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Severity Levels of Pimples
Pimples, a common form of acne, can vary greatly in severity. Understanding the different levels of severity is crucial for determining the most appropriate and cost-effective treatment approach. Let's explore the three main severity levels of pimples:
Mild Acne
- Symptoms: Few pimples, mostly whiteheads and blackheads
- Risk factors: Hormonal changes, stress
- Diagnosis: Self-diagnosis or virtual consultation
- Tests: Usually not necessary
- Treatments: Over-the-counter topical treatments
Mild acne is the most common and least severe form of pimples. It's characterized by a few scattered blemishes, primarily whiteheads and blackheads. While annoying, mild acne rarely requires professional medical intervention.
Moderate Acne
- Symptoms: More numerous pimples, some inflamed
- Risk factors: Hormonal imbalances, diet, genetics
- Diagnosis: In-person doctor visit
- Tests: Possible hormone level tests
- Treatments: Prescription topical treatments, oral antibiotics
Moderate acne presents a step up in severity, with more numerous pimples and some inflammation. This level often requires medical attention to manage effectively and prevent potential scarring.
Severe Acne
- Symptoms: Numerous inflamed pimples, cysts, nodules
- Risk factors: Genetics, severe hormonal imbalances
- Diagnosis: In-person dermatologist visit
- Tests: Hormone level tests, possible skin biopsy
- Treatments: Prescription oral medications, stronger topical treatments, procedures
Severe acne is the most serious form, characterized by numerous inflamed pimples, cysts, and nodules. This level of acne requires professional dermatological care to manage effectively and minimize long-term skin damage.
Summary Table: Severity Levels
Severity Level | Characteristics | Diagnosis | Labs/Imaging | Treatment |
---|---|---|---|---|
Mild | Few pimples, mostly whiteheads and blackheads | Self-diagnosis or virtual consultation | Not usually necessary | Over-the-counter topical treatments |
Moderate | More numerous pimples, some inflamed | In-person doctor visit | Possible hormone level tests | Prescription topical treatments, oral antibiotics |
Severe | Numerous inflamed pimples, cysts, nodules | In-person dermatologist visit | Hormone level tests, possible skin biopsy | Prescription oral medications, stronger topical treatments, procedures |
Understanding your acne severity level is the first step in determining the most appropriate and cost-effective treatment plan. While mild acne can often be managed at home, moderate to severe cases typically require professional medical intervention for optimal results.
Getting a Diagnosis
Getting an accurate diagnosis is the first step in treating pimples effectively. The method you choose can significantly impact both the cost and the speed of your treatment. Here are the main options available:
Self-diagnosis
Self-diagnosis is the most cost-effective option for mild cases of acne. While it doesn't involve any direct costs, it's important to note that misdiagnosis can lead to ineffective treatment and potentially higher costs in the long run.
- Cost: Free
- Time: Immediate
- Appropriate for: Mild acne
Virtual consultation
Virtual consultations have become increasingly popular, offering a balance between convenience and professional medical advice. Let's look at some options:
- Teladoc
- General Medical Visits:
- With insurance: $0 per visit (based on your benefits)
- Without insurance: $89 per visit
- Dermatology: Costs vary, but you can set up an account to see the pricing ranges
- Time: Usually within 24 hours
- General Medical Visits:
- MDLive
- Urgent Care: $85
- Dermatology: $95
- Time: Usually within 24 hours
- OptimalMD
- Cost: Free with OptimalMD membership ($47/month for the entire family)
- Time: Usually within 24 hours
- Appropriate for: Mild to moderate acne
In-person doctor visit
For moderate to severe cases of acne, an in-person visit with a general practitioner might be necessary. Here are some typical costs:
- Without insurance: $119 - $214 (varies by state)
- With insurance: Copay typically ranges from $15 to $25
- With OptimalMD membership: Free virtual urgent care, in-person visits heavily discounted
- Time: Typically 1-2 weeks for appointment
- Appropriate for: Moderate to severe acne
Dermatologist visit
For severe or persistent acne, a visit to a dermatologist might be necessary. Here are the typical costs:
- Without insurance: $150 to $200 for an initial consultation
- With insurance: Specialist copay typically ranges from $30 to $50
- With OptimalMD membership: Heavily discounted
- Time: Often 2-4 weeks for appointment
- Appropriate for: Severe acne, persistent acne unresponsive to other treatments
It's important to note that while more expensive options like dermatologist visits might seem costly upfront, they can often lead to more effective treatment plans, potentially saving money in the long run by avoiding ineffective treatments.
