acne

Minocycline Topical Foam 1.5% Approved by FDA for Rosacea

June 3, 2020 by Dr.Deepak Leave a Comment

FDA approves first topical minocycline Foam 1.5% ZILXI for the treatment of inflammatory rosacea. Minocyclin is a tetracycline-class drug that was originally approved as an oral formulation for the treatment of acne vulgaris but now being developed into topical formulation to treat both acne vulgaris and rosacea. Previously on Oct 2019 same formulation in the name of Amzeeq 4% topical foam was approved for the treatment of acne.

ZILXI, developed as FMX103 by Menlo’s wholly-owned subsidiary Foamix Pharmaceuticals Ltd. (“Foamix”), is the first minocycline product of any kind to be approved by the FDA for use in rosacea.

“This approval is welcome news for clinicians and patients who seek novel options for this difficult to treat skin disorder,” said David Domzalski, Chief Executive Officer of Menlo. “ Minocycline Foam ZILXI 1.5% is a potential turning point in rosacea treatment, providing millions of people with a new treatment option that is well-tolerated and effective.”

Rosacea is a diverse skin condition that most commonly presents with symptoms such as deep facial redness, spider veins (telangiectasia) and acne-like inflammatory lesions (papules and pustules).

Minocycline is one of several broad-spectrum antibiotics known as tetracyclines with anti-inflammatory properties; their use in some patients is limited due to systemic side effects when taken orally. In ZILXI, Menlo has once more leveraged its proprietary Molecule Stabilizing Technology (MST™) platform to effectively deliver minocycline in a foam-based vehicle.

“This is the only product containing minocycline approved by the FDA for rosacea,” said Iain Stuart, PhD, Chief Scientific Officer of Menlo. “The availability of a novel topical formulation of this molecule underscores our efforts to provide innovative treatment options for patients who suffer from difficult to treat skin conditions.”

The FDA approval of ZILXI is primarily supported by data from two clinical trials in 1,522 patients 18 years of age and older. In each 12-week multicenter, randomized, double-blind, vehicle-controlled trial, subjects with inflammatory lesions of rosacea were treated once daily with ZILXI or vehicle. No other topical or systemic medication affecting the course of inflammatory lesions of rosacea was permitted for use during these trials.

The co-primary efficacy endpoints were (a) the absolute change from baseline in inflammatory lesion counts at Week 12 and (b) the proportion of subjects with treatment success at Week 12 defined as an IGA score of 0 (“clear”) or 1 (“almost clear”), and at least a two-grade improvement (decrease) from baseline at Week 12. ZILXI met both co-primary endpoints in each clinical trial, demonstrating statistically significant improvements in inflammatory lesion count and Investigator Global Assessment (IGA) treatment success.

No treatment-related serious adverse events were reported. The most common adverse reaction reported by ?1% of subjects treated with ZILXI and more frequently than in subjects treated with vehicle was diarrhea (1% vs. 0%), respectively.

Menlo anticipates having ZILXI available for prescribing by 4th quarter of this year.

News Source: Menlo Therapeutics

What is Maskne (Mask Acne): Its Treatment and Prevention

June 2, 2020 by Dr.Deepak Leave a Comment

Have you been experiencing acne break out during this month or those who hadn’t had acne in the pasts experiencing few extra pimples around the mouth nose and cheeks? Well, it might be because you are wearing your face mask for long time. Today many people are experiencing this problem called Maskne or Mascne. As you are being encouraged to wear face masks in public to help reduce the spread of coronavirus, maskne is something that will likely to become more common in near future.

What exactly is maskne and why does it happen?

The term Mascne or Maskne is a type of acne around your peri-oral areas that is cause by wearing mask for long period. Dermatologist call this as Acne Mechanica. Maskne is a type of acne formed in areas due to repetitive friction, pressure, stretching, rubbing or occlusion.

How can mask cause Acne?

Mascne is caused by the combination of friction from the mask, which irritates the skin barrier, as well as the hot moisture trapped inside, which dilates the pores and allows bacteria and oil to clog them up. When the follicles get clogged, they become inflamed leading to nasty acne breakouts.

How does maskne or mask acne look like?

Maskne look like tiny little whiteheads or sometime blackheads that pop up after wearing your medical mask for longer period of time to prevent corona spread. Although most cases are limited to mask areas, but when severe, it may spread beyond mask area. Usually, here you won’t see any deep and painful large pimples which are caused by hormones.

