I've had severe cystic body and facial acne for 15 years. Is accutane an option for me?

Question

I've been breaking out on my face, neck, ears, back, chest, all the way down to my stomach and the top of my buttocks since I was 11. I'm now 26. I've tried antibiotics, prescription topical ointments, and quite literally every over the counter treatment. Nothing makes more than a small difference. I've been considering accutane for a few years now. Is it possible I could be prescribed it, without having to do more bogus topicals and antibiotics? I live in the Phoenix area.

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

Sally Booth, MD · Answer

It sounds like you may very well be a good candidate for Accutane.  I recommend that you consult with a board certified dermatologist in Phoenix to be evaluated for Accutane or even possible Spironolactone. I recommend when you go to the dermatologist please take a list of medications that you have been on and when you took them and for how long.  This will help the dermatologist is Phoenix when he is evaluating you and determining your treatment therapy.

I've had severe cystic body and facial acne for 15 years. Is accutane an option for me?

Answers (2)