Frequently Asked Questions

Am I a good candidate for the Sebacia Treatment?

Sebacia Microparticles are indicated for acne. Schedule an appointment with a Sebacia provider who can do a clinical assessment and determine if the treatment is suitable for you.

My acne is not inflamed right now, but returns frequently – am I a candidate?

Yes! The Sebacia Acne Treatment works by targeting the sebaceous glands that produce the oil and play a role in new acne lesions forming. You should contact your Sebacia provider to determine if the Sebacia procedure is right for you.

Can adults have acne as well?

Yes, adults may suffer from acne, but there are also other skin conditions that may appear to be acne. Please contact your Sebacia provider to schedule a consultation so that they can make a diagnosis and recommend a treatment appropriate for you.

How much does the Sebacia Treatment cost?

Pricing for the Sebacia Treatment varies by location. Please click here to find a Sebacia provider near you.

Is the Sebacia Acne Treatment reimbursed by my health insurance?

The Sebacia treatment is not currently covered by health insurance. However, your consultation is typically covered by insurance and you may be able to use an HSA account to pay for Sebacia. Many providers also offer financing options.

What should I expect during my Sebacia Acne Treatment?

The appointment will last about 30-45 minutes and will be done by a qualified Sebacia Provider. The procedure involves the following steps:

  • Thoroughly wash face
  • Massaging of microparticles into your pores
  • Cleaning the surface of your skin
  • Cooling your skin with ice packs, chilled air, or chilled rollers
  • Applying the laser

How much can the interval (time) between my Sebacia Acne Treatment sessions vary?

Sebacia recommends three treatment sessions at an interval of one week.

My third appointment for the Sebacia Acne Treatment clashes with my travel plans. Can I have the interval be 2 weeks (or just 4 days)?

Please consult your Sebacia provider to determine the best schedule for your treatments.

What skin products shall I use in between my Sebacia Acne Treatment sessions?

Please consult with your Sebacia Provider as to what products might be ideal for your condition. Generally, it is recommended to continue a daily skin health regimen that may include a cleanser, moisturizer, and sunscreen.

Why is the solution black (and not golden)?

The color that our eye perceives is due to the light that the surface reflects. White is perceived when all light is reflected and black is perceived when no light is reflected. The Sebacia microparticles are engineered to be highly effective at absorbing (not reflecting) light and converting it to heat. The microparticles solution appears black because most of the light is absorbed and very little light is reflected. The Sebacia Microparticles are actually made from real elemental gold, but their size and shape cause the solution to absorb light and appear black.

Will the Sebacia Microparticles stay in my skin/body?

No. Pre-clinical studies have shown that the Sebacia Microparticles are not detectable in the skin (pores & glands) after about 4 weeks.

The Sebacia Acne Treatment seems more expensive than other options. Why should I choose Sebacia Acne Treatment?

The Sebacia Treatment is selective and localized to your skin. The Sebacia Treatment does not require the daily application of a topical foam, gel, or ointment, nor does it require the daily consumption of a pill. Studies have demonstrated Sebacia Microparticles to be safe and well tolerated. There are no government-mandated safety programs (e.g. mandatory use of birth control) with the Sebacia Acne Treatment. Please study carefully how alternative treatments work, what the total costs are, and what the related risks might be. Ultimately, you need to decide with your provider what treatment is best for you.

How does Sebacia work through tele-medicine?

To evaluate if you are a good candidate for the Sebacia Acne Treatment we can see you through a telemedicine appointment. We can also prescribe your pre-treatment virtually. You will need to see your provider for your three Sebacia treatments over a two week period.

Do you have evidence about the results from the Sebacia Acne Treatment?

Yes. Sebacia performed a controlled clinical trial to demonstrate the safety and effectiveness of the Sebacia Treatment. Based upon this study, the FDA has cleared Sebacia Microparticles to be commercially sold in the USA. Sebacia Microparticles also have the CE Mark allowing them to be sold in Europe. The US clinical study ended at 12 weeks and demonstrated non-inferiority to laser alone with Sebacia’s last treatment at 2 weeks and laser alone last treatment at 10 weeks.  Sebacia’s treatment required significantly fewer laser treatment sessions and significantly lower laser fluence compared to laser alone.  The most frequently reported side effects from the study were general illnesses (e.g. influenza or upper respiratory tract infection) and deemed unrelated to the study treatment.  Side effects related to the treatment were generally similar to laser hair removal.

