Rethinking the Treatment of Acne and Acne Scarring in a Cosmetically Oriented World

In this lecture, Dr. Jamison discusses innovative approaches to treating acne and acne scarring, particularly through procedural methods rather than systemic medications, which many patients prefer to avoid. He emphasizes the importance of understanding skin quality and setting proper expectations with patients, fostering a long-term relationship. Dr. Jamison dives into a variety of treatments, highlighting the effectiveness of chemical peels and a combination of photodynamic therapy (PDT) with advanced lasers like the 1726 laser, which specifically targets sebaceous glands responsible for acne. The use of various light sources improves outcomes by targeting different skin depths, enhancing treatment efficacy while reducing downtime. He provides insights into the protocols for these procedures, including detailed steps for patient preparation, pain management, and aftercare, noting that significant improvements can be achieved with multiple sessions. Additionally, the treatment of acne scarring is addressed, with a focus on a multimodal approach that incorporates techniques such as TCA cross and subcision, alongside non-ablative lasers and radiofrequency microneedling. The lecture concludes with a reminder of the importance of individualized treatment plans based on skin types and conditions, as well as the potential for dynamic improvements in patients' skin quality and overall satisfaction.