Manual Exfoliants while on Low Dose Accutane?

Is it okay to use manual exfoliants while on low dose Accutane? I know it's generally not advised, but if the person is generally reacting well to treatment, can an exfoliant be added once a week? I just feel like the texture of the skin suffers a bit because of the dryness and build up--very dull skin. Or, is exfoliating pointless because  the dryness that Accutane causes won't go away? I really appreciate any advice on this. I love having absolutely no acne, but I'd like to treat the pigmentation and marks they left behind.

2 answers to “Manual Exfoliants while on Low Dose...”

A: You can try it, but beware of causing extra irritation.

Don Mehrabi, MD

Thanks for your question. Accutane does dry out the skin and often leads to dryness, peeling, and / or scaling. Doing a manual exfoliation, or chemical toner / exfoliator may lead to a reduction in the appearance of dry skin, but may in turn cause extra irritation and redness. It's fine if you want to do a... more

A: Manual Exfoliants while on Accutane

Bryan K. Chen, MD

I find that most patients on accutane cannot tolerate additional drying or exfoliating treatments to the entire face so I usually advise against it because it dries the skin out even more.  You may want to try applying a low-strength (2%) hydroquinone skin lightening product to the individual pigment... more

Post your question
Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.