Acne

Q: Common reactions (short-term, post-treatment)

Retinoid adaptation phase : Peeling, tightness, stinging, temporary “Active breakout phase” (4–8 weeks) BPO Local irritation : Redness and dryness (alternate-day application recommended to start) AviClear treatment : Mild warmth, slight swelling, typically resolves within 24 hours Oral antibiotics : Gastrointestinal discomfort, photosensitivity (strict sun protection required) Isotretinoin : Cheilitis, dryness, night blindness, elevated lipids (regular monitoring required)

Q: Serious risks (rare but must be disclosed)

Isotretinoin teratogenicity (Absolutely contraindicated during pregnancy · Strict contraception required for at least 1 month) Isotretinoin-associated mood changes (depression reported in a minority of cases; must be disclosed to the treating physician) Rare antibiotic allergy / pseudomembranous colitis PIH worsening (triggered by incorrect energy settings / inappropriate protocols) Temporary redness or temporary worsening of depressions after scar repair (most resolve on their own)

What is acne? And why is it more than just “teenage breakouts”?

REAL PATIENT RESULTS

Our physician’s Real Cases: Comprehensive Acne & Post-Acne Mark Treatment

The following before-and-after images are from real clients treated personally by our physician at Luowei Medical Aesthetics Clinic (Nanjing). All clients have signed a written Media Release Form authorizing public use. Acne (Acne Vulgaris · ICD-10 L70.0) requires an extended treatment course. All photographs are unretouched clinical records. Individual results vary based on skin type, Fitzpatrick phototype, hormonal status, and treatment adherence.

BEFORE

AFTER

Case 1 · Acne & Breakouts Real Patient Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Laser Vascular Reduction + Genius™ + Infini™ Second-Generation RF Microneedling + Lutronic INFINI® RF Microneedling (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 01: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 2 · Acne – Real Patient Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Vbeam®Redness Elimination + Vbeam® Sensitive Skin Restoration + Genius™ + Infini™ Second-Generation RF Microneedling, and 7 other modalities (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 02: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 3 · Acne Real Patient Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Laser vascular reduction + Vbeam® Perfecta IPL + Vbeam® redness reduction + Vbeam® sensitive skin repair — 8 modalities (multiple sessions over 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 03: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 4 · Acne Real Clinical Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Laser vascular reduction + Vbeam® Perfecta IPL + Vbeam® redness reduction + Vbeam® sensitive skin repair — 8 modalities (multiple sessions over 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 04: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 5 · Acne & Breakouts Real Patient Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Vbeam®Redness reduction + Vbeam® sensitive skin repair + Vbeam® vascular lesion treatment + Genius™ — 7 modalities (multiple sessions over 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 05: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 6 · Acne – Real Patient Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Vbeam®Redness elimination + Vbeam® sensitive skin restoration (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 06: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 7 · Acne Real Patient Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: AI BBL HEROIC™ Skin Clarifying & Acne Treatment + Laser Vascular Reduction + Vbeam® Perfecta Pulsed Dye Laser + Vbeam® Redness Elimination, and 8 other modalities (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 07: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 13 · Acne & Breakouts Real Patient Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: AI BBL HEROIC™ skin-clearing & acne treatment + laser vascular reduction + Vbeam® intense pulsed dye laser + Vbeam® redness elimination — 5 modalities (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 13: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 15 · Acne – Real Patient Record

patient profile: Asian Male · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Lutronic Genius®Morpheus8® + Lutronic INFINI® radiofrequency microneedling + erbium laser (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Annual energy maintenance session + home retinoid regimen

Case 15: Acne Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 16 · Acne Real Patient Record

patient profile: Asian Male · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Laser Vascular Reduction + Vbeam® Redness Elimination + Vbeam® Sensitive Skin Restoration + Lutronic Genius® Intelligent RF Microneedling, and 5 other modalities (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Annual energy maintenance session + home retinoid regimen

Case 16: Acne & Breakouts Before & After · Asian Male · Fitzpatrick IV · Multimodal Combination Protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 17 · Acne Real Clinical Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Lutronic Genius®Smart RF microneedling (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Annual energy maintenance session + home retinoid regimen

Case 17: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 18 · Acne & Breakouts Real Patient Record

patient profile: Asian Male · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Laser Vascular Reduction + Vbeam® Redness Elimination + Vbeam® Sensitive Skin Restoration + Lutronic Genius® Intelligent RF Microneedling, and 5 other modalities (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Annual energy maintenance session + home retinoid regimen

