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Promising

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 verdict Promising

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

  1. 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.

  2. 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.

  3. 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.

  4. 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 lasersBBL and IPL photofacialPico laser
VerdictPromisingEstablishedVetted
What it isAviClear (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 base4 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.
SuitsModerate 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 lineThe 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.”
Aesthetics International review · Lasers

Questions

Does AviClear cure acne?
No treatment does. Studies show lesion reduction sustained over one to two years after three sessions; some people need maintenance or other therapy.
AviClear or Accure?
Same wavelength, different delivery and temperature control. Early comparisons suggest they are not interchangeable; neither has independent trials against standard treatment.
Does it help acne scars?
No. It targets oil glands to reduce new acne. Scars are treated separately with fractional lasers, subcision and RF microneedling.

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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