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:

Choose from 1 to 5 stars
May 8, 2009

Pros:

It works really good, the number of pimples I wake up to everyday has reduced dramatically. However it takes a few treatments to see any significant results. But if you get 3 or more treatments it should clear a majority if not all of your acne.

Cons:

The price, it is very expensive.

If your desperate to get rid of your acne, save up for this. It works! It has helped my self esteem dramatically, it is well worth the price if you can afford it.
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April 1, 2009

Pros:

In the long run, you can definately tell the difference. Went from Dark, beat red, to new, clearer looking skin. This product definately helps with acne scars.

Cons:

You do have to deal with quite a bit of redness (severity of redness depending on the patient). Redness usually lasts for about 3 days, and then immediately begins to peel.

Great product. Well affordable. Great Results!
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May 5, 2008

Pros:

i've had moderate acne for 6 years and it got more troublesome in college. i had two of these treatments and my skin is flawless. i get complimented on it all the time and it has made my life so much easier. my red scars are gone now as well.

Cons:

you can't see the sun for 48 hours. the treatment is a bit uncomfortable and your skin is severely red for about 3 to 4 days (and is peeling as well).

the cost, the week of peeling and redness is worth having absolutely beautiful skin. would recommend over any other treatment for acne and i've literally tried them all.
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April 12, 2007

Pros:

worth a try, saw results with one treatment, pores tighter, skin smoother

Cons:

housebound for 2 days, face looked severely burnt

i suffered with acne when i was a young adult and was left with minor scarring - going into the peri-menopause years i began getting white bumps underneath my skin i thought great here it goes again!!! I consulted with a dermatologist and he recommended the levulan and blue light therapy - I had my first treatment a month ago and just yesterday had my second treatment - there's no doubt you're housebound for a couple of day, it's almost depressing because your so red, but after a couple of days you start seeing improvements even with the peeling that is happening- and as time goes on face starts looking better and better- i feel it's worth trying because of the positive results i've seen - for those that haven't been happy with this treatment i hope you find something that works because acne is not easy to live with and for us that have it know this only to well. Good Luck
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January 29, 2007

Pros:

It was easy and painless. Cleared my acne. (I had mild-moderate around my chin and a bit on my cheeks)

Cons:

Expensive and you have to be very careful about staying out of any light for 48 hours.

This treatment is only beneficial to people with mild to moderate inflammatory acne and should not be used to treat cystic or severe acne. If your derm is suggesting that it will, get a new derm. Seriously. It also not 100% quaranteed to clear up your skin. There are stats available if you google it but I think it's something like 70% of treated patients experience total clearing. What I noticed about some peoples posts that they were getting a really high number of treatments and that possibly there were treated with the Clear Light, which is a weaker version of the Blu-U. 3 treatments is about standard for most people, with some people having to do some additional treatments. All in all I was happy with my treatment and my skin is pretty much acne free with some minor very small pimples every once in awhile.
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November 1, 2014
NOT recommended for sensitive skin; Caused infection and scarring
I really want to warn people with acne-prone, sensitive skin NOT to consider this treatment. I received two ALA photodynamic therapy treatments about two months apart; the last one I received about 5 months ago. I would NOT recommend this treatment to anyone, and especially not anyone with sensitive skin, because the first and second treatment did nothing to help my acne, and the second treatment caused me to break out into hundreds of itchy, red bumps, infected pustules, and painful cysts across the lower half of my face, which led to pitted scarring. The treatments seemed to stimulate the formation of cystic acne in places I never before experienced cystic acne, such as my forehead, which also resulted in permanent scarring. I actually did not previously have skin that would easily scar, but after this treatment, my skin was more sensitive and prone to scarring. I am not sure why, but once the peeling process began with the second treatment (about 4 days in), my skin erupted into a terrible break out around my mouth, on my chin, and across my jaw like nothing I've ever experienced before. My dermatologist (who only emailed me in response to my concern) thought it was a "purging" effect, and I only wish I had gone to see someone else sooner because the reaction actually wasn't normal. After a month of dealing with a severe infection that I foolishly thought was "purging" and that I hoped would subside on its own, I finally went to see a different derm who prescribed me antibiotics. It cleared up in two weeks on the minocycline I was prescribed. I really wish I had gone on the antibiotics sooner. Since then, I have been treating my skin with Differin cream which has cleared up my skin and improved the hyperpigmentation from scarring. Unfortunately, I am left with many boxcar and shallow icepick scars, though they have improved slightly over time. I am hoping over the next year I will see more improvement. Since my scars are quite shallow, I hope that at some point they won't hardly be noticeable. I am considering getting acne scar treatments once a year has passed from my initial infection (since scar formation and healing can take about a year). I give this treatment ONE star because it can possibly be effective at facial rejuvenation. Some parts of my face responded well (upper forehead) and looked brighter and more uniform afterward. However, the majority of the parts of my treated skin did not respond well at all and made my skin more acne- and scar-prone than before. Please, do not waste your money. There have not been enough research trials to confirm that this as an effective method at treating acne for the majority of patients.
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January 23, 2013

Pros:

1st treatment - improved acne 10%
2nd treatment - improved acne 20%
3rd treatment - improved acne 40%

Cons:

5-7 days of redness like a sunburn
5-7 days of peeling
pain for the 1-2 days
expenses

overall good outcome
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September 15, 2009

Pros:

It improves the scarring

Cons:

Very expensive + not very effective = me unhappy

I had 6 treatments with the levulan, and it improved pores, oilyness and scarring. However, I still break out, and in some areas even more severely than before I started the treatments one year ago. I know of a clinic that stopped offering Levulan because they found it was not very effective and I would have to say that they are good for doing this and not trying to suck money out of everyone. Sadly, IMHO avoid it, at least if you have moderate-severe acne.
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April 24, 2009

Pros:

Noticed improvements over night! Very fast process.

Cons:

Too expensive. A little itchy.

Had Luvian on face for 15 minutes and blue light for ten minutes. Noticed acne decreasing over night. Pores and acne shrinking. Skin continues to heal everyday, even months after first treatment.
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January 26, 2009

Pros:

Just had my first, and perhaps only, treatment 4 days ago.

Cons:

I was not prepared for the severity of reaction: face looks scalded & initially swollen beyond description. 4th day: swollen but not misshapen; crusty scabs forming. Would like to hide but have to go to work. Not enough info given prior to treatment

I had several bouts of Efudex treatment for AK's and it works, but there's a week to 10 days of face looking like hamburger meat. So dermatologist said this was the better way to go. Was told "some" people experience redness. Since my face didn't appear red right after the treatment I thot I would escape this side effect. Holy cow! Was I surprised! So, the verdict is not yet in for me. If the treatment does all it's supposed to do...well, maybe it's a good thing but patients really need to be better prepared for the side effects.
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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.