Case 18: Acne Treatment Before & After · Asian Male · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 22 · Acne Real Patient Record

patient profile: Asian Male · Fitzpatrick I · Persistent, Recurring for Years
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: AI BBL HEROIC™ Skin Clarifying & Acne Treatment + Mesotherapy (4–6 sessions)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Hydrafacial Monthly in-clinic session × 1 + home-use AHA/BHA + prescription retinoid + sun protection

Case 22: Acne Treatment Before & After · Asian Male · Fitzpatrick I · Persistent, Recurrent Acne for Years · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 1 · Acne & Breakouts Real Patient Record

patient profile: Asian Female · Fitzpatrick IV
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Laser Thread Vein Removal + Vbeam® Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling, and 6 other modalities (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Annual energy maintenance session + home retinoid regimen

Case 01: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 5 · Acne & Breakouts Real Patient Record

patient profile: Asian Female · Fitzpatrick I
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: AI BBL HEROIC™ Skin Clarifying & Acne Treatment + AI BBL HEROIC™ Redness Reduction + LUMECCA IPL + M22® IPL Photofacial, and 19 other modalities (multiple sessions within 3 months)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Hydrafacial/Monthly skin booster × 1 + sun protection

Case 05: Acne & Breakouts Before & After · Asian Female · Fitzpatrick I · Multimodal Combination Protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 21 · Acne – Real Patient Record

patient profile: Asian Female · Fitzpatrick IV · Persistent, long-term, years
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Dual Picosecond Combination Therapy: PicoSure® + PicoSure Pro® + PicoWay®, and 7 other modalities (1–2 sessions)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 21: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Persistent, Long-Term · Multimodal Combination Protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 23 · Acne Real Clinical Record

patient profile: Asian Female · Fitzpatrick IV · Persistent, long-term, years
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Dual Picosecond Combination Therapy + PicoSure® + PicoSure Pro® + PicoWay®, and 5 other modalities (1–2 sessions)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 23: Acne – Before & After · Asian Female · Fitzpatrick IV · Persistent, Long-Term · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 53 · Acne & Breakouts Real Patient Record

patient profile: Asian Female · Fitzpatrick IV · Persistent, Recurring for Years
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: AI BBL HEROIC™ skin-clearing acne protocol + Vbeam® Perfecta IPL + Vbeam® redness reduction + Genius™ — 5 modalities (4–6 sessions)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 53: Acne – Before & After · Asian Female · Fitzpatrick IV · Persistent, Recurring for Years · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 54 · Acne – Real Patient Record

patient profile: Asian Female · Fitzpatrick IV · Persistent, Recurring for Years
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: AI BBL HEROIC™ skin-clearing acne protocol + Vbeam® Perfecta IPL + Vbeam® redness reduction + Genius™ — 5 modalities (4–6 sessions)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Daily sun protection + monthly home care + quarterly in-clinic assessment

Case 54: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Persistent, Recurrent Acne for Years · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 55 · Acne Real Patient Record

patient profile: Asian Male · Fitzpatrick IV · Persistent, Recurring for Years
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling + Lutronic INFINI® Gold RF Microneedling, and 5 other modalities (4–6 sessions)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Annual energy maintenance session + home retinoid regimen

Case 55: Acne Before & After · Asian Male · Fitzpatrick IV · Persistent, recurrent breakouts over multiple years · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 56 · Acne Real Clinical Record

patient profile: Asian Male · Fitzpatrick IV · Persistent, Recurring for Years
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling + Lutronic INFINI® Gold RF Microneedling, and 5 other modalities (4–6 sessions)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Annual energy maintenance session + home retinoid regimen

Case 56: Acne & Breakouts Before & After · Asian Male · Fitzpatrick IV · Persistent, Recurring for Years · Multimodal Combination Protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 57 · Acne & Breakouts Real Patient Record

patient profile: Asian Female · Fitzpatrick I · Persistent, Recurring for Years
Concerns: Acne (Comprehensive Improvement with Multimodal Combination Protocol)
treatment plan: Ai BBL® HEROic™Photofacial + Acne Clearance: AI BBL HEROIC™ + AI BBL HEROIC™ Smart Photofacial + AI BBL HEROIC™ Redness Relief, and 23 other modalities (4–6 sessions)
Treatment outcomes: Significant acne improvement · Natural overall result
post-treatment darkening: No PIH
maintenance: Hydrafacial/Monthly skin booster × 1 + sun protection

