Moderate Acne Treatment

Moderate Acne Treatment Options

Larry Jaeger, founder and owner of Advanced Dermatology Associates in New York treats patients suffering from all forms of acne: Moderate Acne Treatment.

the signs on acne

Moderate Acne

Moderate acne is that sort of breakout-middle-ground – your acne isn’t mild but you wouldn’t consider it severe either.

Dr. Larry Jaeger relates that if your blemishes are typically inflamed, or if you have persistent pimples and blackheads that stubbornly hang around despite using over-the-counter acne products, you might have moderate acne.

Don’t think that you can’t get your skin under control; you can.
You might just need a different approach (and a different treatment). And there are plenty of treatment options that are really effective.

Moderate Acne – Treatments Available:

Over-the-Counter Treatments for Moderate Acne

Because moderate acne breakouts are more stubborn than mild acne, it typically doesn’t improve with over-the-counter medications. But there is one exception:

Benzoyl peroxide
According to Dermatologist Larry Jaeger, Benzoyl peroxide is hands-down the most effective OTC acne treatment there is (prescription benzoyl peroxide treatments are also available.) It helps to reduce blackheads and pore blockages, but it really shines as an inflamed breakout treatment.

If you’re breaking out, you may want to try an OTC benzoyl peroxide product first. Give it 10-12 weeks to work. But if you’re not happy with the results after several weeks, it’s time to move on to something stronger.


Topical Prescription Medications for Moderate Acne

It’s likely you’ll need a prescription medication to get your moderate acne cleared up.

With so many good prescription acne treatments available, it doesn’t make sense to stick with OTC products for just so-so results. You’ll be a lot happier with the results of a prescription medication, and your physician will probably start you off with a topical treatment first.

acne-treatment-severity-chart:Moderate Acne Treatment

Topical retinoids – Treating Moderate Acne

Topical retinoids are some of the most commonly used topical acne treatments today.

They can be used by both teens and adults.

Topical retinoids are also prescribed as anti-aging treatments, so they pull double duty for adults with acne. Topical retinoids work by speeding up cell turnover and unclogging pores, so long-term they work to reduce breakouts. They can also help make pores look smaller.

Topical antibiotics – Treating Moderate Acne

These are only prescribed for inflammatory breakouts, as they won’t do much if anything for non-inflammatory blemishes. Topical antibiotics work by reducing the amount of acne-causing bacteria (bacteria called propioni acnes) found on the skin.

To get the best results, topical antibiotics should be prescribed along with another acne medication. There is some worry that bacteria are becoming more resistant to antibiotics, and that they are becoming less effective than they used to be.

Combination medications – Treating Moderate Acne

Combination medications have two acne-fighting ingredients in one medication. Dermatologists have long prescribed several topical acne medications to be used at once, because treating acne this way is much more effective.

Combo treatments basically take this idea and make it much more convenient. Just one quick application and you’re done.

Most combinations medications are a marriage of a topical antibiotic and a topical retinoid or benzoyl peroxide.

Oral Medications for Moderate Acne

If topical medications aren’t giving you the results you want, oral medications can be the next step in your treatment. They might even be the first step, depending on your situation.

It doesn’t have to be an either/or prospect, anyway. Your dermatologist might prescribe both an oral and topical medication. Again, it just depends on your situation and your skin.

Oral antibiotics for Moderate Acne

Oral antibiotics work like topical antibiotics – they reduce the amount of bacteria that contribute to acne breakouts.

Oral antibiotics are usually prescribed for moderate acne breakouts that are inflamed. They just aren’t all that effective for comedonal acne.

Again, bacterial resistance is a growing problem with antibiotic over-use, so it’s important that you take them exactly as directed.

Oral contraceptives (birth control pills) for Moderate Acne

Obviously, these aren’t an option for the guys. But birth control pills are the go-to treatment for adult women who suffer from those “hormonal” breakouts every month. Teen girls can also get relief from acne by going on birth control pills.

So, how do birth control pills help clear up acne?

They stabilize hormonal fluctuations. Acne development is closely linked to androgen hormones. Keep those hormones under control, and acne often clears up.

Larry Jaeger advises that you’ll most likely need a topical acne treatment too when using birth control pills to control acne.

Another hormone regulator is spironolactone. This treatment is only appropriate for adult women with acne.

