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Acne Vulgaris

acne vulgaris on cheeks
Table of Contents

Stubborn acne can feel impossible to control, flaring up just when you least expect it. Beyond the breakouts, many people struggle with redness, scarring, and the constant worry that their skin will never clear. We know how much this affects not only your appearance but also your confidence. That’s why our focus is on giving you effective solutions that treat acne at its root and protect your skin for the future.

  • Trusted care from doctors experienced in acne management
  • Treatments designed around your unique skin needs
  • Comprehensive approach: clear active breakouts and fade scars
  • Advanced medical therapies combined with proven in-clinic procedures
  • Over 15 years of expertise, with thousands of patients treated successfully

What Is Acne Vulgaris?

Acne vulgaris is a common skin condition that can appear differently from one person to another. Flare-ups may be triggered by stress, hormonal changes, certain foods, or even skin care products.

Inflammatory acne vulgaris is one of the most widespread and troublesome types. It often presents as red, tender spots (papules) or pus-filled spots (pustules), which can develop anywhere on the body, most often on the face, jawline, neck, chest, shoulders, and back. This type of acne usually begins with comedones (blackheads and whiteheads). Whiteheads are especially prone to inflammation because blocked pores trap sebum and bacteria beneath the skin.

If left untreated, inflammatory acne can progress to more severe forms such as nodular or cystic acne, which are deeper, more painful, and more likely to leave permanent marks. In many cases, even moderate breakouts may result in post-inflammatory changes, including acne marks, pigmentation and scarring due to the ongoing inflammatory process.

Acne Vulgaris Breakouts Singapore
Acne vulgaris breakouts are common skin eruptions that occur when hair follicles become blocked with oil, dead skin cells, and bacteria, leading to pimples, blackheads, or cysts.

How Common Is Acne Vulgaris?

Acne vulgaris is the eighth most common skin disease worldwide, affecting both children and adults, though it most often begins during adolescence [1]. Its severity can range from mild to severe, and it is frequently linked to psychological distress, embarrassment and reduced self-esteem. When left untreated, acne may lead to long-term changes in skin tone (such as hypo- or hyperpigmentation) and permanent scarring, including atrophic, hypertrophic and keloid scars.

Acne is far more than just an issue of appearance. It can place a heavy burden on mental health, social interactions and work performance. The direct and indirect costs of living with chronic acne, whether emotional, social or financial, are always important considerations when developing an effective treatment plan.

What Affects Sebum Production in Acne?

Sebum production is controlled by different receptors within the sebaceous glands [2]. These receptors can be stimulated by hormones, stress, and diet, which explains why acne often worsens during stressful periods or with certain lifestyle factors.

  • DHT receptors – activated by androgen hormones, which stimulate sebum production.
  • Neuromodulator receptors – triggered by stress; flare-ups are common during exams or other stressful times.
  • Leptin receptors – influenced by fat cells; help regulate body weight and lipid metabolism.
  • Insulin-like growth factor (IGF-1) receptors – linked to high sugar intake, which can drive excess sebum production.
  • Peroxisome proliferator-activated receptors (PPARs) – affected by free fatty acids and cholesterol, contributing to sebum activity.

Why Do I Get Inflammatory Acne Vulgaris?

Inflammatory acne vulgaris is common in both teenagers and adults. It often appears suddenly, may last for weeks or months, and in some cases continues for years.

Breakouts are usually the result of multiple factors working together. Hormonal changes, genetics, stress, and diet all play a role. Certain cosmetic products, harsh skincare routines and lifestyle habits can further aggravate the condition. Even over-washing the face can strip away natural oils, disrupting the skin barrier and making acne worse.

Inflammatory Acne Vulgaris Singapore
Inflammatory acne vulgaris is a more severe form of acne marked by red, swollen, and often painful spots that can lead to scarring if untreated.

 

What Skin Products Should I Use for Acne-Prone Skin?

