Acne Treatment in Washington, DC

What Is Acne?

Acne is a common skin condition that occurs when hair follicles become clogged with oil, dead skin cells, and bacteria. This can lead to the formation of pimples, blackheads, whiteheads, and in more severe cases, painful cysts and nodules. Acne most commonly appears on the face, chest, back, and shoulders—areas with the highest concentration of oil-producing sebaceous glands.

While acne is often associated with adolescence, it can affect people of all ages. Adult acne is increasingly common, particularly among women experiencing hormonal fluctuations. At Yolanda C. Holmes, M.D., P.C., we provide comprehensive acne care for patients of all ages in Washington, DC.

What Causes Acne?

Acne develops when a combination of factors work together:

• Excess Oil Production: Hormonal changes can cause sebaceous glands to produce more oil, leading to clogged pores.
• Dead Skin Cells: When skin cells don't shed properly, they can mix with oil and block hair follicles.
• Bacteria: The bacterium Propionibacterium acnes can multiply in clogged pores, causing inflammation and breakouts.
• Hormonal Fluctuations: Androgens, menstruation, pregnancy, and conditions like PCOS can trigger or worsen acne.
• Genetics: A family history of acne can increase your likelihood of developing the condition.
• Certain Medications: Some medications, including corticosteroids and lithium, can contribute to acne.
• Stress: Stress can trigger hormonal changes that may worsen acne.

Who Can Develop Acne?

Acne can affect anyone, regardless of age, gender, or skin type. At our Washington, DC practice, we treat:

• Adolescent Acne: Teenagers experiencing hormonal changes during puberty.
• Adult Acne: Adults who continue to experience breakouts or develop acne later in life.
• Hormonal Acne: Women experiencing acne related to menstruation, pregnancy, perimenopause, or conditions like PCOS.
• Acne in Skin of Color: Patients with darker skin tones who are at higher risk for post-inflammatory hyperpigmentation.

When Should You See a Dermatologist for Acne?

You should consider scheduling a consultation with a board-certified dermatologist if:

• Over-the-counter products haven't worked after 4-6 weeks of consistent use.
• You're experiencing painful, cystic acne that may lead to scarring.
• Acne is leaving dark spots or scars on your skin.
• Your breakouts are affecting your self-confidence or quality of life.
• You're concerned about acne in skin of color and the risk of hyperpigmentation.

Early intervention by a dermatologist can prevent long-term skin damage and help you achieve clearer skin more quickly.

Acne Treatment Options

At Yolanda C. Holmes, M.D., P.C., we offer a range of treatment options tailored to your specific skin type, acne severity, and concerns. Our approach focuses on reducing breakouts, preventing scarring, and maintaining long-term skin health:

• Topical Prescription Medications: Including retinoids, benzoyl peroxide, salicylic acid, and azelaic acid to unclog pores and reduce bacteria.
• Oral Medications: Including antibiotics, isotretinoin, and hormonal therapies to address more severe or resistant acne.
• Chemical Peels: To exfoliate dead skin cells, unclog pores, and improve skin texture.
• Light & Laser Therapy: To reduce bacteria and inflammation.
• Extractions: Professional removal of blackheads and whiteheads.
• Customized Skincare Routines: Recommendations for medical-grade products to maintain results.

Dr. Holmes will develop a personalized treatment plan based on your specific needs, skin type, and goals.

Acne and Skin of Color

For patients with darker skin tones, acne presents unique challenges. Inflammation from breakouts often leads to post-inflammatory hyperpigmentation (PIH)—dark spots that can linger long after the acne itself has healed. In some cases, this discoloration can be more distressing than the original breakouts.

Treatment can address active breakouts while also considering the risk of post-inflammatory hyperpigmentation and scarring. Dr. Holmes uses specialized protocols designed to help minimize these concerns and promote clearer, more even-toned skin.

Our approach to treating acne in skin of color is designed to minimize the risk of hyperpigmentation while effectively clearing breakouts. We also offer targeted treatments to help fade existing dark spots and even skin tone.

Learn more about our approach to Dermatology for Skin of Color in Washington, DC →

Acne and Acne Scars

Acne can sometimes leave behind persistent discoloration or scarring even after active breakouts have resolved. If you're concerned about acne scars, Dr. Holmes can evaluate your skin and discuss appropriate treatment options.

Learn more about Acne Scars →

Frequently Asked Questions About Acne

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Meet Dr. Yolanda C. Holmes

Dr. Holmes is a board-certified dermatologist with over 34 years of experience serving patients in Washington, DC. She specializes in medical, surgical, and cosmetic dermatology with a focus on treating patients with skin of color.

Dr. Holmes is recognized as the 2025 Best Dermatologist in Dupont Circle and has been featured in Essence Magazine. Her expertise in treating acne, hyperpigmentation, and other skin conditions has earned the trust of patients throughout the Washington, DC area.

Learn more about Dr. Holmes' credentials and approach to patient care: View Dr. Holmes' Full Profile →