Are different types of acne treated differently?

The approach to acne treatment differs greatly according to the severity of acne, the types of acne lesions that are present and whether which treatments you have had for your acne in the past.

You can think of the treatments for acne as a ladder - starting with non prescription over the counter treatments, moving through prescription topical treatments and then on to first line oral treatments such as antibiotics and the oral contraceptive pill (for women). Where these are not effective next steps include spironolactone (for women) or isotretinoin (roaccutane).

Mild acne: This can often be treated effectively either with over the counter products or with topical acne treatments. Comedomal acne (dominated by whiteheads and blackheads) is more likely to respond to topical retinoids and retinol.

Moderate acne: This rarely will respond to over the counter products and often requires systemic (e.g. tablet) treatments.

Hormonal acne: Hormonal acne fluctuates along with the menstrual cycle. There is a prediliction for the lower face and jawline. Treatment options include the combined oral contraceptive pill - particularly brands which contain an anti-androgen such as Yasmin or spironolactone.

Severe acne: With severe acne, particularly where there are nodules or cysts it is important to rapidly find an effective treatment to minimize scarring - this usually requires a prescription tablet treatment.

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Dr. Magnus Lynch, Consultant Dermatologist

About Dr Magnus Lynch

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John’s Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King’s College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions. Filming for the next series has recently completed and the series will be released later in 2025.

My NHS practice is at Guy's Hospital. I consult with private patients at the London Bridge Hospital, OneWelbeck (near to Bond Street station) and on Harley Street. A new consultation is £250. Book A Consultation.

I am the founder of Revessa Health which provides online consultations for acne and rosacea across the UK (see below).

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