He might be a great Doctor, I don't know since he never "really talked to me or did anything except turn light off look for skin cancer with the black light and then say I needed to see surgeon and then left I was sent to a surgeon. But he never talked to me, except to introduced himself (as habit not a genuin introduction he did not really even see me just said his spiel - that is how I felt anyway -- as a matter of fact I was crying when I left because I still didn't know anything and I had had skin cancer before). was in with me less than 5 minutes - said I had to see surgeon for skin cancer and "no -- he couldn't do the spots" and left..I don't know why he couldn't do them he had signs all over about skin repair but was gone to fast to ask.
I typically have my patients begin a very low strength topical retinoid around a month after they have completed their Accutane course. The previous treatment with Accutane does not make the skin more tolerable to high potency topical retinoids. Most patients must gradually progress from lower strength to more potent retinoids over months to years depending on their individual response.
Some patients control their acne with the long term use of a topical retinoid such as Retin A that is used indefinitely. The topical retinoids are an excellent method to maintain the integrity of the pilosebaceous unit (pores) to minimize and prevent acne. As always, discuss with your board certified dermatologist the best treatment regimen for your individual needs.
Topical retinoids can be effectively combined with benzoyl peroxide in many patients acne regimens. There is an acne topical called Epiduo that combines adapalene (a topical retinoid like medicine) and benzoyl peroxide for once a day application, which I frequently prescribe in both my The Woodlands and Conroe dermatology offices.
In most of my patients, I have them begin a daily topical retinoid regimen a month after they have completed accutane. This regimen helps keep the pores clear and reduce blemishes and acne scars. As always, ask your board certified dermatologist what is the best regimen for you.
In most patients, the redness (erythema) that occurs during Accutane and persists afterwards typically dissipates over the first three months after the medicine is discontinued. Hydrating the skin with moisturizers such as Cerave or Neutrogena can help reduce the irritation and redness. Sun protection is also very important. If the redness does persist past three months, then follow up for evaluation with a board certified dermatologist.
