One of the most common skin concerns that we see in our office is acne. Our highly trained and experienced aestheticians have helped countless adults and teens with acne to reach their goals of clear, healthy skin. Acne is a complicated skin condition affected by many different factors, so we have developed a comprehensive treatment program to address acne in a holistic way. At Columbia Laser Skin Center, we offer everything from facial peels to lifestyle education to help you get a handle on your acne. If you are in The Dalles, OR, or the surrounding Columbia Gorge region, we would love to schedule a consultation with you.
Hormones are one of the most common factors behind acne, particularly during puberty, pregnancy, and menstruation. Androgens, a group of hormones that increase during these times, stimulate your skin’s sebaceous glands to produce more oil. This excess oil mixes with dead skin cells, clogging pores and creating an ideal environment for acne-causing bacteria to grow. Hormonal acne often appears along the jawline or chin, but it can occur anywhere on the face or body.
Using the wrong skincare products or routines can contribute to acne. Products that are too heavy or contain pore-clogging ingredients like oils and waxes can trap debris in your pores. Overwashing or using harsh exfoliants can strip your skin of natural oils and cause it to produce more oil in response. Non-comedogenic (non-pore-clogging) and gentle products designed for acne-prone skin are better options for maintaining balance without worsening the condition.
Your genetics can affect how your skin behaves. If one or both of your parents struggled with acne, there’s a higher chance you may experience it too. Genetics can influence the size of your pores, how much oil your skin produces, and how your immune system responds to inflammation and bacteria. While you can’t change your genetics, knowing the connection can help you choose the right treatments.
Diet, stress, and sleep patterns can influence the severity and frequency of acne. Foods high in sugar and dairy are often associated with increased inflammation and heightened oil production. Stress prompts your body to release cortisol, which stimulates your oil glands, potentially leading to clogged pores. Poor sleep can make these issues worse by interfering with your skin’s natural repair processes.
These are non-inflammatory types of acne. Blackheads occur when pores are partially blocked and the trapped material oxidizes, turning black. Whiteheads are fully blocked pores where oil and debris remain beneath the surface, creating a small, white bump.
Papules and pustules are inflammatory forms of acne caused by bacteria that lead to redness and swelling. Papules are small, red bumps that feel tender to the touch but don’t have a visible head. Pustules are similar but are filled with pus, giving them a white or yellow top. These develop when your immune system reacts to bacteria within a clogged pore.
Nodules and cysts are severe forms of acne that occur deeper within the skin. Nodules are large, hard bumps caused by blocked pores and intense inflammation. Cysts are softer and filled with pus, often resulting from an even more significant inflammatory response. Both can be painful and are more likely to lead to scarring if left untreated.
Fungal acne isn’t truly acne but is often mistaken for it because it looks similar. This condition is caused by an overgrowth of yeast in the hair follicles. It typically appears as small, itchy bumps, often on the chest, back, or shoulders, and isn’t caused by clogged pores or oil production. Fungal acne treatment involves antifungal medications or topical agents, along with maintaining proper skin hygiene to reduce yeast growth.
Facial peels can target acne while enhancing your skin’s overall health and appearance. These treatments use solutions that exfoliate the skin and prompt a healing response. Peels like the SkinCeuticals MicroPeel Plus are designed specifically for acne-prone skin, combining salicylic acid with gentle exfoliation to unclog pores, reduce blackheads, and balance excess oil. The Salicylic-Mandelic Gel Peel is another excellent option, as it not only clears acne but also fades post-breakout dark spots, leaving your skin smoother and more even-toned.
For those dealing with stubborn acne and mild scarring, the SkinMedica Rejuvenize Peel offers a powerful blend of ingredients to exfoliate deeply and stimulate skin renewal. Not sure which peel is right for you? We’ll assess your skin and customize a treatment plan that fits your specific needs.
Microdermabrasion is a gentle but effective treatment that can improve the appearance of acne and acne scars by exfoliating the skin’s surface. This process removes dead skin cells and unclogs pores to help reduce active breakouts and prevent new ones. Microdermabrasion also stimulates collagen production and gradually softens the texture of the scars to promote a smoother and more evenly toned complexion. It’s suitable for most skin types and can be paired with other treatments.
Prescription medications like topical retinoids, benzoyl peroxide, or, in more severe cases, oral antibiotics can target the root causes of acne such as clogged pores and bacterial growth. We also use medical-grade skincare products from trusted brands like ALASTIN®, SkinMedica®, and ZO® Skin Health, which have products made especially for acne-prone skin. These products can help balance oil production, exfoliate dead skin cells, and calm inflammation without irritating sensitive areas. During your consultation, we’ll assess your skin and customize a skincare routine that fits you, combining prescription treatments with effective over-the-counter options when necessary.
We focus on helping you understand how small, everyday habits can make a big difference in your skin’s health. This might include tips for choosing the right skincare products for your routine or reducing environmental triggers like prolonged sun exposure, sensitivities, or pollution.
We can help you incorporate simple routines and strategies into your daily life to minimize breakouts, such as using gentler cleansing techniques, choosing breathable clothing materials, maintaining proper hygiene during sleep and exercise, and more. With every suggestion, we work to help you find simple, effective adjustments that will improve your acne without complicating your routine.
