Phototherapy for Acne

Acne may have persisted for thousands of years and still continues to plague mankind today, but modern advances in technology are providing us with new and innovative methods of dealing with this persistent skin affliction.  Sunlight has long been perceived as a potent way of treating acne, as it is supposed to be antibacterial, and the ultraviolet spectrum also apparently has beneficial effects on acne comedones.  However, long-term exposure to sunlight causes skin cancer and other skin damage, rendering any form of sun-based treatment non-viable.  Consequently, scientists sought a means of isolating the beneficial elements of sunlight from the harmful aspects, and reproducing it artificially, so that it could serve as a new form of treatment.  What they discovered was that the visible violet light at the edge of the spectrum of sunlight causes an effect that destroys bacteria and makes it impossible for bacteria to fester in the affected area.  All they needed to do now was duplicate that specific effect, beaming that specific quality of light at an acne outbreak to remedy the condition.  Fortunately, they succeeded, and the revolutionary treatment known as phototherapy, or intense pulsed light (IPL) therapy emerged.

   

 

  

Deep penetrating light therapy over a period of several consecutive days has been demonstrated in studies to reduce bacteria accumulating in skin follicles by as much as 99.9 percent, due to the rapid oxygen infusion caused by the light.  The treatment takes about 3 months to show distinct improvement.  Research comparing it to substances such as benzoyl peroxide has shown that it is superior in performance, and is less likely to cause adverse effects on one’s skin.  Generally, phototherapy treatment is considered safe except for those rare individuals who are particularly sensitive to light, though eye protection during the therapy is still recommended to avoid damaging the retinas through accidental exposure.

Recently, laboratory studies have revealed that the reason for the effectiveness of phototherapy lies not with its ability to eradicated bacteria, as earlier proposed, but in the fact that it suppresses the activity of certain cells, known as Langerhans cells, within the skin.  Langerhans cells form part of the body’s immune response, reacting to the presence of foreign agents by activating other immune cells to attack the alien organisms.  This reaction, particularly of white blood cells against bacteria, is considered a primary step in the formation of acne lesions.  Consequently, by suppressing the Langerhans cells or decreasing their number, the immune response against bacteria in the follicles is lessened, and acne outbreaks are prevented or minimized.  Thus, it appears that, while phototherapy does have some effect on the bacterial infections that precede acne, it is more integral in reducing the body’s immune response, so that inflamed acne lesions do not arise.  On a related note, phototherapy seems to be much more effective against inflammatory acne, such as pustules and nodules, and does little to alleviate non-inflammatory acne, such as whiteheads and blackheads. 

Whichever way you look at it, what is clear is that phototherapy provides a decent alternative to conventional acne treatments, and the technology behind it can only improve with the passage of time. 

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