laser cyst removal

Acne vulgaris (or acne) is a common term for comedones (blackheads and whiteheads), papules (pinheads), pustules (pimples) and nodules. Large nodules are sometimes called “cysts” or “boils”, and the term nodulocystic is used to describe severe cases of inflammatory acne. Cystic acne affects deeper skin tissue than does common acne and typically appears on the buttocks, groin, armpit areas, chest, neck and back. Sometimes acne cysts may develop on the face. Aside from scarring, its main effects are psychological, and sever acne cases may seriously affect self esteem of the sufferers and the quality of life.


Pictures of cysts on face and back

Many acne patients develop resistance to conventional therapy, including oral antibiotics, oral contraceptives, topical treatments, hormonal therapy, etc. In such cases Photodynamic therapy (PDT), which uses topical 5-aminolevulinic acid (ALA) activated by long-pulsed, pulsed dye laser (LP PDL, 595 nm), may be a viable and effective treatment.

ALA is typically applied for a 45-minute incubation followed by 1 minimally overlapping pass with the LP PDL (595 nm, 7.0-7.5 J/cm2 fluence, 10-ms pulse duration, 10-mm spot size, and dynamic cooling spray of 30 ms with a 30-ms delay).

Superior to laser treatments without ALA, this method is a cosmetically well-accepted and viable alternative to achieve complete clearance with long term effect.