Spironolactone is not specifically an acne treatment, as it’s used to treat problems such as high blood pressure and fluid retention. But for many women it’s really effective in keeping the skin clear. To be effective, though, it needs to be used long-term.


Need Help Treating Your Moderate Acne?

Call a Dermatologist.
Sometimes you can clear up moderate acne on your own with OTC products. But more than likely you’ll need help from a dermatologist to get breakouts under control.

Don’t hesitate to make an appointment with a dermatologist. Moderate acne can be treated, and your skin can improve.

Dr. Larry Jaeger is a well known and respected board certified dermatologist and dermatological surgeon who is the medical director of Advanced Dermatology Associates of New York. Dr Larry Jaeger specializes in all aspect of medical, cosmetic and surgical dermatology, including Moderate Acne Treatment.

Skin Desquamation

Larry Jaeger is an expert in the field of skin disease. He is a Board Certified Dermatologist with over twenty-five years experience treating patients suffering from all forms of dermatological disorders and skin desquamation.

Skin Desquamation : Creates Skin Peeling

What is skin desquamation?

Larry Jaeger describes desquamation (say des-kwa-MA-shun) as the natural process in which skin cells are created, sloughed away and replaced. Sometimes called cell turnover, desquamation happens every second of every single day, without you even noticing!

The desquamation process happens in the outermost layer of the skin — the epidermis. The epidermis itself has 4 unique layers. Each of these layers plays a role in desquamation.

Skin cells are born in the basal layer, and look like columns.
New skin cells are created in the stratum germinativum, which is the the deepest layer of the epidermis. This layer is also called the basal layer.

Skin cells begin their life as a single layer of thick, column-shaped cells. These cells are responsible for creating every cell of your skin.


How skin desquamation happens?

The cells in this layer divide. Half of them stay behind in the stratum germinativum. The other cells begin their migration to the skin’s surface.

Skin cells begin to make keratin.
Their next stop is the stratum spinosum. Here, the skin cells change from their column-like shape to a shape that is more like a polygon.

The stratum spinosum is also called the “spiny layer” because those polygon-shaped cells do look rather spiny if you were to see them under a microscope.

It’s also here in the spiny layer where the skin cells begin to make keratin, the tough, fibrous proteins that make up the main structure of the skin.

(Keratin is the main constituent of your hair and nails, too.)

The cells begin to flatten out.
The skin cells continue to push upward from the stratum and arrive in the stratum granulosum. In this layer, the cells begin to flatten out. They have also lost their nucleus.

This layer is also called the “granular layer.”
The cells reach the surface, where they eventually slough away.
The skin cells have reached their final destination — the stratum corneum. Once the cells arrive at this uppermost layer of the skin they are essentially dead.

The cells in the stratum corneum are very flat and tightly packed. These flat, dead cells continuously fall away as newer cells push their way to the surface. In this way, your skin is constantly renewing itself.

The entire desquamation process, from cell birth to sloughing away, takes approximately 14 to 28 days.

Abnormal desquamation may play a role in acne development.
It’s believed that in people with acne, this desquamation process goes awry. Dead skin cells hang around longer than they should, clogging pores and contributing to breakouts. This is why exfoliating treatments help improve the skin.

Dr. Larry Jaeger is a board certified dermatologist who has a practice in New York.  Dr Larry Jaeger specializes in the treatment of all skin, hair and nail disorders including all skin growths. What is Skin Desquamation?


What Is Microdermabrasion?

Larry Jaeger is an expert at treating all forms of skin disorders and skin disease. He has performed microdermabrasion treatments at Advanced Dermatology Associates for many years and discusses the skin care benefits.

Microdermabrasion, also known as microderm, is one of the easiest, safest and most effective anti-aging treatments you can get. It has many benefits! Microderm softens fine lines and wrinkles, helps to smooth coarsely textured skin, decreases the appearance of shallow scars, decreases pore size, and reduces superficial hyper-pigmentation, also known as age spots. Microdermabrasion also makes it easier for high-tech serums and skin care products to penetrate into the deeper layers of the skin. That helps build collagen, which gives skin its plump, youthful appearance.

