Acne is a very common skin disease seen in aesthetic medicine which affects up to 80% of young adults and adolescents, although it can be seen across all age groups.1 It affects the pilosebaceous unit of the skin and, if not well managed, it can leave the patient with severe acne scarring. It may also have significant psychological impact on the patient, sometimes leading to loss of self-esteem and depression, as well as physical symptoms such as soreness and pain.1,2 Several factors contribute to the pathogenesis of acne, including follicular epidermal proliferation, excess sebum production, inflammation and the presence of Propionibacterium (p.acne) bacteria (Figure 1).2 Early treatment intervention for these patients is key to reduce the risk of acne scarring, which can be difficult to manage, often needing multiple modalities to treat, some of which will be discussed later in this…