Can Red Marks from Cystic Acne Be Permanent?

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

The marks you have post-Accutane can probably not be helped with glycolic peels, and I'm hoping you aren't doing these peels at home anyway, as a 50% glycolic peel can burn you, which is what some of this redness appears to be. Seek a consultation in person with a board-certified dermatologist or plastic surgeon, but your options would be some type of resurfacing laser or light IPL treatment for the redness, or even a combination.

"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."