Hi i was wondering if i could start a regimen of Accutane after I had a Laser Skin peel. I had the Laser on feb 12 and and have seen some results but i still have two or three bumps on my forehead and chin. They seem to resemble Cystic acne (Either hard bumps or blood filled bumps unders the skin). Its not a severe case but these bumps have persisted for over a month. Other regular treatments don't do much. I had taken Accutane the summer of 2007 for one month and saw dramatic results were my acne was non existent for almost 6months. It is not an a severe case but want to rid off them. Can i take Accutune? if so whats the earliest i can start a small treatment? Will it help with Cystic Acne?
Accutane After Laser Skin Peel
Doctor Answers (3)
Wait at least 6 months and talk with doctor before using Accutane after laser resurfacing
Break outs are common after laser resurfacing. They are caused by skin debris and dead skin cells that block the pores and sebacious gland openings after laser resurfacing.
The best way to treat acne outbreaks after laser resurfacing is good exfoliation. I use microdermabrasion treatments and Retin A starting at 4-6 weeks after laser resurfacing. Sometimes I also use topical hydrocortisone cream to reduce inflammation.
Accutane inhibits the skins ability to heal and I would not use it during your recovery from laser resurfacing.
Hold off Accutane for six months to be safe
Consider cortisone injections for cystic acne
Another option for the cystic bumps on the forehead and chin would be cortisone injections. If your acne tends to get worse around the time of your menses, hormone-based therapies may be useful. Accutane generally is for severe acne that is not responsive to other therapies or actively scarring acne. Certainly, Accutane works for cystic acne. If you are a candidate for Accutane, however, you really should follow through with the full course because it decreases the risk of recurrence.
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