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Understanding Acne: Stages, Complications, and the Best In-Clinic Treatments

Writer's picture: Dr Jane ClinicDr Jane Clinic

Acne is one of the most common skin concerns affecting individuals of all ages. Whether you're a teenager experiencing your first breakout or an adult struggling with persistent acne, understanding its causes, stages, and treatment options is essential. This guide will cover everything you need to know about acne, including the best in-clinic treatments and recommended skincare to prevent breakouts.



A person with severe comedones on the face, which is the beginning of acne. At Dr Jane Clinic, we employ multiple different approach for comedones and acne skin
Comedogenic skin is prone for acne. Comedogenic means clogged pores

What is Acne?

Acne is a chronic inflammatory skin condition that occurs when hair follicles become clogged with oil (sebum), dead skin cells, and bacteria. It commonly appears on the face, chest, back, and shoulders. The main factors contributing to acne include excess sebum production, bacterial growth (Propionibacterium acnes), hormonal fluctuations, and inflammation.



A diagram of the stages of acne, at Dr Jane Clinic treatments for all stages of acne is available
Stages of acne progression

The Stages of Acne

Acne can range from mild to severe, progressing through different stages:

  1. Comedonal Acne (Mild Acne)

    • Characterized by blackheads and whiteheads (comedones) formed due to clogged pores.

    • Non-inflammatory and relatively easy to treat with topical solutions.

  2. Papulopustular Acne (Moderate Acne)

    • Involves red, inflamed pimples (papules) and pus-filled pimples (pustules).

    • Requires targeted treatments to reduce bacterial growth and inflammation.

  3. Nodulocystic Acne (Severe Acne)

    • Characterized by deep, painful nodules and cysts under the skin.

    • Often leads to scarring and requires medical intervention.

  4. Acne Conglobata (Severe and Rare)

    • The most severe form of acne, leading to interconnected nodules and abscesses.

    • Can cause significant scarring and requires aggressive medical treatment.



Complications of Acne

If left untreated, acne can lead to several complications, including:

  • Scarring – Deep acne lesions can cause permanent scars, such as ice pick, boxcar, and rolling scars.

  • Post-Inflammatory Hyperpigmentation (PIH) – Dark spots that remain on the skin after acne heals, common in Asian and darker skin tones.

  • Emotional and Psychological Impact – Acne can lead to low self-esteem, anxiety, and even depression, affecting overall well-being.



In-Clinic Treatments for Acne

For individuals struggling with persistent or severe acne, in-clinic treatments offer effective solutions to control breakouts and prevent scarring.


Some of the best options include:

1. Medical-Grade Chemical Peels

Chemical peels containing salicylic acid or mandelic acid help exfoliate dead skin cells, unclog pores, and reduce inflammation. Regular sessions improve acne and prevent future breakouts.


2. Laser and Light Therapy

  • AdvaTx Laser, LED lights: Helps kill acne-causing bacteria and reduces redness.

  • Fractional Laser: Stimulates collagen production and improves acne scars.


3. SkinPen Microneedling

Dr Jane Clinic is the first in Malaysia to introduce the FDA-approved SkinPen treatment, which promotes skin healing, reduces acne scars, and improves overall skin texture.


4. Intralesional Corticosteroid Injection - Acne Injection

For painful cystic acne, a injection can rapidly reduce inflammation and swelling, preventing scars.


5. Medical-Grade Facials

Deep-cleansing facials with extractions, LED therapy, and hydrating masks help maintain clear skin and prevent flare-ups.


Here is our recommendation for facials







6. Oral and Topical Medications

  • Topical Retinoids – Improve cell turnover and prevent clogged pores.

  • Oral Antibiotics – Reduce bacterial overgrowth and inflammation.

  • Oral Isotretinoin – Used for severe acne cases, significantly reducing oil production.



Best Skincare for Acne-Prone, Oily Skin

Using the right skincare is crucial for controlling acne and preventing sudden breakouts.


Dr Jane Skincare offers doctors approved products designed for oily and acne-prone skin:

1. Dr Jane Skincare Clarifying Cleanser

  • Contains salicylic acid to deeply cleanse pores and remove excess oil.

  • Helps prevent future breakouts without stripping the skin.



2. Dr Jane Skincare Essential Hydrator an Oil-Free Moisturizer

  • Lightweight, non-comedogenic formula that hydrates without clogging pores.

  • Contains azelaic acid derivatives to provide hydrating abilities and play a role in reducing the discomfort associated with redness



3. Dr Jane Skincare Skin Defense Sunblock

  • A lightweight, non-greasy SPF 50+ sunscreen that protects against UV damage without causing breakouts.

  • Essential for preventing post-inflammatory hyperpigmentation (PIH).



4. Dr Jane Skincare Skin Defense Tinted Sunblock

  • A lightweight, non-greasy SPF 50+ sunscreen that protects against UV damage without causing breakouts AND providing tinted coverage

  • Provides a healthy looking coverage to the skin while shielding skin from UV Ray. Essential for preventing post-inflammatory hyperpigmentation (PIH).




Final Thoughts

Acne is a manageable condition with the right approach. Whether you're dealing with mild breakouts or severe cystic acne, a combination of in-clinic treatments and effective skincare can help restore clear, healthy skin. If you're struggling with acne and need a customized treatment plan, visit Dr Jane Clinic in Petaling Jaya for expert skin care.

Don't let acne control your confidence—take the first step towards healthier skin today.


Book a consultation via the link below!





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