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3D Precision Therapy - How We Treat Your Acne Vulgaris

Basic Knowledge About Acne Vulgaris

What Is Acne?

Acne, also known as acne vulgaris, is a chronic skin disease of the pilosebaceous unit and develops due to blockages in the skin’s hair follicles. These blockages occur as a result of the following four abnormal processes: increased oily sebum production (influenced by androgens), excessive deposition of the protein keratin leading to comedo formation, colonization of the follicle by Cutibacterium acnes (C. acnes) bacteria, and the local release of pro-inflammatory chemicals in the skin.

Acne commonly affects teenagers but can occur at any age. Typical features of acne vulgaris include blackheads or whiteheads, pimples, oily skin, and possible scarring. It primarily affects skin with a relatively high number of oil glands, including the face, upper part of the chest, and back.The resulting appearance can lead to anxiety, reduced self-esteem, and, in extreme cases, depression or thoughts of suicide.

What Are The Different Types Of Acne?

Acne can take several forms. They include:


Blackheads are comedones that are open at the surface of the skin. They are filled with excess oil and dead skin cells. It’s not dirt that causes the comedone to turn black. The black hue results from the irregular reflection of light coming from clogged hair follicles. Blackheads can frequently be treated with over-the-counter medications


 Comedones that stay closed at the surface of the skin are called whiteheads. This happens when oil and skin cells prevent a clogged hair follicle from opening. Many of the same over-the-counter medicines that treat blackheads are also effective against whiteheads.


Papules are comedones that become inflamed, forming small red or pink bumps on the skin. This type of pimple may be sensitive to the touch. Picking or squeezing can make the inflammation worse and may lead to scarring. A large number of papules may indicate moderate to severe acne.


Pustules are another kind of inflamed pimple. They resemble a whitehead with a red ring around the bump. The bump is typically filled with white or yellow pus. Avoid picking or squeezing pustules. Picking can cause scars or dark spots to develop on the skin.


Nodules are large, inflamed bumps that feel firm to the touch. They develop deep within the skin and are often painful. Nodules should be treated by a dermatologist since they can scar. Over-the-counter treatments may not be powerful enough to clear them up, but prescription drugs can be effective.


Cysts are large, pus-filled lesions that look similar to boils. Like nodules, cysts can be painful and should be treated by a dermatologist since they also can scar. People who develop nodules and cysts are usually considered to have a more severe form of acne.

Acne Conglobata

Acne conglobata is one of the most severe forms of acne. It involves many inflamed nodules that are connected under the skin to other nodules. It can affect the neck, chest, arms, and buttocks. It often leaves scars. This type of acne is more common in men and is sometimes caused by taking steroids or testosterone. Timely treatment by a dermatologist is essential.

All of these forms of acne can affect your self-esteem. It’s best to seek help from your healthcare provider early so they can help determine the best treatment option(s) for you.

Can Acne Cause Scars?

Acne does sometimes result in scarring. It happens when the acne penetrates the skin and damages the deeper layers. Inflammation makes the acne pores swell and breakdown occurs in the wall of the pore. Scarring can, of course, be a source of anxiety, which is normal.

Acne scars are caused by inflammation within the dermis and are estimated to affect 95% of people with acne vulgaris.Abnormal healing and dermal inflammation create the scar.Scarring is most likely to take place with severe acne but may occur with any form of acne vulgaris.Acne scars are classified based on whether the abnormal healing response following dermal inflammation leads to excess collagen deposition or loss at the site of the acne lesion.

Atrophic acne scars have lost collagen from the healing response and are the most common type of acne scar (account for approximately 75% of all acne scars).

Hypertrophic scars are uncommon and are characterized by increased collagen content after the abnormal healing response. They are described as firm and raised from the skin.

There are several available treatment options. Chemical peels, dermabrasion, laser resurfacing, microneedling and surgery can all be used to treat acne scars.

How Severe Can Acne Get?

Dermatologists rank acne by severity:

  •  Grade 1 (mild): mostly whiteheads and blackheads, with a few papules and pustules.
  •  Grade 2 (moderate, or pustular acne): multiple papules and pustules, mostly on your face.
  •  Grade 3 (moderately severe, or nodulocystic acne): numerous papules and pustules, along with occasionally inflamed nodules. Your back and chest may also be affected.
  •  Grade 4 (severe nodulocystic acne): numerous large, painful and inflamed pustules and nodules.

What Are The Causes Of Acne?

Acne is largely a hormonal condition that’s driven by androgen hormones, which typically become active during the teenage and young adult years. Sensitivity to these hormones — combined with surface bacteria on the skin and fatty acids within oil glands — can result in acne.

