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Doctor insights on: Acne Treatment Accutane

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Dr. Ed Friedlander
2,190 doctors shared insights

Acne (Definition)

A common skin condition that causes red or white raised pimples, especially on the face, chest and back. Caused when the sebaceous glands in the skin ...Read more


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Topical treatment for acne scars?

Topical treatment for acne scars?

Fading creams: The gold standard for lightening dark marks is hydroquinone. You can purchase fading creams that contain 2-3% hydroquinone without a prescription (ambi, atra, porcelana, nadinola, to name a few). You should also be careful to protect your skin with sunscreen, as sun will make dark marks darker. Stronger prescription fading creams and chemical peels exist. Pitted scars require laser resurfacing. ...Read more

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Acne and pimple treatment?

Acne and pimple treatment?

Acne therapy: If your acne doesn't respond to otc treatments, consider seeing a doctor or dermatologist to get a stronger prescription lotion. Tretinoin (avita, retin-a, others), Adapalene (differin) and tazarotene (tazorac, avage) are examples of topical prescription products derived from vitamin a. They work by promoting cell turnover and preventing plugging . You may also need oral antibiotics like doryx (doxycycline). ...Read more

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Is microdermabrasion effective for acne and acne scars?

Is microdermabrasion effective for acne and acne scars?

Yes & No: There are two types of acne scars. Craters and ice-pick. The ice-pick scar has sharp borders whereas the crater has smoother borders. Ice-pick variety of scars have to be excised and can be done quite easily with small punch biopsies. The crater variety can be helped with multiple sessions of microdermabrasion. ...Read more

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Best acne treatment?

Best acne treatment?

Options exist: Consult with a board certified plastic surgeon or dematologist to evaluate your personal options. This may include lasers, chemical peels, dermabrasion or prescription skin care. There are many options and you need a regimen tailored to your specific situation and expected results. ...Read more

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Can Accutane clear acne scars?

Can Accutane clear acne scars?

No. But it can help: Reduce acne breakouts and more cyst formation that can lead to new scars. Accutane is powerful medicine that requires monitoring and absolute avoidance of pregnancy (causes birth defects). See dermatologist for advice and prescription if you are a candidate. ...Read more

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Is Accutane recommended for acne treatment?

For severe cases: Accutane is a very strong but very effective drug for acne. It has potential serious side effects and requires close monitoring. That said, i know multiple patients who have had phenomenal improvements with Accutane that say they would do the treatment over. I recommend you see a local dermatologist for a consultation and more information. ...Read more

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Is micro-dermabrasion effective for acne and acne scarring?

Is micro-dermabrasion effective for acne and acne scarring?

Usually not: Micro-dermabrasion is best suited for removal of dead cells from the skin surface. Does not go deep enough to effectively reduce the depth of scarring or produce an adequate reaction under the skin to help smooth the base. ...Read more

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Acne treatment - how effective is minocin (minocycline)?

Acne treatment - how effective is minocin (minocycline)?

Minocin-tetracycline: I have prescribed low doses of doxycline (similar med) for adult acne (particularly rosacea) and have had good results. It is often a long term treatment which can lead to antibiotic resistance and GI problems and yeast infections in women. I always recommend taking probiotics when taking antibiotics. Also have regular dental check ups as it can cause teeth staining. ...Read more

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How can I cure acne vulgaris and acne scars. Precautions for acne?

How can I cure acne vulgaris and acne scars. Precautions for acne?

Scientific Rx: If you are male and still have acne while on benzoyl peroxide and clindamycin, your physician may try a systemic antibiotic such as tetracycline 500 2x/day. Or if this is deep / cystic / severe acne, it may be time to consider accutane. For the scars, a dermatologist can abrade, fill, operate and/or laser; your choice, but note the hollywood stars who keep their scars for character. Good luck. ...Read more

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How does Accutane (isotretinoin) work to treat acne?

How does Accutane (isotretinoin) work to treat acne?

Accutane and acne: Accutane is basically a very strong and potent form of vitamin a. It reduces oil production by the sebum glands in the skin. The pores do not get clogged up with sticky sebum and dead skin cells and a pimple cannot form. It works well but it is a hard drug to take because of side effects. It can also cause birth defects if taken when a woman is pregnant. It's used when other txs have failed. ...Read more

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Will Accutane cure my mild/moderate acne?

Will Accutane cure my mild/moderate acne?

Isotretinoin: Isotretinoin. For deep cysts, antibiotics may not be enough. Isotretinoin (amnesteem, claravis, sotret) is a powerful medication available for scarring cystic acne or acne that doesn't respond to other treatments. This medicine is reserved for the most severe forms of acne. It's very effective, but people who take it need close monitoring by a dermatologist because of the side effects 80% effectiv. ...Read more

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Retin a (tretinoin) for acne and blackheads ?

Retin a (tretinoin) for acne and blackheads ?

Acne: Retin a (tretinoin) is a topical product usually dispensed as a cream or gel available in different strengths that is effective in reducing inflammatory (red) pimples and comedones (black heads and white heads). The product is drying and should be used sparingly. Caution with sun exposure. See a dermatologist for a treatment regimen. ...Read more

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Clindamycin, tretinoin (retin-a), minocycline pills for acne, do these work?

Yes: Comply with directions. Never use an antibiotic as sole treatment for acne. If you do not get a good result, consider Isotretinoin if it is offered to you. ...Read more

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What's the fastest/best treatment for acne vulgaris and cystic acne?

What's the fastest/best treatment for acne vulgaris and cystic acne?

Derm consult: If you have cystic acne, you deserve 21st century treatment beyond what even your family doc can provide. A dermatologist will probably place you on one of the vitamin a derivatives; they are unpleasant and somewhat dangerous, you'll need to listen to the instructions carefully, and they work. Life is rough enough without cystic acne. I wish you the best. ...Read more

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Is dermabrasion for acne effective?

Is dermabrasion for acne effective?

No: May actually worsen acne, is only used for scars, and is rapidly being replaced by fractionated lasers, whichh also do not help acne. ...Read more

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Diagnosis and treatment of acne rosacea?

Diagnosis and treatment of acne rosacea?

Various: See a dermatologist. Best treatment to be determined by exam. Response to treatment and tolerance of treatment are then evaluated, with adjustment if needed. Begin with precise diagnosis. ...Read more

Taking Accutane (Definition)

Accutane (Isotretinoin) is a powerful medicine that treats acne. It is known to cause severe birth defects if a woman becomes ...Read more


Dr. J. Lawrence Dohan
2,507 doctors shared insights

Pimples (Definition)

A pimple is a small inflamed spot on the skin. Also known as zit, ...Read more