Would I be a candidate for Accutane? (photos)

Question

I've had acne since I was 15 im 25 now and I have never had clear skin. I've tried Retin A, differin, Tazorac, BP everything nothing really works. Lately my skin has been getting worse and worse and its really affecting my self esteem im so embarrassed. Could accutane be an option for me?

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

Tim Neavin, MD · Answer

Thank you for your question and for your photos. Based on your photos provided, you are an ideal candidate for Accutane due to severe cystic acne. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are.

Christina Steil, MD · Answer

Accutane (isotretinoin) may be a great option for you.  Your acne may also respond well to spironolactone or an oral contraceptive. Make an appointment with a dermatologist and they will help guide you through the different treatment options.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question and photographs. Accutane is effective in treating severe cystic acne but also recalcitrant or stubborn acne that is resistant to other treatments. I highly recommend you consult with a board certified dermatologist in your area to evaluate your skin and determine if you are a candidate for Accutane. Take care and good luck.

Would I be a candidate for Accutane? (photos)

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