Overview
Why acne happens.
Acne develops when four factors combine: excess oil production, clogged pores, acne-causing bacteria (C. acnes) and inflammation. Hormones, genetics, stress, certain medications and some skincare or hair products can all play a role.
Acne isn't only a teenage problem. Many women experience their first or worst breakouts in their 20s, 30s and 40s, often along the jawline and chin. Read more about hormonal acne.
Types
Signs & types.
- Blackheads and whiteheads (comedonal acne)
- Red, tender bumps and pus-filled pimples (inflammatory acne)
- Deep, painful nodules and cysts
- Dark marks left behind (post-inflammatory hyperpigmentation)
- Acne scars: rolling, boxcar or ice-pick
- Body acne on the chest, back and shoulders
How we treat
How Dr. Burris treats acne.
- Topical prescriptions: retinoids such as tretinoin and adapalene, benzoyl peroxide, topical antibiotics, azelaic acid and clascoterone
- Oral treatments: short courses of antibiotics, spironolactone for hormonal acne, and isotretinoin for severe or scarring acne
- In-office treatments: salicylic acid chemical peels and cortisone injections for painful cysts
- Scar treatment: microneedling once active acne is under control
- A simple, sustainable routine that supports your treatment rather than irritating your skin
Your visit
What to expect.
Your first visit includes a full review of your skin, your history, what you've already tried, and any hormonal or lifestyle factors. Most treatment plans need 8–12 weeks to show meaningful improvement, so follow-up visits are scheduled to adjust your regimen until your skin is clear.
Questions
Frequently asked questions.
When should I see a dermatologist for acne?
If over-the-counter products haven't helped within 2–3 months, if your acne is painful or cystic, if it's leaving dark marks or scars, or if it's affecting your confidence, it's time to be seen.
How long does acne treatment take to work?
Most treatments take 8–12 weeks before meaningful improvement shows. Consistency matters more than any single product.
Do you prescribe isotretinoin (Accutane)?
Isotretinoin can be an excellent option for severe, scarring or treatment-resistant acne. Dr. Burris will discuss whether it's appropriate for you and what monitoring is required.
Do you treat teen acne?
Yes. Dr. Burris treats acne in teens as well as adults. See our pediatric dermatology page for more.
Can acne scars be treated?
Yes. Once active acne is controlled, microneedling, chemical peels and other procedures can significantly improve texture and scarring.