AlexxelA

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  1. Hi, I have decided that after I finish my Accutane course I am going to treat my PIE with a PDL. I looked up that a dermatologist nearby has Vbeam Perfecta. How long after accutane would you suggest I wait before having this treatment done? My idea is the following ( any suggestions and comments on this are appreciated and welcomed ): I will wait 3 months ( should I wait longer? ) and have a blood test to see if my platelet count is back into the normal region. This will help give me an indication that my body is healing at its usual rate again. Then I would make a consultation with a dermatologist and ask for a test patch to be done. I will also ask the dermatologist to use lower settings to result in less bruising/downtime ( I have read that the Vbeam Perfecta causes less bruising but can still cause some ). I understand that this may result in more treatments, but I am okay with that. Further, I am happy to say that it does not look like I have many indented scars. I am not sure how I will feel about them as time goes by, though. Can anyone list some dermatologists/plastic surgeons throughout the states ( I would be willing to travel around the US ) that they would recommend from experience or something else that suggests they are very experienced in treating acne scars. Someone who uses dimmed lighting and maps out the scars. Someone who plans out and can think outside the box, and uses a combination approach, not just someone who suggests Fraxel. The reason I ask early is because I would like to do a lot of research and decide a year or so in advance where I would like to go. Who I know of: Dr Jason Emer, CA, Dr Chris Zachary, CA. Also, what are peoples opinions on Dr Davin Lim. He seems to be the best in the world in my opinion. His approach and knowledge in the area are truly amazing.
  2. It's okay. That is normal for someone who is doing an accutane course. Your cumulative dosage at the end of your course should be around 120 - 150 mg/kg. You are still quite a way off that, so there is plenty of time. I hope you don't have to wait this long, but you may have to wait until your final month until you are all clear, hopefully it will be faster, but patients is ket here. Accutane has an amazing response rate. Here are some tips to help you. First and foremost, stay happy and optimistic. This is good for your mind and body, and will help you get through the accutane journey. (1) Taking your pill(s) with or just after your highest fat meal of the day. (2) Moisturise twice daily ( I use fragrance-free everything ), and make sure that you apply your moisturiser to your skin when it is still damp ( just after you have dried it ). This ensures that the moisturiser soaks into the skin and doesn't just sit on top of it. I think the thicker the better. My skin is never dry using Cetaphil! (3) Avoid the Sun as much as possible, remember sunscreen! (4) This, like everything, varies: Try eliminating dairy, and gluten. You may be able to eat things with dairy and gluten but they may not be good for you. Diet is key. I would avoid fast food and other really greasy foods.(5) Exercise lightly, don't do anything excessive. (6) Try and sleep well. (7) Look up "Nina and Randa" on YouTube. They cured their acne without medication. They are amazing and are vegans and can provided recipes and other things. They videoed their journey. They cured their acne by changing their diet.(8) Change your bed sheets weekly. (9) Use fragrance-free laundry washing liquid. (10) Avoid touching your face. (11) Stay stress-free. (12) Avoid waxing. If you do not already do some of these, perhaps consider them and maybe it can help you along the way.
  3. I remember reading a story from a dermatologist who was talking about one of his accutane patients. His patient did not seem to improve at all for four months. The dermatologist during the fourth and fifth month attended a course at the American Academy of Dermatology meeting "What to do for the Patient who Fails Accutane" he was thinking about this patient the whole lecture. When he returned back to his office, his first patient was the patient who was not improving from Accutane, but to his surprise, this patient's acne had cleared during the fourth and fifth month. Some people respond to Accutane earlier than others, some may not respond until the final month(s). You have improved a lot and I'm sure that you will be clear at the end of the course! Accutane has such a high response rate and you still have plenty of time left to improve massively! What dosage are you on? What were the doses of month 1 - 4? When you reach your total cumulative dose I bet that you are clear.
  4. I've been on Accutane over 8 months, but please, please don't worry about that. You will more than likely not be on it that long. The reason I am still on Accutane is because I had truncal ( back ) acne and that is more stubborn. My face has been free of cysts for months and months. But my back as taken longer to clear. My results are amazing, so stay optimistic as I'm sure yours will be, too! Although I do have a lot of PIE, which I plan to get treated using a Vbeam Perfecta laser ( when I am allowed as you have to wait a while after taking Accutane before you can use any lasers ). I take 1mg/kg. Alsot be careful when waxing. When you are on Accutane your platelet count will probably decrease, which means that your skin will heal slower than usual. Maybe one of the ladies can help you with this but I recall reading that it is advised to not wax during an Accutane course.
  5. Since you weigh 50kg, the highest dosage that you should be put on ( in the UK ) is 50mg/day. This depends on the severity, location and environment you live in ( e.g. in Las Vegas you would probably not be given about 40mg/day, no matter what you weigh. The heat and accutane is just too much to bear ). A lot of people opt for a low-dosage accutane course, and a lot of people start low and increase gradually. Some dermatologists will start you at 0.5mg/kg, which for you would be 25mg/day, so you are on roughly 0.5mg/day. I recall that it is hard to find 5mg capsules so 20mg/day is perfectly fine, even starting on less would be okay. If the side effects become too much at a higher dosage, going back to a lower dosage would be fine, too. It is the cumulative dosage that counts. I have done SO much research before taking it. Perfect! Remember to always do this before you do anything. Straight after I eat my breakfast I take my pill with a spoon of peanut butter (for the fat) and big glass of water, what do you suggest? Don't change your diet because you are on accutane, but perhaps take your pill(s) straight after dinner/supper if your breakfast does not contain much fat. Say, if you have spaghetti bolognese, or a stew with potatoes for dinner. I also moisturise my entire body with the Cetaphil moisturiser after every shower, and I have been applying lip balm 2-3 times a day to prepare for the dry skin... maybe that's why I'm not dry yet? I think that is probably it, but also you are only 6 days in, so don't worry about it. I use Cetaphil and I do not feel any dryness at all! It is so thick and perfect! My lips get extremely dry, though. So perhaps you will never feel any skin dryness, because you are already prepared with a thick moisturiser that suits you. I bet your lips will get dry at some point soon, though. E.g. when you wake up in the morning. Have you been on accutane? I am currently on Accutane, I will happily share and help whenever I can.
  6. Hi Eli, Your starting dosage is fine. Many people start on 20mg, some people stay on 20mg throughout as well. Everyone is different and will feel the side effects at different times and at different severities. You will probably have dry lips and dry skin very shortly, which will also throughout. Are you taking your pill(s) with a high fat meal? Accutane absorbs more efficiently when taken with a high fat meal. You should take your pill(s) with your highest fat meal of the day. One of the bonuses of low-dose accutane is that you are less likely to experience side effects, or at least the side effects will not be as severe. Although some may not relate to your question, here are some tips to help you through the next 6 months. First and foremost, stay happy and optimistic. This is good for your mind and body, and will help you get through the accutane journey. (1) Taking your pill(s) with or just after your highest fat meal of the day. (2) Moisturise twice daily ( I use fragrance-free everything ), and make sure that you apply your moisturiser to your skin when it is still damp ( just after you have dried it ). This ensures that the moisturiser soaks into the skin and doesn't just sit on top of it. I think the thicker the better. My skin is never dry using Cetaphil! (3) Avoid the Sun as much as possible, remember sunscreen! (4) This, like everything, varies: Try eliminating dairy, and gluten. You may be able to eat things with dairy and gluten but they may not be good for you. Diet is key. I would avoid fast food and other really greasy foods.(5) Exercise lightly, don't do anything excessive. (6) Try and sleep well. (7) Look up "Nina and Randa" on YouTube. They cured their acne without medication. They are amazing and are vegans and can provided recipes and other things. They videoed their journey. They cured their acne by changing their diet.(8) Change your bed sheets weekly. (9) Use fragrance-free laundry washing liquid. (10) Avoid touching your face. (11) Stay stress-free.
  7. Accutane - Did I make a mistake?

