I have been diagnosed with moderate sebaceous hyperplasia . I am 58 years old and have in the past experienced post inflammatory hyperpigmentation. Because of this my doctor has prescribed accutane rather than smooth beam laser. I have IBS C so am concerned about potential bowel and liver risks associated with accutane. Should I just live with the bothersome bumps on my face ( I do use retina a to try to keep my condition from getting worse)?