To obtain rapid control of mild to moderate acne a retinoid (Retin A gel 0.05%, Zorac, differin, retrieve,stieva A) nightly with a antibiotic gel ( 2% erythromycin or 1% clindamycin) in the morning. Benzyl peroxide 2.5- 5% gel (Benzac, brevoxyl, panoxyl) and salicylic acid microgel complex (neutrogenia rapid clear range) twice a day are also effective in mild-moderate acne with over 75% improvement by 8hrs after starting the treatments. At Cosmos our patients are generally placed on erythromycin gel in the morning, zorac at night , and daily 5% benzyl peroxide wash. Salicylic acids are less potent that retiniods and are used in patients with mild acne who cannot tolerate retinoids. We advise Salicylic acid as a microgel complex, which has enhanced delivery (neutrogenia rapid clear range). Azelaic acid is also less potent that retinoids but is useful in pregnant women to control acne.
Once good control is achieved usually after 6-12 weeks we usually stop the antibiotics and rely on the retinoid Retin A gel for maintaining control. Regular use of Benzyl peroxide 2.5%-5% gel (Benzac, brevoxyl, panoxyl) and/or salicylic acid microgel complex (Neutrogena rapid clear range) twice a day also helps to maintain control.
Skin irritation and dryness can occur with all these topical treatments and a light moisturiser may need to be applied. To reduce irritation that can occur with retiniods or benzyl peroxide we advise our patients to use these products sparingly. In patients with sensitive skin we may advise to start second nightly application for the first 4 weeks.
At Cosmos clinic we use Photodynamic therapy (PDT) in combination with these topical treatments. PDT requires the use of Aminolevulinic Acid (ALA) cream which is obtained from a compounding pharmacist. PDT not only helps with rapid control of the acne but it will reduce the number of oil glands in the skin making acne less likely to occur in the future For more details on PDT read our page on ALA PDT. At cosmos clinic our acne patients all undergo a 3 month program in which they receive a PDT treatments each month, a facial peel each month and the skin care appropriate for their skin.
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ACT COVID-19 UPDATE
Cosmos Clinic Canberra will be reopening for all appointments, cosmetic medical and surgical procedures on Friday 15th October.
COVID-19 Safety Measures:
Patients and visitors will be asked a set of screening questions (based on the ACT Health Facilities Screening Tool) prior to entering the clinic. Any patients who do not meet screening criteria will have their appointments/procedures rescheduled.
Patients are requested to attend their appointments alone where possible
Please bring a surgical mask with you as patients and visitors are required to wear these while in the clinic, unless a medical exemption applies and is provided to staff on arrival. Patients who arrive without a mask or with a cloth mask will be provided with a surgical mask to wear while at the clinic.
We require you to check in via the Check in CBR app on arrival
All Cosmos Clinic Canberra staff are fully vaccinated against COVID-19
Social distancing measures are in place and hand hygiene stations are available throughout the facility