Acne is a common chronic skin condition characterised by pimples on the face, chest and back. This occurs when the pores of the skin become clogged with excess oils, dirt and bacteria and in turn become inflamed or infected. This inflammation can even cause tissue damage that may lead to scarring as well as hyperpigmentation.

Acne & Acne Scarring

What Is Acne?

Acne is a prevalent skin condition marked by the appearance of blemishes, redness, and sometimes painful bumps on the skin. It primarily results from the obstruction of skin pores due to excess oil, dirt, and bacteria.

While acne is common, especially during puberty, its manifestation and severity can vary based on hormonal imbalances, diet, stress, and individual genetics.

At Dr Nerina Wilkinson + Associates, we are dedicated to comprehensively addressing acne challenges, offering personalised solutions to help patients achieve clear, radiant, and healthy skin.

Learn about different types of acne conditions and the range of skin treatments we provide to rejuvenate and restore youthful radiance. You can also contact us to book your consultation today.

What Is Acne Scarring?

Acne scars are lasting marks or indentations that arise on the skin following acne breakouts. They result from the skin’s response to inflammation, injury, or healing disruptions caused by severe acne.

As the skin heals from these breakouts, it may either produce excess collagen, leading to raised scars, or it may not produce enough collagen, leading to depressed or pitted scars. Acne scars are often most prominent on the face but they can appear on any area previously affected by acne.

Learn about

Types Of Acne Conditions

At Dr. Nerina Wilkinson + Associates, we are renowned for our expertise in diagnosing and managing a diverse range of acne and acne scarring conditions, designing each treatment strategy to cater to our patient’s unique skin concerns.

As frontrunners in skin science and aesthetic medicine, we empower our patients with a suite of treatments and specialist insights, addressing conditions such as acne scarring, whiteheads, cysts and more.

Our deep understanding of acne types and scarring, combined with our commitment to cutting-edge therapeutic techniques, ensures we adeptly manage acne-related skin challenges. In doing so, we uplift our patients’ self-confidence and restore their skin’s natural glow

Learn more about the types of acne and scarring conditions we treat below and contact us to book your consultation.

Acne scarring

Acne scarring often presents as indented marks and altered skin texture. These scars are caused by severe acne inflammation and can impact self-confidence. Our acne treatments focus on smoothing skin texture and minimising scar appearance, enhancing overall skin aesthetics and boosting self-esteem.


Whiteheads, or closed comedones, are the result of trapped sebum and dead skin cells within pores. They appear as tiny, flesh-coloured bumps and indicate a non-inflammatory type of acne. Targeted treatments focus on unclogging pores and preventing recurrences.


Blackheads, a.k.a open comedones, present visibly oxidised oil and dead skin at pore openings. Recognised by their dark surface hue, they indicate mild acne. Effective treatments emphasise pore cleansing and sebum regulation.


Papules are small, red, inflamed bumps on the skin, distinct from other acne types as they lack pus. Resulting from clogged pores, they often feel tender or painful. Targeted acne treatments focus on easing inflammation and clearing these acne lesions.


Presenting as yellowish, pus-filled blisters atop red, inflamed skin, pustules result from bacterial infections within pores. Effective treatments aim to reduce inflammation and combat the underlying bacterial cause, preventing further outbreaks.


Nodules are large, firm acne lesions deep within the skin, caused by clogged pores and extended inflammation. Unlike surface acne, this type of severe acne often feels painful. Targeted treatments penetrate deep layers of the skin, addressing the root causes and alleviating discomfort.

We provide the following

Types Of Treatments For Acne And Scarring

At Dr. Nerina Wilkinson + Associates, we’re pioneers of state-of-the-art acne and acne scar treatments, tailoring each method meticulously to align with our patients’ individual skin needs.

Drawing on our in-depth understanding of aesthetic medicine, we steer our patients towards their skin objectives with our extensive range of treatments. This includes Acnelan Peel, 3D bespoke treatments, 3D Medical Skin Needling, Vampire Facials and more.

