Acne Treatments in Chapel Hill, North Carolina

At Trillium Clinic, we take a comprehensive and personalized approach to acne treatment in Chapel Hill, addressing both the underlying causes and visible symptoms of this common skin condition. Our expert team, led by Stefan C. Weiss MD, Adjunct Professor of Dermatology at the Brown University Warren J Alpert Medical School, utilize the latest medical advancements, including laser therapies, phototherapy, prescription medications, and customized skincare regimens to effectively manage acne and prevent scarring. We understand that every patient’s skin is unique, which is why we tailor treatment plans to individual needs, ensuring optimal results for both teens and adults. Whether you’re dealing with persistent breakouts, hormonal acne, or acne scars, our goal is to restore clear, healthy skin with expert care and innovative solutions.

acne what is Trillium Clinic Dermatology Chapel Hill

Understanding the Causes, Types, and Risk Factors of Acne

What Causes Acne?

Factors Contributing to Acne
  1. Excess Oil Production – Overactive sebaceous glands produce too much oil (sebum), leading to clogged pores and an ideal environment for acne formation.
  2. Clogged Pores & Dead Skin Cells – Skin cells that don’t shed properly can accumulate within hair follicles, mixing with oil and blocking pores, which leads to blackheads, whiteheads, and pimples.
  3. Bacteria (Propionibacterium acnes) – This naturally occurring skin bacteria thrives in clogged pores, triggering inflammation and leading to red, swollen acne lesions.
  4. Hormonal Fluctuations – Changes in hormone levels, particularly androgens, can increase oil production, making acne more common during puberty, menstruation, pregnancy, and conditions like PCOS.
  5. Diet & Lifestyle Factors – High-glycemic foods, dairy, stress, and poor sleep can contribute to acne flare-ups by influencing hormone levels and inflammation in the skin.

At Trillium Clinic Dermatology and Med Spa, we assess these underlying factors and customize acne treatment plans to effectively target the root causes while improving overall skin health.

Acne Types Treated at Trillium Clinic, Chapel Hill

At Trillium Clinic, we provide advanced, customized treatments for all types of acne, ensuring effective solutions tailored to each patient’s skin concerns. Our experts in acne treatment, led by Board-Certified Dermatologist Stefan C. Weiss, MD treat:

  1. Whiteheads and Blackheads (Comedonal Acne) – Managed with topical retinoids, chemical peels, and gentle exfoliation to prevent clogged pores.
  2. Papules and Pustules (Inflammatory Acne) – Treated with prescription topical and oral best acne medications, laser therapies, and anti-inflammatory skincare regimens.
  3. Nodules and Cysts (Severe Acne) – Addressed with isotretinoin, corticosteroid injections, and advanced acne laser treatments to prevent scarring.
  4. Hormonal Acne – Managed using topical sebum reducers, topical retinoids, lasers, chemical peels and customized skincare routines.
  5. Acne Due to Medications or Lifestyle Factors – Personalized dermatology treatments for acne to counteract acne triggered by medications, diet, or stress, including dietary counseling and targeted therapies.

Our acne skincare professionals devise a comprehensive approach that focuses on long-term skin health, helping patients achieve clear, healthy skin with cutting-edge dermatological care.

Have questions before booking?

Call us at 1-919-710-8100, or Schedule Your Appointment Below

Who is at Risk of Acne?

Acne can affect people of all ages and skin types, but certain groups are more prone to breakouts due to genetic, hormonal, and environmental factors. These include:

  • Teens and Young Adults – Hormonal fluctuations during puberty increase oil production, making acne common in adolescents.
  • Adults Experiencing Hormonal Changes – Women during menstruation, pregnancy, or menopause, as well as individuals with conditions like PCOS, may experience persistent acne.
  • People with Sensitive or Oily Skin – Those with naturally oily or reactive skin are more prone to clogged pores and breakouts.
  • Individuals with a Family History of Acne – Genetics play a role, and those with close relatives who have had acne are at higher risk.
  • People Using Certain Medications – Drugs such as corticosteroids, lithium, and hormonal treatments can trigger acne.
  • Men on Testosterone Replacement – Supplements and therapies that increase levels of testosterone can trigger acne.
  • Individuals with High-Stress Levels or Poor Diet – Stress and diets high in refined carbohydrates and dairy may contribute to acne flare-ups.

At Trillium Clinic Dermatology and Med Spa, we assess each patient’s unique risk factors and create customized dermatology treatments for acne to effectively manage and prevent them.