How to treat Masacne?

Treating Masacne or acne mechanica needs to be done gently. Lot of people with acne uses aggressive acne treatment in the firstline. This isn’t a right thing; it can further damage skin barrier function leading to more irritation. For people experiencing red and extra dryness of skin or breakouts you may apply hydrocortisone cream for short period of time which will help calm irritation and inflammation.

It is necessary to wear mask in the public when social distancing is difficult to maintain, but you can always take off the mask and let the skin breathe whenever you are away from people.

10 Tips to Prevent masacne when wearing masks

If you are wearing a cloth mask, wash it every day. If a disposable one, discard it when it becomes damp or at least air it out. Apply silicone gel strip in the pressure point if you are wearing N95 mask for long.
Don’t touch your protective mask often; always wash your hands after you touch on something.
Wear well fitting mask, do not use tight masks.
Cleanse and moisturize your skin immediately after you remove your mask. Be gentle, use gel or water based moisturizers that can help with clogged pores. Moisturizers also hydrate the skin, rebuild the barrier and give it a chance to heal quickly.
Wash your face at least twice daily with gentle cleanser. For acne skin you can use mild medicated cleanser containing salicylic acid or benzyl peroxide to effectively remove oil and to provide an antibacterial and anti-inflammatory effect.
Remember not to over wash your face, when you are over washing you are stripping natural oils off your skin and making it more irritated.
Avoid the use of makeup, foundations and concealers which leads to clogged pores resulting in acne breakouts.
When frequents washing is impossible you can use oil-free wipes to freshen up the skin.
If you have active acne, treat it as quick possible to avoid further complications. Your doctor will suggest you anti-acne medications that best suits your skin. Don’t try to treat it yourself with strong medications like adapalene which can make skin more irritating.
If doctor are unreachable, over the counter acne products that help resolve the clogged pores are also beneficial.

Antibiotics for Acne

March 2, 2012 by Dr.Deepak Leave a Comment

Antibiotic therapy (topical or oral) is commonly used to treat acne in many patients and is usually considered to be safe and effective. The mechanism by which these antibiotics for acne work differs with the drug. Some antibiotics have antibacterial properties with minimal anti-inflammatory effect, while some have both anti-inflammatory and antibacterial properties. Macrolides like clindamycin, erythromycin and azithromycin have minimal anti-inflammatory properties and work mainly by reducing P.acne level, while other antibiotics like tetracycline and its derivatives has both potent anti-inflammatory and antibacterial properties.

Topical Antibiotics for Acne

Topical antibiotics are generally used to treat mild cases of acne. They are safer and accurate to use as compared to other oral antibiotics. These topical antibiotics are either used a single line regimen or with combination therapy, but are more effective when used in combination with other topical preparations like Benzoyl peroxide or retinoids.

Here is the article that discuss about topical antibiotics used in acne therapy

Topical Antibiotics for Acne

Oral Antibiotics for Acne

Although mild cases of acne can be treated with over the counter acne treatment or prescription topical therapy, there are many cases where topical antibiotics alone may not be sufficient.

Who are the candidates for oral antibiotic therapy?

Candidates for oral antibiotics therapy includes:

Patients with moderate to severe inflammatory acne
Patients who have failed response to topical therapy
Patients whose acne covers a large area, thus making topical therapy impractical

Here is the article that discuss about oral antibiotics for acne and their safety measures

Oral Antibiotics for Acne

Antibiotics, either topical or oral are best used together with a topical retinoid or Benzoyl peroxide due to their limited effect on comedogenesis and increasing antimicrobial resistance.

How to Get Rid of Acne Scars

July 1, 2011 by Dr.Deepak 10 Comments

While there are several acne scar removal options available in the market, choosing the best method to get rid of acne scar might be a tough decision. In this article, we’ll briefly discuss some of the scar removal techniques that you might want to consider to get rid of acne scar.

Over the counter scar removal: There are several over the counter or prescription scar removal medications available in the market or pharmacy. These products may help reduce acne scar but the success rate is very low. Always consult a dermatologist before applications so he/she can suggest you the best options for your acne scar.

Laser skin resurfacing: Laser skin resurfacing with ablative lasers like CO2 or Er:YAG may improve the appearance of acne scar. While these lasers remove the entire epidermis and portions of the dermis, chances of scarring may be a common problem. Nonablative lasers like intense pulsed light, pulsed dye laser, Q-switched Nd:YAG and other light therapy stimulate the production of collagen and thereby, gradually improving the appearance of pitted acne scars.

