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Isotretinoin is the cornerstone of treatment for significant, or stubborn acne. It is a vitamin A derivative that works brilliantly to permanently reduce (and in most cases, cure) acne, and may be utilised safely in children and adults. It does need to be monitored carefully by a specialist, but when done so, provides amazing results, as in this patient who was treated for 8 months.

By uploading this photo, Shobhan Manoharan, MBBS, FACD has agreed with policy that they've secured proper patient consent.