    Hi Jen, I think you should talk to his dermatologist about what you have said in your next appointment. I hope some of the following tips help you with his journey ( you will probably know most of them ): First and foremost, try to assure him and comfort him to stay happy and optimistic. This is good for your mind and body, and will help you get through the accutane journey. (1) Taking your pills with or just after your highest fat meal of the day. (2) Moisturise twice daily ( I use fragrance-free everything ), and make sure that you apply your moisturiser to your skin when it is still damp ( just after you have dried it ). This ensures that the moisturiser soaks into the skin and doesn't just sit on top of it. I think the thicker the better. My skin is never dry using Cetaphil! (3) Avoid the Sun as much as possible, remember sunscreen! (4) This, like everything, varies: Try eliminating dairy, and gluten. You may be able to eat things with dairy and gluten but they may not be good for you. Diet is key. I would avoid letting your son ( and your family, for moral support ) eat fast food and other really greasy foods.(5) Exercise lightly, don't do anything excessive though. (6) Try and sleep well. (7) Look up "Nina and Randa" on YouTube. They cured their acne without medication. They are amazing and are vegans and can provided recipes and other things. They videoed their journey. They cured their acne by changing their diet.(8) Change your bed sheets weekly. (9) Use fragrance-free laundry washing liquid. (10) Avoid touching your face. (11) Stay stress-free. I do notice that my nose is a little runny often, and try and always use lip balm throughout the day. Keep the lip balm in his pocket and just keep using it. I would also try (2), Cetaphil is amazing and if applied just after you wash your face and dab it try, I would imagine it will help massively with the dryness. Also, I think you are doing a great job, an amazing parent. You have everything covered for him and are doing all that you can. I hope that this post is helpful, but remember to tell your dermatologist about your son's issues. A lower dose or different medication may work for your son, and also reducing stress and a new diet could be the key.
  8. Whilst on Accutane the top layer of your skin will be thinner. You will probably notice that your skin is very sensitive, be very careful when washing your face, and avoid touching your face throughout the day. I use fragrance-free soap, wash my face gently, and dab dry very gently, then I apply a fragrance-free moisturiser.
  9. HOW DO MY ACNE SCARS REALLY LOOK??

