IPL or Accutane for Rosacea, which should I try first? (Photo)

Question

Diagnosed with rosacea about 6 months ago. Using metrogel, have tried antibiotics, don't tolerate them. Tried propanolol for flushing, and isn't working. Skin has dramatically worsened in just 2 months, and nothing helps anymore. My derm suggested Accutane, but I'm a little hesitant. I was curious about trying IPL and I know you're not supposed to get IPL for awhile after using Accutane or while you're on it. Which would you try first? I have pretty sensitive skin, if that changes your answer.

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist. For rosacea, I like a combination using lasers (ProYellow, Pulsed Dye/Vbeam, Excel V, Clear + Brilliant), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

Jeff Angobaldo, MD · Answer

Thank you for your question. I suggest you follow up with your provider. Always see a Board Certified Plastic Surgeon or Dermatologist. Best of luck.

Aurora DeJuliis, MD · Answer

It is always difficult to make a recommendation just looking at pictures, but IPL, in my experience, is the best treatment for Rosacea. I would not use Accutane. You should consult with an experienced physician with years of expertise in laser technology. Also do not underestimate the role of diet and possible food allergies as a trigger for Rosacea.

Peter J. Malouf, DO · Answer

Hi,I would highly suggest that you get another opinion.  New onset facial rashes can be more than just rosacea.  You need a workup.  I would not recomend accutane. Please seek out a dermatologist for accurate diagnosis and treatment.Dr. Malouf

IPL or Accutane for Rosacea, which should I try first? (Photo)

Answers (4)

Answer: Rosacea?

Answer: Rosacea?

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IPL or Accutane for Rosacea, which should I try first? (Photo)

Answers (4)

Answer: Rosacea?

Answer: Rosacea?

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Recommended reading

Everything you need to know about IPL

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