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Should I Go On A Low Dose Of Accutane? Pictures Included

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#21 vincevega

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Posted 15 August 2013 - 04:02 PM

Vincevega, The picture is almost identical to my nose prior to Accutane.  The condition made me very self conscious and only gets worse with age.  My personal opinion is yes, do the Accutane.  Find a good doc that will work with you and appreciate the things you have tried and that this is a very important issue for you.  Start with the LOWEST possible because you are not trying to blast out acne, rather you are just trying to slow or shut down the hyperactive sebaceous glans.  It takes weeks to start to see results so be patient.  I too have tried everything from topical remedies to expensive lasers for very similar clogged pores and nothing besides Accutane (isotretinoin) worked.  I wasted a lot of time and money with magical machines that had no hope of working.  I used Accutane twice in my 20's and 30's and was very pleased with the results.  Then there were all the lawsuits and it was nearly impossible to get.  Now, I am back on it again and loving the results.  My nose looks like a normal health patch of skin instead of hundreds of clogged dark pores.  My pores are smaller now and unclogged but had I been on low dose Accutane earlier I might have avoided the enlarged pores altogether.  I'm in my 50's now and plan to stay on a low dose of Accutane for as long as possible.  Start with the lowest possible dose (give it time - at least a month) see how you do.  If you are starting to get dry lips and tight, dry skin you are at a good level (in my experience) that the nose sebaceous glands will start slowing down.  No need to get really dry and cracked because you aren't trying to cure severe acne.  For me it took about a two months for the black dots to disappear and pores to shrink some.  Now at 4 months my skin looks great and the pores are empty of the dark gunk.  Listen to your doc and get all the testing.  Use spf 55 sun screen every day!  I use Neutrogena "Ultra Sheer Dry Touch Sunblock" spf 55 in the morning to moisturize and protect the skin all day.  For the lips I use Burts Bees lip balm and vaselene.  Don't (do not) scrub your face or you will regret it, and end up with a damaged area of skin that is both uncomfortable and unattractive.  I recommend washing only with your hands.  I only use Eucerin "Redness Relief Soothing Cleanser" on my face. If you really need to remove some dry skin or other, gently use a wash cloth but don't scrub. Overall, my skin looks the best it has in twenty years.  The routine and minor side effects are well worth the results in my opinion.

Thanks for replying to my thread. Posts like yours are really encouraging. I already have the Accutane pills, but I'm too afraid of the side-effects, like rosacea or mental problems. But at some point I'm going to have to get my act together and bite the bullet, because my skin condition is putting a limit on my life.  

 

I have a couple of questions, if you could please answer them:

 

How would you describe your skin, pale like mine?

Did you have uneven skin tone and redness?

 

How low is low? I have 10mg pills and I was thinking of starting with taking 1 x 10mg pill every 3 days. Is this too high? I'm really afraid of rosacea, because I'm already pretty red and my pale skin doesn't help.

 

I've pm'ed this to you, just in case you don't look into this thread anymore. Big thank you.



PS: coincidentally, that's almost the exact same moisturizer with SPF I already own!



#22 acne2000

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Posted 15 August 2013 - 04:32 PM

I am just some middle-aged guy from the internet so take everything I say with a dose of caution.  I speak only for myself.  My "opinions" on your comments and questions:

 

Don't limit your life, it's a big mistake.  Someday you will be old like me and everything you avoided because of your skin you will regret and it will amount to many missed opportunities to change your life in positive and fun ways.  Yes, yes, people will say "Oh, just don't worry about it!" but that is very hard to do.  There were times in my career when I would get all dressed up to go to an awards dinner, meeting, or party and just decide I looked too hideous to attend.  I would sadly change back into regular clothes and if anyone asked I'd pretend like something important came up.  Looking back it makes me kind of sad at the missed fun or meaningful occasions.  In my case the time without Accutane allowed my pores to continue to expand to accommodate more material.  By 50 I had had enough and doctor shopped until someone would prescribe Accutane.  Glad I did.  Now I don't back up from people when I'm talking to them and kids don't ask me why my nose is "dirty."  I totally get this, it sucks.  To me it was worth the risk.