Case 57: Acne Before & After · Asian Female · Fitzpatrick I · Persistent, recurrent breakouts over multiple years · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

WHAT IS ACNE

What is acne? And why is it more than just “teenage breakouts”?

acne (Acne Vulgaris · ICD-10 L70.0) Is a type of Chronic inflammatory pilosebaceous unit a condition involving four interconnected mechanisms: excess sebum production, abnormal follicular keratinization, Cutibacterium acnes (C. acnes) proliferation, and immune-mediated inflammation. It is not “inadequate cleansing”, is a type of a skin condition requiring medical management.

5 Commonly Misunderstood Facts About Acne

Not just a teenage problem — adult acne is increasingly common

Over the past decade the incidence of adult acne in people aged 25–45 has risen significantly, especially cystic jawline acne in Asian women. It is closely linked to hormonal fluctuations, stress, and a compromised skin barrier — and the treatment approach is entirely different from adolescent acne.

Acne is not a cleanliness issue — over-cleansing can actually make it worse

The root cause of acne is Sebaceous gland dysfunction and abnormal keratinization, is not “not washing the face thoroughly”. Washing your face more than 3 times a day or using harsh cleansers disrupts the skin barrier,triggering more severe inflammation.

Post-acne marks ≠ acne scars — these are two entirely different concerns

Red post-acne marks (PIE) represent vascular dilation; brown marks (PIH) represent pigmentation; atrophic acne scars represent a loss of dermal tissue.All three require entirely different treatment approaches, Should not be combined.

“Squeezing breakouts is the leading cause of acne scarring

Squeezing inflammatory lesions by hand or with tools drives inflammation deeper into the dermis, disrupting collagen architecture and leaving permanent depressed scars.Every physician will tell you not to squeeze acne — and they mean it.

The #1 residual concern in Asian skin is PIH

Fitzpatrick IV–V Even after inflammation is controlled, the skin Post-inflammatory hyperpigmentation can persist for 6–24 months. This is why acne treatment in Asian skin must simultaneously address “Control active inflammation + prevent PIH + fade existing PIH” Three core lines.

Acne classification (by lesion type)

non-inflammatory: Open comedones (blackheads) + closed comedones (whiteheads)
inflammatory: Papules, pustules, nodules, and cysts
Acne conglobata: Confluent nodules and cysts · High risk of scarring
post-acne scarring: PIE Red marks (PIE) / brown marks (PIH) / icepick / boxcar / rolling acne scars

3 common acne patterns

T Zone comedonal type

T Predominantly in the T-zone (common during adolescence)

Dense comedones on the forehead, nose, and chin · Driven by androgens and excess sebum production · Responds well to topical retinoids.

U-shaped jawline pattern

Jaw cystic acne (adult females)

Breakouts that worsen predictably along the jawline or flare before menstruation are associated with PCOS or hormonal imbalance and typically do not respond to topical therapy alone.

confluent cheek type

Confluent cheek involvement (high scarring risk)

Deep bilateral cheek inflammation with nodule coalescence · Requires oral antibiotics + isotretinoin assessment Early intervention is essential to prevent scarring.

CAUSES & TRIGGERS

The 5 Root Causes of Acne · Why Do Breakouts Keep Coming Back?

Acne is multifactorial overlap outcomes. Understanding your personal triggers is essential to breaking the cycle of clearing and relapsing.

Excess sebum production

Androgens stimulate excess sebum production, which combines with dead skin cells to clog follicle openings.Males + adolescents + women with PCOS sebum production is significantly higher.

Clinical significance: AviClear® 1726nm Laser energy selectively targets and disrupts sebaceous glands, making it one of the most effective approaches for reducing sebum production.Non-pharmacological approach.

Abnormal follicular keratinization (Hyperkeratinization)

Keratin buildup at the follicular infundibulum forms a microcomedone — the precursor lesion underlying all visible acne.Precursor lesion.

Clinical significance: Topical retinoids (Adapalene / Tretinoin) are Gold standard for preventing new breakouts, Requires long-term use.

Cutibacterium acnes (C. acnes) proliferation

Anaerobic bacteria proliferate within blocked follicles, breaking down sebum into free fatty acids and triggering an immune response — resulting in inflammatory lesions.