Advanced Acne Treatment in Chapel Hill

Personalized Acne Treatments in Chapel Hill, North Carolina

Acne Diagnosis at Trillium Clinic Dermatology

At Trillium Clinic Dermatology, we take a comprehensive and personalized approach to diagnosing acne, ensuring that we address both visible symptoms and underlying causes. Our process includes:

  • Comprehensive Skin Analysis – Our acne dermatologists perform a detailed examination of the skin to assess the type, severity, and pattern of acne. We also evaluate factors like oil production, inflammation, and scarring.
  • Identifying Triggers & Underlying Conditions – We go beyond surface-level symptoms by identifying potential acne triggers such as hormonal imbalances, diet, stress, medications, and skincare habits. For patients with persistent or resistant acne, we may recommend hormonal testing or additional diagnostic evaluations to uncover deeper causes.

By understanding the unique factors contributing to each patient’s acne, we develop targeted treatment plans that provide long-term relief and promote clear, healthy skin.

Medical Acne Treatments

Medical Acne Treatments at Trillium Clinic: Topical Therapies

At Trillium Clinic, we utilize advanced topical treatments to effectively target acne at its source. Our dermatologists for acne customize each regimen based on skin type, severity, and individual concerns.

  1. Retinoids
    Topical retinoids like tretinoin, adapalene, and tazarotene help prevent clogged pores by increasing cell turnover. They also reduce inflammation and improve skin texture, making them a first-line treatment for comedonal and inflammatory acne.
  2. Clascoterone
    Clascoterone is a breakthrough hormonal acne treatment that works by blocking androgen activity in the skin, reducing oil production and inflammation. Unlike oral hormonal treatments, it works topically, making it a great option for both men and women struggling with hormone-related breakouts.
  3. Topical Antibiotics
    Medications like clindamycin and erythromycin target Propionibacterium acnes bacteria, reducing inflammation and preventing new breakouts. To avoid antibiotic resistance, they are often combined with benzoyl peroxide for enhanced effectiveness.

These medical treatments form a cornerstone of our personalized acne care plans, ensuring long-term control and healthier skin for our patients.

Medical Acne Treatments at Trillium Clinic: Oral Therapies

For patients with moderate to severe acne or those who do not respond to topical treatments, our acne dermatologists may prescribe oral medications to address acne from within.

  1. Oral Antibiotics
    • Medications like doxycycline, minocycline, and sarecycline help reduce Propionibacterium acnes bacteria and inflammation.
    • Best for moderate to severe inflammatory acne and often combined with topical treatments.
    • Safe to use long term
  2. Oral Retinoids (Isotretinoin)
    • Isotretinoin (Accutane) is the most powerful oral acne treatment, used for severe, cystic, or treatment-resistant acne.
    • It works by shrinking sebaceous glands, reducing oil production, preventing clogged pores, and decreasing inflammation.
    • Requires close monitoring due to potential side effects, including dryness, sun sensitivity, depression, suicidality, and rare systemic effects.

At Trillium Clinic, we customize oral acne treatments based on individual skin needs, ensuring safe, effective, and long-term solutions for clear and healthy skin.

Advanced Acne Treatments & Procedures

Chemical Peels for Acne & Scars at Trillium Clinic

At Trillium Clinic, we offer medical-grade chemical peels for acne scars as an effective treatment for both active acne and acne scars. These peels use controlled exfoliation to remove dead skin cells, unclog pores, and stimulate collagen production for smoother, clearer skin.

How Chemical Peels Help with Acne & Scars

  • Treats Active Acne – Reduces oil production, clears clogged pores, and helps prevent future breakouts.
  • Fades Acne Scars & Hyperpigmentation – Encourages skin cell turnover to lighten dark spots and improve skin texture.
  • Smoothens Skin Texture – Reduces the appearance of post-acne marks, fine lines, and roughness.
  • Controls Oil Production – Balances sebum levels to minimize future breakouts.

Types of Chemical Peels We Offer for Acne Scars

  • Salicylic Acid Peel – Ideal for oily, acne-prone skin; penetrates deep into pores to clear congestion.
  • Glycolic Acid Peel – Gently exfoliates and brightens skin, improving acne scars and uneven tone.
  • TCA (Trichloroacetic Acid) Peel – Used for deeper acne scars, stimulating collagen and skin renewal.

Our dermatologists for acne assess your skin type and acne severity to recommend the most suitable peel, ensuring safe and effective results. Schedule a consultation at Trillium Clinic to achieve clearer, healthier skin today!

Microneedling for Acne Scars at Trillium Clinic

At Trillium Clinic, we offer microneedling as an advanced, minimally invasive treatment to improve acne scars, skin texture, and overall skin tone. This collagen-stimulating therapy helps reduce the appearance of scars by promoting natural skin regeneration.

