The term acne refers to the blocked pores (blackheads and whiteheads), pimples, and deeper lumps (cysts or nodules) that can appear on the face, neck, chest, back, shoulders, and upper arms. Seventeen million Americans currently have acne, making it the most common skin disease in the country. While it affects mostly teenagers, and almost all teenagers have some form of acne, adults of any age can also have it. Acne is not life-threatening, but it can cause physical disfigurement (scarring) and emotional distress. To bring the skin back to a healthy, glowing appearance, board-certified dermatologist Tracy Evans can offer numerous treatment options, ranging from customized daily skin care regimens to medications and laser treatments. Schedule a consultation at Pacific Skin San Francisco with Dr. Evans or one of our board-certified dermatological physician assistants.
"Tracy Evans, MD makes time to answer all of your questions, takes your concerns very seriously, no matter how small they may seem to you. Her staff is excellent and very respectful."- R.A. / Google / Jun 21, 2019
"Dr. Tracy Evans and her medical as well as office staff are a pleasure to interact with. They are always respectful, kind, friendly, skilled and competent. They are each and all excellent in their provision of care. I have seen them over 2-3 yrs for evaluation and treatment of skin with considerable sun damage. I frequently require minor surgery (MOHS - 3-5 times a year); Dr. Evans and her assistants are invariably gentle, thorough and kind. The doctor always calls the evening after surgery to check on me. I am grateful for their care.One point: if you have a copay, don't go unless you can cover it, you will not be seen without it. Also don't miss appts without cancelling in advance, you will be charged a penalty except in emergencies.😃😃😃😃😃"- M.M. / Google / Jun 20, 2019
"Dr Evan's has been treating my various dermatological issues for several years. Every visit is met with professionalism and complete confidence with what I present. When I needed further diagnosis she was quick to refer me to a specialist. Dr Evans has made herself available on a few occasions after hours to discuss my emergent needs."- Anonymous / Healthgrades / May 28, 2019
"Monday, May 20th My first visit to Dr. Tracy Evans office. Where do I begin, the ladies at the front desk was super nice , professional and very friendly. The office is very nice and clean. Ms. Haydee Ramirez and Ms. Danielle Davaros, Advanced Practice Clinician . They both were super nice, polite, very professional and they address all of my concerns and questions. This was my second time visiting an dermatologist office and by no means I receive the superb service that I received today from Dr. Evans office. First, Ms. Ramirez, assisted me with my online registration form. Mrs. Ramirez, prepared me for my examination that was provided by Ms. Davaros. I have multiple moles on my body. Mrs. Davaros examine me from head to toe and she explained everything to me step by step and how she address my concerns. I felt so relieved and happy. I felt Dr. Evans staff took very good care of me and I will highly recommend this office to my family and friends. I'm so happy and looking forward toward my next visit. Thanks so much everyone."- E.C. / Yelp / May 20, 2019
"Kudos to Dr. Evans and her excellent team of young woman assisting her. A difficult day of surgery was eased by the competency and efficiency of the entire staff. She has mentored them well. Always pleasant, responsive and also compassionate. I am most grateful."- K.W. / Google / May 16, 2019
In our skin, we have sebaceous glands that are attached to hair follicles (or pores) on the face, neck, back, and chest. They produce an oily substance called sebum, which normally reaches the skin's surface through the opening of the follicle. When follicles become plugged, the sebum cannot reach the surface of the skin. This blocked sebum promotes the growth of bacteria (Propionibacterium acnes, or P. acnes) beneath the skin, which in turn produce chemicals and enzymes that attract white blood cells, causing inflammation. Eventually, the follicle wall breaks down, and the sebum, skin cells, and bacteria erupt to form lesions or pimples. These are the visible effects of acne. A "flare-up" of acne can occur for a number of different reasons, including hormonal fluctuations associated with puberty, pregnancy, and menopause. In addition, certain medications and drugs (such as the birth control pill) can cause acne, as well as stress and a poor diet.
Acne symptoms vary in conjunction with the type of acne you have and its severity. Blemishes are a common, obvious symptom of acne and come in many different forms, such as blackheads, whiteheads, cysts, pustules, papules, and nodules. Each type of blemish will need to be treated based on its level of severity. Studies have shown that acne can also create emotional symptoms, like low self-esteem and depression. Other symptoms associated with acne are dark spots on the skin and permanent scars.
Important scientific studies have shown that store-bought drugs are not able to significantly address the causes or symptoms of acne. At Pacific Skin San Francisco, we are able to provide several types of acne therapy. For less severe cases of acne, we may prescribe topical creams that contain retinoids, salicylic acid, sulfur, or benzoyl peroxide. Additionally, there are oral antibiotics, such as tetracycline, minocycline, or doxycycline, which are helpful for many patients. For more aggressive or severe acne, our treatment options include:
- Laser resurfacing
- Dermabrasion and microdermabrasion
- Dermal fillers and fat transfer (to reduce scarring)
- Subcision for rolling and boxcar scars
- Punch excision surgery for "ice pick" or pitted scarring
The treatment for acne varies, depending on the type and severity of your blemishes, your skin type, and your age and lifestyle. On average, our patients see results in 6 – 8 weeks. It is important to note that individual results do vary on a case-by-case basis.
Clear Your Complexion
If you are frustrated with your acne, we encourage you to call Pacific Skin San Francisco today. You do not have to continue covering your acne with makeup or enduring the physical pain, embarrassment, and emotional affliction that can develop from this condition. During your consultation at our San Francisco, CA location, we will provide a thorough skin analysis and create a tailored treatment plan to help clear up your complexion as quickly as possible.