Acne - Yokohama Yamate Clinic

Acne Troubles

Acne is a common skin condition characterized by eruptions that typically occur on the forehead, cheeks, around the mouth, and chin, commonly seen during adolescence and young adulthood. Acne occurs when sebum accumulates in the pores, causing inflammation at the exit and resulting in small elevations. It ranges from mild cases that heal quickly to severe ones that leave scars as acne marks.

In recent years, there has been an increase in adults experiencing recurring acne or developing acne in adulthood. It’s important to note that incorrect care can lead to acne scarring. While acne occurring during adolescence is often referred to as “acne,” and that in adults is termed “breakouts,” they are essentially the same condition.

Despite numerous skincare products marketed for acne treatment, many individuals still struggle to find effective solutions.

Our Clinic’s Treatment Approach and Features

Acne Treatment

Highly Effective and Proven Treatment Methods

Our clinic offers treatments for acne that may be challenging to address through conventional methods. By accurately diagnosing the causes and stages of acne, we combine proven medical devices and peeling treatments to effectively improve even severe cases of acne that may not respond well to standard treatments.

Preventative Skin Care Treatment

In addition to addressing existing symptoms, our treatment focuses on improving skin quality to prevent acne recurrence. Alongside lifestyle advice, we provide fundamental treatments to promote the development of beautiful, acne-resistant skin.

Causes of Acne

Clogged Pores

When the skin’s turnover cycle is disrupted, the keratinocytes around the pores remain on the skin, increasing in thickness and blocking the pores. This is known as comedones, where sebum accumulates in the pores. When comedones become inflamed, they turn into red pimples or pus-filled pimples. Even after the inflammation subsides and flattens out, temporary redness may remain. Moreover, in cases of severe inflammation, uneven scars may be left behind.

Excessive Sebum Production

Individuals with naturally oily skin or those prone to acne often experience an imbalance in hormone levels, leading to increased sebum production. Factors such as a diet high in sugar and oil, as well as increased stress, can contribute to hormonal imbalances and stimulate sebum secretion, causing acne to develop or worsen.

Proliferation of Acne-Causing Bacteria

When pores are clogged, the “acne bacteria” that feed on sebum multiply excessively. As inflammation occurs and the corneum thickens, pimples can form without being expelled from the pores.

Acne

Types of Acne

The types of acne and the stages they go through require different approaches for improvement.

Acne

Adolescent Acne

Hormonal activity and increased sebum secretion affect the skin, making it oily. It’s crucial to maintain a moderate balance of sebum and moisture.

Adult Acne

Besides pore blockage from cosmetics and makeup, factors such as hormonal fluctuations before menstruation, stress, lack of sleep, and poor diet can worsen acne in adults.


Whiteheads

In the initial stage of acne, pores become clogged with old keratin, and sebum fills the pores, resulting in white to milky-white spots. Inside, acne bacteria start to proliferate using the sebum as a nutrient source. Since inflammation has not yet occurred at this stage, appropriate treatment can prevent acne scars.

Blackheads

Whiteheads progress slightly, and the sebum trapped in the pores oxidizes, giving it a black appearance. This results in black spots resembling bumps on open pores. Commonly found on the nose, they are a bothersome symptom for many patients due to their visibility.

Red Pimples

An advanced stage of blackheads, where sebum-clogged pores become inflamed, causing the area around the acne to swell and turn red. Red pimples are considered severe acne, and without proper treatment, they may leave scars.

Yellow Pimpless

When the inflammation of red pimples worsens, pus forms. Acne bacteria begin to destroy the interior of the pores. Since this condition can spread damage to the dermis, the likelihood of acne scars increases.


Crater-like Acne Scars

When acne becomes purulent and inflammation advances, the walls of the pores are destroyed, leaving behind crater-like acne scars. Some people may experience redness, raised areas, or persistent pigmentation that won’t fade easily.

Unlike the epidermis, the dermis doesn’t undergo turnover. Acne scars like craters are essentially akin to scars, making natural recovery difficult. Since they may remain on the skin for life, it’s crucial to address them before they worsen.