How Microneedling Works for Acne Scars

Microneedling, also known as collagen induction therapy, uses ultra-fine needles to create micro-injuries in the skin. This triggers the body’s natural healing response, stimulating collagen and elastin production to repair damaged skin and smooth out acne scars.

Benefits of Microneedling for Acne Scars

  • Reduces Acne Scars – Helps improve atrophic (indented) scars like icepick, rolling, and boxcar scars.
  • Evens Skin Texture – Smooths rough patches and enhances skin firmness.
  • Minimizes Hyperpigmentation – Fades post-inflammatory dark spots and redness.
  • Enhances Product Absorption – Allows topical serums and growth factors to penetrate deeper for better results.
  • Safe for All Skin Types – Unlike some laser treatments, microneedling is suitable for all skin tones with minimal risk of hyperpigmentation.

What to Expect

  • Treatment takes about 30–60 minutes with minimal discomfort.
  • Mild redness and sensitivity may occur for 24–48 hours post-treatment.
  • Multiple sessions (typically 3–6 treatments) are recommended for optimal scar reduction.

At Trillium Clinic, we combine microneedling with Exosome or growth factor serums for enhanced healing and skin renewal. Schedule a consultation to see if microneedling is the right solution for your acne scars!

Cortisone Injections for Cystic Acne at Trillium Clinic Dermatology

At Trillium Clinic Dermatology, we offer patients with acne treatment in Chapel Hill, Durham, Cary, and Raleigh cortisone injections as a fast and effective treatment for cystic acne—painful, deep, inflamed breakouts that do not respond well to topical treatments. This in-office procedure provides rapid relief and reduces the risk of scarring.

How Cortisone Injections Work

  • A small amount of corticosteroid medication is injected directly into the cyst or nodule.
  • The anti-inflammatory properties quickly reduce swelling, redness, and pain.
  • Results are noticeable within 24–48 hours, with the lesion flattening and healing faster.

Benefits of Cortisone Injections

  • Rapid Relief – Works within days, unlike traditional acne treatments that take weeks.
  • Prevents Scarring – Reduces inflammation, minimizing the risk of post-acne scars.
  • Targets Stubborn Breakouts – Ideal for large, painful cysts that do not respond to other treatments.
  • Safe & Minimally Invasive – A quick, in-office procedure with no downtime.

Who Is a Good Candidate?

  • Patients with severe, painful, or recurring cystic acne.
  • Those looking for immediate relief before important events.
  • Individuals struggling with acne scars due to deep breakouts.

While cortisone injections provide fast relief, they are not a long-term acne solution. At Trillium Clinic, our dermatology specialists for acne create customized acne treatment plans to prevent future breakouts and maintain clear skin. Schedule a consultation to learn more!

Facials for Acne-Prone Skin at Trillium Clinic Dermatology and Med Spa

At Trillium Med Spa, we offer medical-grade facials designed specifically for acne-prone skin. These treatments provide deep cleansing, exfoliation, and hydration to help prevent breakouts, reduce inflammation, and promote a clearer complexion.

Benefits of Acne Facials

  • Deep Cleansing – Removes excess oil, dirt, and impurities that clog pores.
  • Exfoliation & Unclogging Pores – Uses gentle chemical or enzymatic exfoliation to prevent blackheads and breakouts.
  • Bacteria Reduction – Specialized treatments help reduce Propionibacterium acnes, the bacteria responsible for acne.
  • Hydration Without Clogging Pores – Balances moisture levels to prevent excessive oil production.
  • Reduces Redness & Inflammation – Soothes active breakouts and promotes skin healing.

Types of Acne Facials We Offer

  • Deep Pore Cleansing Facial – Includes gentle extractions, exfoliation, and a soothing mask to purify the skin.
  • Salicylic Acid or Glycolic Acid Facial – Uses chemical exfoliants to unclog pores and smooth skin texture.
  • Hydrafacial for Acne – Combines gentle suction, exfoliation, and hydration to deeply cleanse and nourish acne-prone skin.
  • LED Light Therapy Facial – Uses blue light technology to kill acne-causing bacteria and reduce inflammation.

Who Can Benefit from Acne Facials?

  • Individuals with mild to moderate acne (blackheads, whiteheads, or pustules).
  • Those looking to prevent breakouts and maintain healthy skin.
  • Patients combining facials with other acne treatments like chemical peels or microneedling for enhanced results.

Our team at Trillium Clinic Dermatology and Med Spa customize facials based on your skin’s unique needs. Schedule a consultation to find the best acne facial for you!