Clinical significance: BPO (benzoyl peroxide) and oral antibiotics can significantly reduce bacterial load in the short term,But should not be used as a long-term monotherapy to prevent antibiotic resistance.

Hormonal imbalance

Excess androgens, PCOS, menstrual cycle fluctuations, changes in contraceptive use, and elevated cortisol from stress can all significantly influence acne activity.

Clinical significance: Jawline acne in adult women Endocrine evaluation is essential, Spironolactone or low-dose oral contraceptives are often key.

Inflammation + skin barrier + lifestyle

High-glycemic diet, whey protein, stress, sleep deprivation, over-cleansing, and skincare products with comedogenic ingredients (heavy oils, certain silicones) are all known triggers for recurring breakouts.

Clinical significance: Our physician’s treatment protocol Always includes a lifestyle assessment, Without this step, acne cannot be effectively treated.

DIFFERENTIAL DIAGNOSIS

Acne vs. Rosacea / Folliculitis / Perioral Dermatitis / Seborrheic Dermatitis

Not every red papule on the face is acne — these conditions may look similar but Treatment approaches may be completely different, Misusing medication can worsen the condition.

Vs Rosacea

ROSACEA

Are comedones present?	comedone-free (key differential)
location	Central face (nose, cheeks, chin)
Associated with	Persistent erythema + telangiectasia
Trigger	Heat, alcohol, spicy foods
Treatment plan	Metronidazole + PDL BPO contraindicated

Vs Folliculitis

FOLLICULITIS

pathogen	Staphylococcus aureus / Malassezia
morphology	Uniform papules and pustules
Itching	Often itchy (acne is typically not itchy)
location	Commonly affects the chest, back, and scalp
Treatment plan	Antibacterial cleanser + antifungal

Vs Perioral dermatitis

PERIORAL DERMATITIS

location	Perioral leaving a clear margin around the vermilion border
Trigger	Topical corticosteroids / fluoride toothpaste
morphology	Dense small papules and pustules
contraindications	Topical steroids are contraindicated
Treatment plan	Discontinue corticosteroids + oral doxycycline

Vs Seborrheic dermatitis

SEBORRHEIC DERMATITIS

morphology	Erythema + greasy yellowish crusting
location	glabellar area / nasal ala / scalp
Itching	Often accompanied by itching
pathogen	Malassezia-related
Treatment plan	Ketoconazole + anti-inflammatory skincare

Diagnosis cannot rely on appearance alone — a thorough medical history, lesion distribution assessment, exclusion of comedogenic topicals, and laboratory testing when indicated are all essential. Our physician can complete a full differential diagnosis in a single consultation — Free 30-Minute Consultation.

ASIAN SKIN · FITZPATRICK III–V

Why is PIH prevention the central challenge in treating acne in Asian skin?

For Caucasian patients, acne treatment success is measured primarily by inflammation control. For Asian patients (Fitzpatrick III–V),What truly lingers is not the acne itself, but the brown marks it leaves behind. This is the defining difference in the Luowei Medical Aesthetics Clinic acne protocol.

1. 3 Key Characteristics of Acne in Asian Patients

The inflammation itself is often milder, but residual PIH tends to be more persistent
Jawline cystic acne Proportionally more prevalent in adult Asian women than in Caucasian women
more sensitive to irritation, Starting with standard BPO 5% or high-concentration retinoids frequently causes barrier disruption

2. PIH is the true concern for Asian patients

In Caucasian patients, post-acne red marks (PIE) typically resolve on their own within 3–6 months.Asian patients commonly develop brown post-acne marks (PIH) after breakouts resolve, Post-inflammatory hyperpigmentation can persist for 6–24 months or longer, particularly in Fitzpatrick IV–V skin types. This is why Asian acne protocols must“anti-inflammatory”+“pigmentation control” dual-track approach.

3. “Less is More” the same principles apply

Standard starting doses tolerated by Caucasian patients — such as BPO 5% and Tretinoin 0.1% — are often too strong for Asian skin. Our physician begins with BPO 2.5% · Adapalene 0.1% Start gradually to allow the skin an adaptation period,a gradual, incremental process often yields better results and less PIH than aggressive treatment from the start.

