I get ingrown THICK Grey & Black hairs with infected pores along w/Whiteheads & blackheads. What recommendations would you give?

Question

50 year old white male w/thick beard. Always had issues w/acne & ingrown hairs but was able to keep clear w/Salicylic Cleanser & Pads until recently. Derm prescribe this but not working.... - Mino 100 MG/2X, Clindamycin w/BP (am) , Rentin A (PM) - Doxy 100 MG/2X, Sod Sulfac-Sulfer 9-4.5% & metronidazole (AM) BO Cleanser & Rentin A (PM) Thinking about stopping everything & returning to Salicylic Cleanser & Pads. Inquired about Accutane but the Derms are very reluctant to prescribe. HELP!

Anna Chacon, MD, FAAD · Answer

When considering cosmetic procedures such as Botox, fillers, or Morpheus8 while on anticoagulant medication like Eliquis (apixaban), it's essential to proceed with caution due to the increased risk of bruising and bleeding. Here are some general guidelines and considerations:

Consult Your Physician: Before stopping or altering your Eliquis regimen, consult with the healthcare provider who manages your anticoagulation therapy. They can assess the risk of discontinuing the medication and provide personalized advice based on your medical history.

Risk of Bruising and Bleeding: While Botox injections are generally safe, fillers and treatments like Morpheus8, which involve needles or micro-needling, may increase the risk of bruising and bleeding. This risk is heightened when on anticoagulants.

Stopping Eliquis: If your physician advises pausing Eliquis, they will provide a specific timeline. Generally, anticoagulants are stopped 24-48 hours before procedures to reduce bleeding risk, but this varies based on individual health factors.

Post-Procedure Considerations: After the procedure, your doctor will advise when it's safe to resume Eliquis. This is typically once the risk of bleeding from the procedure has decreased, but again, it depends on your specific circumstances.

Safety of Morpheus8: Since Morpheus8 involves microneedling and radiofrequency, discuss with both your dermatologist and the physician managing your anticoagulation therapy to ensure it's safe for you.

Alternative Options: If pausing Eliquis is not recommended, discuss alternative cosmetic procedures that pose less bleeding risk with your dermatologist.

Always prioritize safety and ensure all your healthcare providers are informed of your current medications and planned procedures.

I get ingrown THICK Grey & Black hairs with infected pores along w/Whiteheads & blackheads. What recommendations would you give?

Answers (1)

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Everything you need to know about Retin-A

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I get ingrown THICK Grey & Black hairs with infected pores along w/Whiteheads & blackheads. What recommendations would you give?

Answers (1)

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Recommended reading

Everything you need to know about Retin-A

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