AviClear: The Breakthrough Laser Treatment for Acne at Trillium Clinic Dermatology

At Trillium Clinic, we are proud to offer AviClear, the first and only FDA-cleared laser treatment designed to treat acne at its source. This revolutionary therapy provides a long-term solution for mild, moderate, and severe acne without the need for medications.

How AviClear Works

AviClear uses a specialized 1726 nm laser that targets and selectively suppresses the sebaceous glands, reducing excess oil production—a primary cause of acne. Unlike traditional treatments, AviClear works without harsh chemicals or systemic side effects.

Benefits of AviClear for Acne

  • Long-Lasting Acne Reduction – Provides sustained improvement in breakouts over time.
  • Safe for All Skin Types – Works effectively on all skin tones without risk of hyperpigmentation.
  • No Downtime or Harsh Side Effects – Unlike oral medications, AviClear is non-invasive and requires no recovery time.
  • Clinically Proven Results – Many patients see a significant reduction in breakouts within 3 treatments spaced one month apart.

Who Is a Good Candidate?

  • Patients with persistent acne that hasn’t responded to traditional treatments.
  • Individuals looking for a drug-free, long-term solution for acne.
  • Those struggling with hormonal, cystic, or inflammatory acne.

AviClear is a game-changer in acne treatment, offering clearer skin with fewer breakouts—without the need for antibiotics or isotretinoin. Schedule a consultation at Trillium Clinic to see if AviClear is right for you!

Non-Ablative CO₂ Laser for Acne at Trillium Clinic Dermatology

At Trillium Clinic, we offer non-ablative CO₂ laser treatments as an advanced, minimally invasive solution for active acne and skin texture improvement. This cutting-edge technology stimulates collagen production while keeping the skin’s surface intact, leading to clearer, smoother skin with minimal downtime.

How Non-Ablative CO₂ Laser Works

  • Delivers fractionated laser energy deep into the skin, targeting sebaceous glands to reduce oil production and prevent future breakouts.
  • Stimulates collagen and elastin production, helping to repair uneven skin texture.
  • Uses a gentler approach compared to ablative lasers, making it safer for darker skin types with faster healing.

Benefits of Non-Ablative CO₂ Laser for Acne

  • Reduces Active Acne – Targets oil glands to minimize breakouts.
  • Minimal Downtime – Unlike traditional CO₂ lasers, this treatment has faster recovery with mild redness lasting only a few days.
  • Safe for All Skin Types – Lower risk of pigmentation issues, making it suitable for diverse skin tones.
  • Improves Skin Texture & Tone – Enhances overall skin clarity, reducing redness, pores, and fine lines.

Who Can Benefit from Non-Ablative CO₂ Laser?

  • Patients with moderate to severe acne.
  • Individuals with persistent acne and oily skin.
  • Those looking for a gentle yet effective alternative to traditional laser resurfacing.

At Trillium Clinic Dermatology and Med Spa, Board-Certified Cosmetic Dermatologist Stefan C Weiss, MD customizes laser settings to maximize results while ensuring patient safety. Schedule a consultation to see how non-ablative CO₂ laser therapy can transform your skin!

Ablative CO₂ Laser for Acne Scars at Trillium Clinic Dermatology

At Trillium Clinic, we offer ablative CO₂ laser resurfacing, one of the most effective treatments for deep acne scars and skin texture improvement. This advanced laser therapy removes damaged skin layers and stimulates collagen remodeling, revealing smoother, more even-toned skin.

How Ablative CO₂ Laser Works

  • Uses high-energy laser beams to precisely remove the outer layers of damaged skin.
  • Triggers the body’s natural healing response, boosting collagen production to fill in acne scars.
  • Resurfaces the skin for dramatic texture improvements and scar reduction.

Benefits of Ablative CO₂ Laser for Acne Scars

  • Significantly Reduces Deep Acne Scars – Highly effective for boxcar, icepick, and rolling scars.
  • Stimulates New Collagen Growth – Improves skin elasticity and firmness over time.
  • Smooths Skin Texture – Reduces roughness, discoloration, and residual acne marks.
  • Long-Lasting Results – Offers permanent improvement with proper skincare and sun protection.

Downtime & Recovery

  • Redness, swelling, and peeling for 7–14 days post-treatment.
  • Requires proper post-care (moisturization, sun protection, and mild skincare) for optimal healing.
  • Results continue to improve over several months as new collagen forms.

Who Is a Good Candidate?

  • Patients with severe, deep acne scarring that hasn’t responded to other treatments.
  • Individuals looking for a one-time, high-impact solution rather than multiple sessions.
  • Those willing to follow post-procedure care for proper healing.

