Phototherapy
Reviews
2.8
217 Reviews
Phototherapy
Efficacy
60%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Phototherapy
Side Effects
Medium-High
Phototherapy
Acne.org’s Real World Take
PDT as it’s called is an incredibly painful procedure, but one that may produce lasting results. It’s a less invasive option than isotretinoin for severe acne that doesn’t cause so many potentially lifelong side effects. However, it works by permanently disabling skin oil glands, and what happens long term when you do that remains unknown. Proceed with caution.
Phototherapy
How to Get It
Have a dermatologist? Make an appointment to get this procedure done. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one.
Read All About Photodynamic Therapy
Compare To Other Treatments
5
12.4%
4
20.7%
3
26.7%
2
15.2%
1
24.9%

Used Photodynamic Therapy? Rate It:

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November 10, 2010

Pros:

Less oil production.

Cons:

Like most things there's downtime - expect a day in mild stinging, you break out (whiteheads ahh! and they hurt more than the actual treatment) during the course of healing, a couple days of tightness, a week or more of peeling, redness until fades.

Don't expect anything but a decrease in oil production. If you're like me it's worth what its made for: shutting your sebaceous glands up! (decrease oil production) What's "like me" ??!: Pale, insanely oily (as in every hour you need one of those blotting sheets), large pores, lots of blemishes, like if I breakout it leaves a mark every time for like a whole year or longer, scarring, recently hormonal breakouts (during PMS then clears up just in time for next PMS), some cysts (from excess oil), skin is so sensitive I can touch my face with water and I'll break out. It helped with the oiliness so I am assuming in the long run it will help with cysts, I think I will need half as many blotting papers which is awesome, I will still break out because of my hormones so I won't be completely new-blemish free. It doesn't seem to be helping with any other issue I have. Skins smoother after the peeling ends because hello I just shed a layer, but other than that there's nothing left to do but take care of it as best I can and hope that my make up for work doesn't ruin the process I just went through. One thing that bothered me was that I don't get whiteheads and I got some, maybe a dozen, and little tiny spots here and there. The white heads hurt and it was as if they were getting pushed out of my face by the treatment. But eventually it goes away. They will tell you it will help with other things like some conditions I have, but thats not what its made for so just go in knowing that you will clean the oil spills, which I think is really important to start off with.
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October 21, 2010

Pros:

Helped with hyperpigmentation a little

Cons:

Downtime
Cystic breakouts
Tiny bumps under the skin

I went to a top derm in Beverly Hills and paid for a set of 5 treatments followed by V-Beam laser spaced one month apart each. My skin has been getting worse since the start to the end of these treatment. I had mild acne and would now consider it moderate with some cysts. The doctor convinced me to keep going, but now after spending the money and the time, I regret doing it. This can work wonders on some, but to others it can be a big mistake, there really is no way to know. I followed all of the guidlines and was left with worse acne. PDT, in my opinion should be used as a last line of defense. It you haven't tried antibiotics and creams yet, try them before doing this. I did a round of V-Beam a few years ago and then again with the PDT and it really smooths out skin texture. Try the V-Beam with Smoothbeam laser first it was cheaper and the results were much better!!!!!
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October 20, 2010

Pros:

***It worked for a couple of months
***Have to stay in doors for 3 days and out of the sun for a week.
*** Skin was less oily

Cons:

*** Expensive
*** Down time
*** Skin builds immunity

I had around 7 of these procedures done in the 1.5 year time span. In the first couple treatments it worked miracles. I was no longer breaking out and the texture of my skin was so smooth. My fine lines and acne scars started to fade. After my 4th treatment my skin grew immune to the PDL treatment and returned to it's oily and moderate acne state. I tried 3 more times in a desperate attempt and it no longer worked on my skin. I spent so much money on the treatments and it left me hopeless. I saw an infomercial on MaxClarity and gave it a shot. I been using it for 3 months and it helped with my cystic acne and oily skin. It's a lot cheaper too!
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September 9, 2010

Pros:

Acne Gone

Cons:

must stay out of sun
stings
have to hide like a vampire

DO not go in the sun! I did and my face turned brown and scabbed. I had to have antibiotics to clear scab. Now my face is amazing no acne... knock on wood
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August 30, 2010

Pros:

Major improvement in skin texture, pore size and oilyness.

Cons:

1 week downtime- serious painful redness and peeling. Treatment itself is painful while the Levulan is activated by light.

