mild inflammation, and post-inflammatory hyperpigmentation while being suitable for developing skin.

Professional assessment is the most accurate method. However, key indicators include:

• Comedonal acne: Blackheads and whiteheads without inflammation
• Inflammatory acne: Red, painful bumps with or without pus
• Hormonal acne: Jawline and chin breakouts correlating with menstrual cycles
• Cystic acne: Large, painful, deep lesions that persist for weeks

Blackheads (open comedones) have visible dark plugs due to oxidation when exposed to air. Whiteheads (closed comedones) remain under the skin surface with no opening, appearing as small flesh-colored bumps. Both respond well to retinoids and chemical exfoliation.

Many acne treatments are contraindicated during pregnancy, including retinoids, salicylic acid, and most oral medications. Safe options include azelaic acid, limited benzoyl peroxide use, and gentle chemical peels. We provide specialized pregnancy-safe protocols for expecting mothers.

Yes, with appropriate product selection. Choose non-comedogenic, oil-free formulations labeled “won’t clog pores.” Mineral makeup is often well-tolerated. Remove makeup thoroughly each evening and avoid heavy coverage during active treatment phases.

Some treatments may cause initial purging, where existing microcomedones come to the surface faster. This typically occurs with retinoids and chemical peels, lasting 4-6 weeks. True irritation (excessive redness, burning, peeling) indicates treatment adjustment is needed.

Allergic reactions include immediate redness, swelling, itching, or hives after application. This differs from normal adjustment reactions like mild dryness or temporary irritation. Stop use immediately if allergic reactions occur and consult our clinic.

Yes, many acne treatments increase photosensitivity, including retinoids, AHAs, BHAs, and benzoyl peroxide. Daily broad-spectrum SPF 30+ sunscreen is essential. We recommend mineral sunscreens for sensitive, acne-prone skin.