March 23, 2026

All Things Acne

Acne: Understanding the Causes, Types, and Treatment Options

Acne is one of the most common skin concerns—and also one of the most misunderstood. It doesn’t just affect teenagers, and it’s not caused by “dirty skin.” Acne can be complex, frustrating, and deeply personal, impacting confidence at any age.

At Medical Day Spa of Chapel Hill, we take a comprehensive, judgment-free approach to acne. Whether you’re dealing with occasional breakouts or persistent, cystic acne, there are effective solutions—and they start with understanding what’s happening beneath the surface.

What Causes Acne (and the Different Types)

Acne develops when pores become clogged with oil, dead skin cells, and bacteria. Several factors can contribute, including:

  • Hormonal fluctuation
  • Excess oil production
  • Bacteria (specifically C. acnes)
  • Inflammation
  • Genetics
  • Certain skincare or makeup products

Acne also comes in different forms, and identifying the type is key to treating it effectively:

  • Comedonal acne – Blackheads and whiteheads
  • Inflammatory acne – Red, tender papules and pustules
  • Cystic acne – Deep, painful breakouts beneath the skin
  • Hormonal acne – Often appears along the jawline and chin
  • Acne with post-inflammatory redness or pigmentation – Lingering marks after breakouts heal

Many patients have a combination of types, which is why a personalized plan matters.

Our Acne Consultations: Medical + Aesthetic Care

Acne isn’t just a surface issue—it’s often medical. That’s why at Medical Day Spa of Chapel Hill we offer thorough acne consultations.

Our experienced Physician Assistant evaluates your skin, health history, lifestyle, and previous treatments. When appropriate, we can prescribe medical-grade treatments, including Accutane (isotretinoin) or other compounded medications to target acne from the inside out.

Not everyone needs prescription medication—but for patients who do, having a provider who can manage acne both medically and aesthetically makes all the difference. We focus on long-term skin health, not quick fixes.

Targeted Skincare for Acne-Prone Skin

A consistent, effective skincare routine is the foundation of acne treatment. We carry medical-grade skincare that supports skin healing while actively treating breakouts.

For acne-prone patients, we often recommend the ZO Skin Health Complexion Clarifying Kit, specifically designed to:

  • Reduce excess oil
  • Minimize congestion
  • Calm inflammation
  • Support a healthy skin barrier

This kit is a favorite for patients who want a clear, structured routine without guessing which products to use. During your consultation, we’ll guide you on exactly how to use it and adjust as your skin improves.

Acne Facials: Clearing Congestion and Supporting Healing

Professional treatments play a huge role in managing acne—especially when done consistently.

Our acne facials focus on:

  • Deep cleansing
  • Targeted extractions to safely remove congestion
  • Reducing inflammation
  • Supporting skin renewal

We often incorporate a ZO Skin Health Stimulator Peel to provide a deep cleanse and gentle exfoliation. These facials are typically recommended monthly to keep pores clear and inflammation under control.

For more active or persistent acne, we may also recommend a Jan Marini Acne Chemical Peel, which is designed to calm inflammation and treat active breakouts. This peel is best done weekly for 4 weeks for optimal results.

Laser Treatments for Acne and Acne Redness

Laser technology can be a powerful tool in acne management.

Our BBL HEROic Clear includes a specialized Acne Pass that helps:

  • Kill acne-causing bacteria
  • Reduce redness and inflammation
  • Improve overall skin tone

This treatment is typically recommended once weekly for 4-6 weeks, especially for patients with inflamed or widespread acne.

We can also target larger individual breakouts using either BBL HEROic Clear or Motus Pro, helping to calm inflammation and speed healing.

Acne Is a Journey—And You Don’t Have to Do It Alone

There’s no single solution for acne, and that’s okay. The most successful results come from a customized plan that may include medical treatment, professional services, skincare, and lifestyle guidance.

At Medical Day Spa of Chapel Hill, we’re here to help you walk, crawl, or run toward clearer skin—at a pace that feels right for you. We believe in realistic expectations, clear timelines, and ongoing support.

If acne has been affecting your confidence or quality of life, we’d love to help. Book an acne consultation today, and let’s create a plan that works for your skin—now and long-term.

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