01
“My face is very oily.”
Sebaceous overactivity — usually more pronounced in the T-zone by mid-day.
↗Concern · Face & Skin · 05
Oily skin controlled.
Overactive sebaceous glands, clogged pores and inflammatory lesions — acne runs on a chronic cycle. The pathway is course-based, layered and calibrated to severity, not to symptom.
Before · Active acne
After · Controlled skin
VISIA reading
Sebum mapped
Pore density & flow
What it is
Sebum, pores, inflammation.
Oily skin is characterised by overactive sebaceous glands producing excessive amounts of sebum, which contributes to clogged pores and the development of inflammatory skin conditions.
Acne vulgaris is a chronic inflammatory skin condition that may present with blackheads, whiteheads and inflamed papules or pustules. Severity dictates whether topicals, systemics or hormonal treatment lead.
“Acne isn't a hygiene problem — it's an inflammatory one. Treat the inflammation, protect the barrier, calibrate to severity.”
What patients notice.
Symptoms named in the patient's own words alongside the clinical read.
02
Shiny skin, particularly in the T-zone
Forehead, nose and chin — the highest density of sebaceous glands on the face.
↗03
Blackheads or open comedones
Pores plugged with oxidised sebum — the earliest visible sign of acne.
↗04
Whiteheads or closed comedones
Pores plugged beneath the surface — usually precede inflammatory lesions.
↗05
Inflamed spots and redness
Papules and pustules where bacteria have triggered an inflammatory response.
↗06
Painful or deep inflammatory lesions
Nodules and cysts — severe presentations that warrant systemic treatment.
↗The stages of acne.
Acne severity spans a spectrum — each grade calls for a different intensity of intervention.
#GradeWhat's happeningPathway
01Comedonal acne.Blackheads and whiteheads only, without inflammation.Topical retinoids
02Mild inflammatory.Comedones plus a small number of papules and pustules.Topicals · Peels
03Moderate inflammatory.Widespread papules and pustules affecting more of the face.Topical + systemic
04Severe nodular.Deep painful nodules or cysts — often leaves scarring.Isotretinoin pathway
05Hormonal acne.Cyclical, jawline-dominant acne linked to hormonal factors — often adult onset.Hormonal workup
Diagnostics-first
We grade the acne first.
Severity dictates pathway. We classify the acne, review the history and route to topical, systemic or hormonal treatment accordingly.
- i.Clinical consultation25 min
- ii.Grade acne severity10 min
- iii.Assess skin type and sebum production10 min
- iv.Medical history — hormonal, dietary, medication15 min
- v.Refer for hormonal workup when indicatedAs needed
Treatment pathways
How we treat it.
Topicals first for mild presentations; systemic antibacterials for moderate; isotretinoin under strict supervision for severe. Peels and lasers support throughout.
Lead pathway · Topical
Retinoids, peels & discipline.
Topical retinoids form the baseline for most acne severities; salicylic and glycolic peels layer on to accelerate clearance. Consistency matters more than intensity.
Duration12+ weeks
CadenceNightly + monthly
Follow-up6-weekly
Dermalux Tri-Wave.
LED therapy to reduce inflammation and support healing between sessions.
Supportive · Deep cleansingDermaclear
Deep cleansing and comedone extraction to unload congested pores.
Supportive · SystemicAntibacterial / hormonal.
Systemic antibiotics or hormonal treatment when severity outpaces topicals.
Post-acne · Scar workMicroneedling & laser.
For patients whose acne has resolved but who need to address residual scarring.
Book a diagnostic consultation
Begin with a grading.
A specialist grades the severity, reviews your history and calibrates a course that matches your presentation — from topicals to a supervised isotretinoin pathway.
Tumanyan St. 11 · Yerevan·
Sayat-Nova Ave. 35 · Yerevan·
Daily 10:00 — 20:00