At Trillium Clinic Dermatology and Med Spa, Board-Certified Cosmetic Dermatologist Stefan C Weiss, MD customizes the CO₂ laser settings to match your skin type and scar severity, ensuring optimal results with safety in mind. Schedule a consultation to see if ablative CO₂ laser therapy is right for you!

Why Choose Our Acne Dermatologist or Treatment in Chapel Hill, North Carolina?

Expertise of Dr. Stefan C. Weiss in Medical Dermatology

Board-Certified Dermatologist Stefan C. Weiss MD, Adjunct Professor of Dermatology at The Warren Alpert Medical School of Brown University is a world-renowned expert in medical, surgical, and cosmetic dermatology. With extensive training and a patient-focused approach, Dr. Weiss specializes in the diagnosis and treatment of complex skin conditions, including acne, psoriasis, alopecia, and skin cancer.

His expertise in advanced acne treatments—ranging from topical and oral medications to cutting-edge therapies like AviClear, chemical peels, and CO₂ laser resurfacing—makes him a sought-after dermatology specialist for acne for patients seeking personalized and effective dermatologic care. Dr. Weiss is committed to delivering evidence-based treatments, ensuring exceptional results for his patients.

Why Choose Trillium Clinic for Acne Treatment?

At Trillium Clinic, we believe in a comprehensive and patient-centered approach to treating acne. Our goal is not just to clear breakouts but to provide long-term solutions for healthy, radiant skin.

  1. Personalized Treatment Plans Tailored to Your Skin Type
    Acne is not a one-size-fits-all condition. Every patient has unique skin types, triggers, and treatment responses, which is why we create customized treatment plans based on:
    • Skin type (oily, dry, combination, or sensitive)
    • Severity of acne (comedonal, inflammatory, cystic, or hormonal)
    • Medical history and lifestyle factors
    • Underlying conditions contributing to breakouts

    Our team, led by Dr. Stefan C. Weiss, carefully evaluate your skin through a comprehensive analysis to design a targeted treatment regimen that provides the best results.

  2. Advanced, Evidence-Based Acne Treatments

    At Trillium Clinic, we stay at the forefront of scientific advancements in dermatology to offer the most effective acne treatments. Our approach includes:

    • Medical Therapies – Topical retinoids, antibiotics, oral medications, and hormonal treatments
    • Laser & Light TherapiesAviClear, non-ablative and ablative CO₂ laser for acne and scarring
    • Minimally Invasive ProceduresChemical peels, microneedling, cortisone injections, and medical facials
    • Innovative Solutions – Customized skincare regimens using the latest dermatologist-approved ingredients

    Our commitment to evidence-based treatments ensures that each patient receives therapies backed by clinical research and proven success.

  3. Compassionate Care with a Patient-First Approach

    We understand that acne is not just a cosmetic concern—it can affect self-confidence, mental well-being, and overall quality of life. Our dermatology specialist for acne take a compassionate and supportive approach, ensuring that every patient feels:

    • Heard and understood – We take the time to address your concerns and goals.
    • Informed and empowered – We educate you on treatment options and skincare best practices.
    • Confident in their skin – Our treatments are designed to restore both skin health and self-esteem.

At Trillium Clinic Dermatology, our priority is to help you achieve clear, healthy skin with long-lasting results. Whether you’re struggling with persistent breakouts or acne scars, our expert dermatologists in acne treatment are here to guide you through a personalized and scientifically advanced treatment journey. Schedule a consultation today to take the first step toward clearer skin!

Schedule your Acne treatment consultation in Chapel Hill today

At Trillium Clinic, we are dedicated to helping you achieve clearer, healthier skin with personalized, cutting-edge acne treatments. Whether you’re dealing with persistent breakouts, hormonal acne, or acne scars, our acne skincare professionals/dermatologists are here to create a tailored treatment plan that works for you.

How to Get Started?

Step 1: Schedule a Consultation

Book an appointment online or call our Chapel Hill office to schedule your acne evaluation.
During your visit, our dermatologists will perform a comprehensive skin analysis, discuss your concerns, and recommend the best treatment options.

Step 2: Personalized Treatment Plan

Based on your skin type and acne severity, we develop a customized treatment plan using the latest medical, laser, and skincare solutions.
We guide you through lifestyle adjustments, prescription treatments, and in-office procedures for optimal results.

Step 3: Begin Your Acne Treatment Journey in Chapel Hill

Start your treatment regimen with expert monitoring to ensure progress.
We provide ongoing support, follow-ups, and skincare recommendations to help you maintain long-term skin health.

Insurance & Payment Options

We believe that quality dermatologic care should be accessible. Trillium Clinic accepts most major insurance plans, and we offer flexible self-pay and financing options for certain cosmetic acne treatments not covered by insurance.