Dermabrasion: Dermabrasion using high-speed diamond buffing drills can help remove small and superficial scars and sometimes deep scars. However, this method is highly dependent on doctor technique and can result in scarring in untrained hands.

Percutaneous Collagen Induction Therapy: Percutaneous collagen induction therapy or medical needling is a technique where drum-shaped roller with fine microneedles are used to puncture the skin and release the growth factors which encourage the formation of collagen and elastin and further helps in reduction of acne scars. The chances of scarring are less compared to other lasers but several treatment session may be required to get the maximum benefit.

Surgical techniques: Different surgical techniques like punch excision, punch elevation and elliptical excision can also be used to remove isolated ice-pick or deep boxcar scars.

As acne may result in both scarring and pigmentation changes, it is essential to prevent and minimize the scarring. Adequate and early treatment will decrease its severity and chances of scarring and pigmentation. Mild pigmentation due to acne can be easily treated with topical application and skin lightening products available in the market.

If you have any question on how to get rid of acne scar visit our Acne Support Community

Homemade Acne Remedies

June 23, 2011 by Avinav 7 Comments

When it comes to fighting acne the effectiveness of homemade acne remedies should never be discredited. Homemade acne remedies are fast acting, effective, convenient and easy on your wallet. What’s more, most of the ingredients used in these remedies may be things that you already have in your kitchen and since they are 100% natural you won’t need to worry about unwanted side effects.

Below are some homemade acne remedies that you can use to get rid of your acne.

Lemon Juice to clean up clogged pores: Make a solution by mixing equal parts lemon juice with rose water. Soak the acne affected areas with this solution and leave it on for about 30 minutes and wash with warm water.

Raw Potatoes for removing dead skin cells from the skin’s surface: To effectively remove acne scars from your skin slice raw potatoes into thin slices and rub the flat surface on the areas affected by acne. This will remove dead skin cells along with any bacteria that would have made their way into the pores and caused infection.

Glycerin based soaps for cleansing the skin: Keep away the oil and dirt from the surface of your skin by washing with a glycerin based soap. This soap will remove the excess oil from your skin without drying it out. It also helps to balance the acidity of the skin creating an unfriendly environment for bacteria the main culprit behind acne.

Oatmeal masks to reduce oiliness: Oatmeal will absorb the excess oils on the skin’s surface. This goes a long way in preventing acne. Make a thick paste of oatmeal and water and apply to your face. Leave it for 15-30 minutes and rinse off with cool water. Do this once or twice daily to get clean, clear and oil free skin.

Cucumber masks to clear clogged pores: Place a few pieces of cucumber into your blender and make into the puree by blending for a few seconds. Place the puree into a jar and allow it to chill in the refrigerator. Apply to your face twice daily for clear pores.

Honey and apples help to reduce oiliness: Make an apple paste by blending a few apples and adding 2-3 tablespoons of honey. Make sure that the mixture is well blended before applying to your face and leaving for 15 minutes. Remove the mixture by washing with warm water.

Reduce swelling with toothpaste: If you have a swollen zit that you will like to get rid of simply dab a bit of toothpaste on it before you go to bed at night and by the next morning the swelling will diminish.

A lot of these homemade acne remedies attack the symptoms and the things that lead to acne. For instance they will reduce the oiliness and clogged pores. But it is important to eliminate the cause, so sometime these at home acne remedies may not work. Seek the advice of a doctor if you will like to treat the root cause of acne which is overactive sebaceous gland.

Herbal Acne Treatments to Diminish Severe Acne Quickly

March 25, 2011 by Avinav 1 Comment

Everyone is talking about herbal acne treatment and how to cure acne using herbal plants. Which plant is the best to treat your acne? I’m talking about severe acne that sticks on your face like glue. What is the best herbal acne treatment for your acne problem?

In this article, you will find the top 3 herbal acne treatments that are effective to cure severe acne. Here are the top herbal treatment for acne:

1. Fenugreek

The Benefits:
Fenugreek is useful to reduce swelling and inflammation on your face. It is also useful to reduce blackheads and whiteheads and ease the symptoms of acne.

How to use:
You can use the seeds of fenugreek as topical treatment. Grind the seeds of fenugreek with the spice grinder until the seeds become powder. Now, add some water to the fenugreek powder and apply the paste to your acne three times a day. Wash your face after that.

