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Skin Concerns · Acne & Breakouts

Acne & breakouts,
cleared without stripping your skin.

Clinical treatments to clear active acne, reduce bacteria and normalize oil production — without stripping or over-drying the skin. And because every breakout can leave a mark on deeper skin tones, your plan accounts for that from day one.

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I–VI
Fitzpatrick types treated
4–6
Treatments avg.
2–4
Weeks between sessions
How Breakouts Start

Every breakout
starts in a pore.

Acne is a chain reaction. Treating it well means interrupting it at more than one point.

Excess Oil
Overactive oil glands fill pores with sebum. Oil production is partly genetic, which is why oily and combination skin breaks out more.
Clogged Pores
Dead skin cells inside the pore clump together with oil and form a plug — the starting point of a breakout.
Bacteria & Inflammation
Acne bacteria and inflammation turn a clogged pore into a red, painful breakout — and on deeper skin tones, inflammation leaves dark marks behind.
Body Acne
Breakouts on the back, chest and shoulders follow the same process and need treatments that cover larger areas.

Clearing breakouts early matters more on deeper skin tones: an inflamed spot can leave a dark mark (PIH) that outlasts the pimple, and severe acne can scar.

Melanin-Safe Protocols

Why deeper skin tones
need a different approach.

Acne disproportionately affects people with Fitzpatrick types IV–VI, and inflammation in melanin-rich skin often leaves dark marks long after a breakout clears. Harsh, over-drying treatments irritate the skin and can make those marks worse.

  • ✦Breakouts calmed without stripping or over-drying the skin
  • ✦Salicylic and mandelic acids, chosen for low darkening risk
  • ✦Active acne controlled first — then dark marks and scarring are treated
  • ✦Your skin's response reviewed at every visit
How We Treat It

Your treatment options.
Your personalized plan.

Every plan is customized at your consultation — often a combination of in-clinic treatments and home care, matched to your skin type and goals.

Precise Peels for Acne
Salicylic acid is oil-soluble, so it works inside the pore to clear congestion, and its natural anti-inflammatory properties make it excellent for acne-prone dark skin. Peels are custom-blended for melanin-rich skin.
Topical Treatment Protocol
Retinoids keep the cells inside pores from clumping and clogging — treating acne at the source — and niacinamide helps moderate oil and calm redness. Your routine is paced so your skin is never pushed past its tolerance.
Dark Marks After Breakouts
Once breakouts are under control, the dark marks they leave behind are treated with pigment protocols and daily sun protection.
Hyperpigmentation treatment →
Acne Scarring
Indented scars from past breakouts are treated with collagen-building treatments like Sublative RF and microneedling once active acne is controlled.
Acne scar treatment →
At-Home Support
The Precise M.D. Clear Skin line — Pore Refining Cleanser, Acne Spot Treatment Gel, Clear Skin 5-2 Pads (5% glycolic + 2% salicylic) and a salicylic Body Spray for back and chest.
Shop Precise M.D. →
Your At-Home Routine
Daily care decides whether results last. The PSRx Skin Portal gives you a personalized routine from our clinical team, Skin Score tracking and member pricing.
$14.99/mo · first 14 days free
See the Skin Portal →
What To Expect

From consultation
to lasting results.

01
Skin Assessment
We confirm your Fitzpatrick type, look at the kind of breakouts you have and where, and review your current products and past treatments.
02
Calm & Clear
Treatment starts by clearing active breakouts and calming inflammation — without stripping or over-drying the skin.
03
Build Your Routine
Your home routine is introduced gradually — a retinoid starts at two nights a week and builds up — so your skin adjusts without irritation.
04
Treat What Remains
Once breakouts are under control, any dark marks or scarring they left behind can be treated.
Common Questions

Acne & Breakouts FAQ.

Why do I still get dark spots after my acne clears?

Those marks are post-inflammatory hyperpigmentation (PIH) — the skin’s pigment response to inflammation, especially common on deeper skin tones. PIH fades with sun protection and the right care, and clearing breakouts early means fewer new marks.

Is salicylic acid safe for dark skin?

Yes. Salicylic acid is generally well tolerated in Fitzpatrick IV–VI skin. It is oil-soluble, so it works inside the pore, and it has natural anti-inflammatory properties — which is why it is a go-to for acne-prone dark skin.

Do retinoids help acne?

Yes. Retinoids keep the cells inside pores from clumping and clogging, so they treat acne at the source rather than just the surface. Start slowly — two nights a week, a pea-sized amount — and always pair them with daily SPF.

Can I get microneedling or scar treatment while I have active acne?

Not over active breakouts. Microneedling over active acne can spread bacteria, and ongoing inflammation keeps creating new marks. Breakouts are treated first, then scarring.

Does washing with hot water open my pores?

No — pores have no muscles, so they cannot open or close. Warm water and cleansing can loosen what is inside a pore, and keeping pores clear is what actually helps.

What about acne on my back and chest?

Body breakouts follow the same process as facial acne. A salicylic acid body spray covers larger areas to help clear and prevent them, and your provider can include body acne in your plan.

Keep Reading
Chemical Peels for Dark Skin: Safe When Done Right→Melasma vs. Post-Inflammatory Hyperpigmentation: Know the Difference→Acne Scars on Melanin-Rich Skin: What Laser Can Do→
Start with the
right diagnosis.

Book a consultation at our South Loop clinic, or take the 5-minute Skin Assessment and our clinical team will build your personalized skin summary.

Book Consultation →Take Skin Assessment