Metairie Accutane doctors

Jeffrey C. Poole, MD Jeffrey C. Poole, MD
Metairie Dermatologic Surgeon
111 Veterans Memorial Blvd Ste 406, Metairie
10 answers
Nicole E. Rogers, MD Nicole E. Rogers, MD
New Orleans Dermatologist
701 Metairie Rd Ste 2A-205, Metairie
5 answers

Recent Answers

What Happens After I Finish Accutane Treatment ?

I will be finishing a 6 month treatment in a few days and will see my derm a few days after. A few months ago he mentioned we'd discuss maintenance once I finished. I'm pretty clear but have red scars ( I think the previous active acne was hiding scars) from occasional breakouts while taking it. Online searches said topical retinoids are commonly used. I used Retin-A-Miro prior to accutane with no results. Generally speaking, what's the next step after I finish?

A: Isotretinoin After Care

After a typical course of Accutane (Isotretinoin) patients are generally completely clear of of all active acne lesions, and require no continue after care unless new acne develops.  Many patients never see acne again, and few will see any acne for at least 6 months.

The red spots you see sound most consistent with Post-Inflammatory Erythema, a temporary color change seen in most all inflammatory acne lesions, and generally fade by 6-9 months.  Persistent redness can be treated with the Pulsed Dye laser, such as the V-Beam. 

True scars are textural changes-- like pot-holes in a road.  These are much more difficult to erase, and often best treated with a resurfacing modality such as fractionated CO2.

Jeffrey C. Poole, MD
Metairie Dermatologic Surgeon
Can Accutane Heal Red Marks and Stains on the Face?

I'm currently on the second month of the Accutane treatment. I don't really have active zits on my face, my acne consists of red marks and stains that will not go away and have been on my face for a long time now. I have not seen much improvement and I'm wondering if Accutane will heal the red stains??

A: Isotretinoin Great for Acne, but Won't Eliminate Scars

Isotretinoin is a wonderfully effective treatment for ACTIVE acne-- and is the only treatment that may offer a patient a "cure".  By your description, however, it sounds like you have post-inflammatory erythema (redness) from old acne lesions.  This discoloration generally fades with time-- but can take a year or more.  Isotretinoin will NOT remove discoloration-- it WILL eliminate active lesions which cause the discoloration and scarring seen with acne.

Based on your description, I would consider treatment with a my V-beam pulsed-dye laser---  this is the most effective modality for persistent post-inflammatory erythema.

Jeffrey C. Poole, MD
Metairie Dermatologic Surgeon
I've Been off Accutane for Some Time Now but my Acne is Coming Back

Been off accutane for months and my acne is coming back. Is it possible to take my leftover 40 mg dose once a day like I have been? I have quite a bit leftover Bc my physician gave me the option of taking once or twice daily

A: Accutane needs Physician Supervision

Accutane (Isotretinoin) should only be used while under the direct supervision of your physician-- this is to ensure that your treatment is both safe and effective.  The Ipledge system was developed to ensure your safety while taking this medicine.

Jeffrey C. Poole, MD
Metairie Dermatologic Surgeon
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