You can also use the leaves of fenugreek as topical acne treatment. First, crush the leaves of fenugreek until the leaves become paste. Then, apply the paste of fenugreek as herbal acne treatment in the night. Cover the full area of your face and leave it for 15 minutes before you rinse with cold water.

2. Garlic

The Benefits:
The main benefits of garlic are to reduce acne symptoms such as swelling and inflammations. This herb is also useful to prevent acne and heal acne scars.

How to Use:
Before using garlic, here is what to expect. You will have a kind of burning sensation in your skin once you put garlic extract to your skin surface. Therefore, it is recommended for you to leave garlic for no more than 5 minutes before washing your face.

To use garlic as herbal acne treatment, prepare one to two cloves of garlic in a small bowl. Then, crush the cloves of garlic until the cloves become pulp. Then use the extract of garlic for acne treatment. It is good to use a cotton bud for this process.

Use garlic extract as topical treatment after washing your face with fresh water. Remember to put the extract all over your face. You will feel immediate burning sensation when you do this. Just leave it alone for approximately 5 minutes, and then wash your face immediately with fresh water. You should feel your skin becomes softer after this treatment.

3. Tea Tree Oil

The Benefits:
Tea tree oil is an herbal acne treatment that can help to eliminate bacteria in your skin surface. It will prevent bacteria from spreading in your skin surface. Therefore, it can help to reduce your acne symptoms.

How to Use:
First of all, don’t use tea tree oil directly. You must dilute it with water before using this herbal acne treatment. It is because tea tree oil is a strong substance that will react immediately with your skin. If you are using this oil directly, it will cause harm to your skin. Also, do not take this oil orally as it is not recommended.

To use tea tree oil, dilute 3 drops of tea tree oil with 27 drops of fresh water. Next, use cotton bud to apply this herb to your acne. Don? forget to wash your face before applying this treatment. Wait for at least 15 minutes and wash your face with warm water. For maximum result, use this treatment before you sleep in the night.

Those are the list of top herbal acne treatments, along with the benefits and how to use, that will help you to diminish your severe acne quickly. Use only one of the treatments above at a time. Do not use them simultaneously as this will not effectively cure your severe acne. Too many treatments can aggravate your acne and this approach should be avoided.

Acne Treatment Tips

March 24, 2011 by Avinav 1 Comment

If you want to find useful skin care advices to cure your acne, fasten your seatbelt and let your eyes glued to this article. In this article, you will find complete skin care tips to help you cure your acne immediately. Here are 16 Acne treatment tips that you can start to apply today.

1. Choose your skin care product carefully
Choosing the right skin care product is the first step to treat your acne correctly. Choose only natural acne skin care products and avoid chemical and synthetic products that will harm your skin.

2. Do not squeeze or scratch your acne
Squeezing or scratching your acne can cause acne scars and hyper pigmentation in your skin. In the time when you’ve successfully eliminated your acne, there will be various new problems arise such as acne black spots, dark spots, scars, and post inflammatory hyper pigmentation.

3. Drink eight glasses of water a day
Water is important for your skin. As your skin consists mostly of water, you need water to keep your skin smooth and radiant. Eight glasses of water a day may help treat your acne problem and avoid dryness and inflammation.

4. Wash your face regularly
Wash your face regularly in the morning and night. If you wash your face regularly, you will keep your face clean and fresh. If you want use cleansers, moisturizers, or scrubs, you should use only natural acne skin care products for sensitive skin.

5. Move out and exercise
Exercise will help you to open up clogged pores and let the oxygen penetrates your skin. It can make your skin smooth and radiant. So, practicing small exercises every day can be beneficial for your skin.

6. Detoxify your body
You should detoxify your body regularly to get rid of toxins and free radicals inside your body. Eat foods with high fiber to smooth the detoxification process inside of your body. If you want faster detoxification, using detoxification supplements will do the trick.

7. Change the way you eat
Toxins and free radicals are usually come from your foods. Junk and greasy foods are usually the culprit of toxic buildup inside your body. If you want to get rid of your acne, change the way you eat. Eat more fresh fruits and vegetables.

8. Juices from fruits and vegetables
If possible, consume more juices from various fruits and vegetables. Juices from apples, cucumbers, spinach, and other nutritious foods will help your skin to fight free radicals inside your body, which help to eliminate acne quickly.