 

I am light skinned and as I became older and with sun exposure my skin tone became uneven and just kind of tired looking.  Accutane, especially the lower dose routine I'm on now, greatly improved the tone and texture of my skin.  You must wear sun screen or don't even bother with the treatment.  Don't scrub your face, don'.  It doesn't help in any way and will do damage that looks and feels bad.  SPF 55, don't scrub, use a gentle cleaner such as Eucerin Redness Relief (works great), use vaselene and/or Burts Bees lip balm.  I find Burts Bees lasts longer than Chap Stick.

 

Dose depends on body weight, but 10mg per day is pretty low for anyone.  10mg every 3 days is way too low and likely won't help at all.  If your doc told you to take one 10mg per day you should do it.  Give it a month and if your lips aren't getting a little dry then consider going to 20mg with the guidance of your doc.  Nobody gives a crap about pale skin if it looks good.  If you aren't a dark person don't try to be, it's stupid.  If you want to tan and not wear sun screen don't waste time with Accutane.  Trust me, use the sun screen and resist the urge to tan.  Far better to have nice looking skin.  Keep wearing the sun screen every day!

 

My humble opinion:  I was much more depressed by my acne when I was young than I can possibly imagine.  When Accutane started working for me I was positively delighted and confident.  Never felt bad and never got the least bit depressed.  I read everything I could get my hands on about the side effects and lawsuits.  Later research pretty much discounts the "metal effects."  Statistics pretty much showed that the Accutane group didn't really have a higher suicide rate than a control group.  Further more, low dose (which 10mg per day definitely is) has been shown to have almost no side effects other than dry skin and lips. There are rare exceptions in which people cannot tolerate isotretinoin either because of liver problems or other rare disorders.  Life is full of risk, from driving down the highway to taking medications.  I determined that for me the risk was low and I was sick and tired of dealing with magic potions and doctors trying to make payments on an expensive laser system that they purchased.

 

This is all just my opinion.  You should do your own research, talk to doctors, and make your own decision.  Don't listen to me.


Edited by acne2000, 15 August 2013 - 06:07 PM.


#23 Herbie Hancock

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Posted 23 August 2013 - 04:54 AM

I am just some middle-aged guy from the internet so take everything I say with a dose of caution.  I speak only for myself.  My "opinions" on your comments and questions:

 

Don't limit your life, it's a big mistake.  Someday you will be old like me and everything you avoided because of your skin you will regret and it will amount to many missed opportunities to change your life in positive and fun ways.  Yes, yes, people will say "Oh, just don't worry about it!" but that is very hard to do.  There were times in my career when I would get all dressed up to go to an awards dinner, meeting, or party and just decide I looked too hideous to attend.  I would sadly change back into regular clothes and if anyone asked I'd pretend like something important came up.  Looking back it makes me kind of sad at the missed fun or meaningful occasions.  In my case the time without Accutane allowed my pores to continue to expand to accommodate more material.  By 50 I had had enough and doctor shopped until someone would prescribe Accutane.  Glad I did.  Now I don't back up from people when I'm talking to them and kids don't ask me why my nose is "dirty."  I totally get this, it sucks.  To me it was worth the risk.

 

I am light skinned and as I became older and with sun exposure my skin tone became uneven and just kind of tired looking.  Accutane, especially the lower dose routine I'm on now, greatly improved the tone and texture of my skin.  You must wear sun screen or don't even bother with the treatment.  Don't scrub your face, don'.  It doesn't help in any way and will do damage that looks and feels bad.  SPF 55, don't scrub, use a gentle cleaner such as Eucerin Redness Relief (works great), use vaselene and/or Burts Bees lip balm.  I find Burts Bees lasts longer than Chap Stick.

 

Dose depends on body weight, but 10mg per day is pretty low for anyone.  10mg every 3 days is way too low and likely won't help at all.  If your doc told you to take one 10mg per day you should do it.  Give it a month and if your lips aren't getting a little dry then consider going to 20mg with the guidance of your doc.  Nobody gives a crap about pale skin if it looks good.  If you aren't a dark person don't try to be, it's stupid.  If you want to tan and not wear sun screen don't waste time with Accutane.  Trust me, use the sun screen and resist the urge to tan.  Far better to have nice looking skin.  Keep wearing the sun screen every day!

