Importance of Treating Acne in Patients Seeking Aesthetic Procedures

In a recent study, published in the Journal of Cosmetic Dermatology, the treatment of acne in patients seeking aesthetic procedures was highlighted as a crucial aspect of overall patient care. 

The study emphasized the significance of considering the treatment of acne in these patients, as the prevalence of acne vulgaris among adult women is estimated to be as high as 54%. This indicates that many patients presenting for cosmetic treatments also have acne.

The researchers discussed the range of available treatment options for acne vulgaris in patients undergoing aesthetic procedures, including topical medications, injectable products, chemical peels, and energy-based devices. Most of these treatment modalities are compatible with rejuvenation procedures commonly sought by patients. The researchers aimed to provide an ethical and evidence-based educational program for physicians and health care providers to advance patient care.

The discussion also revealed the impact of social media, particularly platforms like TikTok, which have become significant sources of information about acne. Unfortunately, much of the available information on these platforms is unreliable, underscoring the need for physicians to correct misinformation and misconceptions among patients.

To optimize treatment outcomes, the aesthetic approach to acne should consider the patient's skin holistically. It is crucial to understand the patient's history, current acne treatments, hormonal therapy, skin care routine, and the impact of menstrual cycles on acne. Individualized treatment plans should be developed, which may include topical medications, systemic antibiotics, hormonal agents, or even oral isotretinoin for severe cases.

Chemical peels and energy-based devices were discussed as additional treatment options. Chemical peels can significantly improve acne scars and skin quality, whereas energy-based devices, such as intense pulsed light and laser therapy, have shown efficacy in treating acne.

"The growth of social media is raising awareness of aesthetic procedures and appears to be increasing the number of patients seeking aesthetic treatment," concluded the study authors. "Educating patients about the importance of treating acne vulgaris can improve overall treatment outcomes. In most instances, the presence of acne is not a barrier to aesthetic care."

Reference
Fabi SG, Beleznay K, Berson DS, Cohen JL, Lee S, Dayan SH. Treatment of acne in the aesthetic patient: a round table update. J Cosmet Dermatol. 2023;22(9):2391-2398. doi:10.1111/jocd.15913