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Savannah Dermatologist | Savannah Acne | GA | Savannah Skin Pathology |


7001 Hodgson Memorial Drive Suite 5
Savannah, GA 31406
(P) 912-349-7656                       (F) 912-349-7659



  Stating that acne is the most common skin condition doesn’t make it any less frustrating to those it affects. Dr. Holland knows the common causes of acne and understands that different types of acne need to be treated differently.

  Acne is a common problem that affects a wide range of age groups, from adolescents to adults, irrespective of skin type and/or tone. Although it is not considered a serious health condition, the cosmetic implications and uncomfortable symptoms associated with acne can be socially distressing. Also, if left untreated acne may also lead to physical scarring.

  The causes of acne include dead skin cells, excessive sebum production (usually caused by hormones) or bacteria growth. Sebum is natural oil produced by the skin’s sebaceous glands. Sebum production usually increases when a person hits puberty.

  The causes of acne are diverse and include a combination of both internal stimuli (i.e. - genetic predisposition and hormonal) and external stimuli.  The driving forces behind the formation of acne lesions include accumulation of dead skin cells in the pores of the skin, along with an increase in the amount of sebum (oil).


Blackheads (Open Comedones) — Appear as small to large black-colored holes (pores) underneath the surface of the skin. Blackheads result from the formation of a “plug” which blocks sebum from being able to be expelled outside of the pore on the surface of the skin.

Whiteheads— Appear as small superficial white bumps just beneath the surface of the skin.  Whiteheads occur when the follicle becomes completely blocked with sebum. When a whitehead is present, the excess sebum production in conjunction with overgrowth of bacteria causes the hair follicle (closed comedone), to which the gland is attached, to become inflamed and eventually rupture.

Nodules (a “zit”) — Appear as large, round bumps which, when palpated, may be felt deep, firm and uncomfortable to the touch beneath the skin’s surface. Nodules are caused by comedones that become severely infected and only respond to intense treatment. If not treated properly, this is one type of acne which may cause acne scarring.

Cysts— Appear as raised lumps beneath the skin’s surface. Cysts are very similar to nodules and only respond to intense treatment. They may also cause scarring if they are not treated appropriately, and are usually filled with purulent debris (“pus”).

Rosacea— Often coined as “adult acne, rosacea isn’t actually acne at all. It’s a chronic facial skin condition that appears as redness, rash-like, can be lumpy, usually due to excess sebum production, and irritation that looks similar to acne.


 Identifying the cause of your acne is imperative for determining the most effective treatment for your unique skin      condition. 

 Please refer to the patient information sheet describing your specialized treatment regimen that was given to you during     your visit at our office.


Benzoyl Peroxide— The active ingredient in most over-the-counter acne medicines, it works to limit the bacteria that cause acne. It’s use has also been known to decrease the formation of tetracycline bacteria-resistant organisms.

Antibiotics— Topical or oral antibiotics, usually derived from erythromycin or tetracycline, can be prescribed to treat acne, but the formation of bacteria that are resistant to the antibiotic may eventually lessen its effectiveness.

Salicylic Acid— This beta hydroxyl acid is commonly found in over-the-counter acne medicines, and works to correct acne by penetrating the follicle and clearing out of dead skin cells and other acne-causing debris.

Retinoids— Derived from vitamin A, topical or oral retinoids can treat mild to moderate acne by unclogging pores and preventing new blemishes from forming. Isotretinoin (Accutane), a member of the retinoid family, is prescribed in very severe acne cases. Our dermatologist only prescribes Accutane to those patients whose acne has failed to improve with other treatment methods.

Laser treatments— Laser treatments can help even out the skin tone, while also minimizing the appearance of acne and acne scars.

Prescription Compounds— We offer customized prescription compounds based on your specific skin and acne type, customized to meet your specific needs.

Birth Control Pills— Some birth control pills contain active ingredients that may help regulate certain types of acne by controlling hormone levels

Skin Care Products— Some of our skin care products can also help certain types of acne. After a consultation, we can prescribe and/or recommend prevention and treatment products based on your individual condition.


Can adults have acne?
Yes, acne affects individuals of all ages, gender, and ethnicity. Women are especially prone to acne during their menstrual cycle, pregnancy, and/or menopause due to hormonal imbalances. Our treatment options are effective for women, men and adolescents.

Can sun exposure help make my acne go away?
Sunlight does not improve acne; in fact, it increases your risk of pre-mature aging and skin cancer. Many acne treatments make the skin more light sensitive, so patients on these types of medications should avoid extended UV exposure and remember to uses proper sun protection (Sunblock, hat, etc…)

Can you do anything to help my acne scarring?
Treating active acne will reduce the likelihood of developing acne scarring. Despite proper treatment, some individuals may still develop scarring from their acne. We are specialized in creating tailored treatment plan through both non-surgical and surgical techniques to smooth and diminish acne scarring.

Savannah Dermatology serving Savannah, 31406, specializing in Acne, Dermatology, laser hair removal, rosacea, tattoo removal, skin disease, chemical peels and much more in Savannah, GA.