 

My humble opinion:  I was much more depressed by my acne when I was young than I can possibly imagine.  When Accutane started working for me I was positively delighted and confident.  Never felt bad and never got the least bit depressed.  I read everything I could get my hands on about the side effects and lawsuits.  Later research pretty much discounts the "metal effects."  Statistics pretty much showed that the Accutane group didn't really have a higher suicide rate than a control group.  Further more, low dose (which 10mg per day definitely is) has been shown to have almost no side effects other than dry skin and lips. There are rare exceptions in which people cannot tolerate isotretinoin either because of liver problems or other rare disorders.  Life is full of risk, from driving down the highway to taking medications.  I determined that for me the risk was low and I was sick and tired of dealing with magic potions and doctors trying to make payments on an expensive laser system that they purchased.

 

This is all just my opinion.  You should do your own research, talk to doctors, and make your own decision.  Don't listen to me.

Hey there acne 2000 - so how long are you planning to stay on accutane and whats your weekly dosage?



#24 acne2000

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Posted 23 August 2013 - 09:24 AM

mickaoh I'm on 40mg/day and according to my doc it will be about 6 months.  This is a low to medium dose for my 160 lbs weight.  It's the only thing I have found that almost completely eliminates the hundreds of black dots on my nose due to sebaceous hyperplasia. This doctor, and most, is very conservative and will not put me on a low dose (10mg - 20mg/day) long term maintenance dose to keep the hyperplasia way.  So, I am currently seeking a doctor who is familiar with very long term low dose routines.  I really like the overall effect of the oral isotretinoin.  It almost completely eliminates sebaceous hyperplasia, builds collagen, and evens out skin coloration.  My skin looks great and aside from the dryness the regime is fairly easy to maintain with sunscreen and lip balm.  I want to stay on it as long as possible.



#25 PhxJoe86

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Posted 18 October 2013 - 06:01 PM

Hello,I have extremely oily skin and a nose full of blackheads. I have tried all the regular stuff like BP, BHA, Epiduo, Differin, Nose strips, Clay masks, Megadosing vitamin B5, etc etc.Everything seems to be absolutely useless at getting rid of my blackheads and oily skin.My question is, would a low dose of Accutane help my situation? Sensible answers only, please. My nose looks exactly like another Acne.org poster (mikeh26) who posted a picture of his condition:uopqa.jpg


I am a huge fan of chemical peels. I also have oily, blackhead prone skin. Biweekly salicylic acid peels applied only to your nose would help enormously. You can get them in many places, but I trust Makeup Artists' Choice most.

#26 Ballen

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Posted 21 October 2013 - 01:50 AM

AHA+  +  BHA and zinc should fix this. No need to take Accutane for this. Lots of things to try before going a hard route.

 

If that was my only acne problem I would be out, getting laid, every weekend.



#27 snailshell

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Posted 11 November 2013 - 11:20 PM

I had a similar condition -- many clogged pores on my nose that made it look and feel very bumpy and gross. I'm not sure if it was necessarily as inflamed as the OP pic, but I definitely had a lot of blackheads.

 

However, I have been using Ziana gel (Clindamycin/Tretinoin) for about a month and one of the best pros so far is the improvement of my nose. My nose is smooth, shiny (in a good way), no clogged pores, no pimples, and it has been that way since a couple weeks in... my cheeks right now are another story, but Ziana absolutely fixed up my nose situation.

 

Honestly, with all due respect, I think you're fixating on an issue that is fairly minute. Accutane is for severe acne. Clogged nose pores can be removed with a pore strip. Maybe there's a larger issue here I'm not getting (I'm really trying NOT to be rude!) but I don't think taking a heavy-duty medication like Accutane is necessary. I guarantee you that unless you have a boil the size of a pea on the tip of your nose, no one is looking at your nose and thinking "Ew, gross."


Edited by snailshell, 11 November 2013 - 11:21 PM.


