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 and Cosmetic Dermatology San Francisco with Dr. Evans or one of our board-certified dermatological physician assistants.
"Nice office, appt was on time. The Dr was thorough and friendly."- S.S. / Google / Oct 26, 2019
"Dr and staff knowledgeable and professional very pleasant front desk personnel clean office and rooms."- R.C. / Google / Oct 18, 2019
"I have been seeing Krystal for my skin issues and laser hair removal for almost a year. She is always very informative and thorough when it comes to examining my skin and answering my questions. After resolving my skin problems, I decided to start laser hair removal treatments for my lower legs with Krystal. I have gotten laser hair removal for my arms from another clinic in the city in the past, but I would be itchy and unable to leave the house for up to 72 hours. Since Krystal has been doing my laser treatments now, I am able to return to my normal activities the next morning and I haven't had any negative side effects. Overall, I have had very positive results from my appointments with her."- A.N. / Yelp / Oct 12, 2019
"Professional, informed, caring dermatology team under Dr Evan's leadership."- J.B. / Google / Oct 03, 2019
"I really had a great time! Tracy is Awesome her staff is Great very friendly....Made me feel comfortable. Cant wait to go back in October"- L.W. / Google / Sep 20, 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 and Cosmetic Dermatology 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 and Cosmetic Dermatology 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.