Acne has a multifactorial cause. The underlying problem is the comedone , a blockage in the hair follicle. However, inflammation, excessive sebum production, hormonal changes and infection are all contributing factors. The treatment of acne requires a multifactorial treatment plan and thus each person requires assessment on an individual basis. That is the reason we offer a complimentary acne consultation with the doctor. Treatment often involves a combination of dietary change, topical retinoid creams, antibiotics, microdermabrasion, LED phototherapy and sometimes dermatological referral for specific drug treatment. Some forms of acne scarring can be improved with Dermapen skin needling.