Summary Table: Assessment Options
Modality | Appropriate Severity Level(s) | Price Without Insurance | Price With Insurance | Efficiency |
---|---|---|---|---|
Self-diagnosis | Mild | Free | Free | Immediate |
Virtual Consultation (Teladoc) | Mild to Moderate | $89 | $0-$99 | Within 24 hours |
Virtual Consultation (MDLive) | Mild to Moderate | $85-$95 | Varies | Within 24 hours |
Virtual Consultation (OptimalMD) | Mild to Moderate | $47/month (family) | N/A | Within 24 hours |
In-person GP Visit | Moderate to Severe | $119-$214 | $15-$25 copay | 1-2 weeks |
This table provides a quick overview of the different diagnostic options, their appropriate use cases, costs, and efficiency. Remember that while some options may be more expensive, they might provide more accurate diagnoses and treatment plans, potentially leading to better outcomes and cost savings in the long term.
Imaging and Laboratory Tests
When it comes to diagnosing and monitoring acne, certain imaging and laboratory tests may be necessary, especially for moderate to severe cases. Let's explore the most common tests, their costs, and efficiency.
Hormone Level Tests
Hormone level tests are often recommended for patients with moderate to severe acne, especially when hormonal imbalances are suspected. These tests can help determine the underlying cause of acne and guide treatment decisions.
Let's look at the costs for hormone level tests from different providers:
- LabCorp:
- Cash price: $199.00 for Women's Health Test (includes TSH)
- With insurance: Typically covered, but copay may apply
- With discount card: 20-30% off cash price
- Quest Diagnostics:
- Cash price: $58.65 for Testosterone Test, $69.00 for Thyroid Disorder Monitoring
- With insurance: Usually covered, subject to copay
- With discount card: Up to 25% off cash price
- OptimalMD: Heavily discounted with OptimalMD membership
Time: Results are typically available within 3-5 business days.
Skin Biopsy
For severe cases of acne or when other skin conditions are suspected, a dermatologist might recommend a skin biopsy. This procedure involves taking a small sample of skin for laboratory analysis.
- Dermatology Clinic:
- Cash price: $221 - $300 (varies by clinic)
- With insurance: Often covered, but subject to deductible and copay
- With discount card: 10-20% off cash price
- OptimalMD: Heavily discounted with OptimalMD membership
Time: The biopsy procedure itself takes about 15-20 minutes. Results are typically available within 1-2 weeks.
Acne Grading Photography
While not a laboratory test, acne grading photography is sometimes used to track the progress of acne treatment over time. This is especially useful for moderate to severe cases.
- Dermatology Clinic:
- Cash price: $150 - $336 (often included in consultation fee)
- With insurance: May be covered as part of a dermatology visit
- With discount card: 10-15% off cash price
- OptimalMD: Free with OptimalMD membership (as part of virtual consultation)
Time: The photography session itself takes about 10-15 minutes. Results are usually available immediately or within 24 hours.
Summary Table: Diagnostics
Modality | Severity Level | Price Without Insurance | Price With Insurance | Efficiency |
---|---|---|---|---|
Hormone Level Test | Moderate to Severe | $58 - $199 | Typically covered, copay may apply | Results in 3-5 days |
Skin Biopsy | Severe | $221 - $300 | Often covered, subject to deductible and copay | Procedure: 15-20 min, Results: 1-2 weeks |
Acne Grading Photography | Moderate to Severe | $150 - $336 | May be covered as part of visit | 10-15 min, Results immediate or within 24 hours |
Note: All services are either free or heavily discounted with OptimalMD membership at $47/month for the entire family.
Prescription Medications
Prescription medications play a crucial role in treating pimples, especially for moderate to severe cases. The choice of medication depends on the severity of the acne, the patient's medical history, and the recommendation of the healthcare provider. Let's explore the various options available, along with their costs and efficiency.
Topical treatments
1. Retinoids (e.g., tretinoin, adapalene)
Retinoids are vitamin A derivatives that help unclog pores and reduce inflammation. They are available in various strengths and formulations.
