Do you think they would try a 2nd round of Accutane/I can get re-referred?

Question

One course of accutane has been completed but my acne coming back. I was on Accutane for 9 months, results were perfect but 3 months later I started getting tiny bumps on my forehead so I was prescribed Differin. My skin is still progressively getting worse where I have spots all over my face and neck and I've been patient and waited 3 months to see if the cream will work. I feel heartbroken as I thought it was the end of my 14 year acne journey. Do you think I can get re-referred to a dermatologist?

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,
It is not uncommon to have multiple accutane treatments.  Don't be discouraged accutane is still by far the best treatment out there.  See your Dermatologist and discuss doing another round.

Best of luck!

Do you think they would try a 2nd round of Accutane/I can get re-referred?

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