Cosmetic Treatments

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• microdermabrasion
• acne treatment
• acne scars
• botox
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• lipo-dissolve
• tattoo removal

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Acne Treatment

Acne is a skin condition which has plugged pores, inflamed pimples,  and deeper lumps and cysts.   Although most teenagers get some form of acne, adults can also develop acne.  To avoid permanent scarring, treating acne is important.

Treatment:

Control of acne is an ongoing process over at least  two to three months,  depending on your type of acne.   We may prescribe medication for you, or suggest treatments that will help clear your skin as quickly as possible.The medicines and treatments we have available are listed here:

Topicals

• we may prescribe topical creams, gels, or lotions with vitamin A acid-like drugs, benzoyl peroxide, or antibiotics to help unblock the pores and reduce bacteria. These products may cause some drying and peeling.   
• Microdermabrasion may be used to remove the upper layers of the skin improving irregularities in the surface, contour, and generating new skin.
• Light chemical peels with  glycolic acid help to unblock the pores, open the blackheads and whiteheads, and stimulate new skin growth.
• Injections of corticosteroids may be used for treating large red bumps, painful cysts or pimples. This may help them go away quickly.

• Laser treatments such as IPL and Medlite Q-switch NdYag are available.

• Photodynamic therapy using the blue wavelength of light can be helpful in treating acne as well.  The Blu-U light treatment is available on Guam.  Come twice a week for a 16 minute treatment, approximately 12 times.  We can intensify the effect of the treatment by using a topical medication first.  It will take about 30 minutes to take effect, prior to applying the blue light.

Oral medication to be taken by mouth

• Antibiotics taken by mouth such as tetracycline, doxycycline, minocycline, or erythromycin are often prescribed.
• Birth control pills may significantly improve acne, and may be used specifically for the treatment of acne.
  
• In cases of unresponsive or severe acne, isotretinoin (Accutane) may be used.  Pregnancy must be prevented while taking the medication, since the drug causes birth defects.  You must go to Hafa Adai Specialist Group, 280 Pale San Vitores across from the Hilton in Tamuning to obtain this medication.  Book an appointment with Dr. Richard, dermatologist, or Dr. Lom, at 647-4542.  The medicine is very expensive, has potentially serious side effects, and requires monthly blood tests.