More Great Results from SGA

This month will mark 3 years since I found SGA during a trip to a conference in Asia. I am constantly amazed at how few patients are referred to me by our Clinics, because SGA is not working for them. So far this year I have helped with 2 or 3 whose acne has not settled with 6 – 10 SGA treatments. Given we are treating thousands of patients with acne and breakouts, this is pretty remarkable. I have spent most of this year working out how to take SGA to the world as there are so many people who have chronic treatment resistant acne. I am hoping to launch a new website in the New Year which will offer online consultations, advice on where in-Clinic SGA is available and home based treatment in some countries.

In the meantime, here are a few more examples of the great results we are achieving with SGA.








Free Online Acne Consultation

If you would like a free online consultation with me, all you need to do is email me at [email protected]

Please provide me with the following information:

Your name, age, suburb and state

How long you have had acne and breakouts

What products and treatments you have tried ( please include any pharmacy or medical treatments ) What’s worked, what hasn’t

For female consultees – please tell me if your periods are regular or irregular, heavy or painful

Please attach three clear photos of your face, front on and each side of your face.

All this information is going to my private email account and will be kept confidential.

Please allow 5 days for me to answer your email.

I look forward to hearing from you soon.

Free Online Acne Consultation Service

I am really excited to tell you that within one week, my new free, online Acne Consultation service will be up and running. I have had a dream of offering this service for a long time, as I have been offering online consultations for my Clinics for a number of years. I have been inspired by an American website called Yo Derm ( agree, terrible name ) which is offering online Acne Consultations for $59, not so much for its service, which I think is a little limited ( I believe there is a lot more to managing Acne than giving people prescriptions ), but for its resounding endorsement of telemedicine, which is the name for conducting consultations via mobile, web or email, rather than face to face.

Diagnosis and management of Acne is ideally suited to telemedicine as the physical examination is visual and can be performed almost as effectively via photography.

I am completely passionate about giving every person with Acne the opportunity to clear their skin. This blog was the start of this mission and my online consultation service is the next key step.

So, from October 17th, 2013, you will be able to email me your photos and the answers to a small number of clinical questions and I will email back to you an individualised treatment plan. My next post will have my email address and instructions regarding what information I will need to assess your case.


I have posted some information about telemedicine from the Yo Derm site, which you might find interesting :

Effectiveness of Telemedicine

Telemedicine for dermatology patients is a great tool because skin conditions can be readily examined in digital still or video images,”1 said Armstrong, who also serves as director of the health system’s teledermatology program. “Our study found real and beneficial differences in the vast majority of teledermatology cases we analyzed,” said Armstrong. “With rapid improvements in interactive mobile platforms, connectivity speed and visual clarity, telehealth services like dermatology will play a bigger and bigger role in improving the quality of care and the access to specialty services that people deserve no matter where they live.”1

April Armstrong, M.D.

Benefits of Telemedicine

“(Teledermatology) represents an excellent novel approach to treatment of a huge underserved patient group. Many people with moderate to severe acne live in areas without access to a dermatologist and may not be able to afford traditional care or may not even be aware that effective treatments are available. By using modern technology, acne treatment can be delivered remotely to this population to provide significant medical as well as psychological benefits at a significant cost savings.”

James Clint Jones, M.D.

Technological Advantages

“(Regarding teledermatology) In addition to increasing efficiency, the technology is a boon to patients and primary care providers seeking consultation, particularly those in medically underserved or remote areas. Travel time to a dermatologist is eliminated and there is no waiting.”2

California Healthcare Foundation

Patient Satisfaction

“Patient satisfaction with care received through teledermatology was equivalent to that with face-to-face dermatology.”3

Hsueh, Eastman, McFarland, Raugi, and ReiberTeledermatology Patient Satisfaction in the Pacific Northwest

Effectiveness of Online Acne Care

“Delivering follow-up care to acne patients via an e-visit platform produced clinical outcomes equivalent to those of conventional office visits.”4

Watson, Bergman, Williams, KvedarA Randomized Trial to Evaluate the Efficacy of Online Follow-up Visits in the Management of Acne



More SGA Results

It’s coming up to twelve months since we started doing SGA in all our Clinics. In that time we have treated over 3,000 people with Acne & Breakouts and we have learned a lot about the time it takes to see significant control of breakouts and clear skin emerge. Whilst it is always difficult to generalise, we believe that SGA is at least a six month commitment    ( at the rate of one treatment per month ) and for some people with really stubborn breakouts, 12 months, to see that significant improvement. One of the challenges for our therapists for those clients that are slow to respond to SGA, is keeping them from giving up. It is one of the sad facts of Acne & Breakouts that there are a lot of treatments that promise to deliver clear skin, but very few that actually do. This means that our clients are very sceptical about SGA’s ability to deliver clear skin for them, unless they see immediate results. My job with this blog is to keep presenting the evidence that SGA is different and break through that scepticism that abounds in the minds of people with chronic Acne and breakouts. SGA will permanently eliminate your Acne and Breakouts, if you give it a chance.

