ABSTRACT
Simple physical modalities such as comedo extraction and intralesional steroid
injections have been utilized in the treatment of acne for many years. Recently,
new procedures including laser and light-based technologies have become avail-
able. Although many of these new modalities require more rigorous study to
determine safety and efficacy, they provide a unique set of advantages for certain
patient populations. These therapies provide alternative options for patients who
find it difficult to adhere to traditional acne therapies, are concerned over adverse
effects of systemic therapy, or for whom traditional therapies fall short in efficacy.
In a climate where antibiotic resistance is increasing and isotretinoin therapy has
become heavily regulated and scrutinized, such procedural treatment alternatives
have become more and more desirable. This chapter will focus on procedural
techniques for active acne lesions including extraction, intralesional injections,
microdermabrasion, chemical peels, lasers, lights, and photodynamic therapy.
