Age 35: Accutane Again Vs. Photodynamic Therapy: Severe Nodular Cysticcystic nodular photodynamic accutane
Posted 24 June 2012 - 06:44 PM
Ever try to explain your medical history to doctors and have them completely blow you off?
Well, today, he (the doctor) finally said "oh! oh! oh!" Yes, we've been here before.
So my question to you, other adult sufferes of nodular cystic acne is any luck with the newer laser treatments?
Posted 25 June 2012 - 09:05 AM
Posted 26 June 2012 - 06:07 AM
One doctor diagnosed me with a staph infection. Another diagnosed me with Acne Rosacea. All of which leads me to believe that more and more often, dermatologists are just plastic surgeons lately and there is no science into skin diseases taking place. I found Dr. Rao Babar in Manhattan and I am going to see him next month. His profile reads well so I am hopeful. He does lasers for acne so perhaps he can give me insight as to whether I am truly against a rock and an Accutane place.
In the past month, I have taken Cipro, Bactraban, Doxycyclin and now I am on the Z-pack. I am washing with BP and putting a topical steroid on my face. The steroid makes me nervous. I am also taking a Skin Hair Nail supplement and have sworn myself to go without snaking on Poly-O String Cheese all day. Oh - - the humanity!
Still and all, it has been almost 10 years since I did Accutane and my skin has been relatively clear. This breakout is more angry but more localized. The kicker is the money I spent on scar revision just to have it happen all over again.
What is your experience with adult acne? Is it severe, moderate, light? What have you used?
Posted 26 June 2012 - 01:42 PM
Low-dose pills (Alesse, Aviane, Levlite, Loestrin 1/20, Mircette)
Regular-dose pills (Brevicon, Demulen, Desogen, Levlen, Lo/Ovral, Modicon, Nordette, Levora, Loestrin, Low-Ogestrel, Necon 1/35, Norethin, Norinyl 1+35, Ortho-Cept, Ortho-Cyclen, Ortho-Novum 1/35, Ortho Tri-Cyclen Lo, Ovcon 35, Seasonale, Yasmin, Zovia)
Phasic pills (Ortho-Tri-Cyclen Lo, Cyclessa, Trivora, Triphasil, Tri-Levlen, Ortho-Novum 10/11, Jenest, Tri-Norinyl, Ortho-Novum 7/7/7, Ortho-Tri-Cyclen, Estrostep Fe)
High-dose pills (Ortho-Novum 1/50, Ovral, Ogestrel, Demulen 1/50, Ovcon 50)
Some people like Yaz for acne, but not for its estrogen content...because it contains a derivative of spironolactone.
I almost went on Yaz, but for various reasons went on pure spironolactone instead. It's the only thing that's cleared my 10 years of hormonal acne. Took months to see results but the results seem real instead of temporary clearances that all come back on the next menstrual cycle.
I have been recommended accutane many time but all accutane does is dry up your skin. My problem was hormones, I still got cysts even when my skin was parched. So I never took accutane. Glad I did spiro instead, since it seems like all you accutaners just have to retake it anyway.
Sorry but if your new derm's specialty is lasers, he's just gonna sell you a pricey laser package. Just my prediction.
My best derm is actually not a dermatologist but the nurse practicioner for one. All she cares about is getting you clear the way you want to get clear. She has been great for me, having acne for ten years and trying everything. I politely told her I would like to try spiro and why I did, and she got me on it without a fuss.
Edited by Green Gables, 26 June 2012 - 01:48 PM.
Posted 27 June 2012 - 06:57 PM
(think this is environmental, y'all?)
The derm in Manhattan has more experience than any dermatologist I've been too. The reason I picked him was his knowledge dealing with serious skin diseases. I am not some teenager with acne. I am not trivializing what those teens are going through either - - I just need someone to recognize my age and listen to what has worked and what has not worked. I need someone to hear my history and care about the fact that I am scarring. I am truly hoping for an honest opinion.
And I've had two laser treatments so I am skeptical about their actual results but apparently lasers seem less damaging than Accutane. I refer to it as chemo for the skin. But in defense of Accutane, this breakout is nothing like the original breakout I had at 26. I have giant cysts the size of quarters all over my face. And it has been ten years so what was I thinking - - that I would be one of the lucky few who didn't get a serious breakout again.
Posted 29 June 2012 - 01:49 PM
I like spiro because it's mild on the body, can be taken long-term, etc. All it does is mute some of your androgen receptors so they're not attacking your skin. And it's cheaper than any medication I've been on. $10 a month.
I didn't see any long term results with antibiotics (I went on nine different kinds!), topicals, red/blue light (one of the PRICEY ones), and laser treatments. I might go back into laser treatments to treat all the scars I have left over.
Edited by Green Gables, 29 June 2012 - 02:03 PM.
Posted 30 June 2012 - 02:14 PM
I went to the ER today because it is spreading. The ER Doctor told me this was too big for anyone in the area and to follow-up relentlessly on Monday. It isn't that I am all about self diagnosis but you know from experience how frustrating it is when no one seems to listen. When I get in, I will bring up Spiro and find out if I can take it without it messing up my cycles.
I appreciate your persistance. I hope you're right because I feel kinda hopeless.
Posted 14 July 2012 - 04:01 PM
Thursday I had a Fraxel Re:pair, which I've wanted for YEARS due to those hateful pock marks that remind me of the pain and suffering I went through. I'm very scared of the results, because of all the disappointment I've experienced over the years...over a dozen Fraxel Re:stores, IPLs, PDTs, chemical peels, microderms, etc, etc, etc. I hope I see some improvements. Let's hope for the best, shall we?
Posted 15 July 2012 - 11:49 AM
Posted 28 July 2012 - 08:24 PM