I'm on Accutane and my pimples seem to be going away but there are dark red spots all over my cheeks and forehead? (Photo)

Question

Is there anything I can do to make these go away at all! I have been on accutane for 2 months and these still are showing up no matter if I pop a pimple or not.

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

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question. I'm glad to hear that your acne is starting to clear; however, it is common to have "dark red spots", also known as post-inflammatory hyperpigmentation. Hyperpigmentation may persist until after you stop Accutane therapy, and the dark spots will gradually lighten over time. There are treatment options, such as lasers or chemical peels, that can treat hyperpigmentation, but I recommend waiting until after you complete Accutane therapy due to the increase risk in scarring. I highly suggest you consult with your prescribing dermatologist regarding your questions and concerns. Take care and good luck.

I'm on Accutane and my pimples seem to be going away but there are dark red spots all over my cheeks and forehead? (Photo)

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Everything you need to know about Accutane

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I'm on Accutane and my pimples seem to be going away but there are dark red spots all over my cheeks and forehead? (Photo)

Answers (2)

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Everything you need to know about Accutane

Our mission is to create a world where every investment in modern beauty is Worth It.