  • Accepted Insurances – Our website has an up to date list of insurance carriers with whom we contract. However, you should contact your carrier to verify your coverage under your specific plan.
  • HSA/FSA Eligibility – Many acne treatments may be covered under Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA).
  • Flexible Payment Plans – Available for advanced procedures like AviClear, chemical peels, and laser resurfacing.

Ready to take control of your acne? Schedule your consultation at Trillium Clinic Dermatology in Chapel Hill today and start your journey to clearer, healthier skin!

Frequently Asked Questions (FAQs) - Acne Treatment

How Long Does It Take to See Results from Acne Treatments?

The timeline for acne treatment results depends on the severity of your acne, the type of treatment used, and how well your skin responds. Here’s a general guide:

  • Topical Treatments (Retinoids, Antibiotics, Clascoterone, Benzoyl Peroxide)4 to 8 weeks for noticeable improvement. Consistent use is key.
  • Oral Medications (Antibiotics, Hormonal Therapy, Isotretinoin)6 to 12 weeks for significant reduction in breakouts.
  • AviClear Laser Therapy – Many patients see reduced acne after the first session, with the best results appearing 3 to 6 months after completing treatment.
  • Chemical Peels & Microneedling – Improvements in skin texture and post-acne marks become visible after 2 to 4 sessions.
  • Cortisone Injections for Cystic Acne – Works within 24 to 48 hours, rapidly reducing swelling and pain.
  • Laser Resurfacing (CO₂ Laser for Scars) – Initial results in 2 to 4 weeks, with continued collagen remodeling over several months.

Do I Need Follow-Up Appointments?

Yes, follow-up visits are essential to assess your progress and adjust treatments if needed. Our dermatologists at Trillium Clinic schedule follow-ups to:

  • Monitor your response to medications or procedures.
  • Adjust your treatment plan if needed for better results.
  • Manage side effects or concerns.
  • Ensure long-term acne control and prevent future breakouts.

For most patients, follow-ups are scheduled every 4 to 6 weeks until the acne is well-controlled. Long-term maintenance visits may be needed every few months to sustain results.

Ready to begin your journey to clear skin? Schedule your acne treatment consultation in Chapel Hill today with Trillium Clinic!

Choosing the right acne treatment depends on several factors, including your skin type, acne severity, medical history, and lifestyle. At Trillium Clinic, we take a personalized approach to acne care, ensuring that each patient receives the most effective treatment for their unique skin needs. Factors to Consider When Choosing an Acne Treatment:
  • Type & Severity of Acne
    • Mild Acne (Blackheads & Whiteheads): Best treated with topical retinoids, benzoyl peroxide, or salicylic acid.
    • Moderate Acne (Papules & Pustules): Combination treatments like topical antibiotics, clascoterone, and chemical peels can help.
    • Severe Acne (Nodules & Cysts): Requires oral antibiotics, isotretinoin, laser therapy, or cortisone injections.
  • Skin Type & Sensitivity
    • Oily Skin: Treatments that reduce oil production, such as AviClear laser or topical retinoids.
    • Sensitive Skin: Gentle options like azelaic acid or non-irritating topical treatments.
    • Combination Skin: A customized regimen that balances oil control and hydration.
  • Underlying Causes & Triggers
    • Hormonal Acne: Treated with oral contraceptives, spironolactone, or AviClear laser.
    • Acne Due to Lifestyle or Medications: Identifying triggers and adjusting skincare or prescriptions.
  • Scarring & Post-Acne Marks
    • Red or Brown Marks: Treated with chemical peels, microneedling, or laser resurfacing.
    • Deep Acne Scars: May require ablative CO₂ laser or microneedling with PRP.
How Trillium Clinic Helps You Choose the Right Treatment At your consultation, our dermatologists will: Perform a comprehensive skin analysis to assess acne severity and skin type. Identify underlying causes and triggers. Develop a customized treatment plan tailored to your skin’s needs. Ready to find the best acne solution for you? Book a consultation at Trillium Clinic today and start your journey toward clear, healthy skin!

The cost of visiting a dermatologist for acne treatment in Chapel Hill varies based on the clinic, whether they impose a facility fee, the specific treatments recommended, and your insurance coverage. Here’s a general overview:

Consultation Fees:

  • Medical Dermatology Consultations: If your visit is for medical purposes, such as acne treatment, the consultation will be billed to your insurance. Your out-of-pocket costs would depend on your plan’s co-pay, deductible, and coverage details.
  • Cosmetic Consultations: For procedures considered cosmetic, a separate consultation fee is charged.