AT 31 may 2012[1]AT 9 nov 2012[1]B & A AndrewB & A GheryB &A Stuart[1]NH B&A


Best Skincare Products for Acne prone skin

There are thousands of products on the market that claim to be effective in controlling or eliminating Acne and breakouts. One thing I have learned treating thousands of people with Acne prone skins is that almost all  products deliver some short term improvement in breakouts, but there are very few products that are effective long term  in controlling Acne and breakouts for most clients.

Mild breakout is often readily controlled with a daily routine of cleansing and toning with a mild salicylic acid solution ( 0.5 – 2% ). Salicylic acid is very effective for controlling mild Acne and breakouts as it is oil soluble and therefore able to penetrate the sebaceous glands and help dissolve the mixtures of oil and dead skin cells that block the pores. Salicylic acid also assists in reducing the appearance of post acne marks. Other mild acids like glycolic acid and trichloracetic acid can also be helpful in exfoliating the excess dead skin cells and clearing the pores. These should always be used in low concentrations.

Benzyl peroxide is also a very commonly used medication for Acne and breakouts. All the  best known advertised Acne treatments are benzyl peroxide based and it can also be found in combination with some prescription Acne medications. Benzyl peroxide does work well for many clients and can be effective for long periods of time. It is less effective for moderate and severe breakouts and it can be very drying for the skin, particularly in higher concentrations. It is also a bleaching agent and will bleach clothes and bed clothes.

Topical antibiotics are often prescribed by doctors for Acne. They are also combined with topical retinoids in a small number of prescription medications. In my opinion, topical antibiotics are the least effective Acne treatments on the market. They promote the growth of antibiotic resistant bacteria and should be avoided.

Topical retinoids ( tretinoin ) are the most effective skincare products for breakout prone skin. Unfortunately, they have significant side effects ( sun sensitivity and skin dryness and cannot be used during pregnancy ) which has made them unpopular with many doctors. An alternative topical retinoid adapelene is more commonly prescribed by doctors but in my opinion, is not as effective as tretinoin. It has the advantage of not causing sun sensitivity but can be very drying to the skin. It is important to use tretinoin in low dosages to start with, to allow the skin to adapt to it ( 0.025% is recommended). It treats all parts of the Acne cycle and is also helpful for treating Acne scarring. In my practice, I combine tretinoin with a mild bleaching agent to help resolve the pigmented scarring that is so common with Acne. I also like my patients to use a 2% salicylic toner, preferably daily.

Before you buy any more skincare products for your Acne, read the ingredient list and make sure they contain something that will actually help your skin.

Abby’s Story

Abby is a huge success story for SGA. She has suffered moderate to severe acne for 5 years and tried absolutely everything to control her breakouts, including antibiotics and other acne medications. She describes the impact of acne on her life as paralysing. It impacted daily on her ability to complete normal everyday tasks we all take for granted. Because she wanted to fall pregnant , she was looking for a drug free solution.

What not to do for your Adult Acne

I would like to share with you an excerpt from an interview with Emma Stone about how she treats her Acne. Looking at Emma, you would never guess she had Acne, but she has suffered from breakouts from her teens and even resorted to Roaccutane, but had to stop it because her skin became too dry.

Emma Stone

Do you still break out?
“Yes, I’m breaking out right now!”

But you can’t see it!
“It’s because of Rach ( makeup artist ).”

What do you put on your face when you do have a zit?
“Usually, I use tea tree oil. I can’t go too crazy, or I’ll get a rash. My skin is really sensitive. Whenever it’s been really bad, I’ve gone to the dermatologist to get those cortisone shots. Those are amazing. They’re kind of a miracle. But also kind of terrifying because this huge needle is coming at your face. But no pain, no gain!”
( Reprinted from a Refinery 29 interview, Dec 6, 2012 )


I definitely do not advocate using steroid injections to control severe Acne. Pre Roaccutane, this was the only option for severe cystic Acne but, once we inject cortisone ( the commonest steroid used for the treatment of cysts ) we have absolutely no control over the outcome of the injection. Cortisone acts as a powerful anti inflammatory and, in most cases, will reduce the size of a cyst within 24 hours but it will often keep working too long and the result is an indented scar where the cyst was. So unfortunately, we are simply replacing one problem, the cyst, with another, a scar, if we use steroid injections for Acne cysts. I think it is a very brave doctor who injects her with steroids. She would be much better treated with SGA, which would give her a permanent solution for her breakouts.