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Doctor insights on: Skin After Accutane

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Dr. Richard Tholen Dr. Tholen
Surgery - Plastics
37 years in practice
University of Kansas School of Medicine
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Would it be safer to do microdermabrasion or a chemical peel on skin after accutane?

Would it be safer to do microdermabrasion or a chemical peel on skin after accutane?

Neither!: It depends on how long ago you stopped your accutane, but if it has been less than a year, i'd recommend avoiding any type of surgery or inflammation-causing procedure. The risk of scarring is low with both of these procedures (the least is microdermabrasion), but whatever those risks are, they are multiplied significantly with accutane-stimulated skin. Just say no, be patient or worse can occur.

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Taking Accutane (Definition)

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Dr. Jack Mutnick Dr. Mutnick
Internal Medicine - Allergy & Immunology
13 years in practice
University of Nevada School of Medicine
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What is the best way to get my skin back to normal after accutane? My skin is very thin & blemishd still 2 months after. I went through 4 months of it

What is the best way to get my skin back to normal after accutane? My skin is very thin & blemishd still 2 months after. I went through 4 months of it

Lotion: Lotion, lotion, lotion....And hypoallergenic lotions only. Cotton fiber and breathable clothing. Multivitamins and a little extra vitamin E for a few months.

Dr. Joseph Eastern Dr. Eastern
Dermatology
40 years in practice
UC San Francisco School of Medicine
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How dry is your skin going to get when taking accutane?

Depends...: ...On the dosage given, and your individual skin type. I start "low and slow" to avoid dryness, but sometimes it happens anyway. Accutane works by shutting down the oil glands, so dry skin is a common side effect. However, the longterm benefits of clearing your acne are well worth a bit of temporary skin dryness.

Dr. Lisa Hogan Dr. Hogan
Surgery
31 years in practice
University of North Carolina School of Medicine
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Besides accutane, what is an effective skin care system?

Besides accutane, what is an effective skin care system?

Lots of options: Because of the potential for side effects Accutane should be a treatment of last resort. It is for severe acne, & other meds that are effective are the retinoids like tretinoin or tazarotene, or treatments like blue & red led light, either alone in a series or with a photosensitizer like levulan. I also like clarisonic because of the deep pore cleansing it does. Consistent home care is essential.

Dr. Milind Ambe Dr. Ambe
Surgery - Plastics
29 years in practice
UC Irvine School of Medicine
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Does Accutane slow skin cell proliferation (skin repair)?

Does Accutane slow skin cell proliferation (skin repair)?

Yes, it does: With regards to surgical procedures, anyone who is on Accutane should be off of the medication for at least 6 weeks prior to embarking on a surgical procedure. Accutane definitley can compromise the ability of the skin to heal (repair), given it's effect on the dermis.

Dr. Subramaniam Arumugam Dr. Arumugam
Surgery - Plastics
52 years in practice
Andhra University, Rangaraya Medical College AKA University of Health Sciences Vijayawada
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When does Accutane fully clear up your skin after you start?

Depends on dosage: It could be four months or longer depending upon the dosage. Also, please ask the doctor who prescribed it for you.

Dr. Monib Zirvi Dr. Zirvi
Dermatology
17 years in practice
Weill Cornell Medical College of Cornell University
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How sensitive is your skin on accutane? Can I exdoliate my skin?

How sensitive is your skin on accutane? Can I exdoliate my skin?

No: Chemical peels, waxing, and laser treatments are all contraindicated while on accutane. The skin is more sensitive and can peel excessively and possibly scar. Laser treatments should not be attempted until 1 year after last dose. Accutane exfoliates the skin constantly anyways and therefore additional exfoliation is not a good idea.

Dr. Robert Jackson Dr. Jackson
Dermatology
39 years in practice
Meharry Medical College School of Medicine
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What should I expect my skin to look like after I finish accutane?

What should I expect my skin to look like after I finish accutane?

Accutane: It will continue to heal for 6 months afterwards totally clear skin.

Dr. Carla Enriquez Dr. Enriquez
Pediatrics
46 years in practice
Boston University School of Medicine
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For how long one can have flawless skin afer complete a course of accutane?

Varies: It could be that acne never returns. Or it may return in the future. It depends on genetics. Accutane is very effective. So likelihood is that this is it.

Dr. Robert Berger Dr. Berger
Dermatology
37 years in practice
New York Medical College
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I have been on Accutane for over a month, and my skin still hasn't become dry yet?

I have been on Accutane for over a month, and my skin still hasn't become dry yet?

Depends: Every one is different, dryness is dose related and usually peaks 3rd month.

Dr. Robert Berger Dr. Berger
Dermatology
37 years in practice
New York Medical College
12

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Can you tell me how long it takes 20mg Accutane take to cause dryness on the skin?

Depends: Everyone is different. Usually dryness peaks 3rd month. This is a very low dose, so may take longer or not at all.

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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Is it possible for Accutane to really make your skin worse in the beginning of using it?

Yes: This is conmon. Stay the course. Usually the prescriber will explain this to you at the onset. Good luck. Most people who complete the course are very pleased.

Dr. Barry Resnik Dr. Resnik
Dermatology
27 years in practice
Tulane University School of Medicine
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I am on 80mg of Accutane a day in my 4th month and I haven't noticed much improvement and my skin isn't even dry. Is this normal in the 4th month?

I am on 80mg of Accutane a day in my 4th month and I haven't noticed much improvement and my skin isn't even dry. Is this normal in the 4th month?

Accutane: Anything is possible but don't give up hope. I have never had a failure with accutane. But you should be talking to your testing dermatologist, not to the internet!

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Dr. Philip Miller Dr. Miller
Family Medicine
43 years in practice
Autonomous University of Guadalajara Faculty of Medicine
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Dr. Robert Jackson Dr. Jackson
Dermatology
39 years in practice
Meharry Medical College School of Medicine
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My skin has gotten so much worst I am wanting to stop accutane, however it is my last resort I've tried everything on the market (i mean everything)!

Don't give up: Please stick with the 20 week course and only stop if your doctor says you should stop. I have had many patients completely clear after finishing 20weeks of the medication.

Dr. Michael Fisher Dr. Fisher
Dermatology
28 years in practice
Morehouse School of Medicine
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Before this. Accutane 10mg perday make my skin dry. Now. After stop 3month accutane, and back taking accutane, almost 2week my skin still oily. Why???

Accutane: The dose of Accutane you are taking is not correct. The correct dose is 1-2mg/kg per day. Once you take the correct dose, you will see better results.

Dr. Monib Zirvi Dr. Zirvi
Dermatology
17 years in practice
Weill Cornell Medical College of Cornell University
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Does anybody actually know why Accutane causes your skin to get much worse first? Why does this happen? Is it because the drug isn't fully in the system

Acne: Acne is caused by clogging of pores in the skin. These clogged pores can stay dormant for a while before they breakout. Accutane works by trying to shrink the oil glands in the pores and in doing so can cause the problem pores to breakout in synchrony early in the course. This slows down as the course is continued until all the problem pores settle down.

Dr. Oscar Novick Dr. Novick
Pediatrics
54 years in practice
University of Bern Faculty of Medicine
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