Acne affects up to 50 million Americans annually, making it the most common skin condition in the United States. Far from being just a teenage concern, acne impacts approximately 85% of people between ages 12-24 and continues to affect up to 40% of adults, with the condition increasingly diagnosed in patients well into their 30s and 40s.

Dr. Kristine Zitelli understands that effective acne treatment requires a comprehensive approach tailored to each patient’s unique skin type, acne severity, and lifestyle factors. Through evidence-based therapies and personalized care plans, patients throughout Cincinnati achieve clearer skin and renewed confidence.

Understanding Acne: More Than Skin Deep

Acne vulgaris is a complex inflammatory condition affecting the pilosebaceous unit, which consists of hair follicles and their associated sebaceous (oil) glands. The condition develops through multiple interconnected factors including increased sebum production, abnormal follicular keratinization, bacterial colonization by Cutibacterium acnes, and inflammatory responses within the skin.

Dr. Zitelli’s expertise in acne pathophysiology allows her to identify the specific contributing factors in each patient’s case, enabling targeted treatment approaches that address root causes rather than just visible symptoms. This comprehensive understanding leads to more effective treatment outcomes and reduced likelihood of recurrence.

Types and Severity of Acne

Non-Inflammatory Acne

  • Comedones (Blackheads and Whiteheads): Clogged pores that may appear open (blackheads) or closed (whiteheads)

Inflammatory Acne

  • Papules: Small, red, raised bumps without visible pus
  • Pustules: Inflamed lesions containing visible pus
  • Nodules: Large, painful, deep lesions beneath the skin surface
  • Cysts: Severe, pus-filled lesions that can cause scarring

Dr. Zitelli carefully evaluates the type and distribution of acne lesions to determine severity and select the most appropriate treatment approach. Approximately 20% of acne patients develop severe forms that require aggressive intervention to prevent permanent scarring.

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Comprehensive Treatment Approaches

Dr. Zitelli offers a full spectrum of evidence-based acne treatments tailored to each patient’s specific needs:

Topical Therapies

Prescription retinoids, benzoyl peroxide, topical antibiotics, and combination products for targeted treatment of comedones and inflammatory lesions.

Systemic Treatments

Oral antibiotics for moderate to severe cases, hormonal therapies for hormonally-driven acne, and isotretinoin (Accutane) for severe, treatment-resistant acne.

Professional Procedures

Chemical peels, extractions, intralesional injections for cysts, and advanced light and laser therapies are in-office ways to target stubborn acne.

Personalized Treatment Planning

Dr. Zitelli’s approach begins with comprehensive evaluation of acne type and severity, patient age, previous treatments, and lifestyle factors. This thorough assessment enables individualized treatment plans that maximize effectiveness while minimizing side effects.

Most patients begin seeing improvement within 4-6 weeks, with significant results typically visible after 8-12 weeks of consistent therapy. For severe acne, early aggressive treatment is crucial to prevent the scarring that affects approximately 20% of acne patients.

Adult Acne and Special Considerations

Adult acne affects up to 15% of women and requires specialized approaches including hormonal evaluation, gentler treatment options, and integration with anti-aging concerns. Dr. Zitelli provides comprehensive guidance on proper skincare routines, stress management, and lifestyle modifications that support treatment success.

Frequently Asked Questions About Acne Treatment

Most patients notice initial improvement within 4-6 weeks, with significant clearing typically achieved after 8-12 weeks of consistent treatment. Severe acne may require longer treatment periods.

While effective treatment can achieve long-term clearance, acne is a chronic condition that may require ongoing maintenance therapy. Dr. Zitelli develops personalized maintenance plans to prevent recurrence.

Isotretinoin (Accutane) is highly effective for severe acne but requires careful monitoring. Dr. Zitelli thoroughly evaluates candidates and provides comprehensive monitoring throughout treatment to ensure safety and optimal results.

Yes, adult-onset acne is increasingly common, particularly in women. This often requires evaluation for hormonal factors and different treatment approaches than teenage acne.

The best prevention is early, effective treatment of active acne. Avoid picking or squeezing lesions, use gentle skincare products, and seek professional treatment for moderate to severe acne promptly.

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Why Choose Dr. Zitelli for Acne Treatment in Cincinnati

Dr. Kristine Zitelli brings exceptional expertise in treating all forms of acne, from mild comedonal acne to severe cystic acne requiring isotretinoin therapy. As a board-certified dermatologist with extensive experience in both adolescent and adult acne, she understands the physical and emotional impact this condition can have on patients’ lives.

Her comprehensive approach addresses not only the immediate treatment of acne lesions but also the prevention of scarring, management of post-inflammatory hyperpigmentation, and long-term maintenance of clear skin. Patients throughout Cincinnati and nearby Montgomery trust her expertise in creating personalized treatment plans that deliver results while minimizing side effects.

Dr. Zitelli stays current with the latest advances in acne research and treatment, ensuring that her patients have access to the most effective therapies available. Her compassionate approach recognizes that acne affects far more than just the skin, often impacting self-esteem, social interactions, and overall quality of life.

About Dr. Kristine Zitelli

Achieve the Clear Skin You Deserve

Don’t let acne control your life or confidence. Contact Queen City Dermatology today to schedule your comprehensive acne consultation with Dr. Zitelli and begin your journey toward clearer, healthier skin with personalized treatment approaches designed to address your specific needs and goals.

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