Does low dose accutane actually work? I am 32 years old and have recently started struggling with my skin.

Question

I am 32 years old and have recently started struggling with my skin. My GP suggested a low dose (10mg) of accutane x2 a week since I only have mild acne. We have tried other treatments before including a topical antibiotic which worked initially but then stopped. I am anxious about trying accutane after reading about side effects however I would really like to get rid of my adult acne. How long would I need to be on this treatment to see lasting results? Thank you!

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

Jason Emer, MD · Answer

​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​

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

Yes absolutely Accutane is by far the best medication.  As to how long that will be up to you and your provider but that low dose will likely have no side effects and you should get great results.

Best of luck!

Does low dose accutane actually work? I am 32 years old and have recently started struggling with my skin.

Answers (3)