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Acne & Oiliness

Specialisation

Acne & Oiliness

Clear, balanced skin starts with understanding acne, its triggers, and making informed choices.

36 min read

Understanding Acne & Oily Skin

Acne and oily skin result from excess sebum (oil) production, which clogs pores and encourages bacterial growth. This leads to blackheads, whiteheads, cystic acne, and visible oiliness. Hormonal changes, stress, lifestyle habits, and environmental factors can further exacerbate breakouts and disrupt skin balance.
⬑ Acne breakouts
⬑ Congested pores
Conditions Across Life Stages
Adult-Onset or Hormonal Acne
Common in adults aged 25 and above, hormonal acne appears as deep, inflamed cysts or nodules, mainly on the jawline, chin, and cheeks. These breakouts are persistent, painful, and slow to heal, often leading to scarring and hyperpigmentation.
Triggers include hormonal changes, stress, poor diet, and sleep deprivation, increasing oil production and recurring breakouts. Over-cleansing or harsh skincare can weaken the barrier, causing rebound oiliness and sensitivity, making gentle, barrier-focused care essential.
⬑ Painful cystic acne along the jawline and chin
⬑ Persistent, inflamed breakouts leading to scarring
Adolescent Acne
Affecting up to 85% of individuals aged 10–24, adolescent acne is triggered by puberty-related hormonal surges, leading to excess sebum, clogged pores, and bacterial overgrowth. This results in blackheads, whiteheads, pustules, and cystic acne, mainly on oil-prone areas like the forehead, nose, chin, chest, and back.
Diet, stress, sweat buildup, and improper skincare can worsen breakouts, increasing the risk of scarring and blemishes. Early intervention with sebum-regulating, anti-inflammatory, and microbiome-balancing treatments helps prevent acne and restore clear, healthy skin.
⬑ Oily skin and clogged pores common in puberty
⬑ Hormonal acne with blackheads, whiteheads, and pustules
Skincare & Makeup-Induced Acne
Certain skincare and makeup products, especially those with comedogenic ingredients, heavy oils, or harsh actives, can clog pores, disrupt the skin barrier, or over-strip natural oils, leading to breakouts. Thick foundations and occlusive primers trap bacteria and sebum, while inefficient removal leaves residue that worsens congestion.
Overuse of exfoliants, strong treatments, or heavy moisturisers can cause sensitivity and irritation. Layering incompatible products may further weaken the barrier, increasing breakouts. Proper cleansing, ingredient selection, and balance help prevent skincare and makeup-related acne.
⬑ Skin irritation and acne from over-exfoliation and harsh actives
⬑ Breakouts caused by daily use of makeup, mixing skincare products, heavy creams, oils, or occlusive ingredients
Diet-Related Acne
Certain dietary triggers like high-glycaemic foods, dairy, and processed sugars can stimulate hormonal fluctuations and excess oil production, leading to acne flare-ups.
Foods rich in refined carbs, saturated fats, or artificial additives may contribute to inflammation and imbalanced sebum levels, worsening breakouts. Balancing nutrition with skin-supporting foods like antioxidants, omega fatty acids, and hydration can help maintain clearer skin.
⬑ Acne flare-ups linked to dairy, sugar, and processed foods
⬑ Inflammatory diet patterns affecting skin clarity, sebaceous (oil) balance, and confidence
Environment-Induced Acne
Environmental factors like air pollution, humidity, dust, and home renovations can introduce toxins, debris, and irritants, leading to clogged pores and inflammation.
Frequent travel, climate changes, or exposure to harsh air-conditioning and heating can disrupt the skin’s natural balance, increasing oil production, dryness, and breakouts. Maintaining a protective skincare routine and adapting to environmental stressors can help minimise acne triggers.
⬑ Climate changes, humidity, and travel-related acne flare-ups
⬑ Pollution and dust buildup clogging pores, triggering skin irritation, breakouts, and redness
Pregnancy Acne
Hormonal fluctuations during pregnancy increase sebum production, leading to clogged pores, inflammation, and breakouts, often on the face, chest, and back. Rising androgen levels can trigger blackheads, whiteheads, and cystic acne, especially in the first and second trimesters.
Factors like stress, diet, prenatal supplements, and skincare changes can worsen acne, making it more persistent. Gentle, pregnancy-safe treatments that regulate sebum and reduce inflammation help manage breakouts while maintaining skin health.
⬑ Pregnancy hormones triggering breakouts
⬑ Increased sebum production causing clogged pores and acne bacterial infection
Common Conditions
Acne Breakouts
Red, inflamed pustules or cysts form when pores become clogged with oil, bacteria, and dead skin cells. Hormonal fluctuations, stress, poor diet, genetics, and improper skincare are common causes, leading to visible irritation, discomfort, and potential scarring.
⬑ Inflamed pustules on the cheeks
⬑ Cystic acne along the jawline
Congested Pores
Enlarged pores or blackheads occur when pores become clogged with dirt, oil, and dead skin cells, leading to an uneven skin texture and a diminished overall appearance. Common causes include excess oil production, improper skincare, environmental pollutants, and hormonal fluctuations.
⬑ Blackheads around the nose
⬑ Congested pores on the forehead
Post-Acne Marks & Blemishes
After acne heals, it often leaves behind post-inflammatory erythema (PIE) or hyperpigmentation (PIH) — dark or red marks that persist long after breakouts disappear. These marks usually take a very long time to fade but can be prolonged by sun exposure, skin irritation, and inflammation.
⬑ Post-inflammatory erythema (PIE)
⬑ Post-inflammatory hyperpigmentation (PIH)
Post-Acne Scarring
Deep or inflamed acne lesions can damage the skin’s underlying structure, leading to permanent scars. Common types include atrophic (indented) scars, hypertrophic (raised) scars, and keloids, often caused by severe cystic acne or improper handling, such as picking or squeezing.
⬑ Hypertrophic (raised) scars and pus infection
⬑ Atrophic (indented) scars caused by delayed management of acne infection
Excess Sebaceous (Oil) Production
An overly shiny complexion, especially in the T-zone, often indicates overactive sebaceous glands, leading to clogged pores and acne breakouts. Hormonal fluctuations, stress, genetics, diet, daily use of makeup and heavy skincare products can further stimulate oil production, making the skin greasy and more prone to congestion (clogged pores).
⬑ Overactive sebaceous activity in the T-zone
⬑ Excess sebum production leading to enlarged pores, and uneven skin texture

