Kristin Hudacek, MD

You can certainly use Vaseline on your face if you feel it is dry and tight.  Vaseline is a wonderful emollient, and does not clog pores on your face.

Best wishes to you during your healing phase,
Dr. Kristin Hudacek
Board-Certified Dermatologist
San Francisco, CA

Accutane, or isotretinoin, is a wonderful treatment option for patients with severe acne, which it sounds like you have.  However, isotretinoin does come with side effects, such as severe dryness and muscle soreness.  The side effects are usually related to the dose, which can be adjusted so that the side effects are tolerable.

It sounds like you would benefit from isotretinoin, but you must be comfortable about taking it.  I recommend speaking to a board-certified dermatologist in order to see if isotretinoin is right for you.  You will have to have bloodwork performed prior to starting the medication.  You also cannot get pregnant while you are taking the isotretinoin.

Best of luck to you,
Dr. Hudacek
Board-Certified Dermatologist
San Francisco, CA

It may be that you still have dead skin that is leaving a mark, and in time it will peel off.  Sometimes it can take different amounts of time to peel off.  I would moisturize the area several times a day, and protect it from the sun.  

If you are still concerned after a few days, I would see the provider who performed the peel.  Alternatively, you can see a board-certified dermatologist who is the specialist for optimal skin care.

Best of luck with your skin,
Dr. Hudacek
Board-Certified Dermatologist
San Francisco, CA

Accutane can take weeks to work.  Success is measured by a decrease in the number of new acne pimples, not necessarily clear skin as the scars from previous outbreaks can still be visible on the skin.

I would check in with your son's provider to see what s/he thinks of your son's progress.  It may be worth increasing your son's dose of Claravis, but that is ultimately up to the provider, and depends on how your son is tolerating the medication.

Best of luck to you and your son,
Dr. Hudacek
Board-Certified Dermatologist
San Francisco, CA

You can safely use Retin-A and most chemical peels after Silikon injections.  The Silikon is injected into the dermis.  While Retin-A does promote collagen remodeling in the dermis, it will not harm the Silikon in anyway.  Only deep chemical peels can affect the dermis, so I would proceed cautiously with them.  Otherwise superficial and medium-depth peels are safe.

Also, seek treatment from a board-certified physician in order to ensure you are in good hands.

Best of luck with your treatments,
Dr. Hudacek
Board-Certified Dermatologist
San Francisco, CA