Fitzpatrick Graded risk assessment × our physician’s acne protocol

Fitzpatrick	skin tone	PIH Risk	Our physician’s protocol
II–III	fair / lighter skin tone	Low	Start with standard benzoyl peroxide (BPO) + Retinoid
III fade Asian	beige	Medium	Start at low concentration + early Cyspera for PIH prevention
IV typical Asian	millet-yellow	High	BPO 2.5% + Adapalene 0.1% starting point + Cyspera
V Deeper Asian / South Asian	Light brown	very high	Ultra-gentle initiation + early AviClear intervention + long-term Cyspera

TREATMENT PROTOCOL

Combination Acne Treatment Protocol (Medication + Device + Restoration)

There is no single “best treatment” — only the combination that is right for you. Our physician designs a personalized protocol based on your acne severity, hormonal factors, and the presence of post-inflammatory hyperpigmentation (PIH) or residual scarring, drawing from the options below.

Topical Retinoid (Adapalene / Tretinoin) Cornerstone

Regulating keratinization, clearing microcomedones, and preventing new breakouts — the cornerstone of nearly every acne treatment protocol.Foundational medications. For Asian skin, begin with Adapalene 0.1% on alternate days and gradually build tolerance.

Results typically emerge after 8–12 weeks
teratogenicity contraindicated during pregnancy
Must be paired with moisturizer + SPF 50+

AviClear® 1726nm Acne laser treatment First-line non-pharmaceutical option

NMPA-registered Selective sebaceous gland laser, 1726nm Wavelength-targeted precision delivery to the sebaceous glands reduces sebum production at the source, minimizing comedones and inflammation — suitable for Unable or unwilling to take oral isotretinoin clients.

3 sessions, once every 4 weeks
Minimal downtime · Makeup permitted after treatment
Fitzpatrick I–V safety
Results may last 1–2 years

Oral antibiotics (Doxycycline / Minocycline) Short-term

Used for moderate-to-severe inflammatory acne. Short 8–12 week treatment cycles, combined with topical medications, help prevent the antibiotic resistance that can develop with prolonged monotherapy.

Oral Isotretinoin (Isotretinoin / Accutane)

Severe nodular-cystic / treatment-resistant acne Gold standard. Requires close monitoring of liver and kidney function, lipid levels, and pregnancy status throughout a 6–9 month course. Our physician will assess your suitability and coordinate referral or co-management as needed.

Hormonal regulation (adult females)

spironolactone (spironolactone) Anti-androgen therapy · first-line choice for jawline cystic acne;Short-acting oral contraceptives Hormonal cycle regulation · Requires co-assessment with gynecology. Clients with PCOS must have a full six-panel hormone workup.

Acne Scar Repair (Subcision / Bellafill / CO₂ Laser)

Inflammation fully controlled more than 6 months— only then should acne scar revision be considered. Subcision is used for rolling scars, Bellafill for boxcar scars, and Fractional CO₂ Laser to stimulate collagen remodeling. Asian skin requires Low energy, multiple sessions to prevent pigmentation.

Post-acne mark management (PIE / PIH) Carried out concurrently

PIE Red mark: PDL 595nm pulsed dye laser, vitamin C serum, and PicoSure FOCUS.PIH Brown mark: Cyspera Cysteamine, PicoSure Pro® 755nm low-fluence treatment, and strict SPF 50+ sun protection.

Sample combination protocols (by patient profile)

Patient profile	recommended protocol
Adolescent · T-zone comedones predominant	Adapalene 0.1% + BPO 2.5% + barrier restoration
Inflammatory · Moderate IGA 2–3	Oral doxycycline 8 weeks + Retinoid + AviClear × 3
Adult female · jaw cysts	Spironolactone + gynecological co-management + intralesional injections + Retinoid
Conglobate type · high scarring risk	Isotretinoin assessment + AviClear combination + subsequent acne scar revision
Post-acne PIH + superficial acne scars	Cyspera + PicoSure Pro × 4 + Microneedling RF

Our physician’s 6-STEP PROTOCOL

How Does our physician Build a Comprehensive Acne Plan? (6-Step Process)

The complexity of acne treatment lies in the simultaneous presence of three overlapping phases — active inflammation, post-inflammatory hyperpigmentation (PIH), and acne scarring — none of which can be addressed in isolation.

Severity grading + lesion classification + phased treatment

IGA Grading (Investigator’s Global Assessment) Grade 0–4
Lesion count: Comedones / Papules / Pustules / Nodules & Cysts
phased: Active phase / residual phase / scarring phase
distribution pattern: T jawline / cheeks / chest and back
Fitzpatrick classification+ Medical history + medication history

Hormonal assessment (essential for adult female patients)

Jawline breakouts + premenstrual flares + hirsutism / irregular periods → referral to endocrinology or gynecology for a hormonal panel and PCOS screening. Spironolactone should not be initiated without confirmed hormonal involvement.