We're here to help you manage your skin concerns.

At Folke®, we address skin concerns at the root for lasting results. Our painless, non-invasive, customised plant-tech approach protects your skin and health, delivering visible, personalised improvements backed by over 20 years of expertise.
Disclaimer
At Folke®, we offer treatments and skincare products designed to support skin health, with results varying based on factors like skin type, conditions, lifestyle, and treatment adherence. Our information is based on in-clinic observations, client experiences, and published academic materials. While claims and comparisons to mainstream therapies reflect general research, reactions to treatments can vary. Not every patient will experience the same results, and some may tolerate treatments better than others. Folke®, its founder Charles Ng, staff, and representatives are not responsible for discrepancies or differing opinions. This content is for educational purposes and should not replace professional medical advice, diagnosis, or treatment. While Folke® is committed to high-quality treatments and products for skin concerns, individual outcomes may vary. The effectiveness of our treatments depends on various factors, and Folke® cannot guarantee specific results for every client. We encourage clients to consult with our professionals to set realistic expectations tailored to their needs. This information should not replace professional medical advice or treatment.
Academic References:
Thiboutot D et al., “New insights into the management of acne: An update from the Global Alliance to Improve Outcomes in Acne Group.” Journal of the American Academy of Dermatology 60, no. 5 (2009): S1-S50.

Tanghetti EA, “The role of inflammation in the pathology of acne.” Journal of Clinical and Aesthetic Dermatology 6, no. 9 (2013): 27-35.

Sivamani RK et al., “Natural alternatives for treating acne and skin inflammation.” Journal of Drugs in Dermatology 18, no. 8 (2019): 788-794.

Fabbrocini G et al., “The role of sebum and sebaceous glands in acne pathogenesis.” Journal of the American Academy of Dermatology 66, no. 6 (2012): 939-949.

Grice EA et al., “The skin microbiome and its role in acne.” Nature Reviews Microbiology 9, no. 4 (2011): 244-253.

Bowe WP et al., “The effects of diet on acne: A review of the evidence.” Journal of the American Academy of Dermatology 63, no. 1 (2010): 124-141.

