The Truth About Acne



Photodynamic Therapy

The Wave of the Future for Acne Light Treatments

Angela Palmer, About.com

Updated: July 31, 2008

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Acne light treatments have been getting more attention in recent years, and maybe none so much as photodynamic therapy. Short contact photodynamic therapy is rapidly emerging as the new "wonder" treatment for those who suffer from moderate to severe acne. Could photodynamic therapy really be the wave of the future when it comes to treating acne?




What is Photodynamic Therapy?
Photodynamic therapy (PDT) is a non-invasive therapy that utilizes light treatments along with an application of a photosensitizing agent, typically 5-aminolevulinic acid (ALA). The photosensitizing agent is applied to the skin, causing the skin to become more susceptible, or receptive, to light.

After the photosensitizing agent is removed, a light treatment is administered. PDT was originally approved by the U.S. Food and Drug administration to treat cancer, and is often used to treat actinic keratosis. It is now being studied as a safe and effective treatment for acne.

 

PDT is thought to work by shrinking the skin's oil glands. This can drastically reduce the amount of oil within the pores, thereby reducing comedones. For those with moderate to severe acne that doesn't respond well to traditional topical treatments, this is good news.  

ALA-PDT may also kill bacteria that cause acne breakoutsand normalize the shedding of dead skin cells within the follicle. It also seems to improve the skin's overall texture, and holds promise in the repair of acne scarring.

Treatment Method
While many patients participating in early photodynamic therapy trials reported moderate to severe pain, the treatments administered today are virtually painless, due to "short contact" therapy.

Most short contact photodynamic therapy treatments start with microdermabrasion,to remove excess dead cells on the skin's surface and enhance ALA penetration.

The photosensitizing agent (ALA) is applied to the skin and allowed to set for a period of 15 to 60 minutes. The agent is then removed and the skin is treated, most commonly, with blue light.

A series of three to five treatments are usually performed at a period of two to four week intervals. The number of treatments recommended depends on the severity of acne. Some patients may notice results after the first treatment.

Photodynamic therapy can be used in conjunction with other acne treatments, such as topical retinoids or salicylic acid. allowed to set Sources: "Photodynamic therapy is lighting the way for medical and cosmetic treatments." 2007. American Academy of Dermatology. 20 Jun 2007. www.aad.org



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