9. Take a bath in regular basis
Personal cleansing is important for your skin. When you have a clean body, you will tend to have a clean skin. So, bathe your body regularly. It will remove dirt, germs, and bacteria in your body.

10. Use natural soap and shampoo
Remember to use natural soap and shampoo to prevent irritation in your skin. Chemical soap and shampoo can worsen your acne and irritate your skin.

11. Avoid excessive sun exposure
Excessive sun exposure will burn your skin, especially if you have sensitive skin. It can also cause dark spots, acne black spots, and hyper pigmentation in your skin. So, it is better for you to avoid excessive sun exposure. Always protect your skin with good sun block lotion.

12. Eliminate your stress
It is already known through scientific research that stress can aggravate your acne. So, it is better for you to relax your body and mind by practicing some relaxation techniques, breathing exercises, and meditation.

13. Use natural acne masks
Natural acne masks can boost your acne healing process significantly. When using a natural acne mask, choose the mask that has refreshing and soothing effects for your skin. Cucumber and honey masks are good for treating your acne.

14. Have 8 hours of quality sleep a day
Having quality sleep may assist your healing. Your body needs enough rest to make it efficient in treating your acne. Basically, your body has a natural healing mechanism during your sleep period. So, if you have eight hours of quality sleep a day, you can help your skin to heal itself.

15. Keep your hair clean and oil free
Keep your hair clean and oil free and avoid covering your forehead or face with hair. This will prevent additional oil or dirt from clogging your pores.

16. Choose the right makeup brand
When you buy your favorite makeup, don’t forget to see the label with “nonacnegenic” or “noncomedogenic”. Always remove your makeup before bed.

If you want to treat your acne correctly, apply the 16 Acne treatment tips above, and you will see great improvements in your skin.

How To Get Rid of Black Spots From Acne

March 23, 2011 by Avinav 5 Comments

It is very hard to fight acne. Most often it can be depressing to see various acne black spots appear after you’ve successfully eliminated your acne. When those acne black spots appear on your skin, a proper treatment regimen should be conducted immediately to fade acne spots and to prevent acne scar.

Dark skin pigmentation is often caused by excessive sun exposure. It is also referred as photo aging. Dark spots on your skin can also be caused by acne. Your acne black spots are often appeared because of excessive exposure to the sun’s ultra violet rays when you still have acne. The results are ugly dark spots and acne scars.

However, you don’t need to worry as there are various natural acne skin care treatments that you can use immediately to get rid of black spots from acne. You can use 7 solid treatments below to fade acne black spots easily:

1. Manuka Honey – This kind of special New Zealand honey has been trusted by skin care professionals to cure your dark spots naturally. If you have dark spots on your skin, applying Manuka honey to the affected areas after bathing will help lighten the dark spots.

2. Aloe vera gel – The gel of aloe vera is known as a substance that can effectively repair skin damage. It has been used since ancient time to fight skin problems. It can effectively cure acne black spots on your face.

3. Castor oil – There are various healing properties contained in castor oil. This oil is effective to fade dark spots in a few days. You can use this oil in the night, before going to bed. Leave this oil overnight and wash your face in the morning.

4. Yogurt – Can yogurt help eliminate your skin discoloration? You bet! It is a natural bleaching for your skin. Just combine the yogurt with lime juice and apply the paste to your face every day. You’ll watch your dark spots fade away slowly.

5. Lemon – Lemon can also be used as natural bleaching treatment. Lemon juice, whether you apply it topically or drink it regularly, can help you to eliminate the black spots immediately. If you can, use lemon as internal and external skin treatment.

6. Extrapone nutgrass – This root extracts can fade your dark spots within two weeks. Extrapone nutgrass is an essential herb that can lighten your skin discoloration and make your skin looks white.

7. Cucumber – A special fruit with abundance skin healing properties. You can include this fruit to your regular diet, especially in your salad. You can also take advantage of cucumber by applying cucumber mask every two days to gradually eliminate acne black spots.

Percutaneous Collagen Induction for Acne Scars

March 24, 2010 by Dr.Deepak 1 Comment

Today, many people wants a fairly rapid solution to treat acne scars. These has brought many different topical scar removal medications and treatment techniques like laser resurfacing, dermabrasion, carbondioxide lasers, deep peelings and many others which are quite effective, but the side effects and chances of scarring is still possible, especially for dark skinned peoples. So to avoid these side effects while effectively reducing acne scars, percutaneous collagen induction therapy was developed.

