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Jun 2026

Acne Awareness Month: Could Alma Be the Missing Piece in Your Acne Treatment Plan?

 

For many people, acne is not just a teenage concern. We regularly see adults in clinic who are still experiencing breakouts in their 20s, 30s, 40s and beyond, often alongside the lasting effects that acne leaves behind.

While active acne can be frustrating enough, the marks, redness, pigmentation and scarring that remain afterwards can sometimes have an even greater impact on confidence.

Acne Awareness Month is an ideal time to look beyond skincare products and explore the treatment options available today. One of the most versatile technologies we use at Dr Liesel Holler Medical Aesthetics is the Alma Harmony XL Pro, a platform that allows us to treat active acne, post-inflammatory pigmentation, redness, textural concerns and acne scarring using different treatment modalities tailored to the individual.

The key word there is tailored. Acne can present very differently from person to person, which is why successful treatment usually starts with understanding exactly what is driving the problem.

Why does acne often persist despite good skincare?

One of the most common conversations we have in clinic begins with a patient saying:

“I’ve tried everything.”

They have invested in skincare, followed advice online, changed products multiple times and often spent years trying to manage breakouts themselves.

The challenge is that acne is rarely caused by a single factor. Hormones, genetics, inflammation, excess oil production, skin barrier dysfunction and lifestyle factors can all play a role. Some patients experience predominantly inflammatory acne, while others are more concerned about congestion, pigmentation or the scars left behind after previous breakouts.

This is why treatment selection matters. For milder cases, we would usually start by reviewing skincare, identifying potential triggers and supporting overall skin health. However, when acne becomes persistent or begins leaving marks and scars, technology-based treatments often become an important part of the treatment plan.

What is the Alma Harmony XL Pro?

The Alma Harmony XL Pro is a multi-platform laser and light system designed to address a wide range of skin concerns, including acne, acne scarring, pigmentation, redness and signs of skin ageing.

What makes the platform particularly useful is its versatility. Rather than relying on a single technology, different handpieces can be used depending on the patient’s skin condition, skin type and treatment goals.

At Dr Liesel Holler Medical Aesthetics, the Alma Harmony XL Pro allows us to create more personalised treatment plans because we can address multiple aspects of acne simultaneously rather than focusing on only one concern.

Can Alma treat active acne?

One of the treatment options within the Alma platform is ClearSkin, a targeted acne treatment designed to reduce active breakouts, calm inflammation and improve post-acne scarring by working beneath the surface of the skin.

Active acne is often driven by ongoing inflammation within the skin. When treating active acne, our goal is not simply to dry out the skin or temporarily suppress symptoms. Rather, we want to help reduce inflammation, improve the skin environment and minimise the likelihood of future breakouts.

In clinic we often see patients who are caught in a cycle where breakouts lead to picking, picking leads to inflammation, and inflammation leads to pigmentation and scarring. Breaking that cycle early can make a significant difference to long-term skin health.

What about acne scars?

Acne scars are one of the most common reasons patients seek treatment long after their active acne has improved.

Unlike pigmentation or redness, true acne scars involve structural changes within the skin. This means topical products alone are often unable to produce meaningful improvement.

The type of scar also matters. Some scars are shallow and textural, while others are deeper and more tethered beneath the skin.

For patients with acne scarring, one of the Alma treatment options we commonly consider is iPixel. iPixel is a fractional resurfacing laser designed to improve acne scarring, uneven texture and skin quality by stimulating controlled skin renewal and collagen production.

By creating controlled micro-injury within the skin, the treatment encourages the body’s natural repair processes. Over time, this helps remodel existing scar tissue and improve overall skin texture.

In more advanced cases, we would normally look at combining treatments rather than relying on a single approach.

Why combination treatments often produce the best results

One of the biggest shifts within aesthetic medicine over the last few years has been the move towards regenerative treatment plans.

Rather than focusing on one isolated concern, we increasingly combine treatments that support the skin’s ability to repair and regenerate itself.

