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Photopneumatic therapy PPT combines vacuum and pulsed, targeted wavelength broadband light. Vacuum suction gently extracts debris and bacteria from the ostia of the pilosebaceous units; specific light wavelengths destroy proinflammatory bacterial porphyrins produced by Cutibacterium acnes and may reduce sebum production. To evaluate, via photographs, changes in visible acne lesions and skin texture after a series of tailored PPT treatments delivered to patients with mild-moderate acne.

All patients were photographed baseline. Vacuum settings were tailored for treatment areas; all received a double pulse of nm wavelength based on severity with one to two passes over affected area s. Photographs were taken prior to each session. Visible lesions and local skin reactions were evaluated. Redness reduction and improvement in skin texture, pore size, and perilesional erythema were observed in treatment area s.

Most responded with 2 to 3 treatments; a female patient with persistent perioral acne experienced complete clearance. Adverse effects were infrequent and limited to mild erythema, mild bruising, superficial erosions, and temporary changes in pigmentation. PPT was well tolerated with visible improvement in acne lesions and skin texture regardless of skin type.