Kristel D. Polder, MD

After 10 years of struggling with antibiotics, topical creams, and face soaps that would not get rid of my acne problem, I decided to get a 3rd opinion on a more effective long term solution. I found a dermatologist who suggested Accutane as the solution; one that she had personally used. Seeing her results helped me to decide to give Accutane a try and as my last form of hope. The actual medicine I took was called Claravis, which I believe is the generic form of Accutane. The treatment period was for 6 months. Once a month I had to visit the doctor’s office for a pregnancy test. I also had to visit a lab to give a blood sample. Both visits were required on a scheduled monthly date in order for the medication to be filled on a monthly basis and they were extremely important to keep them on the regimented time in order to insure that the medication is taken correctly and working efficiently. I took one pill every morning and every night for the 1st four months. Then I took one pill every morning, noon, and night for the last two months. The last two months were more aggressive because the healing was starting to plateau. The pros to the treatment of Claravis for me were: 1) the doctor and her assistant were always helpful and extremely nice, returned phone calls, gave plenty of samples to help with the dryness, flexible on appointment times and I would recommend them to anyone needing a dermatologist 2) the medicine cleared up ALL my acne – face, back, and chest 3) very few “break outs” and black/white heads have appeared sense. The cons to the treatment of Claravis for me were: 1) minor achy muscles, similar to what you may feel when you start working out after extended periods of not working out 2) mild dry eye, which made my contacts feel scratchy at times 3) very dry skin everywhere, minor symptoms of eczema on my arms which left them slightly discolored but is gradually changing back to its normal pigment 4) my nasal passages became very dry as well, there was minor discomfort when blowing my nose and showed small traces of blood on tissue 5) my lips felt chapped all the time, which would cause redness, cracking and burning 6) the worst symptoms from the dryness affected the vaginal area. While most dryness that I mentioned resolved itself within 2 months of completing the medication, the natural moisture in the vaginal area I had before Claravis has yet to return. After seeing a gynecologist and informing my dermatologist about this issue, I have been informed that the dryness may be a symptom from changing birth controls following the completion of the Claravis. Regardless, I still have dryness 4 months following the completion of the acne treatment. Some things I would also like to note are: 1) if you are a female, it is EXTREMELY imperative that you DO NOT get pregnant while taking this medicine or shortly after completion because it will likely cause serious birth defects 2) you must also be a very responsible person who can stick to a fairly strict time line when it comes to attending the appointments, giving blood, and taking the medicine correctly 3) this is not an inexpensive treatment, so be aware of the costs and check with you insurance on the coverage – 6 months of treatment means medication, labs, and doctor’s visits. If I had the chance to do it all over again, I would probably choose to take Claravis. If my fiancé had an opinion on me doing it over again, he would say no. No one knows what side effects that they will personally experience so I would suggest to do your research and ask your dermatologist plenty of questions.

I sought out her help because I was tired of my face looking red all the time, and I was afraid of scarring.

I am getting up there and my lips were looking very thin and I wanted a fuller lip. We also did a little Juvederm around the nasal folds which turned out great and Botox around my eyes and forehead...boy and I cute now! Figure this will last close to a year so well worth the cost and no down time!

I went in for mole removal --- over 2 YEARS AGO -- and was disfigured with scars. Instead of freezing off surficial moles, they were cut out. Not only were they cut, i was so disfigured i have to dress to cover up the DISFIGUREMENT. This was from APRIL of 2010. It is very distressing, day after day after day, to get dressed every day and have to find ways to cover the disfigurement. Dressing up to the NECK in the summer. And no swim suit ever again.