Percutaneous collagen induction therapy or medical needling is a technique where drum-shaped roller with fine microneedles are used to puncture the skin and release the growth factors which encourage the formation of collagen and elastin and further helps in reduction of acne scars. Various research showed that this technique is safe and effective for reducing acne scars. However just a single treatment might not give the desire results as seen with other lasers treatments, but the risk of hypo/hyper-pigmentation and scarring is very less. The procedure can be repeated and is useful especially in those area where laser resurfacing or chemical peels have limited use.

What are the advantage of Percutaneous Collagen Induction:

It is cheaper then laser resurfacing
Specially designed tools are available in the market so its easy to use and learn the technique.
It can heal more quickly then laser resurfacing.
Risk of hyper/hypopigmentation or scarring are very less.
It is not limited to certain parts of body, any parts of body can be easily treated.
It won’t damage the skin.

What to expect with Percutaneous Collagen Induction therapy:

Laser Treatment For Acne Scars

February 25, 2010 by Dr.Deepak 1 Comment

Lasers Treatment are now very popular treatment of different skin conditions including acne. They use different wavelength and intensity and remove the scar tissue and reduce the inflammation and redness of skin around healed acne lesions. Various Laser treatments are available and the choice of laser treatment depends on type of Acne scar.

There are 2 main categories of laser treatment used in acne scar therapy which are Ablative lasers and Nonablative lasers. However, these laser treatment may only treat the superficial skin layers and is not much effective for deeper scars like ice pick scars.

Ablative Lasers:
Ablative laser are mainly used to treat on the surface skin cells( Epidermis). These Lasers emit high energy densities at extremely short pulses to heat and vaporize target tissue with limited damage to surrounding tissue or skin. They offer better control of resurfacing compared with dermabrasion. Ablative Lasers use either carbon dioxide or Er:YAG. The Er:YAG laser is a more gentle ablative therapy than the carbon-dioxide laser. This may be of benefit for hypertrophic scars, rarely keloids, and shallower boxcar scars. For other icepick scars, Rolling scars and sallow boxcar scar dual-pulsed modes or dual-mode Er:YAG may be beneficial. The healing process may take upto 6-8 weeks and if needed scar is treated with additional laser sessions.

Although these lasers have been considered as “gold” standards for skin resurfacing there are more potential side effects, which may include delayed healing, erythema, milia, acne, edema, hyperpigmentation or hypopigmentation, infection, or even scarring . The risk of post laser scarring is even higher with CO2 laser resurfacing compared with Er:YAG resurfacing because the thermal tissue damage is more with CO2 lasers then Er:YAG lasers.

Non-Ablative Lasers:
Non-ablative lasers are solely used to treat below the skin usually on mid layer of skin ( Dermal Collagen) . These lasers may include 1320-nm or 1064-nm neodymium:yttrium-aluminum-garnet lasers (Nd:YAG) and diode (1450 nm) lasers, and the 585-nm pulsed dye laser (PDL). Side effects are generally mild and the effectiveness of reducing acne scarring may also be lower then ablative lasers. It has been suggested that best results may be achieved when these lasers are combined with another modality such as surgery or chemical peels. Because these modalities are less aggressive as a whole, they are more useful for atrophic, rolling, or possibly hypertrophic scars rather than icepick, boxcar, or keloid scars.

Although the recently developed technique of fractional laser skin resurfacing has been reported to be effective in acne scarring, the risk of hyperpigmentation/hypopigmentation, scabbing, milia etc.. may be the factors nonablative scar resurfacing are still popular for acne scar reduction.

Fractional laser treatment:

Fractional laser treatment for acne scars are now being widely popular as these type of lasers treat both outer and inner layer of the skin. But, the procedure may be painful, so topical anesthetics are used along with forced air cooling to increase patient comfort. A variety of ablative fractional resurfacing lasers are now available and the initial impression is that these lasers may be more effective than nonablative fractional lasers for acne scars. However, side effects may also be more of a concern with the ablative fractional lasers treatment. There are similar side-effect concerns as other ablatives but there tend to be less problems overall because of the selective sparing of skin rather than total ablation, there is still the possibility for transient erythema or edema, dryness, scabbing, milia or acne, hyperpigmentation or hypopigmentation, prolonged healing, or infection.

Unlike other, you can apply makeups or sunscreen immediately after a treatment session. As postoperative edema and erythema may be common, so to avoid it application of ice during the first 24 hours may be beneficial, erythema will resolves in 5-6 days.