Brand name: Retin-A (tretinoin)
- Cash price: $40 to $115 for a 45g tube, depending on strength
- With insurance: Copay typically ranges from $10 to $50
- With discount cards: Prices can be reduced by 20-60%
- Free with OptimalMD membership
Generic option: Tretinoin
- Cash price: $123 for a 20g tube of 0.05% strength
- With insurance: Copay typically ranges from $5 to $30
- With discount cards: Prices can be reduced by 30-70%
- Free with OptimalMD membership
Brand name: Differin (adapalene)
- Cash price: $14.49 for a 30-day supply (15g)
- With insurance: Often not covered as it's available over-the-counter
- With discount cards: Can be as low as $12.85 for a 15g tube
- Free with OptimalMD membership
Time: These topical retinoids typically show noticeable improvement in 6-12 weeks with consistent use.
2. Topical Antibiotics (e.g., clindamycin, erythromycin)
Topical antibiotics help reduce acne-causing bacteria and inflammation.
Brand name: Cleocin T (clindamycin)
- Cash price: Approximately $97.41 for topical solution
- With insurance: Copay typically ranges from $10 to $50
- With discount cards: Can be as low as $27.51 (72% off retail price)
- Free with OptimalMD membership
Generic option: Clindamycin
- Cash price: $19 for a 30ml topical solution (1% strength)
- With insurance: Copay typically ranges from $5 to $30
- With discount cards: Can be as low as $13.50 (81% off retail price)
- Free with OptimalMD membership
Brand name: Erygel (erythromycin)
- Cash price: $194 for a 30g tube
- With insurance: Copay typically ranges from $10 to $50
- With discount cards: Can be as low as $26.17 for generic version
- Free with OptimalMD membership
Time: These topical antibiotics typically show noticeable improvement in 4-8 weeks with consistent use.
Oral medications
1. Oral Antibiotics (e.g., doxycycline, minocycline)
Oral antibiotics are often prescribed for moderate to severe acne that doesn't respond well to topical treatments.
Brand name: Vibramycin (doxycycline)
- Cash price: $101.83 for 14 capsules (100mg)
- With insurance: Copay typically ranges from $10 to $50
- With discount cards: Can be as low as $9.35 for generic version
- Free with OptimalMD membership
Brand name: Minocin (minocycline)
- Cash price: Approximately $7.00 for 75mg capsules (generic)
- With insurance: Copay typically ranges from $10 to $50
- With discount cards: Prices can be reduced by 20-60%
- Free with OptimalMD membership
Time: These oral antibiotics typically show noticeable improvement in 6-8 weeks with consistent use.
2. Isotretinoin
Isotretinoin is a powerful oral medication used for severe, treatment-resistant acne.
Brand name: Accutane (no longer available in the U.S. market, but generic versions are available)
- Cash price: $942.94 - $1,173.37 for 30 capsules (25mg)
- With insurance: Copay typically ranges from $50 to $100 per month
- With discount cards: Can be as low as $72.54 (82% off retail price)
- Heavily discounted with OptimalMD membership
Time: Isotretinoin treatment typically lasts 4-6 months for a full course, with improvements often seen within the first month.
Summary Table: Prescription Medications
Medication | Severity Level | Price Without Insurance | Price With Insurance | Efficiency |
---|---|---|---|---|
Tretinoin (generic Retin-A) | Mild to Moderate | $123 (20g, 0.05%) | $5-$30 copay | 6-12 weeks |
Adapalene (Differin) | Mild to Moderate | $14.49 (15g, 30-day supply) | Often not covered | 6-12 weeks |
Clindamycin (generic Cleocin T) | Mild to Moderate | $19 (30ml, 1%) | $5-$30 copay | 4-8 weeks |
Erythromycin (Erygel) | Mild to Moderate | $194 (30g, 2%) | $10-$50 copay | 4-8 weeks |
Doxycycline (Vibramycin) | Moderate to Severe | $101.83 (14 capsules, 100mg) | $10-$50 copay | 6-8 weeks |
Note: All medications listed are free or heavily discounted with OptimalMD membership ($47/month for the entire family).
Over-the-Counter Treatments
Over-the-counter (OTC) treatments are often the first line of defense against pimples, especially for mild to moderate cases. These treatments are readily available without a prescription and can be highly effective when used consistently. Let's explore the most common OTC treatments, their costs, and efficiency.