    You will always see the scratch in your car, right? I'm really glad to read what you just said. Is it just on one side of your face? For the future if you want to: If you can find a board certified plastic surgeon or dermatologist ( RealSelf is a good site to use for this ). You can get massive improvements if you find an expert who does a " combination treatment ". Like stated, a lot of dermatologists will advise laser, which can be great, but alone will probably not be enough to satisfy you. Check out Dr Davin Lim on YouTube, he has amazing results using his combinations of treatments. Note that he may do submission, fully ablative and fractional lasers, TCA cross and filler to obtain great results, so I would not trust a dermatologist who tells you that laser ( alone ) is the way to go.
  10. HOW DO MY ACNE SCARS REALLY LOOK??

    I can tell you are a very beautiful girl. You should try ( using therapy if that is needed ) to understand that people do not see them as much as you do. Imagine you bought a new car and accidentally scratched it, just a tiny scratch. You would notice this scratch everyday, but most others probably wouldn't even see it, also they wouldn't be looking for the scratch to begin with. You probably think about your scars ( which btw I don't think are bad at all ) all day, and look at them all of the time. These scars are the scratch in your car. People won't be looking for your scars, and they certainly won't be anywhere near as severe as you think in their eyes. Also, I noticed that I could only really see your scars from angled lighting and really close up. How often will you be in angled lighting? And also how often will someone be that close to you to see it? Probably one of the only good things to come from pretty much everyone in the world getting acne at some point, is that acne scarring treatment is very popular, and hence it is getting better and better all of the time. You can do many things to treat your scars ( consider Dr Davin Lim on YouTube to get an idea ). There were some very good treatments listen above. I would do a lot of research, ask for advice from as many people as you can ( using this forum is a great way to do so ), before doing them, but there is a lot you can do ( I honestly don't think your scars are bad ), so stay optimistic, and keep a happy mind ( this is the key to anything ).
  11. V-Beam

    It is possible to do Vbeam without getting any bruising, hence no downtime. Ask your dermatologists if they could use lower settings. This will probably result in more sessions, but this is a good option for busy people.
  12. Accutane, 60mg, MonTh 6 of 129308273

