Acne

Acne is a very common skin condition that leads to the formation of spots on the skin. Acne typically affects the face, although can also arise on the back and/or chest. Acne is caused by an overproduction of ‘sebum’ (the oil that your skin naturally produces to keep it moisturized) from the glands next to the hair follicles. This increased production is usually caused by a rise in hormone levels (for example during puberty or pregnancy). This can cause blockage of the pores in the skin allowing oils to accumulate and form spots.

This excess oil can also result in an abnormal accumulation of bacteria on the skin. Although it is harmless and normal for some bacteria to live on the skin (known as the ‘skin flora’), this increase in bacterial population results in inflammation and pus that can also form spots.

Acne is typically thought to occur in teenagers and puberty, but most people have been affected by acne at some point in their lives and some individuals continue to suffer from acne into adulthood. When individuals suffer from particularly widespread, cystic or painful acne this can have a significant impact on their physical and mental wellbeing. As well as being painful and unsightly, acne can become infected. If the acne is not treated promptly, is extensive, or if the individual is prone to either bulky (hypertrophic/keloid) or pitted scarring, it can also result in long term scarring in affected areas.

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About this condition

There are different types of spots that can be caused by acne including:

Blackheads – small black bumps in the skin
Whiteheads – firmer, small bumps on the skin, which may appear white
Papules – small red bumps in the skin, which may feel sore
Pustules – small bumps, which may be sore and have a white tip caused by the presence of pus inside
Nodules – larger red lumps under the skin that can build up causing pressure and pain
Cysts – like large pustules which are similar to boils. These are the most extreme type of spot caused by acne and are the highest risk lesion to cause long term scarring

If you are prone to developing acne, it is important to avoid and triggers that can irritate your skin or increase the production of sebum. Certain triggers, which can worsen acne include:

Oil-based skincare products, including make-up and moisturisers
Skincare products that contain harsh chemicals and fragrances, which lead to skin irritation
Not properly removing make up before going to bed
Squeezing or picking at the spots, which can then become infected and increase the risk of scarring

If you have severe acne, or if your skin condition is having a significant impact on your life, you may wish to speak to a specialist dermatologist or plastic surgeon about advice and treatments. There are a number of prescription-strength creams and medications, which can reduce the occurrence of acne and infection in the spots. In addition to these, an experienced plastic surgeon may be able to offer further treatments using laser, injections and needling and other surgical techniques. These should only be done by an experienced professional as, if used incorrectly, make acne worse or increase the risk of infection and scarring.

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Louise Steel

2023-08-16

Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.

Luke Ward

2023-07-10

This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.

Mauricio Lucas

2023-07-06

Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.

Kashmala Khan

2023-01-26

Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!

Javier

2023-01-14

Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.

Ieva Lihovida-Yarlett

2022-12-07

We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!

Amy Munson

2022-10-27

We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.