Kraft JN et al., “The role of inflammation in acne management.” Journal of Clinical and Aesthetic Dermatology 11, no. 8 (2018): 16-23.

Cunliffe WJ et al., “Pathogenesis of acne.” British Journal of Dermatology 139, no. 5 (1998): 1-5.

Bikowski JB et al., “Prevention and management of post-inflammatory hyperpigmentation in acne.” Journal of Drugs in Dermatology 17, no. 9 (2018): 925-932.

Passeron T et al., “Post-inflammatory hyperpigmentation in acne: Pathogenesis and treatments.” Dermatologic Clinics 32, no. 3 (2014): 291-299.

Rodriguez CI et al., “Role of oxidative stress in acne and its management.” Journal of Clinical and Aesthetic Dermatology 12, no. 4 (2019): 28-35.

Verallo-Rowell VM et al., “Safety and efficacy of botanical agents in acne management.” Dermatologic Therapy 33, no. 5 (2020): e13963.

Alvarez OM et al., “Botanical extracts for treating acne: Efficacy and safety.” Journal of Cosmetic Dermatology 17, no. 6 (2018): 1067-1074.

Draelos ZD et al., “Efficacy of natural ingredients in anti-acne treatments.” Journal of Drugs in Dermatology 18, no. 6 (2019): 586-591.

Del Rosario C et al., “Tyrosinase inhibitors: Strategies to control melanin production in acne-induced hyperpigmentation.” International Journal of Molecular Sciences 22, no. 11 (2021): 6150.

Sardana K et al., “Rebound acne and its management: A review.” Indian Journal of Dermatology, Venereology, and Leprology 85, no. 3 (2019): 243-250.

Narins RS et al., “Long-term complications of injectable soft tissue fillers in acne scars.” Dermatologic Surgery 34, no. 12 (2008): 1574-1579.

Boonchai W et al., “Post-inflammatory hyperpigmentation: Risk factors and prevention.” International Journal of Dermatology 55, no. 5 (2016): 487-495.

Grimes PE et al., “Histologic changes in acne-prone skin.” Journal of the American Academy of Dermatology 55, no. 5 (2006): 768-775.

Lim JT et al., “Sun protection and prevention of post-inflammatory hyperpigmentation in acne.” Journal of the American Academy of Dermatology 82, no. 5 (2020): 1236-1245.

Sadick NS et al., “The impact of collagen production on acne scars.” Journal of Clinical and Aesthetic Dermatology 13, no. 6 (2020): 18-25.

Handog EB et al., “Challenges in the management of acne: Prevention and treatment.” Journal of Clinical and Aesthetic Dermatology 9, no. 1 (2016): 15-24.

Hassim Z et al., “Management of collagen depletion and fat layer loss in acne-prone skin.” Journal of Dermatology 47, no. 5 (2020): 431-437.

Grice EA et al., “The skin microbiome and acne pathophysiology.” Nature Reviews Microbiology 9, no. 4 (2011): 244-253.

Nistico SP et al., “Efficacy of botanical formulations for managing acne and hyperpigmentation.” Journal of Dermatological Treatment 31, no. 4 (2020): 395-402.

Clearer Skin, Lasting Confidence

We adopt a practical, plant-tech approach for sustainable, medication-free results for adult-onset, hormonal acne, adolescent, and preganant acne sufferers. By addressing root causes like lifestyle, diet, hormones, sebum activity, bacteria, and inflammation, our personalised solutions promote clear, resilient skin without the risks of harsh treatments.
Like fingerprints, every client is unique. Folke’s plant-tech approach combines botanical formulations and non-invasive technologies, tailoring solutions unique to your skin condition, history, and lifestyle for targeted, effective care — without drugs, medication, or harsh procedures.
⬑ Outsmart sustenance with daily skincare
⬑ Customised botanical solutions to address the most aggressive of conditions

No-Medication, Naturopathic Approach

Manage acne and oily skin with a plant-tech approach that avoids harsh treatments like lasers and oral medications. This prevents side effects such as digestive issues, hormonal imbalances, photosensitivity, and rebound acne while being safe for sensitive skin and pregnancy. Our holistic method targets root causes, promoting clear, balanced skin with lasting confidence.
No-medication approach
⬑ Clear and healthy-looking skin, naturally