Benzoyl Peroxide
Benzoyl peroxide is a powerful antibacterial agent that can help kill acne-causing bacteria and reduce inflammation. It's suitable for mild to moderate acne.
- National average price: $12.50 for Benzoyl Peroxide 5% gel
- Cash price range: $5.83 - $29.50
- With discount cards (e.g., GoodRx): As low as $7.43
- Efficiency: Noticeable improvement in 4-6 weeks with consistent use
Examples of suppliers and their prices:
- Walmart: $5.83 (nationwide)
- California Skin Institute: $29.50 (California)
Salicylic Acid
Salicylic acid is a beta-hydroxy acid that helps exfoliate the skin and unclog pores. It's particularly effective for mild acne and blackheads.
- National average price: $6.70 for Salicylic Acid 2% solution
- Cash price range: $6.50 - $7.99
- With store loyalty programs: Potential 5-10% discount
- Efficiency: Noticeable improvement in 4-6 weeks with consistent use
Popular options:
- The Ordinary Salicylic Acid 2% Solution:
- Sephora: $6.50
- Ulta Beauty: $6.50
- The Ordinary website: $6.50
- Neutrogena Oil-Free Acne Stress Control Power-Clear Scrub (with 2% Salicylic Acid):
- Target: $7.99
- Walmart: $7.92
Alpha-Hydroxy Acids (AHAs)
Alpha-hydroxy acids, such as glycolic acid and lactic acid, help exfoliate the skin and promote cell turnover. They're effective for mild acne and improving overall skin texture.
- National average price: $13.00 for Glycolic Acid 7% toning solution (240ml)
- Cash price range: $8.99 - $13.00 (varying sizes)
- With store loyalty programs or subscriptions: Potential 5-15% discount
- Efficiency: Noticeable improvement in 4-6 weeks with consistent use
Examples of suppliers and their prices:
- Amazon: $13.00 (240ml, nationwide)
- Sephora: $13.00 (240ml, nationwide)
Summary Table: OTCs
Modality | Severity Level | Price without Insurance | Price with Insurance/Discounts | Efficiency |
---|---|---|---|---|
Benzoyl Peroxide 5% gel | Mild to Moderate | $5.83 - $29.50 | As low as $7.43 with discount cards | 4-6 weeks |
Salicylic Acid 2% solution | Mild | $6.50 - $7.99 | 5-10% off with store loyalty programs | 4-6 weeks |
Glycolic Acid 7% toning solution | Mild | $8.99 - $13.00 | 5-15% off with loyalty programs or subscriptions | 4-6 weeks |
Remember that while these OTC treatments can be highly effective for mild to moderate acne, it's important to consult with a dermatologist if symptoms persist or worsen. They can provide personalized advice and potentially prescribe stronger treatments if necessary.
Procedures
Procedures for treating pimples are typically recommended for moderate to severe cases that haven't responded well to topical or oral medications. These treatments are usually performed by dermatologists or licensed skincare professionals. Let's explore the most common procedures, their costs, and efficiency.
Chemical Peels
Chemical peels involve applying a chemical solution to the skin to remove the top layers, promoting new skin growth and reducing acne. They're suitable for mild to moderate acne.
The national average cost for a chemical peel is $644, with prices ranging from $200 to $6,000. Here are some examples from different providers:
- Westlake Dermatology (Seattle, WA): $700
- Dermatology Associates of Atlanta (Atlanta, GA): Prices vary depending on the type of peel
Most insurance plans consider chemical peels a cosmetic procedure and don't cover them. However, some medical-grade peels might be partially covered if deemed medically necessary for severe acne. Always check with your insurance provider.
Time: Each session typically takes 30 minutes. Most patients require a series of 4-6 treatments spaced 2-4 weeks apart for optimal results.
Microdermabrasion
Microdermabrasion is a minimally invasive procedure that gently exfoliates and removes the superficial layer of dry, dead skin cells. It's most suitable for mild acne and improving overall skin texture.