Our team’s expertise in managing acne and its scars, combined with an unwavering commitment to the latest therapeutic breakthroughs, guarantees an effective approach to these skin concerns, uplifting our patients’ confidence and restoring the skin’s smooth complexion.

Learn more about the types of acne and scarring treatments we provide and contact us to start your journey towards blemish-free, revitalised skin.

Acnelan Peel

The Acnelan Peel offers an intensive treatment designed for the medical professional to treat acne-prone and seborrheic skin by deep cleansing blocked pores, effectively removing impurities and improving the overall skin texture and tone.
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3D Medical Skin Needling

This exclusive treatment has been specifically designed for clients who wish to treat the signs of ageing and naturally increase the collagen content of their skin.
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3D Bespoke Treatment

Formulated to your individual skincare concerns. Our Condition Specific Bespoke Treatment offers an intensive blueprint treatment designed specifically for your individual skincare needs.
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Dr. Vampire Facial Treatment

Minimally-invasive cosmetic procedure that utilises the powerful regenerative effects of our own platelet-rich plasma (PRP) to provide patients with healthy, radiant, and more youthful-looking skin
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TCA Chemical Peels

A medium-depth TCA (Trichloracetic Acid) peel is a quick, mild downtime procedure that renews the skin by lifting dead cells off the surface of your skin and stimulating the metabolism of the cells underneath.
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Erbium IPIXEL Pro

A fractional ablative laser treatment that resurfaces the skin and targets concerns such as skin texture and pigmentation/sun damage.
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Morpheus Enhance

Morpheus Enhance is a minimally invasive treatment designed to help you reduce the first signs of ageing and combines radiofrequency energy, micro-needling and a PRP treatment.
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Frequently Asked Questions About Acne Conditions & Treatments

What causes acne?

Acne occurs when excess oil production traps dead skin cells in skin pores, clogging the pores. When these clogged pores become infected with bacteria naturally occurring on the skin (Cutibacterium acnes), the pores can become inflamed, red, and often very painful.

Acne usually appears on your face, forehead, chest, upper back, or shoulders. The reason for this is that these areas of the skin have the most oil glands which are connected to your hair follicles.

The factors that trigger acne are natural parts of every human body, however, there are certain elements that can worsen or aggravate acne. Those triggers are

  • Hormonal changes – During puberty, androgen hormones increase in both boys and girls. This causes the sebaceous glands to enlarge and make more sebum. Adults are not immune as hormonal imbalances throughout your life can also trigger acne. This is especially true for women who have polycystic ovarian syndrome (PCOS) or who are going through menopause.
  • Various medications – Medicine that contains corticosteroids, testosterone or lithium can worsen acne breakouts.
  • Certain foods – There is evidence to suggest that certain food groups negatively affect breakouts. These food groups include fast food (obviously), carbohydrate-rich foods (think bread), certain dairy products and some sweets. A bad diet can negatively affect your skin’s health.
  • Stress – Due to changes in hormones, such as cortisol, being stressed can trigger extra oil production and a resulting acne flare-up.

What causes acne scarring?

Acne scars are usually the result of the skin failing to repair lesions on the skin caused by various types of acne (inflammatory types of acne are most likely to cause scars). This can happen when there is a deep break in the wall of a pore. The infected material can spill out into the surrounding tissue, creating a deeper lesion. The skin attempts to repair these lesions by forming new collagen fibres, but when a lesion is too deep these repairs aren’t as smooth as the original skin, resulting in scarring.

How to get rid of acne:

Acne, a common skin concern, is often characterised by pimples, blackheads, and redness. Treating acne effectively requires a targeted approach that considers the individual’s unique skin requirements.

Utilising a range of solutions like the Acnelan Peel and the 3D Bespoke Treatment, just to name a few, we address diverse acne concerns with tailor-made strategies. Seeking a clearer, revitalised complexion? Consult our team to craft a personalised approach that suits your unique needs.

How to get rid of acne scars:

Addressing acne scars often requires a comprehensive strategy. First and foremost, diligent skincare routines paired with specialised products can minimise the appearance of scars. However, for pronounced acne scars, a blend of topical treatments and advanced procedures becomes essential.

