Wrinkles appearing while on Accutane. What could be causing this? (Photo)

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

Accutane can become very drying for your skin as its purpose is to slow the production of oil. Start at-home microneedling (see link) and be sure to implement all the necessary skincare products (moisturizer, sunscreen). I recommend you seek out a board-certified dermatologist. Best, Dr. Emer

Thank you for your question and photograph. It's difficult to evaluate your skin through this type of forum. A common side effect of Accutane is dry, peeling, or irritated skin, and with severe dryness or irritation, wrinkles can look more prominent. I highly recommend you consult with your dermatologist regarding your question and concerns and to have your skin evaluated. Take care and good luck.