Acne Specialist

Integrated Dermatology Of Tidewater

Dermatologists located in Norfolk, VA

Acne can develop during any time of a person’s life and can be a source of embarrassment and poor self-esteem. Patients at Integrated Dermatology of Tidewater in Norfolk, Virginia can benefit from Jonathan Schreiber, MD, PhD’s years of experience in diagnosing and treating skin disorders, helping them to look and feel their best. Call today or schedule your appointment directly online.

Acne Q & A

Integrated Dermatology Of Tidewater

What is Acne?

Acne is a skin condition most common among teenagers but can also occur well into adulthood. Acne appears when the pores in the areas of skin that produce the most oil become clogged with sebum and dead skin cells, causing inflammation around the clogged pore. The areas most affected are the face, neck, chest, back, and shoulders.

What Causes Acne?

Once a plug has formed in a pore, bacteria infect it and causes inflammation which results in a pimple. Hormones, certain medications, or stress can trigger acne or aggravate an existing condition. While it is a myth that factors such as greasy food or chocolate adversely affect the skin, studies have shown that dairy and carbohydrate-rich foods may trigger acne.

What Types of Treatment Are Available?

To avoid more severe problems, acne should be treated as soon as possible. When over-the-counter, non-prescription products are unable to diminish the acne, your doctor will be able to prescribe you medications or recommend therapies that will help correct the problem. Topical applications, retinoids, or antibiotics may be prescribed.

Some therapies or treatments to lessen scarring include:


Laser resurfacing

Typically used for acne scarring. The doctor will use a laser to strip the layers of skin and reveal the new skin surface beneath. The procedure is very effective on shallow scars, but deeper scars should be treated before undergoing laser resurfacing.


Soft tissue fillers and fat transfer

Collagen or fat are injected under the skin and into indented scars. The skin will stretch out and make the scars less noticeable. Results are temporary, so repeating the treatment would be necessary to see continued improvement.


Punch excisional surgery

For punch replacement grafting, the size of the scar is measured and then a round sharp tool, the same size as the scar, is used to remove the skin.  The physician then removes skin from another part of the body, usually from behind the ear, and places it to fill the wound. In excision, the doctor removes the acne scar with a small cut and then sutures the wound.  This type of procedure is used for deep “ice-pick” pitted acne scarring.


Dermabrasion and microdermabrasion

With dermabrasion and microdermabrasion, the top layer or superficial layer of dry, dead skin is exfoliated and removed.  By using a stream of fine crystals or a diamond tip for the exfoliation, a new, smoother layer of skin is revealed. After microdermabrasion, this new layer of skin allows you to see improved results from the use of your skincare products, including acne treatments because the products are able to penetrate the skin more easily.