A well-balanced, simple, and consistent skincare routine is one of the most important steps in keeping acne under control. With so many products on the market, it can feel overwhelming, but the following guide can help:

  • Choose a gentle, non-alkaline facial cleanser.
  • Use oil-free and non-comedogenic products to reduce clogged pores.
  • Opt for powder-based foundation, which absorbs excess oil more effectively than thick cream-based formulas.
  • Apply a broad-spectrum sunscreen with zinc oxide or titanium dioxide to protect the skin and reduce irritation.
  • Always remove makeup before bed to prevent pore blockage.

Avoid products that are heavy, oily or comedogenic, as these can clog pores and trigger further breakouts. Sticking to light, non-irritating formulations helps protect the skin and prevents flare-ups from worsening.

Products for Acne-Prone Skin Singapore
For acne-prone skin, use gentle, oil-free, non-comedogenic products that protect the skin barrier without clogging pores.

Should I Pop My Pimple?

It can be tempting, but popping or squeezing pimples usually makes things worse. Pressing on a spot forces inflamed material deeper into the skin, which increases the risk of infection, prolonged healing, and permanent scarring.

Most acne scars are atrophic (sunken), but repeated trauma to the skin can also cause raised hypertrophic or keloid scars [3]. To avoid long-term damage, it’s best to leave pimples alone and let them heal naturally.

If a spot is persistent and does not improve within two weeks, seek professional care. A doctor can provide safe and effective treatments that clear acne without harming your skin.

Does Diet Affect Acne?

Diet does not directly cause acne, but research shows it can influence how often breakouts occur and how severe they become [4]. Foods with a high glycaemic index (GI), those that raise blood sugar levels quickly, are more likely to worsen acne [5]. In contrast, a diet based on low-GI foods may help to reduce flare-ups by keeping blood sugar and hormones more stable.

The glycaemic index ranks foods on a scale of 0–100 depending on how fast they raise blood glucose after eating. The type of carbohydrate, fibre content and even cooking methods can change a food’s GI value.

Glycaemic Index of Common Foods

Low GI (≤55) – Choose Most OftenMedium GI (56–69) – Choose SometimesHigh GI (≥70) – Limit or Avoid
Baked beans, chickpeas, kidney beans, lentils, mung beansBanana (ripe, yellow), cherries, figs (fresh/dried), grapes, kiwiOverripe banana, watermelon
Soybeans, cow’s milk (skim, 1%, 2%, whole), plain Greek yoghurtLychee, pineapple, raisins, beets, cornWhite bread/naan, white rice
Apple, apricot, plum, quinoa, gram flourFrench fries, instant oats, brown riceCornflakes, potatoes, millet

While studies remain limited, some evidence suggests that dairy products (especially skim milk), whey protein, and chocolate may also worsen acne in some people [6].

A sensible, balanced diet that emphasises whole foods, fruits, vegetables, lean proteins, and low-GI carbohydrates can support clearer skin, especially when combined with professional acne treatment.

What Are the Types of Acne Vulgaris?

Acne vulgaris can range from small blackheads to painful cysts deep under the skin. Understanding the different types helps determine the right treatment and how urgently professional care may be needed.

Types of Acne Vulgaris

TypeAppearanceSeverityRisk if Untreated
Comedonal AcneBlackheads and whiteheads, usually on the T-zone (forehead, nose, chin)MildMay progress to inflamed acne if pores stay blocked
Papulopustular AcneRed bumps (papules) and pus-filled spots (pustules), often tenderModerateHigher risk of scarring, common on cheeks, jawline, chest, back
Nodular Acne Large, firm, painful lumps under the skinSevereHigh risk of permanent scars without treatment
Cystic AcneDeep, pus-filled cysts, often painful and widespreadSevereMost likely to leave long-term scarring; requires medical care

Our Approach - How Dr.Ng Treats Acne

With more than 15 years of clinical experience, Dr Ng has seen firsthand how acne affects people from all walks of life. Acne does not discriminate; it can trouble teenagers, persist into adulthood, and affect both men and women for months or even years. Beyond the visible breakouts, it can cause frustration, self-consciousness and a loss of confidence.

