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Acne Treatment in Bangalore

Acne Treatment

Acne or Acne Vulgaris is an inflammatory skin condition that commonly occurs in teenagers and young adults. The condition affects the oil glands of the skin and the hair follicles. Acne is caused when the secretions of the sebaceous glands plug the openings of the hair follicles.

Types of Acne
Acne can be divided into types; inflammatory and non-inflammatory.

Inflammatory Acne
Inflammatory acne occurs when the bacteria in the clogged pores causes infection. It includes:

Papules occur when the pores that are clogged are tender to touch and the walls that surround them break down due to inflammation.

Like Papules, Pustules are also formed when the walls that surround them are about to break down but unlike papules, these are filled with pus and are red in color with yellow or whiteheads.

Nodules occur when pores cause irritation and are larger. Compared to papules and pustules, they are deeper into the skin.

Cysts are the largest form of acne and penetrate deeper into the skin than nodules also. They develop when the pores are clogged by sebum, bacteria causing infection and dead cells.


Non-Inflammatory Acne
Non-Inflammatory Acne includes Blackheads (Open Comedones) and Whiteheads (closed comedones).

Blackheads as the name suggests have a black color surface.  They occur when a pore is clogged with dead skin cells and sebum. Whiteheads like Blackheads clog the pore but have pores that close up and form small white bumps.

Causes of Acne
Hormonal imbalance
is the leading cause of acne. Let us understand the situations in which hormonal imbalance can cause acne.

During the teenage years, there is a rise in androgen levels. This leads to growth of oil glands which in turn produce more sebum. Excessive production of sebum encourages the bacteria causing acne to grow thus becoming a cause of acne.

We all are familiar with skin breakouts during stressful phases of our lives. It happens because stress related hormones (corticotropin-releasing hormone) trigger the sebaceous or oil glands to secrete more oil which leads to acne.

During the monthly menstrual cycles, there is a hormonal imbalance in the body which causes breakouts or period acne.

Conditions like PCOS which cause androgen excess are often accompanied by painful acne.

Other Causes of Acne
Some drugs like oral contraceptive pills or oral steroids also cause acne.

Certain Food Items
Junk food, food items with excessive sugar, dairy products are also known to cause acne.

The treatment of your acne depends on how severe it is. At Dr. Divya’s Skin and Hair Solutions, Dr. Divya believes that an honest and effective relationship between the doctor and the patient is the building block for acne treatment. Some of the Anti-Acne Drugs prescribed at our clinic are:

a) Benzoyl Peroxide
One of the most prescribed medications for acne, Benzoyl Peroxide helps target the surface bacteria which aggravates the acne. 

Retinoids not only act on the comedone but also prevent scarring.

c) Antibiotics
To control the surface bacteria and reduce inflammation, antibiotics are often prescribed. These are best combined with Benzoyl Peroxide and Retinoids.

Nutraceuticals is a new subset of medications to reduce the effect of cutaneous hyperandrogenism and improve the sensitivity of the oil gland.

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Acne Treatment

Microneedling Radio Frequency
Fractional Sublative Resurfacing
The delivery of radio frequency through the microscopic channels created by insulated needles throughout the tip helps in neocollagenesis and improvement of acne scars. It is a colour blind procedure and hence safer in dark skin as well. At DSHS , Internationally acclaimed and FDA approved MNRF Endymed pure 2.0 with 3DEEP Technology is used. It has a maximum energy output of 50 W and is capable of delivering energy in increments of 2.5 W in 20 equally graded energy level settings (Level 1-2.5 W to level 20-50 W) .The energy delivery system consists of a disposable tip with 49 gold-plated needles. The complete length of the needle is insulated and through the tip it delivers bursts of RF energy. The depth of the needles can be adjusted from a minimum of 0.5 mm to a maximum of 3.5 mm. It is an advantage to set multiple needle depths in a pass. This allows discrete electrothermal coagulation at different layers of the dermis. Electrothermal damage from occurring anywhere in the dermis but at the very tip of the needle and never in the epidermis is prevented by insulated needles.

Another technology which is most helpful in deep acne scars and skin resurfacing is use of FSR which helps in ablation of skin tissue and better textural improvement. It is not a LASER and hence safer to use in darker skin as well. There is a little downtime but the results make up for it.

