There Is No Evidence that These Devices Fulfill Their Promises
The Essential Info
Heat therapy devices work by the notion that spot treating an acne lesion with heat can kill bacteria within the lesion, helping reduce inflammation and helping the lesion heal faster.
If they worked, they would be a great tool, but there is no compelling evidence to back them up.
Buyer Beware: These devices are money-makers for the companies that sell the devices and replacement “tips,” but there is no reason to believe they are worth the expense.
- Science Behind the All Heat-producing Acne Treatment Devices
- What about Devices at the Cosmetic Dermatologist’s Office?
- The Bottom Line
The devices are marketed for mild, inflammatory acne (little red zits) only, and are designed to treat pimples that are already present. They do nothing for prevention, and tend to leave users chasing pimples around their face at up to 50 cents per “zap.”
Even so, if these devices worked, they would be great tools to have. Unfortunately, we’re looking at a big “IF.” Science on these devices is incomplete at best, and based on our own admittedly unscientific trial here at Acne.org (several of us tried them for a few weeks and noticed no results), they did not work.
The medical concept behind all heat-producing acne treatment devices is that heat causes acne bacteria to activate heat-shock proteins, which then damages or kills some of the bacteria.
Researchers theorize that acne bacteria plays a role in the process by which a clogged pore becomes inflamed, so damaging or eliminating some bacteria could theoretically help prevent a clogged pore from becoming a full-blown pimple.
If this all sounds vague, that’s because it is. The science behind these devices is scant at best.
Much of the science behind at-home devices comes from a single unpublished study which employs subjective analysis, and presents only two subject pictures.1
Adding further questions to whether heat devices can do anything for acne, a more recent study showed that bacteria that were killed by heat were still able to produce an inflammatory response.2
What about Devices at the Cosmetic Dermatologist’s Office?
Radiofrequency devices: Cosmetic dermatologists sometimes offer radiofrequency treatments that use heat in an attempt to plump the skin and provide anti-aging benefits in their offices. There is one very small, flawed and incomplete study showing some promise of these devices in treating acne as well.3
Heat + light devices: In addition, an even smaller preliminary study tested a novel acne treatment device that combines heat with light.4 While this device seems to show some promise for treating acne, it is impossible to determine whether the heat or the light is primarily responsible for the effect.
These treatments can be costly, and the jury is still out on whether they should be recommended.
Expand to read details of studies
The Bottom Line
There is no science to support the use of at-home heat devices for treating acne. Since the beginning of civilization, salesmen have produced “miracle devices” which claim to heal just about every disease known to man. When something seems too good to be true, it usually is. When you consider the paucity of science behind these products, and also consider the cost of the devices combined with the cost of “replacement tips,” a healthy dose of skepticism is in order.
- Bruce, S. et al. Significant Efficacy and Safety of Low Level Intermittent Heat in Patients with Mild to Moderate Acne. Suzanne Bruce and Associates, Tyrell Inc., Synergos Inc. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.587.9200&rep=rep1&type=pdf
- Lyte, P., Sur, R., Nigam, A. & Southall, M. D. Heat killed Propionibacterium acnes is capable of inducing inflammatory responses in skin. Exp. Dermatol. 18, 1070 – 1072 (2009). https://www.ncbi.nlm.nih.gov/pubmed/19624731
- Ruiz-Esparza, J. & Gomez, J. B. Nonablative radiofrequency for active acne vulgaris: the use of deep dermal heat in the treatment of moderate to severe active acne vulgaris (thermotherapy): a report of 22 patients. Dermatol. Surg. 29, 333 – 339; discussion 339 (2003). https://www.ncbi.nlm.nih.gov/pubmed/12656809
- Joo, Y., Kang, H., Choi, E. H., Nelson, J. S. & Jung, B. Characterization of a new acne vulgaris treatment device combining light and thermal treatment methods. Skin Res. Technol. 18, 15-21 (2012). https://www.ncbi.nlm.nih.gov/pubmed/21585558