Dr Ng’s approach is patient-centred, combining the latest scientific evidence with his own extensive experience. He carefully considers each person’s skin type, acne severity and lifestyle to design a treatment plan that is both effective and realistic.

This personalised care not only targets active breakouts but also helps to prevent scarring, improve skin health and restore confidence over the long term.

Early and targeted treatment can stop mild acne from progressing into more severe forms, protecting your skin from permanent marks.

Our
Approach

How Dr.Ng Treats Acne

As a clinician with more than 15 years of experience, Dr Ng. understands the impact of how acne can affect an individual. Acne knows no boundaries, afflicting a wide range of age groups and affecting both genders for varying lengths of time. Dr. Ng provides a patient-centric approach that is backed by the latest scientific evidence as well as his own wealth of experience to create a care plan for the best acne treatment that is unique to your skin type. Early intervention can help prevent acne scars, restore your skin and confidence.

Acne Vulgaris Treatments

The right treatment depends on the severity of your acne, your medical history, allergies, skin type and sensitivity. In many cases, a combination of therapies works best to target the different causes of acne and achieve lasting results.

Topical Therapy

Prescription topical treatments are often the first step for mild to moderate acne [7]. They work by clearing clogged pores, reducing inflammation and helping with pigmentation and scarring. Early and consistent use gives the best outcomes, while maintenance treatment helps prevent relapse.

Common topical options include:

  • Retinoids (e.g., tretinoin, adapalene, trifarotene) – unclog pores and regulate skin turnover.
  • Benzoyl peroxide – reduces bacteria and inflammation.
  • Azelaic acid – improves pigmentation and calms inflammation.
  • Topical antibiotics – reduce bacterial load (usually combined with other treatments to avoid resistance).
  • Combination products (e.g., retinoid + benzoyl peroxide, antibiotic + benzoyl peroxide).

Oral Therapy

For more moderate to severe acne, oral medications may be recommended:

  • Oral antibiotics – reduce bacteria and inflammation. Common options include doxycycline. Usually prescribed for up to three months and combined with topical therapy to reduce resistance.
  • Hormonal therapy – oral contraceptives or spironolactone can be effective for women whose acne is linked to hormonal imbalance.
  • Oral retinoids (isotretinoin) – the most effective option for severe, scarring, or treatment-resistant acne. Isotretinoin reduces oil production by up to 90% within weeks and has long-lasting benefits. A consultation is essential to discuss suitability, precautions, and side effects.

Laser and Medical Facial Treatments

In addition to prescription therapies, non-invasive procedures can improve both active acne and acne scarring. These treatments are customised to your skin type and goals.

TreatmentDescriptionImage
Hydra Plus FacialA multi-step treatment that exfoliates, extracts impurities, clears blackheads and whiteheads, and infuses nutrients for healthier skin [8].
ADVATx LaserTargets redness, inflammation, and acne scars. Different wavelengths treat both active acne and remodel skin to reduce scarring.
Carbon Peel LaserUses laser energy to reduce pore size, oil production, and inflammation while stimulating collagen for smoother skin.

Personalised Care

At APAX Medical & Aesthetics Clinic, treatment is tailored to each patient. Dr Moses Ng draws on more than 15 years of experience to create personalised plans that reduce acne breakouts, prevent scarring and improve long-term skin health. Early treatment makes a significant difference, protecting your skin and helping you regain confidence.

When Can I Start to See Improvement?

Everyone responds differently to acne treatment, depending on genetics, skin type and the severity of the condition. It is normal for improvements to appear gradually as your skin adjusts to the treatment.

Most patients begin to notice clearer skin within 6 to 8 weeks, although a full course of treatment usually lasts at least 4 to 6 months, followed by maintenance care to prevent relapse.

Early and consistent treatment is important, as it not only reduces active breakouts but also helps minimise pigmentation, acne marks, and the risk of permanent scarring.

How Can I Improve My Acne Scars?

Acne scars are a common but frustrating complication, especially when breakouts have been severe or left untreated. Scarring develops when inflammation damages deeper layers of skin. Severe forms such as cystic acne carry the highest risk.