The national average cost for microdermabrasion is $1,829 for a full treatment course, or about $149 per session. Here are some examples from different providers:
- Skin Spa New York (New York, NY): $80 per session
- Beverly Hills Rejuvenation Center (Beverly Hills, CA): Prices not explicitly stated, but similar treatments range from $150 to $350
Like chemical peels, microdermabrasion is usually considered a cosmetic procedure and not covered by insurance. Some medical spas or dermatology clinics offer package deals or membership programs that can reduce the per-session cost.
Time: Each session typically takes 30-60 minutes. Most patients require a series of 5-8 treatments spaced 1-2 weeks apart for best results.
Laser Therapy
Laser therapy uses focused light to treat acne and acne scars. It's effective for moderate to severe acne and can also improve overall skin texture.
The national average cost for laser acne treatment is around $2,000 for ablative laser skin resurfacing and $1,100 for non-ablative laser treatments. Here are some examples from different providers:
- Schweiger Dermatology (Multiple locations in NY, NJ, PA): Starting at $275 per session for patients without insurance
- LaserAway (Multiple locations nationwide): Prices vary, typically ranging from $200 to $3,000 per session
Insurance coverage for laser acne treatment varies. Some plans may cover it if deemed medically necessary for severe acne, but many consider it cosmetic. Always check with your insurance provider and dermatologist.
Time: Each session typically takes 15-30 minutes. The number of treatments needed varies based on acne severity, but most patients require 3-5 sessions spaced 2-4 weeks apart.
Summary Table: Procedures
Modality | Severity Level | Price (Without Insurance) | Price (With Insurance) | Efficiency |
---|---|---|---|---|
Chemical Peel | Mild to Moderate | $200 - $6,000 (Avg. $644) | Typically not covered | 4-6 treatments, 2-4 weeks apart |
Microdermabrasion | Mild | $75 - $400 per session (Avg. $149) | Typically not covered | 5-8 treatments, 1-2 weeks apart |
Laser Therapy | Moderate to Severe | $1,100 - $2,000 (Avg.) | May be partially covered if medically necessary | 3-5 treatments, 2-4 weeks apart |
Remember that these procedures should be performed by qualified professionals, and results can vary based on individual factors. Always consult with a dermatologist to determine the most appropriate and cost-effective treatment plan for your specific case of acne.
Optimizing for Cost
When seeking cost-effective pimple treatment, consider the following strategies for each severity level:
Mild Acne
- Start with over-the-counter treatments containing benzoyl peroxide or salicylic acid
- Use virtual consultations for initial diagnosis and treatment recommendations
- Implement lifestyle changes (e.g., improved skincare routine, stress reduction) before seeking medical intervention
Moderate Acne
- Begin with generic versions of prescription topical treatments
- Opt for telemedicine consultations when possible to reduce office visit costs
- Consider combination therapy (e.g., OTC benzoyl peroxide with prescription tretinoin) to potentially reduce overall medication costs
Severe Acne
- Prioritize in-person dermatologist visits to ensure accurate diagnosis and treatment
- Explore patient assistance programs for high-cost medications like isotretinoin
- Consider generic alternatives to brand-name prescriptions when available
- Discuss long-term treatment plans with your dermatologist to potentially reduce the number of follow-up visits
General Cost-Saving Tips
- Check if your insurance covers acne treatments and choose in-network providers when possible
- Look for pharmacy discount programs or coupons for prescription medications
- Invest in prevention by maintaining a consistent skincare routine to potentially reduce the need for more expensive treatments in the future
- Consider bulk purchases of OTC treatments to save money in the long run
By following these cost-optimization strategies, patients can effectively manage their pimple treatment expenses while still receiving appropriate care for their specific acne severity level. Remember that while cost is an important factor, it should not compromise the quality and effectiveness of your acne treatment plan.
Optimizing for Efficiency
When time is of the essence, optimizing your pimple treatment plan for efficiency can help you achieve faster results. Here's a breakdown of the most time-efficient strategies for each severity level of acne:
Mild Acne
- Diagnosis:
- Opt for self-diagnosis or virtual consultation for immediate assessment.
- Treatment:
- Start with over-the-counter treatments containing benzoyl peroxide or salicylic acid.
- Use a combination product that includes both cleansing and spot treatment to save time.
- Follow-up:
- Schedule virtual check-ins every 4-6 weeks to monitor progress.
Moderate Acne
- Diagnosis:
- Choose a virtual dermatology consultation for quick access to professional advice.
- Tests:
- If recommended, opt for at-home hormone testing kits for faster results.