Assessing PIH and scarring risk

Three-dimensional assessment: Fitzpatrick phototype + history of lesion manipulation + current depth of inflammation.Any one high-risk factor→ Proactively introducing Cyspera + AviClear without waiting for all inflammation to resolve before beginning pigmentation management.

Designing a 12-week treatment timeline

Acne treatment takes time and cannot be rushed — full treatment timeline:

[Week 0]Consultation + IGA grading + baseline photography + medication education
[Weeks 0–2]Topical retinoid adaptation phase + barrier restoration
[Week 4]Session 1: AviClear (moderate to severe acne) + follow-up assessment
[Week 8]2nd AviClear session + topical regimen adjustment
[Week 12]3rd AviClear session + inflammation control assessment
[Weeks 16–24]Residual PIH / PIE Treatment (PSP / PDL / Cyspera)
[6 months later]Inflammation stabilized → assess timing for acne scar treatment
[long-term]Topical Retinoid maintenance + seasonal follow-up

Dynamic protocol adjustment at every follow-up

Photo comparison Consistent lighting + consistent angle to quantify lesions
Assess tolerance: Barrier integrity, irritant response, and stinging sensitivity
Fine-tune topical regimen: concentration, frequency, and combination
Review of systemic medications: Liver and kidney function, lipid panel, hormones
Lifestyle assessment: Diet, sleep, stress, and skincare products

Post-treatment residual management (the most critical phase after active treatment)

Acne under control ≠ end of treatment. Residual phase protocol:

Long-term topical Retinoid maintenance (2–3 times per week)
Cyspera + SPF 50+ Prevent worsening of PIH
Seasonal follow-up (Seasonal sebum fluctuation in spring and autumn)
Avoid comedogenic ingredients (education on reading skincare ingredient labels)
Acne scar assessment window (after 6 months of stable inflammation control)

TIMELINE & RECURRENCE

How soon will acne improve? How long does it take for post-acne marks to fade? How deep can acne scars be treated?

The most common pitfall in acne treatment is switching protocols after just 2 weeks of no visible results. Most topical medications and device-based treatments require 8–12 weeks before meaningful improvement appears. The tables below address the most frequently asked questions.

How soon will results be visible?

phase	duration	visible changes
Topical Retinoid adjustment period	2–4 weeks	may be transient “Active breakout phase”, is microcomedones being expelled
AviClear After the 1st session	4–8 weeks	Reduced sebum production and fewer new breakouts
After completing the full AviClear × 3 series	3–6 months	Significant reduction in inflammatory lesions
Residual PIH treatment	6–12 months	Fading of brown marks, improved skin tone evenness
Acne scar repair (once inflammation is stabilized)	6–18 months	gradual improvement in scar depth

How many sessions are needed? (based on severity)

type	recommended treatment	Maintenance period
Mild · Predominantly comedonal	Topical-only regimen + barrier repair	Long-term Retinoid maintenance
Moderate · Inflammatory	AviClear × 3	Once yearly for maintenance
Severe · Nodular-Cystic	Isotretinoin assessment + AviClear	Regular follow-up after completing treatment
Residual post-acne PIH	PSP × 4–6 + Cyspera	SPF 50+ long-term
acne scar repair	Multimodal × 4–6 sessions + Filler	Once yearly for consolidation

Recurrence rate (for reference)

Maintenance status	2 within-year recurrence rate
Regular Retinoid maintenance + seasonal follow-up + lifestyle modifications	20–30% (Mild, recurring)
Medication discontinued + no maintenance plan	50–70%
Uncontrolled hormonal factors (adult females)	80%+

Important: Acne is a chronic condition — “Complete non-recurrence” unrealistic,“Manageable, scar-free, with minimal disruption to daily life” Is the true treatment goal. Our physician helps you manage the condition rather than simply chasing “clear”.

SELF-ASSESSMENT

Am I a Candidate for Comprehensive Acne Treatment?

If any of the following apply Most patients answer “yes”, A consultation and assessment is recommended.

6 quick self-assessment questions

your acne recurring for more than 6 months, Skincare alone no longer effective?
Have Inflammatory lesions (red papules, pustules, nodules) rather than comedones alone?
Left behind after acne brown post-acne marks or red post-acne marks, 6 Persisting for more than several months?
You are Adult women, Breakouts that worsen along the jawline and flare up before menstruation?
You have previously used topical medications, but poor tolerance Or no guidance on dosing?
already present acne scars, Concerned about worsening scarring?