Changing Skin Care Treatmentsmicrodermabrasion-benefits-returns

Professional microdermabrasion is usually done in a day spa, medical spa or specialized skin care studio. Microdermabrasion is essentially mechanical exfoliation that takes place with the help of a machine. The outermost layer of dead skin cells is removed from the face, chest and hands by physical means — not a chemical peel.

There are two types of microdermabrasion:

  • the original crystal microdermabrasion technology
  • or the newer diamond-tip microdermabrasion.

The original microdermabrasion technology, which has been around since the ’80s, is called crystal microdermabrasion. It uses a wand to spray and then vacuum up aluminum oxide crystals, also known as corundum, the second hardest mineral after diamonds.

Crystal microdermabrasion might also appear on a spa menu as particle resurfacing, power peel, derma-peel or Parisian peel. It can sting a little bit, and leaves a little residue of crystals on the skin. It’s important to wear eye covers when you get a crystal microderm treatment.

The newer diamond-tip microdermabrasion has been growing in popularity because it achieves the same results with less discomfort and without the crystal residue at the end of the treatment. The esthetician uses a variety of diamond tips, from coarse to fine, depending on how thick or delicate the skin is. The diamonds are the hardest mineral, and exfoliate the skin as the esthetician passes the wand over the face several times. Suction in the middle of the wand pulls the dead skin cells off the face. Because there are no loose crystals, you don’t have to wear plastic eye covers.

Which is better? Crystal microderm or diamond tip microderm? It’s really a matter of personal preference — and which machine your spa has. Most spas are buying diamond tip machines now, but may still have the crystal microderm machines. Some women prefer the more aggressive feel of the crystal microderm machines because they can tell something is “happening.”

The latest technology to hit the market is the HydraFacial, which uses water to deeply exfoliate the skin, perform extractions, then infuse the skin with serums.


The Benefits of Microdermabrasion

Microdermabrasion can achieve dramatic results, but it is highly dependent on the skill of the esthetician. In general, it’s best if you get it from an esthetician you already know and trust. For the best results, it is generally recommended get a series of treatments. Your esthetician should be able to recommend the number that is appropriate for your skin type and condition. A typical diagnosis is six treatments about 10 to 14 days apart.

Dr. Larry Jaeger is the medical director of Advanced Dermatology of New York, and specializes in the area of medical, cosmetic and surgical dermatology.


1. Microdermabrasion was first developed in Italy in 1985 — pasta, pizza and microdermabrasion — thanks guys!

2. There are over 100 microdermabrasion machines on the market but they all have the same basic design — exfoliate and suck up those dead skin cells!

3. Microdermabrasion has been shown to diminish fine lines, wrinkles, shallow acne scars, though results may vary from person to person.

4. Those who suffer from enlarged pores will be pleased to know microdermabrasion can help minimize pores and is great for unclogging them.

5. Microdermabrasion may decrease the appearance of superficial hyper-pigmentation, age spots and other superficial skin damage caused by the sun.

6. Removing dead skin through microdermabrasion can aid in the penetration of skincare products by up to 50% and with  a more even surface to work with, it allows makeup to go on more smoothly.

7. In 2009, the American Society of Plastic Surgeons reported there were 910,168 microdermabrasion procedures done in the US alone (176,541 of those men). It’s obviously big business, and not just in the States either.

8. Many people choose microdermabrasion over chemical peels and laser treatment because it is generally safer and more cost-effective.

9. The procedure may be a little uncomfortable but shouldn’t hurt (though skin can feel a little tender afterwards).

10. Microdermabrasion stimulates blood flow, which increases the nutrition delivered to skin cells. This improves cell production, which improves skin’s elasticity and texture.

Exfoliation For Good Skin Care

Larry Jaeger is a respected dermatologist and founder of Advanced Dermatology Associates in New York City. Dr. Larry Jaeger discusses healthy ways to exfoliate skin for a healthy complexion. Exfoliation For Good Skin Care.

What is Exfoliation – SWhy Exfoliation For Good Skin Carekin Care

Exfoliation is the cosmetic practice of removing dead skin cells from the epidermis, the top layer of the skin. Your skin can shed 30,000 to 40,000 dead cells per minute naturally; however, many people need exfoliation products to help reduce acne and get smooth skin.

Types of Exfoliation For Good Skin Care

Exfoliation practices differ for the body and the face.


