The most severe form of acne. It is often referred to as nodulocystic or cystic acne.

The skin will display a whole spectrum of blemishes such as comedones (blackheads), papules (bumps), pustules (pimples) and nodules with the addition of deep-seated cysts. Acne of this severity usually extends beyond the face and may affect the entire back, chest, shoulders and upper arms.

Grade 4 acne should be treated by a dermatologist as it is notoriously difficult to control and almost always requires powerful prescription medicine to keep it at bay.

• Keep Medi-Zinc cleanser in contact with your skin for 5-10 min.Tip: Apply to dry skin (so that the cleanser do not run into your eyes - it will sting). Keep on your skin while you ex. brush your teeth, bath, shower or get dressed. Rinse off after 10 min. and wipe your face clean with a clean facecloth or with the microfibre face sponge.
• Either apply Retinol serum every night and follow up (after 5 min.) with Litaderm serum, or alternate Retinol serum and Litaderm serum at night.
• Apply Salicylic gel on the entire area/s with breakouts and clogged pores 2 - 3 times per week. Salicylic gel causes mild skin peeling. When breakouts and congested pores have cleared up, discontinue use and apply again during periods when you struggle with breakouts or clogged pores.
• Do not apply Salicylic gel and Retinol serum on the same night.
• Apply Salicylic gel either alone, or follow up with Litaderm serum (after 10 min.).

• Keep Medi-Zinc cleanser in contact with your skin for 5-10 min.Tip: Apply to dry skin (so that the cleanser do not run into your eyes - it will sting). Keep on your skin while you ex. brush your teeth, bath, shower or get dressed. Rinse off after 10 min. and wipe your face clean with a clean facecloth or with the microfibre face sponge.
• Either apply Retinol serum every night and follow up (after 5 min.) with Litaderm serum, or alternate Retinol serum and Litaderm serum at night.
• Apply Chemical Peel Spray on the entire area/s with breakouts and clogged pores 2 - 3 times per week.
• Apply Chemical Peel Spray either alone, or follow up with Litaderm serum (after 10 min.).