Isotretinoin for buttocks acne?

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

Thanks for your interesting question. Accutane would probably help clear up the area, since it targets sebaceous glands (or oil glands) all over the body. But folliculitis is often more of a bacterial issue than just acne or cysts. You might want to have your dermatologist do a culture of some of the pustules and then they will be able to determine if antibiotics would be a better option for you, or if Accutane would truly be the best course. Please see an expert, and best of luck!