Your Ultimate Guide to Acne Treatment and Breakout Solutions

Acne is one of the most common skin conditions, yet its impact goes far beyond the surface. Whether it’s persistent breakouts, scarring, or the emotional toll it can take, acne is something many of us face but don’t always know how to address effectively. This guide will walk you through the essentials of acne treatment, referencing expert advice from the British Association of Dermatologists (BAD), our dermatologists and how No. 23 Skin can support you on your journey to clearer, healthier skin.

What Causes Acne?

Acne develops when the sebaceous glands produce excess oil, clogging pores with dead skin cells and creating an environment where bacteria thrive. This combination leads to breakouts of blackheads, whiteheads, and inflamed spots. Hormonal changes, stress, certain medications, and even skincare products can contribute to flare-ups.

Acne Treatment Options

Acne treatment isn’t one-size-fits-all. Here’s a breakdown of the most effective approaches:

1. Over-the-Counter Products + Facials

Mild acne can often be managed with non-prescription topical treatments containing:

• Benzoyl Peroxide: Reduces bacteria and clears pores (for example, Acnecide).
• Salicylic Acid: Helps exfoliate the skin and unclog pores.
• Niacinamide: Calms inflammation and promotes skin repair.

Products that can help but won’t break the bank: Eucerin Hydrating Gel, Effaclar H ISO-BIOME Moisturising Cream, Effaclar Duo+M: Anti-Blemish Gel. iS Clinical Moisturising Complex. NB: all skin is different and so please come in for a complimentary skin health consultation if you would like specific advice. 

Our breakout clearing facials help clear congestion and get your skin feeling fresh and squeaky clean – we can also advise you on products and check in with the dermatologist about your skin post-facial if needed as we know your skin can be complex.

2. Prescription Topical Treatments +  Laser

For moderate cases, our dermatologists may recommend:

• Topical Antibiotics: To reduce bacteria and inflammation.
• Retinoids: Promote cell turnover to prevent clogged pores. Dermatologists offer prescription strength so it is more effective than general cosmeceuticals. Careful not to over-do it if you have dry skin.
• Azelaic Acid: Tackles both bacteria and pigmentation​. This is also useful in cases of rosacea (reference this study for more information).

BBL laser in combination with breakout facials is a fast and effective way of reducing bacteria on the skin (via the blue light), reducing redness (hitting the vessels), then tightening and soothing the pores. You need a few treatments close together, so takes commitment.

3. Oral Medications

For more severe or persistent acne:

• Oral Antibiotics: Control bacteria and reduce inflammation, often combined with topical treatments.
• Hormonal Treatments: Combined oral contraceptives and other medications may help women with hormonal acne (generally seen around the chin area/jawline).
• Close monitoring powerful medications: A powerful option for severe acne, we can administer top acne prescriptions to provide long-lasting results but these medications require close medical supervision (including blood tests) due to potential side effects.

Why Early Treatment Matters

Untreated acne can lead to permanent scarring, hyperpigmentation, and emotional distress. If this sounds like you, don’t worry – you’re not alone. According to the BAD, acne doesn’t just affect the skin—it can significantly impact mental health, leading to low self-esteem​. Acting early can help these outcomes and set you on the path to clearer skin.

How a Dermatologist Can Help

If over-the-counter treatments aren’t working or you’re dealing with acne and breakouts that need help clearing, it’s time to consult a dermatologist. They can:

• Diagnose your acne type and severity.
• Tailor a treatment plan specific to your skin’s needs, including prescription medication.
• Offer advanced options like chemical peels, laser therapy, or microneedling to address scarring.

Your Journey to Clearer Skin at No. 23 Skin

At No. 23 Skin, we understand that acne is more than just a cosmetic concern. Our experienced dermatologists combine medical expertise with a warm, approachable touch, ensuring that your experience is positive and stress-free. Whether you’re dealing with persistent breakouts or looking for solutions to scarring, we’re here to help.

Contact us and take the first step toward clearer, healthier skin. Trust me – I have been there.

Helen – read my story here.
Cofounder
hc@23skin.co.uk – to contact me directly.