Will Accutane help closed comedones? (photo)

Question

I started 30mg of accutane 2 weeks ago. I’ve developed a few cystic pimples since starting. My main concern is the closed comedones on my face. I have a lot. Will accutane push these all to the surface as whiteheads? Should I pop them?

David J. Cohen, MD · Answer

Accutane has the unique ability of stopping all the lesions we diagnose as acne. this includes comedones both open and closed and inflammatory lesions and cysts. It is a magical pill when used correctly to clear all the aspects and presentations of acne .

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

​Acne requires a combination approach to get long-term improvement. I recommend a combination of Cosmelan, salt facials, peels, lasers, microneedling with PRP, blue light, radiofrequency and isotretinoin. I suggest getting a formal evaluation with an expert. Best, Dr. Emer​

Will Accutane help closed comedones? (photo)

Answers (3)