Reduction of Pus and Bumps

Acne breakouts cause swelling, pus buildup, and discomfort, increasing scarring risks. Instead of drying the skin or trapping pus, our plant-based approach targets inflammation and bacteria from day one. By restoring balance to the skin’s microbiome and sebum activity, it calms swelling, reduces breakouts, and promotes faster, clearer healing.
⬑ Pus-filled acne infection
⬑ Promoting swift, calm healing for clearer skin and daily confidence

Calm Acne Inflammation

Rather than drying out breakouts with medication or harsh treatments, we reduce swelling and redness using customised plant-based formulations. By minimising pus and inflammation without over-drying, we create an optimal healing environment that lowers the risk of scars and blemishes while supporting a balanced microbiome for healthier, more resilient skin.
⬑ Premature drying out and sensitivity

⬑ Clear, healthy, and a calmer recovery process for acne-prone skin

Normalise Sebaceous Activity (Oil Production)

Instead of aggressively drying the skin, we regulate sebum production like a dimmer switch, reducing inflammation while maintaining microbiome balance. By normalising sebaceous activity, the skin preserves its barrier, preventing excess dryness or overproduction. This promotes clearer, healthier skin while minimising irritation, oxidative stress, and premature ageing.
⬑ Oily skin with clogged pores and acne bacterial infection
⬑ Balanced and resilient skin with controlled sebum, fewer clogged pores, and reduced infection risk.

Reduce Probability of Scarring

By controlling bacterial growth, inflammation, and pus buildup, we tackle the root causes of discomfort, scarring, and post-acne blemishes from the start. Our approach supports natural healing, regulates oil production, and protects healthy skin cells, promoting smoother skin, faster recovery, and a lower risk of long-term scarring.
⬑ Post-acne scarring and blemishes
⬑ A faster, healthier recovery for acne-prone skin, naturally restoring balance and resilience

Reduce Formation of Marks & Blemishes

By addressing inflammation, swelling, and acne-causing bacteria, we minimise the risk of post-acne marks while supporting the skin’s natural healing process. This approach reduces breakouts, smooths bumps, and lowers the likelihood of pigmentation and blemishes, promoting clearer, healthier skin.
⬑ Visible skin imperfections that makeup cannot fully conceal
⬑ Clear, bare skin sustained through balanced sebum regulation, reduced inflammation, and optimal skin healing

Acne Solutions Tailored to You

Every skin journey is unique. At Folke®, we combine plant-tech innovations with non-invasive care, customising treatments to your skin’s condition, history, and lifestyle. By targeting hormonal imbalances, bacterial infections, and excess sebum, we address acne at its root, promoting clear, resilient skin without harsh procedures or oral medications.
⬑ Solutions customised for you
⬑ Personalised care that supports your skin’s natural balance for lasting clarity and resilience

We're here to help you manage your skin concerns.

At Folke®, we address skin concerns at the root for lasting results. Our painless, non-invasive, customised plant-tech approach protects your skin and health, delivering visible, personalised improvements backed by over 20 years of expertise.
Disclaimer
At Folke®, we offer treatments and skincare products designed to support skin health, with results varying based on factors like skin type, conditions, lifestyle, and treatment adherence. Our information is based on in-clinic observations, client experiences, and published academic materials. While claims and comparisons to mainstream therapies reflect general research, reactions to treatments can vary. Not every patient will experience the same results, and some may tolerate treatments better than others. Folke®, its founder Charles Ng, staff, and representatives are not responsible for discrepancies or differing opinions. This content is for educational purposes and should not replace professional medical advice, diagnosis, or treatment. While Folke® is committed to high-quality treatments and products for skin concerns, individual outcomes may vary. The effectiveness of our treatments depends on various factors, and Folke® cannot guarantee specific results for every client. We encourage clients to consult with our professionals to set realistic expectations tailored to their needs. This information should not replace professional medical advice or treatment.
Academic References:
Thiboutot D et al., “New insights into the management of acne: An update from the Global Alliance to Improve Outcomes in Acne Group.” Journal of the American Academy of Dermatology 60, no. 5 (2009): S1-S50.

Tanghetti EA, “The role of inflammation in the pathology of acne.” Journal of Clinical and Aesthetic Dermatology 6, no. 9 (2013): 27-35.

