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, LED phototherapy and sometimes dermatological referral for specific drug treatment.