For acne scarring, this can be particularly valuable.

Depending on the severity of the scarring and the condition of the skin, treatment plans may combine Alma technologies with regenerative treatments such as:

Each works slightly differently and may be recommended at different stages of treatment.

MCT Exosomes and PRP focus on supporting cellular repair and regeneration, while microneedling can stimulate collagen production and improve skin texture. PRP is also used for acne scarring and recessed marks where tissue regeneration is beneficial.

Rexonage®3 takes a different approach by promoting regeneration while supporting the skin’s natural healing processes. The treatment has become increasingly popular for post-acne repair and scarring because it focuses on improving skin quality without creating additional inflammation.

Can Alma help with acne marks and pigmentation?

Pigmentation appears as brown, red or purple marks left behind after a breakout has healed. Although frustrating, these marks are generally easier to treat than true scars.

Within the Alma Harmony XL Pro platform, treatments such as ClearLift and BBL DyeVL can be used to improve pigmentation, redness and overall skin tone. This is often where treatment plans become highly personalised. Some patients primarily need help controlling active acne. Others have relatively clear skin but remain bothered by redness, pigmentation or uneven texture.

Understanding which issue is causing the greatest concern helps guide treatment selection.

Why professional assessment matters

Acne is one of the most common skin concerns we treat, but it is also one of the most misunderstood.

Two patients can present with what appears to be similar acne and require completely different treatment plans. This is why consultation remains such an important part of the process.

At Dr Liesel Holler Medical Aesthetics, treatment recommendations are based on a thorough assessment of the skin, your concerns and your long-term goals. Rather than pushing a single treatment, the focus is always on finding the safest and most effective approach for your individual skin.

FAQs

Is Alma Harmony XL Pro suitable for active acne?

Yes. The ClearSkin treatment within the Alma Harmony XL Pro platform is specifically designed to help reduce active acne, calm inflammation and improve post-acne concerns.

Can Alma remove acne scars completely?

No treatment can guarantee complete scar removal. However, treatments such as iPixel and Rexonage can significantly improve the appearance of acne scars, texture and skin quality.

What is the difference between acne scars and acne marks?

Acne marks are usually pigmentation or redness left after a breakout. Acne scars involve structural changes within the skin and often require collagen-stimulating treatments to improve.

Can Alma be combined with microneedling or PRP?

Yes. Combination treatments are often recommended because they can address multiple aspects of skin repair and regeneration simultaneously.

Is Alma suitable for adult acne?

Yes. We frequently treat adult acne patients who are experiencing hormonal breakouts, persistent inflammation or post-acne pigmentation.

How soon will I see results?

Some patients notice improvements within a few weeks, while collagen remodelling and scar improvement can continue developing over several months.

Taking the Next Step

If Acne Awareness Month has prompted you to finally address persistent acne, acne scarring or post-acne pigmentation, a professional consultation can help clarify which treatment options are most appropriate for your skin.

Dr Liesel Holler Medical Aesthetics offers personalised acne and skin rejuvenation treatments from our Chislehurst clinic in Bromley and Harley Street location in London. Whether your concern is active acne, lingering redness, pigmentation or established acne scarring, we can create a treatment plan tailored specifically to your skin and your goals.

Book a consultation today to discover how Alma Harmony XL Pro and our regenerative treatment options could help you achieve clearer, healthier-looking skin.