Certain things can cause acne and/or make it worse, including:

  •  Genes,acne appears to be strongly inherited, acne susceptibility is likely due to the influence of multiple genes.
  •  Hormones, hormonal activity, such as occurs during menstrual cycles and puberty, may contribute to the formation of acne. During puberty, an increase in sex hormones called androgens causes the skin follicle glands to grow larger and make more oily sebum. The androgen hormones testosterone, dihydrotestosterone (DHT), and dehydroepiandrosterone (DHEA) are all linked to acne.
  •  Infections, the anaerobic bacterial species Cutibacterium acnes (formerly Propionibacterium acnes) contributes to the development of acne, but its exact role is not well understood.
  •  Diet, high-glycemic-load diets have been found to have different degrees of effect on acne severity.
  •  Using oily or greasy personal care products (like heavy lotions, creams or hair pomades and waxes) or working in an area where you routinely come in contact with grease.
  •  Stress, which increases the hormone cortisol, can also cause acne to flare.
  •  Clothing and headgear, like hats and sports helmets.
  •  Several medications can also worsen pre-existing acne. Examples of such medications include lithium, hydantoin, isoniazid, glucocorticoids, iodides, bromides, and testosterone.

How Is Acne Diagnosed?

Acne vulgaris is diagnosed based on a medical professional’s clinical judgment. The evaluation of a person with suspected acne should include taking a detailed medical history about a family history of acne, a review of medications taken, signs or symptoms of excessive production of androgen hormones, cortisol, and growth hormone. Comedones (blackheads and whiteheads) must be present to diagnose acne. Microcomedones (the precursor to blackheads and whiteheads) are not visible to the naked eye when inspecting the skin and require a microscope to be seen.

Many features may indicate that a person’s acne vulgaris is sensitive to hormonal influences. Historical and physical clues that may suggest hormone-sensitive acne include onset between ages 20 and 30; worsening the week before a woman’s period; acne lesions predominantly over the jawline and chin; and inflammatory/nodular acne lesions.

3D Inflammation Targeted Therapy Successfully Treat Various Acne Vulgaris

Our proprietary 3D Inflammation Targeted Treatment is superior to all other treatments currently available for clearing various pathogens and inflammatory factors and toxic compounds deeply rooted in the nasal cavity, and for cureing chronic rhinitis with no side effects methods.

The medicines and methods for 3D Inflammation Targeted Therapy are the combination of anti-inflammatory natural targeted extracts and a proprietary unblocking formula, and a combination of topical therapy, systemic therapy. Topical therapy include intranasal irrigation, and intranasal local injection, systemic therapy includes oral anti-inflammatory natural targeted extracts. Intranasal local injection needs to come to 3D medical clinic.

The powerful anti-inflammatory natural targeted extracts combined with a proprietary anti-blocking formula can destroy the pathogens and inflammatory factors, discharge toxic compounds, and successfully treats various chronic rhinitis. The natural targeted extracts have no side effects and no drug resistance.

3D Inflammation Targeted Therapy is suitable for various chronic rhinitis. We have a success rate of more than 95% for treating chronic inflammatory disease.

The course of treatment of natural targeted extracts for oral and intranasal irrigation is generally 3 months. The course of Intranasal local injection is generally 3 weeks.


Since Corona Virus Disease 2019 (COVID-19) has factorsd a global pandemic, foreign patients cannot come to 3D medical clinic. Currently we can only provide other treatments besides injection.

Other Treatments of Acne Vulgaris

Conventional acne treatments include topical therapy, systemic therapy, and other therapies.

Topical Therapy

Topical therapy is acne medication that is applied directly to the skin, like gels or creams. Over-the-counter topical products can often help mild acne. They may contain ingredients like benzoyl peroxide, resorcinol, salicylic acid, or sulfur. Prescription products such as antimicrobial or retinoid creams can treat mild to moderately severe acne. These can be prescribed alone or in combination with other ingredients.

Systemic Therapy

Systemic therapy refers to acne medication that is taken by mouth. Antibiotics like tetracycline, minocycline, doxycycline, or erythromycin may treat moderate to severe acne by targeting bacteria and reducing inflammation. Other systemic therapies include oral contraceptives, which can reduce acne in some women, spironolactone, an anti-androgen hormone pill, and isotretinoin (high-dose prescription vitamin A). Isotretinoin is used only in certain severe, cystic acne cases, or in cases where other treatments don’t work. A course of isotretinoin treatment requires regular appointments with your dermatologist.

Other therapies

Depending on your condition, your healthcare provider might suggest one of these specialized therapies, possibly combined with medication:

  •  Steroids. Rarely, steroids can be used to treat severe acne or injected into large nodules to reduce inflammation.
  •  Lasers. Currently, lasers are primarily used to treat acne scars. There are different types of laser resurfacing—ablative and non-ablative. Your dermatologist will determine which type is best for your skin type and nature of acne scars.
  •  Chemical Peels. This treatment uses special chemicals to remove the top layer of old skin. Typically whenever the top layer is removed, the new skin that grows in is smoother and can lessen acne scars.

Can Acne Be Prevented?

Preventing acne is difficult if not impossible during normal hormonal changes. But some things can help:

  •   Wash your face daily with warm water and a mild facial cleanser.
  •   Routinely use moisturizer.
  •   You don’t have to stop using makeup, but try to use “non-comedogenic” products and remove makeup at the end of each day.
  •   Keep your hands away from your face.