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!