Sivamani RK et al., “Natural alternatives for treating acne and skin inflammation.” Journal of Drugs in Dermatology 18, no. 8 (2019): 788-794.

Grimes PE et al., “Histologic changes in acne-prone skin.” Journal of the American Academy of Dermatology 55, no. 5 (2006): 768-775.

Draelos ZD et al., “Efficacy of natural ingredients in anti-acne treatments.” Journal of Drugs in Dermatology 18, no. 6 (2019): 586-591.

Bowe WP et al., “The effects of diet on acne: A review of the evidence.” Journal of the American Academy of Dermatology 63, no. 1 (2010): 124-141.

Del Rosario C et al., “Tyrosinase inhibitors: Strategies to control melanin production in acne-induced hyperpigmentation.” International Journal of Molecular Sciences 22, no. 11 (2021): 6150.

Fabbrocini G et al., “The role of sebum and sebaceous glands in acne pathogenesis.” Journal of the American Academy of Dermatology 66, no. 6 (2012): 939-949.

Grice EA et al., “The skin microbiome and its role in acne.” Nature Reviews Microbiology 9, no. 4 (2011): 244-253.

Kraft JN et al., “The role of inflammation in acne management.” Journal of Clinical and Aesthetic Dermatology 11, no. 8 (2018): 16-23.

Cunliffe WJ et al., “Pathogenesis of acne.” British Journal of Dermatology 139, no. 5 (1998): 1-5.

Boonchai W et al., “Post-inflammatory hyperpigmentation: Risk factors and prevention.” International Journal of Dermatology 55, no. 5 (2016): 487-495.

Rodriguez CI et al., “Role of oxidative stress in acne and its management.” Journal of Clinical and Aesthetic Dermatology 12, no. 4 (2019): 28-35.

Alvarez OM et al., “Botanical extracts for treating acne: Efficacy and safety.” Journal of Cosmetic Dermatology 17, no. 6 (2018): 1067-1074.

Passeron T et al., “Post-inflammatory hyperpigmentation in acne: Pathogenesis and treatments.” Dermatologic Clinics 32, no. 3 (2014): 291-299.

Verallo-Rowell VM et al., “Safety and efficacy of botanical agents in acne management.” Dermatologic Therapy 33, no. 5 (2020): e13963.

Poon TS et al., “Age-related changes in acne and effective management strategies.” Journal of Clinical and Aesthetic Dermatology 14, no. 7 (2021): 32-40.

Handog EB et al., “Challenges in the management of acne: Prevention and treatment.” Journal of Clinical and Aesthetic Dermatology 9, no. 1 (2016): 15-24.

Bikowski JB et al., “Prevention and management of post-inflammatory hyperpigmentation in acne.” Journal of Drugs in Dermatology 17, no. 9 (2018): 925-932.

Hassim Z et al., “Management of collagen depletion and fat layer loss in acne-prone skin.” Journal of Dermatology 47, no. 5 (2020): 431-437.

Grimes PE et al., “Management of exogenous ochronosis caused by topical hydroquinone in acne-prone skin.” Journal of Dermatology 47, no. 5 (2020): 431-437.

Narins RS et al., “Long-term complications of injectable soft tissue fillers in acne scars.” Dermatologic Surgery 34, no. 12 (2008): 1574-1579.

Lim JT et al., “Sun protection and prevention of post-inflammatory hyperpigmentation in acne.” Journal of the American Academy of Dermatology 82, no. 5 (2020): 1236-1245.

Sardana K et al., “Rebound acne and its management: A review.” Indian Journal of Dermatology, Venereology, and Leprology 85, no. 3 (2019): 243-250.

Grice EA et al., “The skin microbiome and acne pathophysiology.” Nature Reviews Microbiology 9, no. 4 (2011): 244-253.

Considerations with Mainstream Treatments

While Folke® Natural Skin Clinic does not offer mainstream treatments, our experience with clients who have undergone them has revealed varied skin responses.
Here, we explore some of these mainstream treatment approaches and the post-treatment concerns some clients have encountered before turning to Folke’s natural, non-invasive plant-tech approach to manage these skin concerns.

