

Couture Dermatology provides comprehensive clinical acne management for all types of acne, including hormonal acne, cystic and nodular acne, comedonal acne (blackheads/whiteheads), adult acne, and back/chest acne, all diagnosed and treated under board-certified dermatologist Dr. Candace Thornton Spann.
Over-the-counter cleansers only treat surface oil and dead skin cells. Moderate-to-severe, cystic, and hormonal acne originate deep within the pilosebaceous unit and require prescription-strength topical retinoids, targeted oral medications, hormonal modulators (such as spironolactone), or oral isotretinoin prescribed by board-certified dermatologist Dr. Candace Spann.
Board-certified dermatologist Dr. Candace Thornton Spann evaluates hormonal fluctuations, medical history, and previous therapies to design customized regimens. Treatment plans frequently combine anti-androgen therapy, clinical extractions, physician-formulated skincare, and medical chemical peels to regulate oil production and prevent cyclical breakouts.
Most patients experience noticeable reductions in inflammation and breakout frequency within 4 to 8 weeks of starting a dermatological protocol, with substantial clearing achieved within 12 to 16 weeks. Dr. Candace Spann monitors progress closely to adjust medication dosages and skin-conditioning regimens.
Darker skin tones (Fitzpatrick types IV–VI) are especially prone to post-inflammatory hyperpigmentation (PIH) after acne lesions heal. Board-certified dermatologist Dr. Candace Spann specializes in skin-of-color dermatology, prescribing gentle, pigment-safe anti-inflammatory therapies and sunscreen regimens that clear acne without triggering dark spots.
Yes. Once active acne is stabilized by board-certified dermatologist Dr. Candace Spann using chemical peels, medical skincare, or SkinPen microneedling, patients with deep, fibrotic surgical scars may also be evaluated by board-certified plastic surgeon Dr. Marvin Spann for subcision or surgical scar revision.
You can schedule an in-depth clinical acne consultation with board-certified dermatologist Dr. Candace Thornton Spann by calling our Las Vegas office at (702) 998-9001 or booking online through the Couture Dermatology & Plastic Surgery website.