IK H profile picture
IK H
8 months ago
Liesel is professional but friendly and answers all your questions. I would recommend just a consultation, you leave with a wealth of information for you to consider.
Response from the owner 8 months ago
Thank you for such an honest review. We are so happy that you felt so well informed after your consultation, and we hope that this can help to guide you in any treatment choices moving forward.
Michelle Holman profile picture
Michelle Holman
8 months ago
Another visit to Dr Liesel Holler and once again I’m so pleased with the results of my lip filler. The new clinic is lovely and the welcome from reception is great. Highly recommend.
Response from the owner 2 years ago
Thank you Michelle for your great review.. we look forward to seeing you again soon .
Chloe profile picture
Chloe
9 months ago
Liesel is amazing! So talented, kind and friendly. I can’t recommend her highly enough!
Response from the owner 9 months ago
Thank you Chloe for this great review. We look forward to seeing you again soon ,at our Chislehurst clinic.
Kerry Hambly profile picture
Kerry Hambly
10 months ago
Liesel always takes time making one feel special
She hears what you want to achieve.
Most of all Liesel never hard sells she will not do a procedure if she doesn’t think you will achieve miracles
Response from the owner 5 years ago
Thank you Kerry
Samantha Arnold profile picture
Samantha Arnold
10 months ago
Not one bruise. Lots of discussion on what would be the best option, and all my concerns were listened to and acted upon. Couldn't be happier with the results.
Response from the owner 10 months ago
Thank you for this wonderful review. We are so pleased that you are happy with your experience at our Chislehurst clinic and we look forward to seeing you again.
Virginia Mc dowell profile picture
Virginia Mc dowell
10 months ago
I can’t recommend dr liesel holler enough! She is so caring and professional in he work! She takes a lot of time to really get to know her clients so she can give the best results! I have just had some treatments with her! I am delighted with the result 💇‍♀️❤️
Response from the owner 5 years ago
Thank you Gin! x
priya ilangovan profile picture
priya ilangovan
11 months ago
I had my first and recent Hydra facial here. Agni, was fantastic, friendly, patient and professional throughout the session. I had a very relaxing time and came back home with a healthy facial glow. I would go there again soon for sure for my second session 🤗!
Response from the owner 11 months ago
Thank you Priya for this glowing review. We are thrilled you were so happy with your experience and look forward to welcoming you back to our Chislehurst clinic.
emily profile picture
emily
12 months ago
Dr Liesel Holler is incredibly knowledgable and approachable and I feel I'm in really good hands under her care! She listened to my concerns intently and advised as to the safest way forward.
Response from the owner 12 months ago
Thank you Emily for this review. We are so happy that you feel good under the care of our clinic and Dr Liesel and we look forward to welcoming you back to our Chislehurst clinic in the future.
Ursula Venus profile picture
Ursula Venus
1 year ago
Amazing service from both Shara and Dr Liesel. Very professional
Response from the owner 1 year ago
Thank you so much Ursula for this lovely review. We look forward to seeing you again at our new Chislehurst clinic.
stacey Harwood profile picture
stacey Harwood
3 years ago
Firstly, this is a friendly and welcoming clinic.

Dr Liesel is not only extremely knowledgeable; she also has a genuine care for her patients. She takes the time to listen and what I like best is her approach - less is more! I never feel pushed into anything and she fully explains the procedure and after care. I know I am in safe hands.

A loyal client who is very lucky to find an aesthetic doctor who is professional, smart and caring. Thank you Dr Liesel.
Apples1974 profile picture
Apples1974
3 years ago
Dr Holler has a wealth of experience and knowledge that is invaluable. I was nervous ahead of my treatment, but I was immediately put at ease. My procedure was talked through with me thoroughly and Dr Holler took the time to suggest some alternatives that would better suit me. I would absolutely recommend Dr Holler. I couldn't be happier with my results.
Lauren profile picture
Lauren
3 years ago
Dr Liesel has a wonderful calming presence about her. You can tell she genuinely cares about each of her patients and will never rush a treatment or go overboard. She takes time to listen to your concerns but is never pushy. She is such a professional and I would recommend her to anyone ☺️
Alexandra Taylor profile picture
Alexandra Taylor
3 years ago
This is my second treatment with Dr Liesel Holler and each time she has discussed and explained things in detail with me and carefully assessed my facial profile.

My results are very natural and exactly as I wanted. It’s clear she is very skilled and knowledgeable and treats each patient uniquely. I can be quite nervous and I feel totally at ease with Dr Liesel Holler and she is the most gentle with a needle that I’ve ever experienced.

I wouldn’t trust anyone else with my face now. Thank you again!