Potential Response to Medication

Long-term use of antibiotics in acne treatment can lead to antibiotic resistance, making them less effective over time and complicating the treatment of future infections, including acne and other bacterial conditions.
Oral medications like antibiotics (such as doxycycline, minocycline, and tetracycline) and isotretinoin (commonly prescribed as Accutane or Roaccutane) may also cause dryness, photosensitivity, liver strain, hormonal imbalances, and mood changes, which can significantly impact overall well-being and skin health.
⬑ Dryness, photosensitivity, and irritation
⬑ Recurring acne after developing antibiotic resistance

Potential Response to Laser Therapy

Laser therapy is commonly used to treat acne and acne scars by targeting pigment, bacteria, and sebaceous glands, but it can also cause temporary or permanent side effects such as skin irritation, prolonged redness, pigmentation changes, and heightened sensitivity to UV exposure.
In some cases, post-inflammatory hyperpigmentation (PIH) or rebound acne may develop, particularly in individuals with darker skin tones or sensitive skin, while overuse of laser treatments can weaken the skin barrier, making it more vulnerable to environmental damage and irritation.
⬑ Post-laser hyperpigmentation
⬑ Weakening of skin barrier after multiple laser treatments

Potential Rebound Acne

Rebound acne occurs when oral antibiotics or hormonal treatments suppress acne temporarily but lead to increased oil production, inflammation, and bacterial overgrowth once discontinued. This disrupts the skin’s natural balance, often resulting in more severe breakouts than before, creating a cycle of temporary relief followed by worsening acne.

⬑ Drug dependency triggered outbreaks

⬑ Rebound acne 3 months after discontinuing conventional oral treatments

Potential Post-Acne Marks & Blemishes

Harsh acne treatments, such as high-strength benzoyl peroxide, salicylic acid, and aggressive exfoliants, may prematurely dry out acne lesions, leading to persistent post-acne marks and blemishes. This increases susceptibility to irritation, uneven skin texture, and prolonged discoloration, making healing slower and more difficult.
⬑ Irritation and prolonged discoloration
⬑ Post-acne marks and uneven skin tone as a result of premature healing

Temporary Relief & Possible Recurrence

Many acne treatments only target surface symptoms like bacteria or oil, providing short-term relief but failing to address root causes such as hormonal imbalances, inflammation, or lifestyle factors. Once treatment stops, acne often returns, sometimes more severely, creating dependency on temporary solutions and increasing frustration.
⬑ Severe acne infection
⬑ Client with temporary acne relief for 3 months, followed by recurrence over 6 months

Skin Sensitivity & Irritation

Harsh acne treatments like benzoyl peroxide, retinoids, and strong exfoliants can cause dryness, peeling, redness, and irritation-induced acne. These treatments may weaken the skin’s natural barrier, leading to chronic inflammation, sensitivity, and ongoing skin discomfort over time.
⬑ Increased redness and sensitivity
⬑ Visible skin irritation after 6 weeks of mainstream acne treatments

Damage to the Skin Barrier

Frequent use of chemical peels, aggressive exfoliation, strong topicals, and laser therapy can weaken the skin’s protective barrier, increasing susceptibility to irritation, dryness, sensitivity, and premature ageing.
A compromised barrier struggles to retain moisture, often leading to prolonged redness, post-acne marks, and increased vulnerability to breakouts, making acne-prone skin harder to heal and more reactive over time.
⬑ Harsh treatments can compromise skin resilience
⬑ Stripping of essential protection, leading to irritation, dryness, prolonged redness, and accelerated ageing

We're here to help you manage your skin concerns.

At Folke®, we address skin concerns at the root for lasting results. Our painless, non-invasive, customised plant-tech approach protects your skin and health, delivering visible, personalised improvements backed by over 20 years of expertise.
Disclaimer
At Folke®, we offer treatments and skincare products designed to support skin health, with results varying based on factors like skin type, conditions, lifestyle, and treatment adherence. Our information is based on in-clinic observations, client experiences, and published academic materials. While claims and comparisons to mainstream therapies reflect general research, reactions to treatments can vary. Not every patient will experience the same results, and some may tolerate treatments better than others. Folke®, its founder Charles Ng, staff, and representatives are not responsible for discrepancies or differing opinions. This content is for educational purposes and should not replace professional medical advice, diagnosis, or treatment. While Folke® is committed to high-quality treatments and products for skin concerns, individual outcomes may vary. The effectiveness of our treatments depends on various factors, and Folke® cannot guarantee specific results for every client. We encourage clients to consult with our professionals to set realistic expectations tailored to their needs. This information should not replace professional medical advice or treatment.
Academic References:
Del Rosso JQ et al., “Antibiotic resistance: A comprehensive review of management strategies for acne.” Journal of Clinical and Aesthetic Dermatology 13, no. 9 (2020): 22-28.