    Are you taking your pills with a high fat meal? If not, then start doing so. I read about someone who was just taking them at night, before bed. I suggested to her to take them with her highest fat meal of the day. This is because Accutane absorbs better when taken with or just after a meal that is high in fat. Perhaps eliminate, dairy and gluten. The things that you put in your body are key. Reduce stress as much as you possibly can, and avoid touching your face. Also, stay optimistic. If you follow what your dermatologist tells you, you should have a massive improvement.
  13. You should first treat your active acne. There are many ways that you can do this, and this site has great information on lots of different treatments.
  14. Changing the way I shave?

    Hi! Currently I use a Gillette razor and I use a fragrance-free shaving foam. I noticed recently that I have had a little white bump under my chin which has been there a little while ( I am guessing a month ). I am thinking that it could be a few things. I always wet my face, and gently massage in the shaving foam, I then shave gently and then wash my face with water and a fragrance-free bar of soap ( that only I use, and I only use it on my face ). I then gently dab down my face and moisturise with a Cetaphil fragrance-free moisturiser. I do not think I change my razor head as often as I should, I will try to do that more frequently. But should I be washing my face with soap first, to make it warm and soft, and then applying the foam and shaving, followed by moisturising? I have also considered switching to an electric razor, but I have heard that it can irritate your skin because of the heat, and also that it takes a little while for you skin to get used to the razor. Any thoughts on this will be appreciated. Thanks!
  15. Sugar Free Challenge - Anyone in?

    I'm finding it really hard. I also meal prep, and lately I have been craving something sweet. I really want a bowl of cereal. What do people think of almond milk or coconut milk with oats?
  16. Your dermatologist knows a lot more than I do, and many dermatologists have different views on things. For example, one dermatologist could notice that 20/25 of their Accutane patients benefited from taking vitamin E supplements, however another dermatologist could notice only 5/25 noticing benefits from taking vitamin E supplements. Their views will be different. At one time it was thought that vitamin E could help with some of the side effects of Accutane and was beneficial for acne sufferers. However, about 6 years ago, a study was done and found that taking vitamin E while being on Accutane did not really change the side effects or reduce the amount of acne that a person had. I would not take any supplements that you do not have to. I read this from Arnold R. Oppenheim, MD.
  17. Accutane Newbie

    Thank it sososo much, VERY helpful. I had read that accutane was fat soluble. I'm actually pescetarian and dairy free. I eat very healthy and I train religiously at the gym as I am competing next a fitness competition in the future. I take my vitamins/minerals (minus vitamin A) and I have so heard vitamin E plus fish oil are beneficial on accutane. - You're welcome! I love working out and I hope to do many iron man challenges some day! Don't take vitamin A supplements, like you said. Also at one time it was thought that vitamin E could help with some of the side effects of Accutane and was beneficial for acne sufferers. However, about 6 years ago, a study was done and found that taking vitamin E while being on Accutane did not really change the side effects or reduce the amount of acne that a person had. I would not take any supplements that you do not have to. I read this from Arnold R. Oppenheim, MD. Be a little careful at the gym though. As later your joints could start to hurt and if you hurt yourself you could be out of training for a while. It varies from person to person, but maybe reduce the amount of weight you life or time you train. You could also try doing more mini sessions to make up for it, too.
  18. Accutane Newbie

    Hi! First and foremost, stay happy and optimistic. This is good for your mind and body. I will list some things below as it is nicer than paragraphs. (1) Taking your pills with or just after your highest fat meal of the day. (2) Moisturise twice daily ( I use fragrance-free everything ), and make sure that you apply your moisturiser to your skin when it is still damp ( just after you have dried it. This ensures that the moisturiser soaks into the skin and doesn't just sit on top of it. I think the thicker the better. My skin is never dry using Cetaphil! (3) Avoid the Sun and alcohol. (4) This, like everything, varies: Try eliminating dairy, and gluten. You may be able to eat things with dairy and gluten but they may not be good for you. (5) Exercise lightly, don't do anything excessive though. (6) Try and sleep well. (7) Look up "Nina and Randa" on YouTube. They cured their acne without medication. They are amazing and are vegans and can provided recipes and other things. They videoed their journey. (8) Change your bed sheets weekly. (9) Use fragrance-free laundry washing liquid. (10) Avoid touching your face. (11) I would avoid waxing until after a couple of months after Accutane. (12) Stay stress-free. Good luck! Keep us posted!
  19. Hi! Does it make any difference if I take 70mg of Accutane at once per day, or if I take say 30mg in the morning and 40mg at night? ( I always take my pills after a big meal ).
  20. Blood Tests

