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Hormonal acne - what are my options besides Accutane?

westyyyFeb 11, 2022
So I’m from the UK and I’ve never met with a acne specialist, only free NHS nurses who suggested I go on accutane. I have pitted scarring and that’s my main concern. I’m on the pill and it’s controlled my acne nicely with occasional cysts that develop into scars. There’s strong chance I have pcos (had an mri showing small sacs) and that my acne is a hormonal problem which means acne will come back after accutane. I don’t want to stop treating my scars. I feel stuck.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Reuel Aspacio, MD, FAAD - Account Suspended
Board Certified Dermatologist
Answered on Feb 15, 2022
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Jason Emer, MD

​Acne requires a combination approach to get long-term improvement. I recommend a combination of Cosmelan, salt facials, peels, lasers, microneedling with PRP, blue light, radiofrequency and isotretinoin. I suggest getting a formal evaluation with an expert. Best, Dr. Emer​

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Jason Emer, MD

Consult with a board-certified dermatologist. They'll be the ones to establish what's best moving forward. -Dr. Emer

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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...

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Raffy Karamanoukian, MD, FACS

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...

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Jason Emer, MD

I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments. 1) Skincare with products and microneedling/PRP 2) PDT Light Therapy a few times per month with growth factors 3) Laser treatments like Clear +...

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