Active acne, congestion or stubborn post-acne marks — we have a clinical pathway.
Acne has multiple drivers — hormones, oil production, bacteria, congestion, inflammation, and skin barrier health — and most products and treatments only address one of them.
The DMK approach is to work on several at once: dissolving surface congestion, calming inflammation, reducing oil and supporting healthy cell turnover. Combined with the right home care, it can transform skin that has been a problem for years.
We always start with a consultation — to identify what is driving your acne and rule out anything that needs medical referral first.
A structured 6-session course designed for active acne and persistent breakouts.
The protocol works on every driver of acne in sequence — oil, congestion, inflammation, bacteria and barrier health. Most clients see meaningful improvement by session 3.
Depending on your skin and goals, one of these may be more appropriate — or we may combine them with the primary treatment.
For post-acne scarring and texture. Builds collagen, evens out marks left from healed breakouts.
Clears surface congestion and refreshes skin texture. Useful between DMK sessions or as a course of 3.
Reduces inflammation and supports skin healing — pairs well with all of the above as an add-on.
Reviews from real clients treated for acne & breakouts at Peonella.
"Had persistent jawline breakouts for years. Six sessions plus the home routine and it is the clearest my skin has ever been. Worth every penny."
"Had acne scarring from my teens. Six microneedling sessions later it is genuinely a third of what it was. Liudmyla was honest about what was possible."
"Halfway through the course — already a noticeable difference. The consultation was thorough; they did not just sell me the most expensive thing."
Most people see significant improvement — a 60-90% reduction in active breakouts is typical by the end of a 6-session DMK course. Complete clearance is not guaranteed, especially for hormonally-driven acne. We are honest about expectations at consultation.
Tell us at consultation. Some prescription treatments (oral isotretinoin / Roaccutane in particular) make most aesthetic treatments unsuitable. We can usually work alongside topical prescriptions, but the consultation is non-negotiable.
Yes. In-clinic treatment does the heavy lifting; home care maintains and builds on it. Trying to do the course without the home routine usually means slower results and a higher chance of recurrence. The home care typically costs £80–£200 for the course.
Microneedling is excellent for scarring but does not address active acne — the needles can spread bacteria across the face on inflamed skin. We use DMK first to get acne under control, then microneedling for the leftover scarring if needed.
Most clients notice fewer breakouts within 2-3 sessions. Visible texture and tone improvement builds across the full 6 sessions. Continued improvement for 4-6 weeks after the course ends.
30 minutes with our lead practitioner. Full skin assessment, honest recommendation, clear plan. £30 — fully credited back at your first session.