✓ GOOD CANDIDATE

A good candidate for comprehensive treatment if you:

Acne persisting or recurring for 6 months or more
Topical medications alone are insufficient
Willing to commit to a 6–12 month long-term protocol
No recent oral Isotretinoin use (if applicable, a 6-month washout period is required)
Not pregnant / not breastfeeding
Willing to make lifestyle adjustments + commit to strict sun protection
Realistic expectations (understanding that acne is a chronic condition)

✕ NOT SUITABLE

Not suitable, or requires caution, if you:

Pregnancy / breastfeeding (Retinoid / isotretinoin contraindicated)
Isotretinoin use within the past 6 months
May actually be rosacea / folliculitis / perioral dermatitis — proper diagnosis must come first
Keloid tendency (contraindication for certain laser treatments)
Uncontrolled endocrine disorders
Unrealistic expectations (hoping to “never get another pimple”)
Unable to commit to long-term maintenance

WHY MEDSPAS FAIL

Why MedSpa acne “package” Acne that won’t clear? Real cases

Client B — 28-Year-Old Asian Female · Fitzpatrick IV · Moderate Inflammatory Acne + Extensive PIH

Go to a MedSpa AHA peel + cleansing package

No IGA severity grading, no hormonal assessment
AHA peel + HydraFacial® × 10 sessions “acne clearing” package
No topical Retinoid prescription
No oral medication management
No awareness of PIH management
3 Months later: new breakouts continue, widespread PIH flares
Unrecognized jaw cysts → continued worsening
Seeking a physician-led plan at Luowei Medical Aesthetics Clinic

At Luowei Medical Aesthetics Clinic Physician-led · Multi-pathway approach

IGA 3 Grade + Fitzpatrick IV + suspected hormonal involvement identification
Referral for gynecological hormonal workup → initiate spironolactone
Adapalene 0.1% Every-other-day initiation + BPO 2.5%
AviClear × 3 + Cyspera Concurrent PIH management
Monthly follow-up adjustments, 6-month outcome review
12 Months later: inflammation IGA grade 0–1 + significant PIH reduction
Transition to retinoid maintenance phase

EXPERIENCE · EXPERTISE · AUTHORITATIVENESS · TRUSTWORTHINESS

Why Trust Luowei Medical Aesthetics Clinic for Comprehensive Acne Treatment?

Google's E-E-A-T framework evaluates medical content across four dimensions. The following outlines the specific credentials supporting every claim on this page.

EXPERIENCE · clinical experience

Real-world clinical experience

Thousands of Asian acne + PIH protocols
Complete Before & After Photo Archive

EXPERTISE · clinical expertise

holds full prescribing authority
IGA Grading + hormonal panel assessment
Full continuum: medication + device treatment + acne scar revision
AviClear / PSP / PDL / Fractional proficiency across multiple devices

AUTHORITATIVENESS · recognized authority

Industry Authority Certification

Every medical claim on this page is anchored to a named, clickable source — see Evidence & references below

TRUSTWORTHINESS · Credibility

Transparent and verifiable

A written informed consent form is signed before each treatment session
All Before & After photos are unretouched

WHY THIS MATTERS

Acne treatment is not about “running a device” — it is about a physician charting a clinical roadmap.

The complexity of acne lies in the coexistence of three stages: active breakouts, post-inflammatory hyperpigmentation (PIH), and acne scarring. A unified plan under a licensed prescribing physician is essential to keep treatment on the right track.

PRICING PHILOSOPHY

About the cost of comprehensive acne treatment

The cost difference in acne treatment fundamentally reflects the depth of physician clinical judgment involved. What is similarly called “acne treatment”, Some clinics simply sell a fixed treatment session by session. A plan that truly resolves acne long-term, however, involves detailed medical history review, hormonal assessment, selection of topical and oral medications, device choice, PIH risk forecasting, and timing decisions for scar repair — most of which happen in a physician’s clinical judgment, not in a machine’s energy settings.