Leyden JJ et al., “Antibiotic resistance in acne treatment: A review of the implications.” Journal of the American Academy of Dermatology 68, no. 2 (2013): 295-305.

Thiboutot D et al., “New insights into the management of acne: An update from the Global Alliance to Improve Outcomes in Acne Group.” Journal of the American Academy of Dermatology 60, no. 5 (2009): S1-S50.

Tanghetti EA, “The role of inflammation in the pathology of acne.” Journal of Clinical and Aesthetic Dermatology 6, no. 9 (2013): 27-35.

Sivamani RK et al., “Natural alternatives for treating acne and skin inflammation.” Journal of Drugs in Dermatology 18, no. 8 (2019): 788-794.

Grice EA et al., “The skin microbiome and its role in acne.” Nature Reviews Microbiology 9, no. 4 (2011): 244-253.

Bowe WP et al., “The effects of diet on acne: A review of the evidence.” Journal of the American Academy of Dermatology 63, no. 1 (2010): 124-141.

Fabbrocini G et al., “The role of sebum and sebaceous glands in acne pathogenesis.” Journal of the American Academy of Dermatology 66, no. 6 (2012): 939-949.

Rodriguez CI et al., “Role of oxidative stress in acne and its management.” Journal of Clinical and Aesthetic Dermatology 12, no. 4 (2019): 28-35.

Del Rosario C et al., “Tyrosinase inhibitors: Strategies to control melanin production in acne-induced hyperpigmentation.” International Journal of Molecular Sciences 22, no. 11 (2021): 6150.

Grimes PE et al., “Histologic changes in acne-prone skin.” Journal of the American Academy of Dermatology 55, no. 5 (2006): 768-775.

Passeron T et al., “Post-inflammatory hyperpigmentation in acne: Pathogenesis and treatments.” Dermatologic Clinics 32, no. 3 (2014): 291-299.

Bikowski JB et al., “Prevention and management of post-inflammatory hyperpigmentation in acne.” Journal of Drugs in Dermatology 17, no. 9 (2018): 925-932.

Hassim Z et al., “Management of collagen depletion and fat layer loss in acne-prone skin.” Journal of Dermatology 47, no. 5 (2020): 431-437.

Alvarez OM et al., “Botanical extracts for treating acne: Efficacy and safety.” Journal of Cosmetic Dermatology 17, no. 6 (2018): 1067-1074.

Kraft JN et al., “The role of inflammation in acne management.” Journal of Clinical and Aesthetic Dermatology 11, no. 8 (2018): 16-23.

Lim JT et al., “Sun protection and prevention of post-inflammatory hyperpigmentation in acne.” Journal of the American Academy of Dermatology 82, no. 5 (2020): 1236-1245.

Sardana K et al., “Rebound acne and its management: A review.” Indian Journal of Dermatology, Venereology, and Leprology 85, no. 3 (2019): 243-250.

Draelos ZD et al., “Efficacy of natural ingredients in anti-acne treatments.” Journal of Drugs in Dermatology 18, no. 6 (2019): 586-591.

Sadick NS et al., “The impact of collagen production on acne scars.” Journal of Clinical and Aesthetic Dermatology 13, no. 6 (2020): 18-25.

Verallo-Rowell VM et al., “Safety and efficacy of botanical agents in acne management.” Dermatologic Therapy 33, no. 5 (2020): e13963.

Handog EB et al., “Challenges in the management of acne: Prevention and treatment.” Journal of Clinical and Aesthetic Dermatology 9, no. 1 (2016): 15-24.

Narins RS et al., “Long-term complications of injectable soft tissue fillers in acne scars.” Dermatologic Surgery 34, no. 12 (2008): 1574-1579.

Poon TS et al., “Age-related changes in acne and effective management strategies.” Journal of Clinical and Aesthetic Dermatology 14, no. 7 (2021): 32-40.

Nistico SP et al., “Efficacy of botanical formulations for managing acne and hyperpigmentation.” Journal of Dermatological Treatment 31, no. 4 (2020): 395-402.

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