There are different types of scars, each requiring a tailored approach.

Types of Acne Scars and Treatment Options

Type of ScarAppearanceCommon Treatments
Atrophic (Depressed) ScarsShallow or sunken scars, often on the cheeksFractional laser, RF microneedling (INFINI, Genius), fillers
Ice Pick ScarsDeep, narrow scars that look like small holesTCA CROSS, laser resurfacing
Rolling ScarsWide, shallow depressions with sloping edgesSubcision, RF microneedling, fillers
Boxcar ScarsBroad, sharp-edged depressionsFractional laser, fillers, subcision
Hypertrophic/Keloid ScarsRaised, firm scars, often on chest, shoulders, jawlineSteroid injections, laser therapy

Acne Vulgaris Treatment Prices in Singapore

The cost of acne treatment varies depending on the type of therapy required, the severity of your condition, and whether combination treatments are recommended. Below is a guide to starting prices:

TreatmentPrice (from)
Oral antibiotics$30
Topical creams (e.g., retinoids, benzoyl peroxide)$40
Oral spironolactone$60
Oral isotretinoin$80
Steroid injections$120
Drainage of cyst$150
Laser acne treatment$399

About Dr Moses Ng

Qualifications and Memberships

  • MBBS (London) with Distinction
  • Diploma in Practical Dermatology (Cardiff) with Distinction
  • Member, American Acne & Rosacea Society
  • Fellow, American Society for Laser Medicine & Surgery

Dr Moses Ng is a highly regarded aesthetic physician, known for his expertise in advanced cosmetic and dermatological treatments. With over 15 years of clinical experience, he combines rigorous medical training with a deep commitment to helping patients achieve healthier skin.

His practice covers a broad range of treatments, from injectables and laser procedures to specialised acne and acne scar management. Patients value not only his technical skill but also his thoughtful, patient-centred approach that places their wellbeing at the heart of care.

Driven by a pursuit of excellence, Dr Ng continually updates his knowledge with the latest advances in aesthetic medicine. This ensures his patients benefit from safe, effective and comprehensive treatments delivered to the highest standard.

Acne Vulgaris

“My immediate concern whenever I see a case of acne vulgaris, whether mild or severe, is how it is affecting your health and confidence. Untreated acne can lead to unnecessary emotional distress, yet in today’s world, effective treatments are readily available.”

— Dr Moses Ng

Schedule a Consultation for Acne Vulgaris Treatment in Singapore

Clearer skin starts with the right guidance. At our clinics in Woodlands and Kovan, we provide comprehensive care for all forms of acne and acne scarring.

During your consultation, Dr Ng will carefully assess your skin, discuss your concerns, and design a personalised treatment plan to help you achieve long-term improvements in both skin health and appearance.

Take the first step towards healthier, more confident skin — schedule your appointment today.

Acne vulgaris

My immediate concern whenever I see a case of acne vulgaris, whether it is mild or severe, is to assess how it is affecting your health. Acne that is not treated can lead to great emotional distress. This is quite unnecessary in this day and age, where effective acne treatments are readily available.

Dr. Moses Ng

Schedule a consultation for Acne Vulgaris treatment in Singapore

We treat a range of acne and acne scars at both our clinics in Woodlands and Kovan. Contact us today to schedule a consultation, so that Dr. Ng can develop a personalized treatment approach for resolving your skin concerns and helping you to achieve long-term improvements in the health and appearance of your skin.

Frequently Asked Questions (FAQs)

Are there any lifestyle changes that can help manage acne vulgaris?

Yes. Keeping a consistent skincare routine, avoiding harsh scrubbing, eating a balanced diet with fewer high-glycaemic foods, managing stress and getting adequate sleep can all support clearer skin. These habits do not replace medical treatment but can make it more effective.

Are there any long-term effects of acne vulgaris?

If left untreated, acne may lead to permanent scarring, pigmentation changes, and in some cases, ongoing emotional distress. Early treatment is the best way to reduce these long-term effects.

Is acne vulgaris contagious?

