TABLE 11.

Summary of recommendations for adjunctive procedural therapy

Chemical peels, such as glycolic acid 40% have been found to significantly improve moderate acne and are safe and effective in Asian patients. Level 2, Grade D

Photodynamic therapy with topical 5-ALA and IPL (blue or red light) is effective for moderate to severe acne. Level 2, Grade D

As monotherapy, IPL (blue or red light) phototherapy is less effective than PDT but may be tried if side effects of PDT are not tolerable. Level 2, Grade D

Combination blue–red LED phototherapy, for which home devices are available, is safe and effective for the treatment of mild-to-moderate acne, with good adherence. Level 2, Grade D

Erbium-Glass laser is an effective treatment for active acne. Laser therapy of 1 to 4 sessions might be necessary. Level 2, Grade D

IPL: intense pulsed light; ALA: aminolevulinic acid; PDT: Photodynamic therapy; LED: light-emitting diode