Acne lasers: AviClear and Accure
1726 nm sebaceous-gland lasers · 'cure for acne' claims
AviClear's 2022 FDA clearance was reported as the first laser for acne and spread through parent-and-teen content and press as a drug-free alternative to isotretinoin; the SF Standard described affluent Bay Area teenagers queuing for it in 2024.
The data are young and industry-funded, and 'cure' belongs to the press release, not the papers.
Reviewed against the Aesthetics International standard. Category: Lasers.Do Acne lasers work?
Promising. The data are young and industry-funded, and 'cure' belongs to the press release, not the papers. Prospective, manufacturer-supported studies report sustained reduction in inflammatory lesions at one and two years after three sessions, across skin types, with pain during treatment the main limitation.
- Verdict
- Promising Plausible mechanism and early evidence. Reasonable to try with realistic expectations.
- Evidence base
- 4 PubMed-indexed studies cited below (cohort, review); no systematic review or randomised trial on the claim itself.
- Suits
- Moderate to severe inflammatory acne in people who cannot or will not take systemic medication, including darker skin types, after a dermatological assessment.
- Not for
- Comedonal acne, acne driven by an untreated hormonal or medication cause, active cystic flares needing medical control first, and anyone promised a cure.
- In Singapore
- AviClear is available in a small number of Singapore clinics; confirm the device's HSA registration with the provider, and note that Accure's availability here is limited.
- Category
- Lasers
- Reviewed
- 1 October 2026 by Aesthetics International. Revised as evidence and regulation change.
What it is
AviClear (Cutera) and Accure (Accure Acne) are lasers at 1726 nm, a wavelength absorbed preferentially by sebum, designed to heat and shrink sebaceous glands while cooling protects the surrounding skin. Three sessions a month apart is the standard course for both.
How it works
Selective photothermolysis of the sebaceous gland reduces sebum production, which removes the fuel for acne. Accure adds real-time temperature monitoring and software-adjusted power to reach a defined thermal endpoint; AviClear relies on contact cooling and fixed protocols. Improvement develops over months after the course and acne may flare in the weeks after each session. Response varies with acne type and the operator's handling of pain and cooling.
What the evidence says
Prospective, manufacturer-supported studies report sustained reduction in inflammatory lesions at one and two years after three sessions, across skin types, with pain during treatment the main limitation. A 2026 multicentre one-year study and two 2023–24 reviews support the mechanism and the durability signal. There are no independent randomised trials against isotretinoin or combination topical therapy, no blinded comparisons between the two devices, and no data to justify the word 'cure'. Early head-to-head reports suggest the two lasers may not be interchangeable.
What people are saying
Paraphrased from public discussion on TikTok, Instagram, Reddit and in the press. Not testimonials, and not about any one clinic. Reported in: sfstandard.com, marieclaire.com, realself.com.
What the studies show
- cohort
In a prospective industry-supported study, three sessions of 1726 nm laser reduced inflammatory acne lesions with improvement maintained over a year across skin types.
Novel 1726 nm laser demonstrates durable therapeutic outcomes and tolerability for moderate-to-severe acne across skin types. — J Am Acad Dermatol, 2023. PMID 37328000.
- cohort
A prospective multicentre study reported sustained lesion reduction at twelve months after three treatments, with transient side effects.
Safe and effective acne treatment across skin types with a 1726 nm sebum-selective laser: One year data from a prospective multicenter study. — J Am Acad Dermatol, 2026. PMID 41052654.
- review
The review summarised the sebaceous-selective mechanism and early clinical data for both 1726 nm platforms, noting the absence of comparative trials.
1726 nm Lasers for the Treatment of Acne Vulgaris. — Skin Therapy Lett, 2024. PMID 38271552.
- review
Sebaceous-gland photothermolysis is a plausible, durable approach to acne; the authors call for independent randomised comparisons with standard therapy.
Targeting sebaceous glands: a review of selective photothermolysis for Acne Vulgaris treatment. — Arch Dermatol Res, 2024. PMID 38850426.
Studies are selected for relevance and quality, not for agreement with the verdict; PubMed records are linked so the reader can check them.
Who it suits
Suits
Moderate to severe inflammatory acne in people who cannot or will not take systemic medication, including darker skin types, after a dermatological assessment.
Not for
Comedonal acne, acne driven by an untreated hormonal or medication cause, active cystic flares needing medical control first, and anyone promised a cure.
Alternatives
The two reviewed treatments most often weighed against Acne lasers, on the same standard.
| Acne lasers | BBL and IPL photofacial | Pico laser | |
|---|---|---|---|
| Verdict | Promising | Established | Vetted |
| What it is | AviClear (Cutera) and Accure (Accure Acne) are lasers at 1726 nm, a wavelength absorbed preferentially by sebum, designed to heat and shrink sebaceous glands while cooling protects the surrounding skin. | Intense pulsed light is a broad-spectrum flash lamp, not a laser; filters select bands of visible and near-infrared light that are absorbed by melanin in sun spots and by haemoglobin in small vessels. | A picosecond laser delivers energy in pulses a thousand times shorter than the nanosecond lasers that came before it. |
| Evidence base | 4 PubMed-indexed studies cited below (cohort, review); no systematic review or randomised trial on the claim itself. | 4 PubMed-indexed studies cited below, including systematic reviews. | 4 PubMed-indexed studies cited below, including systematic reviews. |
| Suits | Moderate to severe inflammatory acne in people who cannot or will not take systemic medication, including darker skin types, after a dermatological assessment. | Fair to light-olive skin with mixed sun spots, freckles, diffuse redness and broken capillaries; maintenance of photoaged skin that tans little. | Sun spots, freckles, post-acne marks, tattoo ink, uneven tone in Asian skin when energy is set conservatively. |
| In one line | The data are young and industry-funded, and 'cure' belongs to the press release, not the papers. | The light is broad and so is the risk: fair skin gets a photofacial, tanned skin gets a burn, and the marketing about genes is a footnote. | The variable that matters is depth, not brightness, and pigment already deposited is only half the problem; the inflammation producing it is the other half. |
Risks
Pain during treatment, swelling and a post-treatment flare; rare blistering or pigment change. Long-term effects of reducing sebaceous function beyond two years are not yet known.
In Singapore
AviClear is available in a small number of Singapore clinics; confirm the device's HSA registration with the provider, and note that Accure's availability here is limited. Systemic acne medicines remain prescription-only and are discussed with a doctor, not sold alongside a laser; this is an editorial review, not an offer.
“The data are young and industry-funded, and 'cure' belongs to the press release, not the papers.”
Vetted protocols on the same problem
Questions
Does AviClear cure acne?
AviClear or Accure?
Does it help acne scars?
Cite this review
Aesthetics International (2026). Acne lasers: AviClear and Accure: does it work? Evidence, risks and verdict. https://aesthetics-international.org/treatments/acne-lasers-aviclear-accure/ (reviewed 1 October 2026).
Editorial, unpaid and independent of any manufacturer. Verdict: Promising. See what works and what doesn't across all 153 reviews. Spotted an error or a newer study? Suggest a correction — changes are logged on the corrections page. Terms are defined in the glossary.
Where this review is used
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