At Dr Nerina Wilkinson + Associates, we employ treatments like the TCA Chemical Peels and Erbium IPIXEL Pro, among others, to effectively treat acne scars. Additionally, options such as Vampire Facials and Medical Skin Needling further enhance our ability to refine and rejuvenate scarred skin. To determine the most suitable treatment for your specific scars, we recommend booking a consultation with our dedicated team.

How to treat hormonal acne:

Hormonal acne often stems from fluctuations and imbalances related to hormonal changes. Employing acne medication, medicated creams, and targeted acne serums can be effective strategies to combat these breakouts. Addressing the root hormonal shifts alongside topical treatments provides a comprehensive approach to maintaining skin clarity.

Utilising tools like the VISIA Skin Analysis, our specialists can provide a detailed assessment of the signs and extent of acne and its underlying causes. This in-depth insight allows for a more targeted and effective treatment plan, catering specifically to the individual’s skin concerns.

How to prevent acne:

Preventing acne involves a blend of consistent skincare, mindful dietary choices, and stress management. Opt for non-comedogenic products, cleanse gently, and exfoliate regularly to keep pores clear. A balanced diet, rich in antioxidants, can ward off inflammation, while managing stress helps regulate skin-aggravating hormones. Regular consultations with skincare specialists can guide you in maintaining healthy skin and averting future breakouts.

How to treat acne at home:

When treating acne at home, it’s essential to maintain a consistent skincare routine. Start by cleansing the face with a gentle, non-comedogenic cleanser. Over-the-counter medications and products containing ingredients like salicylic acid, benzoyl peroxide, or glycolic acid can be effective in managing breakouts. Avoid popping or squeezing pimples, as this can lead to further inflammation and scarring. Regularly changing pillowcases and keeping hands away from the face can also help minimise the spread of bacteria and reduce future breakouts.

What are the best treatments for acne?

There isn’t a single best treatment for acne, but acne and acne scarring can be treated very successfully if done by an experienced professional in a controlled environment after a comprehensive consultation.

The approach to the treatment of acne and acne scarring will, however, depend on the severity of the condition. 

The following acne and acne scarring treatments have delivered excellent results:

3D MD PRP (aka Dr Vampire)

Our 3D PRP MD bespoke treatment utilises our platelets’ regenerative power to combat acne, stimulate collagen, and revitalise the skin’s appearance.

Acnelan Peel

The Acnelan Peel is an intensive treatment for acne-prone and seborrheic skin, deeply cleansing blocked pores, removing impurities, and enhancing skin texture and tone.

Medical Facials

Medical facials use medical-grade ingredients to target your specific skin concerns, such as the treatment of acne. 

What are the best treatments for acne scarring?

Acne scarring, like acne, can be addressed through various methods. Non-invasive treatments have gained prominence for effectively reducing the appearance of scars, improving texture, and reviving the skin’s natural glow. Some of the standout treatments for acne scars include the Acnelan Peel, Morpheus8™, 3D Medical Skin Needling, and Medical Facials.

In a one-one consultation, our skincare specialists assess scar patterns and personal skincare aspirations, ensuring a bespoke treatment strategy that directly tackles acne scarring and associated skin challenges.

How do I choose the best acne treatment for me?

Always start with a professional consultation with qualified and experienced specialists for an in-depth analysis of your facial features and to reach a good understanding of your skincare concerns and goals.

Our unique and comprehensive aesthetic couture consultation is available for you to discuss and analyse your concerns and goals and for our team of specialists to provide bespoke advice for your acne and acne scarring concerns.

Schedule your aesthetic couture consultation today!

Start your

Skin science treatment journey

As specialists in acne and aesthetic treatments, we guide you on a personalised path to clear, radiant skin. By utilising innovative treatments and state-of-the-art techniques, our skincare experts dive deep to address and combat your acne concerns with unparalleled expertise.

Contact us today for a comprehensive consultation at our exclusive private practice in the V&A Waterfront, Cape Town.