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you dont need to stop alcohol completely you just need to not binge drink. also its best to be using skincare, doing peels like aerify, and at home dermarolling weekly when on accutane/isotretinoin. see us for our protcols.All of my accutane/isotretinoin/acne patients do our accutane protocol from emeragecosmetics.com (where we do free skincare consults daily) and peels like aerify/cosmelan/enlighten.Acne requires a combination approach to get long term improvement. For all patients on isotretinoin, we require them to be on skin care such as vitamin C (Skinceuticals Phloretin CF, EmerageSkin AOX-C), glycolic cream (jan Marini bioclear, EmerageSkin enzymatic polish) , kojic acid serums (Skinceuticals phytoplus) and hyaluronic acid serum (IS clinical hydra cool serum, Skinceuticals B5, EmerageSkin hyla B) in the morning and retinols (reve skin 1.0 and sente biocomplete serum) and salicylic acid (reveskin acne purifying enhancer), growth factors and peptides (anetageMD, EmerageSkin Re-Fit Face/Eye) night. All of our patients get clear+brilliant non ablative laser along with a microsecond YAG laser such as aerolase or laser genesis and microneedling with PRP or microneelding RF like intensif or fractora monthly to help improve breakouts, speed the healing process, and improve scarring and facial redness while on the isotretinoin/accutane. LED light therapy, cosmelan/enlighten/AERIFY peels, salt facial or dermalinfusion can be done as well to speed up the improvement. I suggest tyou go to an expert who combines skin care, lasers, microneedling, PRP, and facials while on oral medications for acne. Best, Dr. Emer.
I don` t know your sex, but if you are female you may try Spironolactone instead of Accutane. Hormonal acne relapses after accutane more often, and Spironolactone can be used after. It has very good safety profile and can be used for a long time. In general younger patients and men relapse more...
Thank you for your question. Starting Accutane depends on how elevated your triglycerides are and the comfort level of the provider. If triglycerides are severely elevated, then that must be treated and corrected prior to starting isotretinoin because a common side effect is elevated...
Thanks for your question. Please ask your prescribing dermatologist to be sure, but we commonly only have patients wait 24-48 hours after their last dose of doxycycline before starting Accutane. At Mountain West Dermatology we have not seen anyone have any negative events going straight off...