Types of Acne Treatments

There are various types of treatments for skin rejuvenation, including peeling and medical devices. Choosing a treatment method that suits your skin type and condition, as well as considering factors such as pain and downtime during treatment, significantly impacts treatment satisfaction. To help you understand before undergoing counseling, we will explain the comparisons, advantages, and disadvantages of each.

In self-care, it’s common to use over-the-counter topical medications containing ingredients with antibacterial and anti-inflammatory properties. There are also vitamins and traditional Chinese medicines available, but they are more expensive compared to insurance-covered treatments. Additionally, you can combine the use of lotions and cleansers containing salicylic acid, which have anti-inflammatory and keratolytic effects.

Advantages
  • Low cost
  • Conveniently available at drugstores
Disadvantages
  • Not being a treatment, it is difficult to feel its effectiveness
  • In the long term, the cost-performance ratio is poor
  • Incorrect care may worsen the situation

Acne treatments performed at dermatology clinics often involve treatments covered by insurance. These include topical medications, antibiotics, and oral medications such as vitamins. While there’s the advantage of lower costs compared to private treatments, the limited range of available drugs can lead to standardized treatments.

Advantages
  • Lower cost compared to private treatments
  • Easy access to dermatologists
Disadvantages
  • Limited range of available drugs
  • Expected effects may not be achieved depending on symptoms and constitution

In addition to topical medications, antibiotics, and oral vitamins, private treatments include treatments using medical devices such as peeling, radiofrequency (RF), and lasers. Some clinics may also prescribe medications that balance hormones. With many treatment options available, it’s possible to choose medications and treatments tailored to each patient’s symptoms and needs, leading to more effective acne treatment.

Advantages
  • Customized treatment for each individual
  • High effectiveness with shorter treatment duration
  • Achieves clear skin without recurring acne
  • Provides benefits for improving skin quality
Disadvantages
  • Higher cost
  • Results may not be satisfactory depending on the physician’s knowledge and experience

Recommended Treatment Methods

Retinol Peel

Retinol Peel

One recommended treatment is peeling using a type of vitamin A derivative called retinol. Retinol has effects on improving acne and controlling excessive sebum secretion. It also promotes skin renewal, making it suitable for improving acne scars with pigmentation. Additionally, it normalizes the skin’s barrier function, leading to resilient skin, making it suitable for oily skin types.

Advantages
  • Easily accessible with a massage-like sensation
  • Minimal downtime
  • Simultaneously treats acne prevents acne, and improves acne scars
Disadvantages
  • Temporary redness and heat sensation may occur after treatment
  • Skin peeling may occur around the third day after treatment

Professional Peel

Another recommended treatment is peeling using a combination of three acids: glycolic acid, lactic acid, and salicylic acid. This peeling removes old keratin more easily and dissolves and removes sebum clogged in pores, improving acne.

Removing old keratin helps regulate skin turnover, making it easier to remove old keratin, including pigmented acne scars, resulting in translucent skin.

Advantages
  • Less irritation compared to conventional chemical peeling
  • Short downtim
  • High effectiveness due to the use of high-concentration acids
Disadvantages
  • Some may experience slight irritation during treatment

Sylfirm X

Sylfirm X

Silfurm X is a fractional micro-needle high-frequency device similar to Fraxel, but it differs in that it allows you to select the type of wavelength that is being continued. This medical device has gained attention for its ability to provide appropriate acne treatment by changing the needle length and pulse width.

Advantages
  • Effective for inflammatory acne and acne scars
  • Short downtime
  • Suitable for acne treatment tailored to Japanese skin types
  • Improves skin texture
Disadvantages
  • Temporary redness or swelling may occur
  • Prickling sensation during treatment

After Care

  • Regarding makeup after treatment, it varies depending on the treatment method, so we will explain it during counseling.
  • Swelling and redness will subside within a few days. If blisters or erythema occur, please contact us, and we will provide necessary treatment.
  • Some treatments may cause scabs to form after the procedure. Do not peel off the scabs by hand; wait for them to fall off naturally. It may take about a week for scabs formed by needles to fall off.