Breakouts after 4 months post accutane

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

It could be either. It would be best to see your dermatologist for an evaluation. Even though you are small, 40mg for 6 months may not have been enough total mg for a long-term cure for your acne. You may have needed to be on a lower dosage for a longer amount of time. But it's best to see your derm and determine what's causing your acne at this point and if you need more Accutane, or something topical just to treat hormonal breakouts. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."