Acne

Acne is one of the most common and frustrating skin conditions, but it’s also highly treatable. Whether you’re experiencing teen breakouts, adult-onset acne, or stubborn cystic lesions, the right care can make a difference. At Integrated Dermatology of Chesterfield in Chesterfield, New Hampshire—serving New Hampshire, Southern Vermont, and Massachusetts—dermatology experts Lisa Ahava, PA-C, and Jorge Crespo, MD, offer personalized acne treatments tailored to your unique skin type and concerns. Call the office or request an appointment online to begin your path to clearer, healthier skin.

What is acne?

Acne is a skin condition that occurs when hair follicles become clogged with oil, dead skin cells, and bacteria. It commonly causes pimples, blackheads, whiteheads, and deeper cysts or nodules. While it’s most frequently associated with adolescence, acne can affect adults well into their 30s, 40s, and beyond. Without proper treatment, it can lead to scarring, skin discoloration, and emotional distress.

What causes acne?

Acne is influenced by several key factors:

• Excess oil production from overactive sebaceous glands
• Clogged pores due to dead skin cells and sebum buildup
• Bacterial overgrowth (especially Cutibacterium acnes)
• Hormonal changes from puberty, menstrual cycles, pregnancy, or stress
• Genetics, which can influence oil production and skin turnover

Diet, certain medications, environmental factors, and skincare products can also trigger or worsen acne.

What types of acne can occur?

Acne can present in a variety of ways:

• Comedonal acne: Includes blackheads and whiteheads caused by clogged follicles
• Inflammatory acne: Papules and pustules that appear red and swollen
• Cystic and nodular acne: Severe, painful breakouts that form deep beneath the skin and often lead to scarring
• Acne mechanica: Triggered by friction from helmets, masks, or tight clothing

Each type requires a different treatment approach, which is why a personalized diagnosis is essential.

How is acne treated?

At Integrated Dermatology of Chesterfield, your provider performs a comprehensive skin exam and reviews your medical history to determine the underlying causes of your acne. Based on your skin’s needs, treatment may include:

• Topical treatments like retinoids, antibiotics, salicylic acid, or benzoyl peroxide
• Oral medications such as antibiotics, hormonal therapies (like spironolactone), or isotretinoin for severe cases
• In-office procedures like extractions, chemical peels, steroid injections, or light-based therapies
• Customized skincare regimens featuring medical-grade products to reduce breakouts and improve texture over time

When should I see a dermatologist for acne?

If your acne is painful, causing scarring, or not improving with over-the-counter products, it’s time to seek professional care. The team at Integrated Dermatology of Chesterfield partners with you to develop a treatment plan that promotes long-term skin health and confidence.

Call today or book online to schedule an acne consultation.