    Can someone tell me how much a bad nights sleep will effect my blood test results today? I am super anxious about this and hopefully someone can ease my mind. I went to bed early, but I woke up and couldn't get back to sleep. How much could this effect my test results? Thanks.
  21. Diet

    Hey! I have noticed that some people have been trying " no sugar " ( not including healthy fruits ) and other diets together, and I thought that this would be a nice thread for people to post their weekly diet together. I would like to try a diet with someone, I have already cut out dairy and reduced fats. At the moment for breakfast I usually eat the same thing, mixtures of fruit and a bagel with jam on ( maybe I should cut this out, but this is the only sweet I get ever and I got the idea from Nina and Randa ). I drink water all day. For lunch I usually have chicken/steak/fish ( I cook these on a grill and don't add any oil ) with vegetables and rice or potatoes. For dinner I also have the same ( as I meal prep ). This is really boring and I don't look forward to eating, so I hope some better suggestions come. I'm cautious about what I eat, but I hope I don't have to hate eating from now on. I would love for someone to post a recipe for making a dairy free curry. All of the pastes I look for contain dairy. Are there any suggestions for desserts or snacks? Fruit is nice, but what smoothies do people use? Here is a good one for anyone who likes something sweet. Try freezing bananas and put them in a blender whenever you feel like having oatmeal. Use this as a " milk " and it is like eating pudding. You can add a little maple syrup if you like, too. It's a healthy pudding.
  22. A Pulsed-dye laser is used for helping patients with rosacea, this is also the " gold-standard " treatment for PIH. It is not an ablative laser, it is a healing laser. I know Dr Davin Lim uses this to help reduce the redness caused by other lasers. I would suggest finding a dermatologist who uses a PDL and this should be perfect for you! Like I mention it is a healing laser and PIH are the easiest thing to treat. Good luck! I'm sure with a series of treatments you will eliminate all of the redness from your face. You can also opt for a lower setting of the PDL ( this will mean more treatments ), but this will result in less bruising ( if any ) from the laser. There was a post recently about someone who treated their redness naturally. I am more of a fan of this way, and perhaps you could try her regimen first. But since you have been talking 6+ years, perhaps PDL is a better option. Either way there are many things out there for PIH. I will add that just because your skin is smooth, it doesn't mean you are acne-free. There could be some " acne below the surface " and you could have consistent mild acne. Perhaps that is what is causing the redness not to fade.
  23. I understand. Yeah PDL is a healing laser and lots of dermatologists recommend it. It is great for rosacea, too! Yeah, I think I am like you in the sense that I don't want to do anything that could trigger my acne again. I would rather let time reduce it than risk acne coming back.
  24. Would you suggest just waiting for the PIH to go with time ( and/or using natural remedies ) or to consider using a pulsed-dye laser? I know if you have taken Accutane that dermatologists suggest waiting 3 months before using a PDL laser ( as it is a healing laser and can be used much earlier than ablative lasers ), but did you have a reason why you did not try that laser? Apparently it is the gold standard for redness. Anyway, you look amazing! Thanks for posting.
  25. Since you weigh about 53kg you will need to take around 6360 - 7950 mg over the whole course. If I am not mistaken you took 20mg for 10 weeks, and 30mg for 5 weeks and then 40mg for 12 weeks. So overall you have taken 20 * 7 * 10 + 30 * 7 * 5 + 40 * 7 * 12 = 5810mg. This could possibly be your last month. Assuming that by a month you mean 4 weeks. I'm sure you are doing great and look amazing! Can I ask you if you are from the UK? If yes is it okay if I pm you a question or two?