Treatment Costs:

  • Topical and Oral Medications: Costs vary depending on whether generic versions are available and your insurance coverage.
  • In-Office Procedures: Treatments like chemical peels, laser therapy, or microneedling have varying costs.

Insurance and Payment Options:

Next Steps:

  1. Contact Clinics Directly: Reach out to Trillium Clinic Dermatology (919-710-8100) to inquire about consultation fees, treatment costs, and accepted insurance plans.
  2. Verify Insurance Coverage: Consult with your insurance provider to understand your coverage for dermatology visits and treatments.
  3. Discuss Treatment Options: During your consultation, discuss the recommended treatment plan and associated costs with your dermatologist.

By taking these steps, you can gain a clearer understanding of the potential costs involved in acne treatment and make an informed decision that aligns with your healthcare needs and financial considerations.

Yes, laser resurfacing can be an excellent option for treating acne scars, especially for deeper or more stubborn scars that don’t respond to topical treatments alone. The laser works by removing damaged layers of skin and stimulating collagen production, which helps to improve the skin’s texture and appearance.

Benefits of Laser Resurfacing for Acne Scars

  1. Reduces Scar Depth & Appearance – Both ablative (removes skin layers) and non-ablative (stimulates deep layers without removing skin) lasers target scar tissue and improve skin texture, especially for boxcar, icepick, and rolling scars.
  2. Stimulates Collagen Production – This promotes skin regeneration and improves the elasticity and smoothness of the skin over time, making scars less noticeable.
  3. Minimal Downtime (Non-Ablative Options)Non-ablative lasers (like fractional CO₂ lasers) have less downtime than ablative lasers, making them a good choice for patients with busy lifestyles.
  4. Long-Lasting Results – Once the skin has healed, the results are often permanent, although maintenance sessions may be required to address new scars or further skin aging.
  5. Improves Overall Skin Texture – In addition to treating acne scars, laser resurfacing can improve overall skin texture, reduce pores, and help with hyperpigmentation or redness left from acne.

Types of Laser Resurfacing for Acne Scars

  1. Ablative Lasers (CO₂) – These are more aggressive and are typically used for severe scarring. They remove the outer skin layers and promote faster collagen remodeling but may require longer recovery times.
  2. Non-Ablative Lasers (Fractional CO₂) – These lasers target deeper layers of skin without damaging the surface. They are better for milder scarring or for patients looking for minimal downtime.

Considerations

  1. Treatment Plan & Consultation – Laser resurfacing is not a one-size-fits-all solution. A consultation with a dermatologist will help determine if laser resurfacing is right for you based on your skin type, acne scar severity, and overall health.
  2. Post-Treatment Care – After laser resurfacing, there may be swelling, redness, or peeling for a few days to weeks, especially with ablative treatments. Proper sun protection and moisturization are essential to optimize healing.

Is Laser Resurfacing Right for You?

Laser resurfacing is a highly effective option for persistent acne scars and works best for individuals who have mature scars that haven’t responded to other treatments like topical creams, chemical peels, or microneedling.

If you’re considering laser resurfacing, schedule a consultation at Trillium Clinic where our dermatology specialists for acne can design a custom treatment plan tailored to your skin’s needs.

It is not common to experience painful acne breakouts after laser resurfacing, but there can be some temporary skin reactions as your skin heals. Here’s what you might expect

  1. Post-Treatment Skin Sensitivity
    • Mild Redness, Swelling, or Sensitivity: After laser resurfacing, your skin may feel sensitive, similar to a mild sunburn, for a few days. This is a normal part of the healing process.
    • Peeling or Dryness: The treated skin might peel or flake as it regenerates. This is typically not painful but can be uncomfortable.
  2. Potential for Acne Breakouts
    • In some cases, particularly if you have oily or acne-prone skin, there could be a slight flare-up in acne breakouts following the procedure. This is usually temporary and occurs as the skin adjusts to the healing process. Some factors that might contribute to this include:
      • Increased oil production as the skin heals.
      • Minor irritation from the resurfacing procedure that may bring underlying comedones (blocked pores) to the surface.
    • However, acne breakouts after laser resurfacing are generally milder and short-lived compared to regular acne flare-ups. Non-ablative lasers tend to cause fewer breakouts compared to ablative lasers.
  3. Preventive Measures
    • Your dermatologist will typically recommend a gentle skincare routine post-treatment, which may include hydrating and soothing products to keep your skin calm and prevent further irritation.
    • Topical acne treatments might be adjusted to address potential breakouts and prevent scarring.

When to Seek Help

If you notice persistent or painful breakouts after laser resurfacing that seem unusual or are causing significant discomfort, it’s best to reach out to your dermatologist. They can assess your skin and recommend treatment to prevent any complications.