#28 Miffed

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Posted 17 November 2013 - 04:45 AM

This is the exact same problem with my skin as in pic,in fact I think mine is slightly worse, I have my first appointment with a dermatoligist next week,bit worried he will just send me away with no help as I was also going to ask if I could go on low dose accutane.
Will let you know how I get on.

#29 Miffed

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Posted 04 December 2013 - 03:07 PM

Well derm put me on rozex and llymecycline for a couple of months ,thinks I have early rhinophyma, said go back in couple of months and will definately consider me for accutane

#30 Miffed

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Posted 08 February 2014 - 12:07 PM

Been put on accutane this week 20mg 3x a week for 3 months to start ,really hope this helps me I will let you know how I get on

#31 Miffed

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Posted 30 March 2014 - 03:03 AM

Been around a month no improvement gonna start 1x 20 mg every other day for a month to see how that goes

#32 vincevega

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Posted 30 March 2014 - 04:28 PM

Been around a month no improvement gonna start 1x 20 mg every other day for a month to see how that goes

 

Hey man, I only just saw you posted in this thread! Good luck with accutane, keep us updated if you can!



I had a similar condition -- many clogged pores on my nose that made it look and feel very bumpy and gross. I'm not sure if it was necessarily as inflamed as the OP pic, but I definitely had a lot of blackheads.

 

However, I have been using Ziana gel (Clindamycin/Tretinoin) for about a month and one of the best pros so far is the improvement of my nose. My nose is smooth, shiny (in a good way), no clogged pores, no pimples, and it has been that way since a couple weeks in... my cheeks right now are another story, but Ziana absolutely fixed up my nose situation.

 

Honestly, with all due respect, I think you're fixating on an issue that is fairly minute. Accutane is for severe acne. Clogged nose pores can be removed with a pore strip. Maybe there's a larger issue here I'm not getting (I'm really trying NOT to be rude!) but I don't think taking a heavy-duty medication like Accutane is necessary. I guarantee you that unless you have a boil the size of a pea on the tip of your nose, no one is looking at your nose and thinking "Ew, gross."

It is fairly minute compared to cystic acne. But Accutane seems to be the only thing on the planet that can get rid of the problem. That in itself is a bit strange, if you ask me, but there you go. 

 

Using a cream would be pointless for me, seeing as it wouldn't stop oil production and it would make my skin even more sensitive to the skin. And sadly, pore strips are pretty much useless as well.



#33 Miffed

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Posted 30 March 2014 - 04:32 PM

Been around a month no improvement gonna start 1x 20 mg every other day for a month to see how that goes

 
Hey man, I only just saw you posted in this thread! Good luck with accutane, keep us updated if you can!

I had a similar condition -- many clogged pores on my nose that made it look and feel very bumpy and gross. I'm not sure if it was necessarily as inflamed as the OP pic, but I definitely had a lot of blackheads.
 
However, I have been using Ziana gel (Clindamycin/Tretinoin) for about a month and one of the best pros so far is the improvement of my nose. My nose is smooth, shiny (in a good way), no clogged pores, no pimples, and it has been that way since a couple weeks in... my cheeks right now are another story, but Ziana absolutely fixed up my nose situation.
 
Honestly, with all due respect, I think you're fixating on an issue that is fairly minute. Accutane is for severe acne. Clogged nose pores can be removed with a pore strip. Maybe there's a larger issue here I'm not getting (I'm really trying NOT to be rude!) but I don't think taking a heavy-duty medication like Accutane is necessary. I guarantee you that unless you have a boil the size of a pea on the tip of your nose, no one is looking at your nose and thinking "Ew, gross."

It is fairly minute compared to cystic acne. But Accutane seems to be the only thing on the planet that can get rid of the problem. That in itself is a bit strange, if you ask me, but there you go. 
 
Using a cream would be pointless for me, seeing as it wouldn't stop oil production and it would make my skin even more sensitive to the skin. And sadly, pore strips are pretty much useless as well.

Did accutane work for you?

#34 BMASS

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Posted 01 April 2014 - 01:09 PM

You just need to cleanse with a clarisonic brush every night. It will clear those right up :)




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