  • Chemical Peels – Treatment of hyperpigmented, red and shallow scars can be done by Glycolic Acid peels. For hyperpigmented and deep-pitted scars, TCA peeling can be done. CROSS is especially helpful in pitted scars but it is preferred less in Dark skin.
  • Subcision or subcutaneous incisionless surgery – This office procedure is used to release fibrotic bands which tether the scars to the surface. A Noker needle is used to release the fibrotic bands and there is minimal downtime.
  • Microdermabrasion – Works by exfoliating the skin’s upper layers. This treatment is useful for treating superficial acne scars and can be done at 2 weekly intervals.


Acne is primarily a hormonal condition driven by androgenic hormones, which typically

become active during the teenage years. Sensitivity to such hormones, combined with fatty acids within oil glands and bacteria on the skin, cause acne. Face, chest, shoulders, and back — the locations of oil glands are the most common sites where acne are found

Acne lesions include whiteheads, blackheads, small bumps, and nodules and cysts.

DSHS believes that the treatment of acne has to be regularly done to keep pimples under control. An effective and honest relationship between the patient and doctor is the key to great results and most effective treatment.

Medical Therapy :

For the treatment of acne, there are three types of drugs that have proven to be effective :

  • Benzoyl peroxide targets surface bacteria, which often aggravate acne. Irritation and dryness are a common side effect. Regular application of benzoyl peroxide also prevents antibiotic resistance.It can sometimes bleach clothing
  • Retinoids are the most vital part of any prescription for acne. The most common side effect is irritation and dryness which can be sometimes more in dry weather like Bangalore.This drug not only acts on the comedone but also prevents scarring.
  • Antibiotics control surface bacteria and reduce inflammation in the skin. Medicines are more effective when combined with benzoyl peroxide or retinoids. The role is limited now.
  • Nutraceuticals A new subset of medications to reduce the effect of cutaneous hyperandrogenism and improve the sensitivity of the oil gland.Apart from this, hormonal treatment is indicated in certain circumstances for female patients especially for PCOS patients. It consists of oral contraceptive pills (low dose estrogen containing OCP). The latter has been very beneficial for hormonal acne and is best combined with OCP’s.

There are several myths surrounding acne. Please click here to refer to my blog for a detailed explanation of the myths and the scientific proof to refute them


Acne is necessarily a regular physiologic occurrence, and certain conditions may aggravate the situation, including:

  • Menstruation: Fluctuating hormone levels during menses
  • Manipulating (picking/squeezing) acne
  • Clothing and headgear which causes friction
  • Stress
  • Drugs such as OCP (Oral contraceptive pills), oral steroids.
  • Chemical peels: Chemical peels for acne work by removing the surface layers of the skin to expose the fresh and unaffected layers below. The treatment is carried out in a series of four to six sessions. These peels can improve mild to moderately severe cases of acne. At DSHS salicylic mandelic combination peels are one of the safest and most effective treatment in addition to the other modalities.


  • A NON INVASIVE PROCEDURE that uses light in blue light wavelength of 405-420 nm to kill Propionibacterium acnes.

  • FDA approved treatment for treatment of acne vulgaris.
  • Non invasive , safe and office time procedure.
  • Twice a week session reduces inflammatory acne to a great extent . It reduces the need of oral antibiotics.
  • Revolutionary treatment at doorstep in Whitefield.
  • Laser therapy- IPL laser is also helpful in active cases of acne.

Sensitivity to androgenic hormones combined with oil secretion by skin glands and bacteria present on the skin causes acne. Everyone wishes to have smooth and supple skin. In case one has acne one need not be worried. Dr. Divya Sharma is one of the best dermatologists for acne in Bengaluru. Discover the comprehensive care from diagnosis to treatment from Dr. Divya’s Skin & Hair Solutions Clinic !

There are several options available for acne scar treatment at DSHS.

At Dr. Divya’s Skin & Hair Solutions Clinic, internationally acclaimed FDA approved technology is used bringing the best of the world to Whitefield in Bengaluru. The highest standards of protocol and guidelines are followed in order to deliver the best results.

Let's initiate a partnership for your health.