Overall, while some mild breakouts can occur as a part of the healing process, laser resurfacing is generally beneficial for acne-prone skin in the long term. At Trillium Clinic, we ensure you receive the appropriate care and guidance before, during, and after the procedure for the best possible outcome.

Yes, chemical peels can be highly effective in treating both active acne and acne scars by promoting skin exfoliation and regeneration. The type of chemical peel used will depend on the severity of your acne and the type of scars you’re trying to treat. Here’s a breakdown of how they work and the most effective options:

How Chemical Peels Work for Acne & Acne Scars

  • Exfoliation: Chemical peels work by applying a solution to the skin that exfoliates the outer layer, helping to clear clogged pores and reduce active acne.
  • Collagen Stimulation: In addition to treating current acne, peels can stimulate collagen production, which helps to smooth the skin and reduce the appearance of acne scars (especially hyperpigmentation and textural scars).
  • Unclogging Pores: Peels can help to decongest pores, preventing future breakouts by removing dead skin cells that can contribute to clogged follicles.

Types of Chemical Peels for Acne & Acne Scars

There are three main categories of chemical peels, each with different strengths and effects:

  1. Superficial Peels (Light Peels)
    • Ingredients: Typically use salicylic acid, glycolic acid, or lactic acid.
    • Effectiveness: Best for mild acne and light hyperpigmentation. These peels exfoliate the uppermost layer of the skin and are gentler, with minimal downtime.
    • Frequency: May need to be repeated every 2 to 4 weeks for continued results.
  2. Medium Peels
    • Ingredients: Trichloroacetic acid (TCA) or stronger salicylic acid solutions.
    • Effectiveness: Ideal for moderate acne and superficial scars. These peels penetrate deeper than superficial peels and can help to improve skin texture and reduce the appearance of light scarring or post-inflammatory hyperpigmentation.
    • Frequency: Typically, 3 to 6 sessions are needed for optimal results, spaced about 4 to 6 weeks apart.
  3. Deep Peels
    • Ingredients: Phenol or high-concentration TCA.
    • Effectiveness: Best for severe acne scars (like boxcar or rolling scars) and deep hyperpigmentation. Deep peels work by removing the outer skin layers and stimulating significant collagen remodeling, improving skin texture and deeply reducing scars.
    • Downtime: These peels require more downtime (about 7–10 days) for recovery and are often done less frequently, with results lasting longer.
    • Frequency: One to two treatments may be enough for optimal results.

Most Effective Peels for Acne & Acne Scars

  • Salicylic Acid Peels – A great choice for active acne and blackheads. Salicylic acid is an oil-soluble acid that can penetrate deep into the pores to clear out blockages and reduce inflammation. It also has anti-inflammatory properties that help calm active breakouts.
  • Glycolic Acid Peels – These are effective for treating mild acne scars and uneven skin tone. Glycolic acid helps with exfoliation and skin texture improvement by removing the top layers of dead skin cells and stimulating collagen.
  • TCA (Trichloroacetic Acid) Peels – These are more suitable for moderate to severe acne scars, including textural scars and hyperpigmentation. TCA peels penetrate deeper into the skin and help with collagen stimulation and scar remodeling.

Benefits of Chemical Peels for Acne & Acne Scars

  • Improved Skin Texture: Medium to deep peels can significantly smooth skin, especially for patients with textural acne scars (like rolling or boxcar scars).
  • Reduced Hyperpigmentation: Chemical peels can help lighten post-inflammatory hyperpigmentation (the red or brown marks left after acne heals).
  • Prevention of New Breakouts: By unclogging pores and reducing the buildup of dead skin cells, peels can help prevent future acne outbreaks.

Considerations

  • Skin Type: Some peels are not suitable for darker skin tones as they may increase the risk of hyperpigmentation or hypopigmentation. Make sure to consult with a dermatologist to determine the best option for your skin type.
  • Downtime: Depending on the depth of the peel, you may experience peeling, redness, or irritation for a few days to a week.
  • Multiple Treatments: For best results, you may need several sessions, especially if you have deep acne scars or persistent acne.

Conclusion

For active acne, salicylic acid peels are highly effective in clearing breakouts. For acne scars, TCA or medium-depth glycolic acid peels can offer excellent results in smoothing scars and improving skin texture. Deep peels are the most aggressive but can provide the most significant improvements for severe scarring.

If you’re considering chemical peels, it’s best to schedule a consultation with an experienced dermatologist at Trillium Clinic Dermatology and Med Spa, who can evaluate your skin and recommend the most appropriate peel for your acne and scarring.

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