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Acne · Causes & Treatment · Mellow Dermatology (Yeongdeungpo)

Why does acne keep coming back?
We start over from the cause

Acne isn't a problem that ends with a single procedure. Only by understanding why it forms and how it progresses—and treating it under a dermatologist's accurate diagnosis and a long-term plan—can you reduce recurrence and scarring.

Dermatologist diagnosis A cause-by-stage approach A plan that accounts for recurrence

Why It Happens

Acne forms when four
factors interlock

Acne isn't caused by one thing—it's the result of sebum, dead skin cells, bacteria, and inflammation interlocking. Knowing which link the problem starts at is what makes treatment that doesn't come back.

Cross-section of a pore where acne begins from excess sebum production

Factor 01 · Sebum

Excess sebum production

When the sebaceous glands become overactive, sebum builds up in the pores, setting the stage for acne to begin.

Cross-section of hyperkeratinized skin where dead skin cells block the pore opening

Factor 02 · Dead skin cells

Pore hyperkeratinization

When dead skin cells thicken at the pore opening and block sebum from escaping, it clumps inside and forms comedones.

Cross-section of skin where acne bacteria proliferate inside a clogged pore

Factor 03 · Bacteria

Acne bacteria proliferation

Inside the clogged pore, acne bacteria (P. acnes) multiply, worsening breakouts and triggering inflammation.

Cross-section of skin with an inflammatory response around a clogged pore

Factor 04 · Inflammation

Inflammatory response

When the immune system reacts to bacteria and debris, it develops into red, swollen inflammatory acne.

Acne Stages

Left untreated,
it deepens stage by stage

Acne changes in appearance—and in its risk of leading to scars—depending on how far it has progressed. Your treatment must change according to which stage you're in right now.

Early comedonal acne showing whiteheads and blackheads
Stage 1

Comedones (whiteheads)

The early stage where dead skin cells and sebum clump together. Appears as whiteheads and blackheads.

Papular acne, small and raised and red
Stage 2

Papules (red acne)

Inflammation has begun and the area is raised and red. It may feel painful to the touch.

Pustular acne with a white pus-filled center
Stage 3

Pustules (pustular)

Inflammatory acne with pus. It easily leads to red marks and scarring.

Large, firm nodular cystic acne swollen deep in the skin
Stage 4

Nodules · Cysts

Large, firm inflammation that has spread deep. The scarring risk is high and it requires professional treatment.

Staged Treatment

We treat in order,
matched to each stage

In the early stage, extraction and scaling are enough, but recurring acne calls for treating its cause—the sebaceous glands—and once it settles, the marks and scars must be addressed.

01

Precise diagnosis

We diagnose your skin type and the cause and stage of your acne to build a long-term treatment plan.

02

Early · Extraction & Scaling

We empty clogged pores with sterile extraction, and clear away dead skin cells and sebum with scaling and peeling.

03

Ongoing · Sebaceous gland reduction

For recurring acne, treatments such as Gold PTT regulate overactive sebaceous glands to address the root cause.

04

Aftercare · Marks & Scars

We manage the red marks and scars left after inflammation subsides with laser and regenerative procedures.

Devices

A different device at each stage,
to address the cause

Acne calls for different treatments at each stage. We understand the role of each device and combine them to address sebum, inflammation, marks, and scars in order.

Aqua Peel deep-cleansing scaling

Aqua Peel · Scaling

Aqua Peel

Early · Scaling

Using the power of water, it deep-cleanses dead skin cells and blackheads and empties clogged pores. As foundational care in the extraction and scaling stage, it clears away the very starting point of acne.

#DeepCleansing#PoreClearing#DeadSkinCells
Gold PTT sebaceous gland reduction

Gold PTT · Sebaceous

Gold PTT

Ongoing · Sebaceous gland reduction

Gold nanoparticles are delivered into the sebaceous glands within the pores, then selectively shrunk with a laser. This regulates excess sebum, the root cause of recurring acne.

#SebaceousGlands#RecurringAcne#SebumControl
Clarity II inflammation and redness soothing

Clarity II · 1064nm

Clarity II

Ongoing · Inflammation & Redness

With its 1064nm wavelength, it calms inflammatory acne and vascular redness and suppresses sebum secretion. It soothes red, sensitive acne-prone skin.

#InflammatoryAcne#Redness#Soothing
Pico Plus red marks pigment

Pico Plus · Picosecond

Pico Plus

Aftercare · Marks & Pigment

With picosecond pulses, it clears the brown pigment and red marks left by acne, and its fractional mode improves skin texture and even shallow scars.

#RedMarks#Pigment#SkinTexture
Secret microneedle RF scars

Secret · Microneedle RF

Secret RF

Aftercare · Scars & Pores

Microneedle radiofrequency regenerates collagen in the dermis to gradually improve pitted acne scars and enlarged pores.

#AcneScars#Pores#Regeneration

At a Glance

Device lineup by stage

DeviceRoleStage
Aqua PeelDeep cleansing & scalingEarly
Gold PTTSebaceous gland reductionOngoing
Clarity IIInflammation & redness soothingOngoing
Pico PlusRed marks & pigmentAftercare
Secret RFScar & pore regenerationAftercare

※ Treatment results and responses may vary from person to person, and side effects may occur.

Dr. Kwon Hyung-il, Director of Mellow Dermatology (Yeongdeungpo), dermatology specialist

Expert Care

Acne treatment isn't a procedure—
it's a ‘plan’

Dr. Kwon Hyung-il, Director · Dermatology Specialist

Acne isn't over after a single procedure. Only by accurately diagnosing the cause and stage and treating it under a long-term plan that links the early, ongoing, and aftercare phases can you reduce recurrence and scarring.

Each stage calls for different treatments, and everyone's skin is different. Results change when a specialist personally designs and carries through everything from diagnosis to extraction, laser, and aftercare.

★ Mellow's acne treatment principles

  • Accurate diagnosis by cause and stage, then a long-term plan
  • Early extraction & scaling → ongoing sebaceous gland control → aftercare scar management
  • A specialist-designed plan that accounts for recurrence and scarring

Before & After Care

Acne treatment is completed
by post-procedure care

After the procedure, avoid UV exposure and any trauma (irritation) within 24 hours, avoid saunas and excessive heat for about a week, and take care to moisturize. Refrain from squeezing or picking on your own, as it leaves marks and scars, and consistent sun protection reduces recurrence and pigmentation.

Recurring acne—
start with a consultation about the cause

From tiny whiteheads to pustules and scars, build an acne treatment plan tailored to you with a specialist's diagnosis at Mellow Dermatology (Yeongdeungpo).

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