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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
you are on accutane your pores will appear smaller but once you stop they will gradually return to their pretreatment size.. Some dermatologists will use low dose accutane to keep the acne clear and the pores small.
Thanks for your question. We can never guarantee anything with 100% accuracy, but I would expect your pores to improve on accutane since it will dry out your oil glands and make the surface much smoother. If you do still have larger pores after an adequate accutane course, you could pursue microneedling to help minimize their appearance. Talk to your dermatologist about your options after finishing your accutane, and good luck!