The Woodlands Dermatologists

Can Retin-A Clear Dark Marks and Even out Discoloration?

Can Retin-A Clear Dark Marks and Even out Discoloration?

Topical retinoids do provide some efficacy in treating hyperpigmentation of the skin.  Triluma is a cream that incorporates a retinoid with hydroquinone, a bleaching agent, and a topical steroid for the synergistic effect on treating melasma.

Anthony Perri, MD

Houston Dermatologist

For a Healthy Adult Male, is There a Special Diet Recommended with Accutane?

Given optimal lab results to begin with, is there a special diet recommended with a course of accutane for adult males (mid 30s)? Additionally, can/should minocyn be used during the initial month or two of an accountant course to minimize early flare ups? What are the risks? Lastly, saw the answers regarding avoiding elective cosmetic surgery while on accutane, but what about non-cosmetic elective, specifically a vasectomy?

Although Accutane is best absorbed with a food that has high fat content such as ice cream, a low fat and low cholesterol diet is recommended during the treatment course.  Accutane can elevate triglyceride and cholesterol levels so avoiding cholesterol laden foods should help minimize such elevations in the lipid profile. As always, discuss dietary recommendations with your board certified dermatologist as every patient's condition is unique.

Anthony Perri, MD

Houston Dermatologist

What is the Max Accutane Dose?

i'm 130 lbs 23 male with moderate face/back acne. i have done 40, 40,80,80 have been 100% clear since third month, but my doc wants to do 120(mg)for the final month. His reasoning:"your liver is doing fine, 2mg/kg necessary to prevent relapse" how common is this rationale among you doctors?

The guidelines for Accutane dosing to cure nodulocystic acne is 1mg/kg/day with a cumulative dose of 120mg/kg over the entire treatment course.  As each patient is unique, I always recommend being evaluated and treated by a board certified dermatologist

Anthony Perri, MD

Houston Dermatologist