Acne Treatment / Acne Doctor / Acne Dermatologist in Las Vegas

Strimling Dermatology, Laser & Vein Institute of Summerlin, Las Vegas specializes in the diagnosis, management and treatment of acne or pimples.

Knowledgeable in all types of acne, Strimling Dermatology of Las Vegas utilizes all available modern acne treatments at our Las Vegas practice to help cure or control your acne. With your input, we will design an individualized acne treatment program tailored just for you, based upon your skin type and acne characteristics.

What Causes Acne?

Clogged skin pores are the common precursor to all types of acne – blackheads, whiteheads, pimples and cysts. Hormone surges, associated with puberty, menstruation or other conditions cause excessive skin oil (called sebum) that promotes clogging of pores. Blackheads (called open comedones) are sebum and dead skin clogged pores that retain an opening to the skin surface. Whiteheads (called closed comedones) develop when the surface opening becomes blocked. Excess sebum also promotes overgrowth of P. acnes bacteria that cause inflammatory acne, or pimples, that appear red, warm, swollen or painful. Large, deep inflammatory acne lesions are called acne cysts or nodules. Acne cysts or nodules can be very painful and heal with scarring. Heredity factors also play a role in acne and or acne scar development.

Acne Myths

#1 – Acne is caused by poor hygiene.
#2 – Acne is caused by diet. Extensive scientific studies have failed to demonstrate a clear relationship between diet and acne. However, recent studies suggest that a high glycemic index diet (i.e. foods rich in carbohydrates) may promote acne. Eating greasy, fatty foods has not been proven to cause or aggravate acne. However, working in an oily environment, such as a kitchen with fry vats, can promote acne because these cooking oils tend to get on your skin and block pores like sebum does.
#3 – Acne is just cosmetic. Acne and or resultant scars can certainly affect a person’s self esteem and how he or she interacts socially.
#4 – You have to just let acne run it’s course. Modern medicine can control or cure acne; preventing or minimizing scars.
#5 – Cosmetics cause acne. Oil-Free, non-comedogenic (i.e. non pore-clogging) make-ups, moisturizers and sunscreens do not cause or worsen acne nor do they interfere with the actions of acne medications.

Skin Care for Acne:
  • Wash your face gently twice per day with a skin cleanser formulated for acne, like our Acne Clarifying Cleanser.
  • Additionally, using water, rinse sweat off after exercise or related activities.
  • Astringents (alcohol), masks, toners, exfoliators may or may not be helpful.  Overuse may cause irritation, especially when combined with medications. Use as directed by your Dermatologist.
  • Avoid greasy / oily hair-care products that can clog pores and promote acne. Also, shampoo daily if your hair is oily.
  • Do not pick, pop or squeeze acne, as this causes irritation / inflammation, worsens acne, prolongs healing and increases your risk of scarring.
  • Use skin care products & makeup that are oil-free and “non-comedogenic”. Non-comedogenic skin care products do not clog skin pores. Also, remove makeup regularly at the day’s end.

Treatment Options for Acne:

Treatment options include:

  • topical medications (cleaners and leave-on medications or products)
  • oral medications [usually, antibiotics or isotretinoin (Accutane)]
  • extractions / drainage & intra-lesional injections for acne cysts / nodules
  • chemical peels
  • laser and light-based therapies (infra-red light, Blu-U blue light, and photodynamic therapy (PDT) among others)

Generally, we treat mild facial acne with topical acne medications only. Moderate to severe or extensive acne is treated with a combination of topical and oral medications.  Antibiotics are our usual first line oral medication choice, while isotretinoin (Accutane) is for more severe acne or antibiotic failure. Anti-androgen hormone Spironlactone (Aldactone) is another oral option for females who have failed antibiotics, as are certain hormone combination-type oral contraceptives.

Although isotretinoin is nearly 100% effective and the only medicinal acne cure, significant, but rare side effects require monthly office visits and blood checks.
For more info about isotretinoin (aka Accutane, Amnesteen, Claravis, Sotret), please download the iPledge Patient Introduction Isotretinoin Brochure or the Accutane MedGuide or visit the isotretinoin iPledgeProgram website).

Intralesional injectionable medications (i.e. diluted corticosteroids) are reserved for larger, painful inflammed acne cysts / nodules. Occasionally, an acne-related abscess (pus collection) will require incision and drainage. Adjunct treatments include microdermabrasion, acne facials, chemical peels and laser or light-based therapies, including Blu-U blue light or PDT. Safe, painless infrared laser or other light-based therapies for acne and acne scars is an effective alternative to isotretinoin for difficult or persistent acne.

Untreated acne can quickly and insidiously lead to permanent, undesired scars. Early diagnosis and treatment are paramount. Don’t wait until it is too late, contact us today so that we may help you.

At Strimling Dermatology, Laser & Vein Institute of Summerlin, Las Vegas, our board certified Dermatologists, Dr. Strimling and Dr. Handler specialize in acne and acne scar diagnosis and treatment. Our dermatologists and staff are among the most experienced in Las Vegas. Voted or selected among the “Best Dermatologists” in Las Vegas and America multiple times, Dr. Strimling has also been selected an “Award Winning Cosmetic Surgeon”.

Contact Us at (702) 243-6400 to schedule a personalized consultation.

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Strimling Dermatology, Laser & Vein Institute of Summerlin, Las Vegas treats patients from all over the Clark County valley, including Henderson, Green Valley, Anthem, North Las Vegas, Boulder City as well as Summerlin, Las Vegas, Nevada and the rest of the southwest. We have also seen patients from all over the country and world.

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