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)

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

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.