Should I treat active acne before treating my scars?

Yes — always. Treating scars while acne is still active risks triggering new breakouts and new scarring in the treated area. We always recommend getting active acne under control first, then transitioning to scar treatment once the skin is stable. If you have both, our practitioners will discuss a staged plan at your consultation.

Will my skin purge during treatment?

Some treatments — particularly Twinlight Acne — can cause a purging phase in the first 1-2 sessions. Purging occurs when treatment accelerates the skin's cell turnover, bringing existing congestion to the surface faster than it would naturally appear. It looks like an initial worsening of breakouts, but resolves quickly and is followed by clearer skin. Purging is distinct from a breakout caused by irritation — your practitioner will explain what to expect before your first session.

Can in-clinic treatments cure my acne?

In-clinic treatments significantly reduce active breakouts, clear congestion, kill acne bacteria, and support the skin barrier — but they work externally. Acne with a strong hormonal or genetic driver often has an internal component that cannot be addressed from the outside alone. For patients with hormonal acne, persistent cystic acne, or acne that has not responded to topical treatments, hormonal medication or isotretinoin prescribed by a GP or dermatologist is often the most important part of the plan. In-clinic and medical treatments work best together.

How many sessions will I need?

Twinlight Acne typically requires 4-6 sessions spaced 2-4 weeks apart for meaningful improvement in active acne. Hydrofacial is most effective as a monthly maintenance treatment. LED light therapy works cumulatively over 6-10 sessions. Many patients combine treatments for the best result. Your practitioner will outline a personalised plan at your consultation.

Is there any downtime?

Most of our active acne treatments have no downtime. Twinlight Acne may cause mild redness for a few hours. Facials and LED have zero downtime. There is no recovery period required for any of these treatments — many patients come in during their lunch break.

Concern

Active Acne &
Lifestyle Breakouts

Treating acne now is the most effective thing you can do to prevent permanent scarring

Active acne is more than a cosmetic concern — every inflammatory breakout carries a risk of permanent scarring. The earlier and more effectively you treat acne, the less likely it is to leave a lasting mark. At 99 Medispa, we offer in-clinic treatments that reduce inflammation, target acne-causing bacteria, and support the skin barrier — alongside honest advice about when systemic treatment is the missing piece.

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Understanding the Concern

Types of Acne

Blackheads (Open Comedones)

A pore blocked with oxidised sebum and dead skin cells, open to the surface — which gives the dark appearance. Non-inflammatory. Very common on the nose, chin, and forehead. Respond well to deep cleansing and regular extraction.

Treatments

FacialsExtraction FacialEndyMed FSR