I am currently on Accutane (30mg). My acne has got worse. Why have I been getting these little whiteheads all over my face?

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello and thank you for your question. It is common to experience some acne flares with starting or going up in dose of isotretinoin (Accutane). I would recommend an ongoing consultation with your board certified dermatologist for evaluation of your progress and discussion of appropriate treatment. Best of luck.