Any help for hair loss & greasy hair after Accutane? (Photos)

Question

I got off accutane in March 2022. Since then my skin has been amazing but I’ve had some side effects. I’ve noticed since getting off my hair is EXTREMELY greasy no matter what I do it can’t be fixed. I’ve also lost 50% or more of my hair. It used to be long and thick now it’s fine and thin. Any help is greatly appreciated I’m really trying to get back to my normal hair. I’ve never dealt with hair loss and I’m only 20. My hair used to be mildly greasy but now it’s extreme

Jeff Donovan, MD, PhD · Answer

You’ll want to see a dermatologist who specializes in hair loss. The most important thing here is a diagnosis. It could be that there is some seborrheic dermatitis flare after stopping isotretinoin and it could be that there is a telogen effluvium going on too. This could be related to the isotretinoin or could be completely unrelated. The key issue here in my view is to see a doctor to confidently exlcude androgenetic hair loss unmasked by a telogen effluvium. Use of an anti dandruff shampoo could be recommended by your doctors as a mean to address the seborrhea. Long term strategies and long term prognosis will depend on the precise diagnosis. Be sure to see a specialist. All females with hair loss need blood tests. Blood tests for ferritin, hemoglobin, thyroid function are the minimum but a variety of other tests may be needed depending on what is uncovered during the actual office evaluation.

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Any help for hair loss & greasy hair after Accutane? (Photos)

Answers (1)

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