Acne is a skin condition that results in plugged pores, pimples and, in more serious cases, inflamed and painful cysts. These can appear on the face, neck, chest, shoulders, back and upper arms.

Acne occurs when pores on the skin’s surface become clogged with a buildup of oil with a mix of dirt, dead skin cells and bacteria.

Acne most often begins in puberty as teenagers experience hormonal changes that can make their skin produce more oil. But anyone can get acne, including adults well into their 40s and 50s.

SkincareIn fact, acne is the most common U.S. skin disorder, affecting more than 80 percent of Americans during their lifetime. For some, it is a relatively mild condition. For many others, acne can be so severe that it causes scarring and requires medical treatment by a dermatologist.

O’Neal W Koger, MD is skilled in treating all diseases and conditions of the skin, including acne. He is well versed in the latest therapies and treatment options, which include topical and oral medication. To schedule a consultation, please call us at 248-435-6622.

Getting rid of acne

There are measures you can take to clear acne outbreaks.


  • Cleanse your skin gently once or twice a day with a mild, nondrying soap and warm water to remove dirt and makeup. Avoid scrubbing too vigorously, which can irritate the skin and make the acne worse.
  • Wash after exercising to prevent oil and sweat buildup.
  • Use oil-free sunblock, creams and cosmetics.


  • Squeeze, pop or pick at acne outbreaks, which can cause scarring.
  • Use alcohol-based astringents that can strip your skin of natural moisture.
  • Use oily or greasy creams or sunblock.
  • Wear tight caps, headbands or other head gear.
  • Touch your face without cleaning your hands and fingers first.

If your acne is still a problem, there are over-the-counter acne medications that can be applied to the affected areas. These may include:

  • Benzoyl peroxide
  • Sulfur
  • Salicylic acid

These products work by killing acne-causing bacteria on the skin, drying up skin oils or causing the top layer of skin to peel away. Use the medication as directed and allow six to eight weeks to see improvement.

Persistent acne

If these methods don’t improve or clear up your acne, Dr, Koger can prescribe stronger medications and offer additional options.

Some people are helped by medications that target the acne-causing bacteria, including:

  • Oral antibiotics such as tetracycline, doxycycline, minocycline, erythromycin, trimethoprim- sulfa or amoxicillin.
  • Topical antibiotics such as clindamycin, sulfacetamide, or erythromycin.
  • Prescription formulations of benzoyl peroxide or sulfur.
  • Retinoic acid cream or gel (tretinoin, Retin-A).
  • Topical azelaic acid or dapsone.

In severe cases of cystic acne, Dr Koger may prescribe isotretinoin (Accutane), which requires close monitoring because it can have severe side effects, including causing birth defects.

Other procedures have been helpful in some cases. These include:

  • Chemical skin peels
  • Cortisone injects of severe cysts
  • Microdermabrasion to remove or lessen the appearance of scars


30301 Woodward Ave, Suite 120
Royal Oak , MI 48073
Tel : 248-435-6622