Expensive, but worth it if you can afford it.
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August 23, 2010

Pros:

Skin felt soft and smooth in the third and forth week

Cons:

expensive
have to stay in a dark room for three full days
uncomfortable - feels like a BAD sunburn

I have struggled with ance for 14 years. I finally decided that I wanted to put an end to it. I got a Levulan treatment done 5 months ago. The first three days I had to black out ALL the windows. Even the little bit of light coming in from the windows made it burn. After the "sunburn" went away (two weeks) my skin felt really soft. I had started feeling really good. Around two months my skin starting get more acne. Then it got worse. I started getting MORE ACNE then I had before the Levulan. It also changed the type of acne. I use to have small red bumps that went away fairly fast. Now I have CYSTIC ACNE. I have WAY MORE ACNE. The acne all groups together and stays under the skin.
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August 12, 2010

Pros:

Skin less oily
Pimples even if they appear, are so small and not that much as before.
Acne scars diminished a lil bit

Cons:

3 days of ugly face

So i have been reading these reviews and finally decided to have one myself. I have hormonal acne ( i'm 25,f) and lot of acne scars, ice picks and so on, oily skin.... you name it I had it. So before trying laser I gave it a chance and sooo happy I did. If you're like me desperate and every dollar counts, try this you shouldn't be disappointed. Skin is so much better. Do it on friday, so on monday you would be ready to go to work. Redness for the first 2-3 days and then peeling starts. But it's so worth it!!!! Before you concider laser try this. I'm going back for 2nd appointment on satturday. Good luck to all of you!
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July 24, 2010

Pros:

Reduce my ance

Cons:

Downtime of 4-5 days, expensive, does not reduce oiliness as some might think

I would do it again. After 2 treatments, my skin did not have crazy breakouts like before. It could be because I resumed using BP right after levulan. But I believe the levulan blue light helped a lot. My girlfriend also noticed the difference.
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July 23, 2010

Pros:

It works when nothing else does!

Cons:

Not cheap;
uncomfortable;
takes at least a week to recover

Levulan is the latest treatment I have used in my decades-long battle with acne. I tried everything under the sun: topicals, oral antibiotics, Accutane (twice), and the acne persisted. I tried Murad, which was expensive and ineffective; and I was ferociously allergic to ProActiv (probably the benzoyl peroxide). I had my hormones tested, altered my diet, tried meditation, visualization; you name it, I've probably done it. The breakouts had been worsening lately, including cysts. Even photofacials did not make much of a difference. Levulan is supposed to shut down the sebaceous glands that create acne. The reviews on Levulan are mixed, but leaning toward positive results, so I decided to get the treatment late last month. You will definite need at least a week to heal. No sunlight allowed! (You will be hypersensitive to sun exposure and at greater risk for skin damage, pigmentation and swelling). During my appointment, I had the Levulan on my face for about an hour, and then had the light procedure. Afterwards, my face stung. It was uncomfortable but not intolerable. I made the mistake of drinking coffee before my appointment'"it will make you more sensitive to the pain. The next day, my face was very pink, puffy, scabby, blotchy, and even blistered in small areas. I was forewarned, so it was not upsetting or shocking to me. Be prepared to look pretty bad for a few days while your skin works to heal itself. Three days later, the swelling was nearly gone and my skin was less pink, but I had lots of dark pigmentation. My face looked like mottled French toast. Four days after, I experienced significant peeling. Still looked scary. A week and a half after the procedure, most of the peeling was over. A month later, I am happy with the results'"my skin is MUCH softer & clearer. As a veteran of nearly every product on the market, I only wish that this procedure had existed when I was a teen'"it would have spared many of us years of frust
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July 9, 2010

Pros:

Acne reduction.

Cons:

Not sure yet

I just had Levulan Blu Light PDT on my face TODAY!!! I am 30 yrs old battling cystic acne since I was 15...Ive tried accutane 3x, antibiotics, tazarac, you name it, ive tried it...Accutane at ages 19, 21, 23 and yes, it cleared up my chest and back and forehead, and it worked while I was on it but it frigged up my eyesight!! but now at 30, my derm put me on aldactone 100mg a day bcz I get hormonal cysts on my cheeks and OUCH cortosone injections every month,( My prblem is hormonal and genetic bcz my mother had bad skin adn I break out BAD right before my menstrual period.) Well its time I took it up a notch so I read all your reviews and I started levulan blu light today..I have to do 3 more treatments, my last one will be on October 22. So I had the nurse clean my face with accetone, then she applied the stick of levulan and I "incubated" for 1 hr and 10 min and it stung and it burned and my face looked RED..then she put me under the blu light for 15min. It was burning but nothing crazy...I took a vicodine and she had a fan on my face the whole time. Right now i feel like I have a bad sun burn, they gave me some aquaphor and other anti itch ointment to put on, but I just did this today so I will keep everyone posted..I am soooo hopeful this will clear me up because I cried so much hoping this will work..15 years battling acne is not fun. It has taken a huge toll on me, emotionally. Wish me luck!!
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June 2, 2016
How did your skin turn out?

Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.