- Treatment:
- Begin with prescription-strength topical treatments, such as combination products containing retinoids and antibiotics.
- Consider oral antibiotics for faster systemic results.
- Follow-up:
- Schedule monthly virtual check-ins with your dermatologist to adjust treatment as needed.
Severe Acne
- Diagnosis:
- Schedule an in-person dermatologist appointment, but request to be placed on a cancellation list for earlier availability.
- Tests:
- Complete any necessary lab work before your appointment to have results ready for discussion.
- Treatment:
- Consider starting isotretinoin (Accutane) treatment for the most rapid and long-lasting results.
- Combine with in-office procedures like chemical peels or laser therapy for enhanced efficiency.
- Follow-up:
- Adhere strictly to recommended follow-up appointments to ensure treatment efficacy and safety.
Time-Saving Tips for All Severity Levels:
- Use skincare products with multiple active ingredients to streamline your routine.
- Set reminders on your phone for medication applications and follow-ups.
- Consider telemedicine options when available to reduce travel and waiting times.
- Prepare a list of questions before each consultation to maximize appointment efficiency.
By focusing on these time-efficient strategies, patients can optimize their pimple treatment plans to achieve faster results. However, it's crucial to remember that even the most efficient treatments require patience and consistency. Always consult with a healthcare professional before making significant changes to your treatment plan.
Balancing Cost and Efficiency
When treating pimples, it's essential to find a balance between cost-effective solutions and efficient treatment plans. Here's a breakdown of strategies that optimize both cost and efficiency for each severity level:
Mild Acne
- Self-diagnosis and over-the-counter treatments
- Start with affordable, widely available products containing benzoyl peroxide or salicylic acid
- Monitor progress for 4-6 weeks before considering other options
- Cost-efficient and time-effective for most mild cases
- Virtual consultation if no improvement
- Seek professional advice without the cost and time investment of an in-person visit
- Can lead to prescription topical treatments if necessary
Moderate Acne
- In-person doctor visit
- While more expensive than self-treatment, it can save time and money in the long run by providing an accurate diagnosis and targeted treatment plan
- Combination of prescription topical treatments and oral antibiotics often provides the best balance of cost and efficacy
- Generic medications
- Opt for generic versions of prescribed medications to reduce costs without sacrificing quality
- Follow treatment regimen consistently for optimal time-to-results ratio
Severe Acne
- Dermatologist consultation
- Although more expensive initially, specialized care can prevent costly complications and reduce overall treatment time
- May recommend a combination of treatments for faster, more comprehensive results
- Isotretinoin treatment
- While expensive, it often provides the most efficient and long-lasting results for severe acne
- Reduces the need for multiple treatments and long-term medication use
- Combine with at-home care
- Supplement professional treatments with appropriate skincare routines to enhance results and potentially reduce the number of required in-office procedures
By tailoring the approach to each severity level, patients can achieve a balance between affordable care and timely results. It's crucial to consult with healthcare professionals to determine the most appropriate and cost-effective treatment plan for individual cases of acne.
Conclusion
Treating pimples can vary significantly in cost and time, depending on the severity of the condition and the chosen treatment approach. This article has outlined various options for diagnosing and treating pimples, from mild to severe cases, along with their associated costs and time frames.
Key takeaways include:
- Mild acne can often be managed with over-the-counter treatments and self-care, keeping costs low.
- Moderate to severe acne may require professional medical intervention, which can increase both costs and treatment duration.
- Prescription medications, both topical and oral, can be effective but may come with higher costs and potential side effects.
- Procedures like chemical peels or laser therapy can be beneficial for some cases but tend to be more expensive and time-consuming.
- Generic medications can often provide significant cost savings compared to brand-name options.
- The most cost-effective and efficient treatment plan will vary depending on individual circumstances and the severity of the acne.
It's important to remember that while cost and efficiency are significant factors, the primary goal should be effectively treating the condition and preventing long-term complications such as scarring. Consulting with a healthcare professional can help determine the most appropriate treatment plan for your specific case of acne.
Ultimately, investing in proper acne treatment can lead to improved skin health, increased self-confidence, and potentially lower long-term healthcare costs by addressing the issue effectively early on. Always consider your personal health needs, budget constraints, and time availability when choosing a treatment approach for pimples.
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