Body Exfoliation Tips:

  • Buy a natural bristled brush. If you want to exfoliate outside of the shower, you can use circular motions with a long-handled, natural bristled brush.
    • This brush is available in the cosmetics section of most box stores, like Target and Walmart, as well as in natural food stores.
    • Start with your legs and move slowly up your body. Always brush in a circular motion in a small area before moving onto the next area. Work up toward your chest, then brush your back and arms.
  • Buy a loofah or exfoliating glove from a drugstore. These products are made with natural sponge and help to exfoliate the skin in the shower.
    • These products are not suggested for use on the face.
  • Buy an exfoliation scrub that contains beads, pits, sugar, salt or another natural exfoliating substance. It should say “body scrub” or “cleansing scrub.”
  • Allow the shower to run over your skin for a few minutes, if you are using an exfoliating scrub or a loofah. Choose warm, not hot, water. Water that is too hot will dry the skin.
  • Rub the loofah or the scrub over your moist skin in a circular motion. Rinse well. Perform this exfoliation process every 3 to 7 days, depending upon your skin’s sensitivity.

Larry Jaeger provides tips for facial exfoliation.

Facial Exfoliation for Sensitiveover-exfoliation-damage: Exfoliation Tips For Good Skin Care Skin:

  • Find a gentle, every-day cleanser that does not irritate your skin. Sensitive skin does not respond well to scrubs or acidic cleansers.
    People with sensitive skin should try the product on 1 small area of the face and use it only if it does not produce irritation.
  • Wet your skin with warm water.
    Place a soft terry cloth washcloth under a warm tap. Squeeze the washcloth and place it on your face for 1 to 2 minutes. Warm water will open the pores, making it easier to exfoliate.
  • Squeeze a small amount of cleanser on the surface of the washcloth. Rub the soap on the middle portion of the cloth. Depending upon the cleanser, this may or may not produce a lather.
  • Rub the washcloth on your face in circular motions. Start at the nose, move to the forehead and continue around the rest of your face.
  • Use a gentle touch. Exfoliation does not require hard scrubbing.

Dr. Larry Jaeger of New York is an expert in the diagnosis and treatment of skin conditions and is board certified in dermatology and dermatological surgery. He helps patients achieve optimum skin all year long – Exfoliation for good skin care.

Best Soaps – Eczema Relief

Larry Jaeger is an experienced Dermatologist and founder of Advanced Dermatology Associates in New York. He has a successful treated patients suffering from eczema for over twenty-five years: “Best Soaps Eczema Relief”.

Best Soaps Eczema Relief…

eczema flare up locationsMost soaps, especially bar soaps, dry the skin out.

  • Liquid cleansers are much less damaging to the skin and several types of liquid cleansers are on the market.
  • Studies have shown that emollient-rich cleansers dry the skin out the least and add moisture to the skin.

NYC Eczema Treatment Relief

Larry Jaeger lists some of the best soaps available for patients suffering from eczema relief or treatment.

The following cleansers are all emollient-rich.

They are not presented in any order of preference. The deciding factor for trying one cleanser over the other might be price, smell, or feel.


  • Dove Delicate Cream Oil Body Wash:
    • Most of the Dove® body wash products contain sunflower oil and soybean oil as the emollient. The Delicate Cream Oil contains the same ingredients as the Ultra Rich Cream Oil.
  • Dove Pro Age Body Wash
    • The ingredients in this cleanser are the same as the other Dove cleansers listed here. The Pro-Age line is marketed towards “mature women” but anyone can use this cleanser.
  • Olay Age Defying Body Wash
    • The Olay® products contain petroleum as the emollient. Petroleum is reported to stay on the skin and moisturize for up to 24 hours.
  • Olay Ultra Moisture Body Wash with Shea Butter
    • The amount of shea butter is fairly small. It’s probably just enough to make it smell differently than the other emollient-rich cleansers.
  • Olay Body Wash plus Body Butter Ribbons
    • The butter in the butter ribbons is JoJoba Butter and it’s far enough down on the ingredient list that it is mainly contributing to the feel of the cleanser, not to its moisturizing effect. That’s not a problem though because a good feel is important when choosing a cleanser.


Larry Jaeger of New York is an expert in the diagnosis and treatment of skin conditions and is board certified in dermatology and dermatologic surgery: Best Soaps Eczema Relief.