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Will Angular Cheilitis from Accutane Cause Scars?

KilometersNov 22, 2011
I've developed angular cheilitis a week after I started 80mg of Accutane 3 weeks ago (my 4th month). It is very painful. When I wake up in the morning my mouth is crusted and if I don't put lip balm on first they will bleed. Currently, I've gone through an insane amount of lip balm. I will be seeing my derm next week and plan to ask him about it. Will these sores scar? If so what procedures would fix them?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. F. Victor Rueckl, MD (in memoriam)
Board Certified Dermatologist
Answered on Nov 28, 2011
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Davin Lim, MBBS, FACD - Account Suspended

I believe Accutane can treat mild phyma, or prevent recurrence of phyma. For moderate to sever rhinophyma, the treatment of choice is laser. The does of Accutane you are on is high (60mg), and if your rhinophyma is worsening, I would consider laser. You do need a wash out period of 3-6 months...

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Steven E. Rasmussen, MD, FAAD

Small gaps up to a month or little longer have no significant impact on the end results of the therapy as long the total dose of the treatment is eventually achieved.   It is the total dose not the daily dose that seems to be the determining factor in achieving long lasting control of acne...

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F. Victor Rueckl, MD (in memoriam)

For someone like you, where oiliness returns, I would suggest one of two things. First, either you didn't stay on the Accutane cycle long to full affect the oil glands. Or two, you need to stay on a course of Accutane where you take 1 pill a week for an indefinite amount of time. For people...

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