would accutane work for me ? (photos)

Question

Ive had acne for 7 years im now 18. I have extremely oily skin and I do wear makeup. my acne will still be just as bad when I do not apply makeup for months at a time. I've tried every medication the doctor could prescribe me and tried tons of skin care products. Nothing has worked and my acne has made me extremely self conscious and depressed. Would it be worth it to get into a dermatologist for accutane?

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

Melissa K. Levin, MD · Answer

There are many options to treat acne such as topicals, antibiotics, hormonal therapy, and of course, Accutane (or Isotretinoin). When other treatment options fail to clear the skin, Isotretinoin may be an option.  In fact, up to 85% of patients who complete a full course of Istretinoin see permanent clearance of their skin from acne. A bit about Isotretinoin - It's is an oral medication that is derived from high-strength Vitamin A which works by shrinking/inducing cell death of the sebaceous glands, which make oil in your skin.  It also has an antimicrobial effect. The medication has helped many of my patients and in many cases, transformed their lives.  Here's the bad - It's a serious
 medication with many potential side effects and requires a long term commitment since a full course can be as long as six to ten months.  I would recommend you to see a dermatologist because with 
appropriate guidance and close monitoring, it can be very helpful for 
the right candidate.  All in all, Isotretinoin is proven effective treatment for severe acne, but is one that should be saved after trying other treatment options given the serious potential side effects and long commitment required. Good luck!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question. A variety of treatments are available to help minimize acne and breakouts. Accutane, also known as isotretinoin, is one of the best medications on the market to treat acne. Accutane is approved to treat a specific type of acne called nodular acne; however, it can also be used to treat resistant or recurrent acne in patients that have failed different treatments, such as oral antibiotics and topical medications.  You need to be evaluated by a dermatologist to determine if you are a candidate for Accutane therapy; therefore, I highly recommend you consult with a dermatologist regarding your acne. concerns, and treatment options best suited for you. Take care and good luck.

would accutane work for me ? (photos)

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would accutane work for me ? (photos)

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Everything you need to know about Accutane

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