Acne coming back while still on Accutane?

Question

I have been on accutane for roughly 7 months. I was pretty much clear after month 3 minus some PIH, but I am onto my last week of pills and for the last two weeks I have started breaking out again. It started with a papule and now several whiteheads surrounded by red inflamed skin. I'm just so confused why acne is coming back while I'm still on the drug.

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

Jason Emer, MD · Answer

Acne requires a combination approach to get long term improvement. I recommend a combination of Cosmelan, salt facials, peels, lasers, microneedling/prp, blue light, radiofrequency and isotretinoin. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Acne coming back while still on Accutane?

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