This is why the same treatment performed at different clinics can yield “acne treatment” Prices can vary several-fold. The difference isn’t the device itself — it’s Who is assessing, who is making clinical decisions, and how much hands-on expertise is involved throughout your treatment. Clients with complex cases, hormonal involvement, high PIH risk (Fitzpatrick IV–V), or a history of failed treatments generally benefit most from direct physician involvement. Clients in a stable maintenance phase may, following a physician assessment, proceed with treatments carried out by a trained aesthetic technician under an established protocol — offering a more cost-effective option.Treatment should be driven by clinical need, not by price. Following a Free 30-Minute Consultation, our physician will advise which level of involvement is most appropriate for your specific situation.

Payment is made at the clinic, after the consultation and before treatment begins
Nothing is paid in advance, and no deposit is required to hold an appointment
Cosmetic treatment is a self-pay item and is not covered by public medical insurance in China
All new patients receive a 30-minute Free Consultation assessment

RISKS & SAFETY · Informed consent

Common Risks, Contraindications & Safety Protocols in Acne Treatment

Acne treatment involves prescription medications and device-based procedures. All potential reactions, serious risks, and contraindications are disclosed in full.

Common reactions (short-term, post-treatment)

Retinoid adaptation phase: Peeling, tightness, stinging, temporary “Active breakout phase” (4–8 weeks)
BPO Local irritation: Redness and dryness (alternate-day application recommended to start)
AviClear treatment: Mild warmth, slight swelling, typically resolves within 24 hours
Oral antibiotics: Gastrointestinal discomfort, photosensitivity (strict sun protection required)
Isotretinoin: Cheilitis, dryness, night blindness, elevated lipids (regular monitoring required)

Serious risks (rare but must be disclosed)

Isotretinoin teratogenicity (Absolutely contraindicated during pregnancy · Strict contraception required for at least 1 month)
Isotretinoin-associated mood changes (depression reported in a minority of cases; must be disclosed to the treating physician)
Rare antibiotic allergy / pseudomembranous colitis
PIH worsening (triggered by incorrect energy settings / inappropriate protocols)
Temporary redness or temporary worsening of depressions after scar repair (most resolve on their own)

Relative contraindications (require careful assessment)

Oral Isotretinoin use within the past 6 months (contraindicated for most laser treatments)
Active herpes simplex
Keloid-prone skin type
Concurrent use of photosensitizing medications (tetracyclines + sun exposure)
uncontrolled endocrine disorders

Absolute contraindications (not performed)

Pregnancy / breastfeeding (Retinoid / isotretinoin / spironolactone)
Active infection or open wounds
History of allergy to treatment ingredients
Unrealistic expectations (expecting “never getting another pimple”)

Safety protocols mandated by our physician

Every patient completes IGA grading + medical history review + medication assessment prior to treatment
Isotretinoin patients: monthly monitoring of liver and kidney function + lipid panel + pregnancy test
Written informed consent form completed before each treatment session
All treatments are personally performed or directly supervised by our physician
Photos are taken and archived after each session to track progress and guide adjustments

Additional Comparison & Reference Data

Distribution	Symmetric flushing across the cheeks and nose
Morphology	Persistent erythema + telangiectasia, with possible papules and pustules
Key differences	No comedones; triggered by heat, alcohol, or spicy food
Triggers	Vascular reactivity + Demodex mites
First-line treatment	Vbeam Vascular laser + anti-inflammatory skincare; BBL blue light not used

Distribution	T zone, glabella, nasolabial folds, hairline
Morphology	Erythema + greasy yellow scaling
Key differences	Itchy, with marked scaling, no comedones
Triggers	Malassezia overgrowth
First-line treatment	Antifungal + barrier repair — not acne treatment

EVIDENCE & REFERENCES

Where the medical claims on this page come from

Everything above about Acne rests on published evidence rather than on our own word. The sources below are the ones behind those statements: peer-reviewed papers indexed in PubMed, and guidance written for patients by dermatology academies and national health services. Read them before you decide — and bring any of them to your consultation.

Peer-reviewedGuidelines of care for the management of acne vulgarisJ Am Acad Dermatol · 2024
Peer-reviewedCommon Dermatologic Procedures and the Associated Complications Unique to Skin of ColorDermatol Surg · 2021
Patient guidanceAcne: Tips for managingAmerican Academy of Dermatology
Patient guidanceAcneNHS (UK)

What these references can and cannot tell you. They describe what is known about the treatment itself — how well it tends to work, how long results last, and what can go wrong. They are not an assessment of this clinic, and no published study can tell you whether it suits your skin type, anatomy, or medical history. That judgement comes from the physician who examines you in person, and it may well be “not this one”.