The pimples in acne form when the hair follicles in the skin are clogged with oil and dead skin cells. Oil production in the skin is increased by naturally circulating hormones called androgens, enabling bacteria to grow. This bacterial growth together with the oil overproduction and blockage causes pimples to form.

The exact cause of acne is unknown, but acne breakouts can be alleviated by targeting what produces the pimples themselves. The dermatologists at Kew Dermatology will suggest a treatment regime to target oil production, bacteria and blockage in the skin as well as hormone production (particularly in women).

For mild acne, we may prescribe topical medication and skin care products, such as retinoid, or antibiotic creams and lotions. For severe and scarring acne, however, oral isotretinoin (Roaccutane) is the most effective treatment. Note that in Australia, only dermatologists are allowed to prescribe isotretinoin (sample pamphlet: Oratane). When acne is severe, a specialist dermatologist’s opinion should be considered early, to prevent scarring that can last a lifetime.

Laser and light treatments for acne are sometimes offered as a cure by some cosmetic clinics, these sorts of treatments are often minimally or temporarily effective and can be expensive. It is important to have advice from a qualified medical practitioner such as your GP or a dermatologist if your acne is a problem.

Your dermatologist will determine whether your acne requires isotretinoin treatment.
Taking isotretinoin has some minimal risks, so consulting with a dermatologist  is a must. This is particularly important for female patients, who must strictly use contraception and MUST NOT become pregnant while on medication. In Australia, isotretinoin is a medication available only on prescription by a dermatologist.

The best treatment for acne scarring is to prevent acne in the first place. For severe acne scarring, see our acne scarring page for descriptions of the treatments we can offer. If you’re thinking about laser treatment, make sure that your pimples have healed and only scars are left (i.e., there is no active acne). You should always consult a qualified specialist when considering any cosmetic procedures. The specialist dermatologists at Kew Dermatology can advise you on the best treatments for your type of scarring.

Unfortunately, there is no known dietary cure for acne. The only scientific evidence available suggests that a high intake of dairy and sugar products is correlated with acne. Avoiding these foods will possibly reduce the severity of acne but not cure it.

Read this leaflet for the foods to avoid to prevent acne: Anti-acne Diet.

Provided that you have a Medicare card and a referral from your GP, the out of pocket costs for your first visit are approximately $145. For international students, your private health insurance will usually cover a similar amount.

If you require isotretinoin treatment, you have to spend no more than you would for a standard medical prescription.

At Kew Dermatology, patients with severe scarring acne are seen as soon as possible from their making a reservation. For urgent cases, your general practitioner can download and complete our urgent referral form and request an early appointment.

Ring our receptionists on 98532111 to book an appointment.