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A 22-year-old female asked:

Acne on my chin and jawline. derm prescribed accutane on first app. should i try hormonal treatment first?

2 doctor answers3 doctors weighed in
Dr. Ed Friedlander
Pathology 45 years experience
Your decision: I'm glad you're seeking to make an informed choice. Isotretinoin is the big guns for severe disease. A topical or systemic antibiotic, and topical spironolactone, are also possibilities. The oral contraceptive pill, if you can take it, may clear you.
Dr. Fawn Winkelman
Family Medicine 12 years experience
Yes: Acne on the chin and jawline is almost always hormonal. I don't think trying Accutane before other more conservative treatments is a wise decision. Accutane is a great drug and can really help this type of acne but has a lot of risks and side effects. It is best to try other treatment first like creams, lotions, washes, facials, antibiotics, and even birth control pills.
Last updated Oct 24, 2017

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