In a non-randomized registry study in Europe, the average improvement in acne lesions at 24 months was 92% (77% free of acne medications, 9% used topical medications and 14% used systemic medications at 24 months).

How long do the results last?

The FDA approval study demonstrated non-inferiority to laser alone at the study endpoint of 12 weeks.  The last treatment in the Sebacia treatment arm was at week 2 whereas the last laser treatment in the laser alone arm was at week 10.  The laser alone arm required 5-6 treatment sessions at a higher fluence than the Sebacia treatment arm.

Recent data from a non-randomized European registry study presented by Waibel, et. al. at ASDS 2019 show average improvement in acne lesion count of 65% at 3 months, 74% at 6 months, 85% at 12 months, and 92% improvement at 24 months. At 24 months, 77% of subjects had reported not using acne medication, 9% had used a topical, and 14% had used a systemic acne medication in the past 12 months. 

Can I repeat the Sebacia Acne Treatment?

Sebacia recommends that repeated treatments occur not less than 30 days after the last known application to allow clearance of any residual Sebacia Microparticles and normal dermal healing processes. Physician clinical judgement should guide retreatment decisions.

When would I expect to see results from the Sebacia Acne Treatment?

In clinical studies, patients noted improvement in their acne about 10 weeks after the last treatment.

What are the risks of the Sebacia Treatment?

It is expected the therapy may result in temporary effects, which should resolve within 30 days. These expected effects may include:
  • Mild to moderate redness, swelling, or bruising
  • Soreness, discomfort, or mild to moderate pain
  • Exudate (clear fluid), bleeding, crusting, or scabbing
  • Skin dryness or itching
  • Worsening of acne
  • Temporary hair loss in the treated area
  • Treatment site reaction such as pain or discomfort, burning or stinging sensation, skin rash, or hives
Other less likely side effects that could occur with treatment, and in particular as a result of laser treatment, include:
  • Skin coloration changes (lightening or darkening)
  • Permanent hair loss in the treated area
  • Superficial skin erosions (loss of outer skin layer) in the treated area
  • Crusting and (rarely) blistering, which typically resolves within 48-72 hours
  • Increased hair growth in the treated area and around the treated area, especially the jaw, neck and sideburn areas

Are there any systemic side effects from the Sebacia Acne Treatment?

No. Pre-clinical testing has not detected microparticles systemically. Clinical studies investigating the safety of Sebacia Microparticles did not report systemic side effects definitely associated with the Sebacia Treatment.

The procedure involves a hair-removal laser. Is there a risk I will lose my facial hair?

To date, only transient (temporary) hair loss has been reported after Sebacia Acne Treatments.

Does the procedure hurt?

Everyone’s pain tolerance is different, but most patients describe the sensation as tiny pin pricks or a small rubberband snap against the skin. The average pain score reported by patients is between 3-4 on a scale of 0-10, with 10 being the worst. Your provider will recommend safe ways to increase your comfort when necessary.

What is the recovery time?

Following your treatment, your skin can appear a little red. This lasts a few hours to a day or two. Patients can go right back to work immediately following the procedure.

How does the Sebacia Acne Treatment differ from Intense Pulsed Light (IPL, broadband light) or Laser (narrow band light) treatments?

Unlike light sources that heat the skin generally, Sebacia Microparticles are indicated for the heating of sebaceous follicles associated with acne. This selective thermal approach has been demonstrated to reduce acne lesions in clinical trials.

I tried IPL and laser treatments for my acne, but it didn’t work/last? Why would the Sebacia Acne Treatment be different?

By localizing Sebacia Microparticles in sebaceous follicles, the Sebacia Acne Treatment may provide thermal heating of the pores and sebaceous glands not possible with light sources alone or IPL’s general heating of the dermis.

Can I use an IPL to perform the Sebacia Acne Treatment?

No. Sebacia Microparticles are approved for use with laser systems that meet the following specifications:
  • Wavelength: 1064nm
  • Fluence: 20-35 J/cm²
  • Pulse duration: 30ms
  • Spot size: 5-15mm
  • Cooling: Active cooling from laser and/or Zimmer
Providers should consult laser manuals and rely on laser training to determine the appropriate laser settings.