5 months into Accutane with 2 weeks left, my skin still looks awful. Is it not working or can I expect acne to clear afterward?

Question

i am coming near the end of my accutane treatment. i weigh 51kg (roughly 112 lbs) and am on 50mg. my course is complete in 2 weeks. i am still breaking out in cysts, and my chin is covered in white heads that are deep in the skin. is accutane just not working for me? or can i expect it to clear even after my course is done?

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

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hello and thank you for your question. Acne flares may occur during the Accutane course, and the medication stays in your body for some time after taking the last dose. If you meet your minimum target dose and yet your skin is still with acne flares, you may in the future consider repeating another course of Accutane or consider other treatments such as oral antibiotics and topical medications. I recommend a consultation with a board certified dermatologist for evaluation of your skin and discussion of appropriate treatment. Best of luck.

5 months into Accutane with 2 weeks left, my skin still looks awful. Is it not working or can I expect acne to clear afterward?

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5 months into Accutane with 2 weeks left, my skin still looks awful. Is it not working or can I expect acne to clear afterward?

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Everything you need to know about Accutane

Our mission is to create a world where every investment in modern beauty is Worth It.