Medical Dermatology

Acne Treatment In Singapore

Dr Liew Hui Min - The Skin Drs
Dr. Liew Hui Min

Acne is a common skin condition that occurs when hair follicles become clogged with oil and dead skin cells. A dermatologist can help diagnose and treat these concerns effectively. It manifests as spots, pimples, and sometimes larger, more painful lesions on the face, chest, back, and shoulders. Acne affects people of all ages, though it is most prevalent during adolescence due to hormonal changes. The condition can persist into adulthood and may lead to scarring of the skin.

Acne Singapore Acne Singapore

Symptoms of Acne

A variety of symptoms can appear on the skin when acne develops, ranging from mild to severe that may present differently in each individual.

  • Whiteheads

    These form when pores are completely blocked by oil and dead skin cells. They appear as small, flesh-coloured or white bumps beneath the skin surface.

  • Blackheads

    These occur when pores are partially blocked, allowing some air to reach the trapped material. The exposure to air causes oxidation, resulting in the characteristic black appearance.

  • Papules

    These are small, raised, solid red bumps that are tender to touch. They develop when blocked hair follicles become inflamed or infected.

  • Pustules

    Similar to papules but contain visible pus at their tips. They appear as red circular bumps with white or yellow centres and can cause scarring if squeezed.

  • Nodules

    These are large, painful, solid lumps that develop beneath the skin surface. They form when the infection extends deeper into the skin and can cause tissue damage.

  • Cysts

    These are painful, pus-filled lumps beneath the skin surface. They are similar to nodules but contain pus and can cause permanent scarring.

Causes and Risk Factors

Multiple factors contribute to the development of acne, often working in combination to produce the characteristic skin lesions seen in this condition.

Excess Oil Production

The sebaceous glands produce sebum, an oily substance that lubricates your skin. Overproduction of sebum, especially during hormonal changes, can contribute to acne formation.

Bacteria

Propionibacterium acnes, a type of bacteria that normally lives on the skin, can multiply rapidly in blocked hair follicles. This bacterial growth contributes to inflammation and infection.

Hormonal Changes

Androgens increase during puberty and stimulate sebaceous glands to enlarge and produce more sebum. Hormonal changes during pregnancy can also affect sebum production.

Dead Skin Cells

Normally, dead skin cells are shed regularly from the skin surface. When this process is disrupted, cells can stick together and clog pores, contributing to acne formation.

Medications

Certain drugs, including corticosteroids, androgens, lithium, and some anti-epileptic medications, can trigger or worsen acne. These medications may alter hormone levels or directly affect skin cell processes.

Diet

Foods with a high glycaemic index and dairy products may trigger or worsen acne in some individuals. The connection occurs through inflammation and hormonal responses to these foods.

Genetic Factors

A family history of acne increases the likelihood of developing the condition. Genetic factors can influence how your skin responds to hormonal changes and its susceptibility to inflammation.

Environmental Factors

Exposure to pollution, high humidity, and greasy or oily substances can clog pores. These environmental triggers can exacerbate acne in predisposed individuals.

Assessment and Diagnosis

Visual Examination: A clinical examination of the affected skin areas identifies the types of lesions present. The distribution pattern and severity of lesions help classify the acne type and guide treatment decisions.

Medical History Assessment: A review of medical history, including previous skin conditions, medication use, and family history of acne. This information helps identify potential triggers and determine if underlying health conditions may be contributing factors.

Skin Type Evaluation: Assessment of skin type (dry, oily, combination) helps tailor treatment approaches. Oily skin types may require different treatment strategies than those with dry or sensitive skin.

Acne Treatment Options In Singapore

Various treatment approaches target different factors that cause and worsen acne, from reducing oil production to decreasing inflammation and preventing future breakouts.

  • Topical Treatments

    Topicals are first-line for mild to moderate acne. These include retinoids to prevent clogged pores, benzoyl peroxide for its antimicrobial effect, and topical antibiotics like clindamycin to reduce inflammation. Salicylic acid and azelaic acid may also be used for exfoliation and pigmentation concerns.

  • Systemic Treatments

    Oral antibiotics such as doxycycline and minocycline are used for moderate to severe acne to reduce C. acnes and inflammation. Isotretinoin is considered for severe, persistent acne as it targets oil production, keratinisation, bacteria, and inflammation.

  • Hormonal Therapies

    Combined oral contraceptives help regulate acne in women by lowering androgen levels and sebum output. Spironolactone, an anti-androgen, is often prescribed for women with hormonal or treatment-resistant acne.

  • Procedural Interventions

    Chemical peels, light-based treatments, and laser therapy may help reduce acne lesions and inflammation. Intralesional corticosteroids are used for large cysts, while comedo extraction removes blackheads and whiteheads manually.

Prevention and Management

Preventing acne breakouts involves maintaining consistent skin care routines and making lifestyle adjustments that reduce triggering factors. Cleanse the face twice daily with a gentle, pH-balanced cleanser to remove excess oil and debris without over-drying the skin. Use non-comedogenic products, including moisturisers, sunscreens, and makeup that won’t clog pores. Avoid touching the face unnecessarily and clean items that contact your skin regularly, such as mobile phones, pillowcases, and makeup brushes. Manage stress through regular exercise, adequate sleep, and relaxation techniques, as stress hormones can stimulate oil production. 

Frequently Asked Questions

How long does it take to see results from acne treatment in Singapore?

Most acne treatments in Singapore require 8 weeks before showing noticeable improvement, as they affect the skin cell renewal cycle and ongoing formation of new lesions. Patients may experience temporary worsening during the initial 2-4 weeks as deeper blockages surface. Consistent application of treatments according to prescribed schedules maximises effectiveness.

Who is suitable for isotretinoin?

Isotretinoin is generally prescribed for severe nodular acne, acne with scarring, or cases that have not responded to topical treatments or oral antibiotics. It may also be considered for persistent or psychologically distressing acne. Suitability depends on acne severity, past treatment response, risk of scarring, and patient preference and requires careful assessment and monitoring.

Are acne scars permanent?

Acne scars can be long-lasting, but various treatments can improve their appearance. Atrophic (depressed) scars respond to procedures like microneedling, laser resurfacing, or dermal fillers depending on their depth and type. Hypertrophic (raised) scars may improve with corticosteroid injections or laser treatments. Early intervention for active acne helps prevent scarring, while sunscreen use prevents hyperpigmentation from darkening existing scars.

Can makeup make acne worse?

Certain cosmetic products can aggravate acne by clogging pores or irritating the skin. Heavy, oil-based foundations and concealers often worsen breakouts by trapping bacteria and oil against the skin surface. Non-comedogenic, mineral-based, or water-based products labelled “oil-free” allow skin to breathe while providing coverage. Thorough removal of makeup each night prevents pore blockage and allows skin treatments to penetrate effectively.

Dr Liew Hui Min - The Skin Drs

Dr Liew Hui Min

Dr. Liew Hui Min is an accredited consultant dermatologist from the Ministry of Health and the General Medical Council UK.

Her clinical interest includes:

  • Paediatric Dermatology,
  • Women’s Dermatology,
  • General Adult Dermatology.

Having trained in major London Hospitals, Dr Liew returned to Singapore in 2014 as a Consultant at KK Women’s and Children’s Hospital (KKH) where she specialised in paediatric, women, obstetric and vulva dermatology. Currently, Dr Liew practices at The Skin Drs. clinic located at Gleneagles Hospital.

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