AviClear Laser Acne Treatment

AviClear Laser Acne Treatment

AviClear is coming to Australia in 2023. In the US, Aviclear has taken the dermatology world by storm. This revolutionary laser offers a permanent solution for mild, moderate and severe acne. Treatments are well tolerated and convenient, requiring only 3 monthly sessions. As the laser targets the oil gland, all skin types can be safely & effectively treated. 

FactsFacts on AviClear Laser Acne Treatment

  • AviClear specifically targets the source of the oil on your skin. 
  • After treatment, you will produce less oil & your acne will get better & stay better.
  • AviClear uses the power of laser light 
  • AviClear eliminates acne at the source without the need for prescription medications.
  • Only 3 sessions are required, spaced 4 weeks apart
  • AviClear can be combined with Laser Genesis to reduce scars & pigmentation from acne

What is the science behind AviClear?

AviClear uses a unique laser beam that targets the cause of acne, namely the oil gland, also known as the sebaceous gland. Normal skin structures are not damaged with this unique laser.

AviClear is the latest laser treatment for all types of acne.



What does AviClear bring to the acne treatment arena?

AviClear provides a highly effective, safe, & quick treatment method to treat acne without the need for prescription drugs. As reference, patients on drugs like isotretinoin (Accutane) will experience side effects, some of them serious. Other mainstream acne treatments are associated with antibiotic resistance, or side effects such as weight gain. 

When will I see the results of treatment?

87% of patients treated with AviClear saw their acne resolve at 6 months. The results continue to improve with time — even several months after your treatment sessions are finished.

Is the treatment painful?

During treatment, you may notice a slight snapping sensation much like a rubber band flicking on your skin (a small rubber band, not a big a** one). In clinical studies, patients tolerated the treatment well, without the need for pain relief.

AviClear offers a fast, effective & drug free way to treat acne.

Davin’s perspective on AviClear for acne

AviClear is a side-step of laser hair removal as it targets the oil gland. LHR (laser hair removal) targets the germ cells of the hair follicles, whilst the 1726 nm wavelength of AviClear has preferential absorption that targets the oil or sebaceous gland.

AviClear is the most exciting acne treatment as it targets the fundamental cause of acne, namely overactivity of the sebaceous gland.

The safety & efficacy of the 1726 thulium laser (AviClear’s wavelength)  has been demonstrated in the field of urology, however the genius of Rox Anderson & his team has increased the repertoire of this wavelength. 

Laser acne treatments are not new, in fact one of the first lasers used was that of the Smoothbeam (now well over a decade old). In the context of acne treatments, they work in one of three ways-

  1. Laser targeting the oil or sebaceous glands.
  2. Laser activating prepped skin (ALA- porphyrins, mico-gold or carbon particles)
  3. Laser activation of porphyrins produced by bacteria.
  4. Laser reduces skin inflammation.

Lasers that have been shown to treat acne include-

  1. Studies have shown that deep CO2 has similar outcomes compared to RF microneedling. The downside is that CO2 patients have 5 times the duration of recovery compared to the RF microneedling group. Both these modalities
  2. Q switch lasers have been promoted as a treatment for acne as the longer wavelengths can penetrate into the deeper layers of skin. Papers have suggested that sebaceous glands can be targeted with the 1064 wavelength as enlarged pores can be diminished with this therapy. The fact remains that longer wavelengths are required to preferentially target the sebaceous or oil gland. The novel use of target pigments, in particular carbon, though spectacular, are not absorbed deep enough to cause thermolysis of targeted tissue. I still use this laser to reduce enlarged pores, however picosecond lasers are much better at this job.
  3. Intense pulse light is effective, especially filtered blue light, however results are temporary. The proposed action is that light activates porphyrins produced by c.acnes, the bacteria implicated in acne lesions. Despite multiple papers on how blue wavelengths worsens post-treatment pigmentation in ethnic skin, this practice still continues (Yup, Kleresca does this). Porphyrin absorption of red light is less than blue, however it is safer in darker skin. There are few publications proposing IPL can permanently reduce sebum production, however mainstream ideology is not so.
  4. PDL or pulse dye laser has been used extensively over the past 20 years to treat acne as well as grade 1-2 acne scars. It is most effective against red inflamed acne spots & red marks left from acne, namely PIE or post inflammatory erythema. At Cutis Dermatology we employ vascular lasers including the VBeam Prima, Perfecta, long pulse NdYag (Sciton, Splendor X), as well as new technology including DermaV 532 & 1064 lasers. The downside of vascular lasers is that effects are temporary, unlike AviClear that promises a long term solution.
  5. Erbium doped & glass lasers (1550) are more useful in treating acne scars as compared to acne lesions. Though there is some element of sebaceous gland targeting, their wavelengths are not as effective as compared to AviClear.  I do not employ these lasers in the context of reducing acne as there are far better, & more effective solutions out there.
  6. RF devices have been used to treat acne & offer a permanent solution. There are two types of radiofrequency delivery.
  7. Non-targeted RF destruction of sebaceous glands. This group employs both non-insulated & insulated RF microneedles. Devices include Morpheus8, Infini RF, Genius RF, Intensif & others. Though we have several of these devices, I do not use them to treat acne as there are more effective, less painful & more cost effective solutions. RF microneedling however, can be an effective treatment of atrophic acne scars.
  8. Targeted RF destruction of sebaceous glands. This novel method employs RF energy to manually treat each & every oil gland. Invented by Koreans, this tech is over 15 years old. It is a permanent solution, however it is labor intensive, hence why it is popular in Asia. Agnes RF is a two step process, namely physical extraction of each blackhead, whitehead, cyst, pimple & pustule one day prior to RF. This is followed by manual therapy of each pore with a fine needle. 2-4 sessions are required for best results. I have a device that is similar to Agnes RF- the Ionno Plus RF. AviClear provides a better less costly option compared to RF microneedles.

    RFM treats the deeper layers of skin, whilst preserving the upper layers. RF can target the oil gland, however treatments are painful. It typically takes 12-20 hours to perform, as compared to a Toal of 1.5 hours for AviClear.

As dermatologists we understand that combination therapies for acne gives far better results delivered in a timely manner. This is especially important if there are clinical findings of acne scarring. A simple, cost effective & quick combination is as follows-

  • AviClear: Conducted monthly for 3 consecutive months
  • Diet: Low GI, dairy free, organic foods. 
  • Supplements: Option for zinc sulfate.
  • Topicals: Topical retinol or retinoid combinations including tretinoin, adapalene, trifarotene or tazarotene. Option for azelaic acid for inflammatory lesions or benzoyl peroxide.
  • Oral agents include anti-inflammatories, anti-hormonal medications or oral retinoids
  • Lasers for redness, post inflammatory pigmentation & early acne scars.

    Anti-acne diet may work in some cases. It requires marked discipline with no cheat days.

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