No. Acne is not caused by an infection that spreads from person to person. It develops when oil glands, hormones and bacteria naturally present on the skin interact.

Can acne vulgaris leave permanent scars?

Yes. Severe or untreated acne, especially nodular or cystic types, can cause permanent scarring. Even moderate breakouts can leave marks if picked or squeezed. Professional treatment greatly reduces this risk.

Can hormonal changes worsen acne vulgaris?

Definitely. Hormones play a major role in acne, particularly during puberty, menstrual cycles, pregnancy, and conditions such as polycystic ovary syndrome (PCOS). Treatments are available to help regulate hormone-related breakouts.

How long does it take for acne vulgaris to clear up?

This varies for each person. Many patients notice improvement within 6–8 weeks of starting treatment, but a full course may take several months. Maintenance care is often recommended to keep skin clear and prevent relapse.

References 

  1. Vasam, M., Korutla, S., & Bohara, R. A. (2023). Acne vulgaris: A review of the pathophysiology, treatment, and recent nanotechnology based advances. Biochemistry and Biophysics Reports, 36, 101578. https://doi.org/10.1016/j.bbrep.2023.101578 
  2. Thiboutot, D. (2004). Regulation of human sebaceous glands. Journal of Investigative Dermatology, 123(1), 1–12. https://doi.org/10.1111/j.1523-1747.2004.t01-2-.x 
  3. Fabbrocini, G., Annunziata, M. C., D’Arco, V., De Vita, V., Lodi, G., Mauriello, M. C., Pastore, F., & Monfrecola, G. (2010). Acne scars: Pathogenesis, classification and treatment. Dermatology Research and Practice, 2010, 893080. https://doi.org/10.1155/2010/893080 
  4. Baldwin, H., & Tan, J. (2021). Effects of diet on acne and its response to treatment. American Journal of Clinical Dermatology, 22(1), 55–65. https://doi.org/10.1007/s40257-020-00542-y 
  5. Reynolds, R. C., Lee, S., Choi, J. Y. J., Atkinson, F. S., Stockmann, K. S., Petocz, P., & Brand-Miller, J. C. (2010). Effect of the glycemic index of carbohydrates on acne vulgaris. Nutrients, 2(10), 1060–1072. https://doi.org/10.3390/nu2101060 
  6. Muhaidat, J., Qablan, A., Gharaibeh, F., Albataineh, G. H., Abdo, N., Alshiyab, D., & Al-Qarqaz, F. (2024). The effect of whey protein supplements on acne vulgaris among male adolescents and young adults: A case-control study from north of jordan. Dermatology Research and Practice, 2024, 2158229. https://doi.org/10.1155/2024/2158229 
  7.  Vasam, M., Korutla, S., & Bohara, R. A. (2023). Acne vulgaris: A review of the pathophysiology, treatment, and recent nanotechnology based advances. Biochemistry and Biophysics Reports, 36, 101578. https://doi.org/10.1016/j.bbrep.2023.101578 
  8. Storgard, R., Mauricio-Lee, J., Mauricio, T., Zaiac, M., & Karnik, J. (2022). Efficacy and tolerability of hydrafacial clarifying treatment series in the treatment of active acne vulgaris. The Journal of Clinical and Aesthetic Dermatology, 15(12), 42–46. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762628/ 

About Dr Moses Ng

MBBS (London) with distinction
Dip Practical Dermatology (Cardiff) with distinction
Member of American Acne & Rosacea Society
Fellow of American Society for Laser Medicine & Surgery

Dr. Moses Ng is a distinguished professional in the field of aesthetic medicine, renowned for his expertise in advanced cosmetic procedures. With over 15 years of experience, extensive training and a keen eye for detail, Dr. Ng specializes in a wide range of treatments, including injectables, laser therapies, and acne scar management.

Dr. Moses Ng’s commitment to excellence and patient-centric approach have earned him a reputation as a trusted clinician in aesthetic medicine. His continuous pursuit of the latest advancements in the field ensures that his patients receive the highest standard of care and the most effective treatments available.

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