We provide guidance on making dietary choices that support clearer skin and reduce acne triggers. This includes helping you identify foods that promote skin health, such as those rich in antioxidants, vitamins, and healthy fats. We’ll also work with you to develop sustainable eating habits that align with your lifestyle and make it easier to nourish your skin from within. When you understand more about how specific nutrients and hydration levels impact your skin and acne breakouts, you’ll be better equipped to make informed decisions about your diet.
Certain supplements can target acne from the inside out by reducing inflammation, balancing hormones, or improving skin barrier function. Ingredients like zinc, vitamin A, and probiotics are often effective at calming breakouts and supporting skin health. We recommend only supplements that are suitable for acne-prone skin. Each recommendation is based on your unique situation to help you address the root causes of your acne.
Your skin is unique, so your care should be too. With a wide range of acne treatment options, we take the time to understand your skin type, the severity of your acne, and any contributing factors. This allows us to create a plan that fits you perfectly.
Acne isn’t just about what’s happening on the surface of your skin. We look at the bigger picture, addressing both the internal and external factors that might be contributing to breakouts. This could mean treating inflammation and clogged pores while also helping you manage triggers like stress or environmental irritants.
Our approach goes beyond clearing breakouts to improve the overall health of your skin. Whether it’s boosting hydration, evening out your skin tone, or softening the look of scars, everything we do is designed to leave your skin looking and feeling better.
Stopping breakouts before they start is a big part of what we do. We help you build a skincare routine that works for your skin, teach you how to manage triggers, and provide ongoing treatments if needed. We give you all the tools you need to keep your skin clear and healthy for the long run.
During your first appointment, we’ll talk about your skin concerns, medical history, and any products or treatments you’ve tried in the past. Our skin assessment will also help us understand what’s contributing to your acne and determine the best course of action. Then we’ll build a treatment plan that fits your lifestyle and skincare goals. Once this plan is in place, we can begin following it.
Chemical peels and microdermabrasion can be used routinely as part of your acne treatment plan, especially lighter treatments that are gentler on the skin. We may recommend a series of treatments or regular maintenance appointments.
Changing your pillowcases regularly can make a big difference since oil and bacteria tend to build up over time. After you work out, take a quick shower to wash away sweat and keep your pores clear. Stick with non-comedogenic sunscreen options so you can protect your skin without worrying about breakouts. Try to avoid touching your face during the day—it’s an easy habit to overlook, but it can transfer dirt and bacteria to your skin. You should also use gentle, fragrance-free products that keep your skin calm and less prone to irritation.
Our acne treatment options are designed for anyone struggling with breakouts, whether you’re dealing with occasional pimples or more severe, persistent acne. During your consultation, we’ll assess your skin type, acne severity, and any underlying factors to determine the best approach for you. Treatments can be customized for teens, adults, and those who experience hormonal or stress-related acne.
The timeline for results depends on the treatment plan and the severity of your acne. Some acne treatment options like facial peels or microdermabrasion can give you some noticeable improvements within a few weeks. For others, it takes time, consistency, and patience. At-home adherence to our guidance and skincare routines will get you the best results.
This depends on the products in your current routine. Some over-the-counter products may complement your treatment, while others, especially harsh exfoliants or irritating ingredients, could interfere with results. We’ll review your current skincare routine during your consultation and help you make adjustments or recommend products that better suit your skin’s needs.
Many of our treatments and strategies are safe for sensitive skin. Options like gentle chemical peels, soothing medical-grade skincare, and customized treatment plans are specifically designed to avoid irritating your skin. During your appointment, we’ll assess your skin’s sensitivity and recommend treatments that address acne without compromising your skin’s health or comfort.
Not always. While some treatments may include prescription medications, others rely on medical-grade skincare products that don’t require a prescription. During your consultation, we’ll determine if a prescription is necessary or if a combination of non-prescription treatments will be effective for your acne.
Yes, many of our treatments can target acne scars in addition to active breakouts. Options like chemical peels, microdermabrasion, and medical-grade skincare improve skin texture, fade discoloration, and stimulate collagen to soften the appearance of scars. If scarring is a concern, we’ll include treatments in your plan that specifically address it.
At Columbia Laser Skin Center, we’ve been helping patients in The Dalles, Hood River, and surrounding areas achieve healthier skin since 2004. As the first medspa in the Columbia Gorge region, we combine many different strategies to address your unique concerns with acne. Our certified providers create treatment plans that fit each patient and their situation.
Your safety and satisfaction are our top priorities, which is why we use only FDA-approved equipment and products sourced directly from trusted manufacturers. From the moment you walk through our doors, we provide you with a supportive, relaxing environment where you can feel confident in your care.
Effective acne treatment can address both active breakouts and long-term skin health, helping you achieve a clearer, smoother complexion. At Columbia Laser Skin Center, we offer a range of treatments to make your skin clear again, using the best products and methods. Whether you’re dealing with stubborn acne or lingering scars, we’re here to provide comprehensive care in The Dalles, OR, and throughout the Columbia Gorge region. To learn more or schedule a consultation, fill out our online form or call us at (541) 298-5066.