Should You Talk to Your Doctor About Acne?

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Severe acne should be treated by a doctor, but remember that medical treatments can take months and may actually only reduce the amount of acne you have.

Nearly everyone has mild to moderate common acne at some time during life, most typically between the years of  8 and 18. There are many ways a doctor can help you keep your experience of acne to an absolute minimum. But there are no medical miracles that cure acne overnight. Your doctor can only help you clear up your skin a little more completely, a little faster, without scars or brown spots.


  • Nearly everyone has acne at some time during life, most commonly between the ages of 8 and 18.
  • It is important to seek medical attention if acne breaks out at the same time joint pain begins, when pimples seem to be “burrowing” under the skin, when pimples appear on the scalp after shaving the scalp, and when acne occurs with endocrine issues.
  • In the United States, European Union, and Canada, it is necessary to see a dermatologist to get antibiotics for acne.
  • Severe acne treatment has to be performed by a doctor.
  • Doctors sometimes fail to establish realistic expectations. Most medical treatments for acne only reduce the number of pimples and blemishes by 33% to 50% over a period of months.
  • Health insurance often does not pay for acne care.
  • Doctors often prescribe medications that are inappropriate for skin types they do not have, especially for Asian skin.
  • The easiest way to do day to day skin maintenance is with a treatment kit like Exposed Skin Care.

When Do You Need to See a Doctor for Acne?

The best time to see a doctor about acne is when the treatments you are trying on your own don’t work. It is especially appropriate to see a doctor when:

  • Acne breakouts occur at the same time as joint pain you have not had before.
  • You are a woman, and you want to change brands of the Pill to fight acne.
  • Pimples seem to be burrowing under your skin to connect with each other.
  • You shaved your head, and nasty pink pimples broke out on your scalp.
  • You shaved another part of your body, and it now appears infected.
  • You have never had acne, and suddenly you have cysts under the skin.
  • You are a man, and acne broke out when you started testosterone replacement therapy.
  • You have unusually large pimples that have a yellow center.
  • You have deep, ice-pick scars left acne healed.
  • You have raised, pink scars where acne healed.

These are symptoms of types of acne that only a doctor can treat. A doctor who understands your skin type, or even better, has your skin type, can offer you insights into treatment and perform procedures that are simply not available over-the-counter or at a spa.

What Can You Get at the Dermatologist’s Office That You Can’t Get Anywhere Else?

There are also some treatments that you can’t do at home and you can’t get at a spa. Among the treatments you will only get at the doctor’s office are:

  • Antibiotics. In the United States, Europe, and most of the English-speaking world, antibiotics are only available with a doctor’s prescription. Antibiotics can kill acne bacteria and stop inflammation in a few days to a few weeks. The use of antibiotics, however, does not replace basic cleansing and exfoliation of the skin to keep acne from coming back.
  • Oral retinoid drugs. An “acne” pill such as Accutane is only available from a doctor. Since oral acne treatments can have serious side effects, medical monitoring is necessary to prevent lasting health problems.
    Steroid injections. Injected steroids are available from dermatologists for “acne emergencies,” when a pimple might ruin a photo for a once-in-a-lifetime occasion such as a wedding, anniversary, or graduation. Repeated use of steroids can cause lightening and thinning of the skin.
  • Certain laser and external beam radiation treatments. Resurfacing the skin after severe acne scarring usually requires multiple visits to a dermatologist or plastic surgeon. The most severe medical scars can be covered up with makeup, but can’t be healed without medical treatment.

What Doctors Won’t Tell You About Acne Treatment

Dermatologists usually provide potent acne treatment. For mild to moderate acne, prescription medical treatments are not always best. Here are some common problem issues:

  • Prescription-strength benzoyl peroxide usually causes redness, itching, inflammation, burning, and peeling of the skin. Many people who can’t continue prescription-strength benzoyl peroxide do just fine when they use an over-the-counter product.
  • Retinoid drugs prescribed for treating cysts and nodules often have an unexpected side effect, namely whiteheads, blackheads, and pimples. Your doctor may forget to tell you that if you take Accutane for severe acne, you need to be especially careful to keep your skin clean and exfoliated.
  • Both benzoyl peroxide and retinoid drugs make the skin more sensitive to the sun. Even if you have black skin, you may need to use at least SPF-15 sunblock to protect your skin from sunburn and from formation of spots.
  • American doctors tend to overlook dental consequences of drugs. Minocycline, for example, is almost never given to anyone under the age of 22 in Canada, for example, because of the potential for staining the teeth black, especially along the gum line. American doctors may assume that this effect only occurs when children are treated with minocycline while they still have their “baby teeth,” and prescribe minocycline to any acne patient over the age of 8.
  • Doctors sometimes prescribe drugs that are appropriate for fair skin but not for Asian skin. The use of hydroquinone to stop brown spots from forming as acne heals, for example, sometimes (but not always) causes black and blue spots on Asian skin.
  • Doctors tend to overlook natural products that help prescription medications work better. When Asian, brown, or black skin is treated with tretinoin topical, for example, use of a vitamin E cream at a different time of day can help preventing inflammation and discoloration of the skin.
  • Doctors often forget to discourage unrealistic expectations of acne treatment. Most medications, used by themselves, will only reduce the number of pimples by 33 to 50%. Laser resurfacing may require multiple office visits over a period of months. To get a better result from treatment for your acne at the doctor’s office, you have to be especially diligent about other aspects of skin care.

A dermatologist’s practice is not built by saving patients money. Moreover, many insurance plans do not pay for acne treatment, and claims may be denied only after several months of bills have accumulated. There are few procedures for acne care in the dermatologist’s office that will not cost US $1,000 or more, at least not in the United States.

See a doctor for acne treatment when you must. But for the basics of day to day acne treatment, consider a complete acne care system like Exposed Acne Care. Even if you receive a doctor’s treatment for specialized acne concerns, you will need a system like Exposed Skin Care to keep blemishes and pimples from coming back once medicine has removed them.

{ 4 comments... read them below or add one }

    My acne doesn’t breakout as much as it used to when I was younger, only 1 or 2 breakout (on the left, right and the jawlines). And when they heal, they become thick (and sometimes swollen) brown spots, causing mixed skin tones. How does one get them to become flat and invisible? By the way I’m dark in complexion (brown skin).

    This is probably not a comment on this article, but I’ll appreciate any (constructive) feedback. Thanks in advance!


    thank you very much for your wonderful tips. actually I don’t have acne now on my face but my very big problem now is there is a lot of acne scars also ice spick scars left on my skin causing by acne and pimples. the probelm is I don’t know what to do =(

    Im not sure but isnt possible the acne wash its self can cause acne? Because i notice as soon as i started using acne wash again i wash getting a high rate of acne when i wasnt gettin any before but maybe it could be something else

    I have started to use tea tree oil and stopped Ben peroxide,;will the oil be effective alone?

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