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Holy Isotretinoin Batman, It's Another Accutane Log!

first time accutane accutane log pictures

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#161 Rachelwp

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Posted 12 November 2014 - 11:05 AM

Awesome!!!!! So glad you are still clear!



#162 JJ

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Posted 23 November 2014 - 04:47 PM

As I promised, here are pictures of my cheeks I took this morning (I am almost 4 months post accutane). You can see some milia  and post-inflammatory hyperpigmentation, but other than that I am clear. I am wearing NO makeup in this picture, and my moisturizer is untinted.


Hi meg

Looking great thanks for the update. Please continue to update if you can, gives me hope!

I am about to come off a 15 month low dose accutane course and go onto tretinoin for maintenance. Hope it works as well as it is for you - I never got 100% clear on tane.

Did you have an IB on the tretinoin or did it just get better from the start? How long have you been on it for now? Will you eventually have to phase out the antibiotic?

Hope all continues to go well for you :)

#163 megtree

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Posted 25 November 2014 - 05:01 PM

As I promised, here are pictures of my cheeks I took this morning (I am almost 4 months post accutane). You can see some milia  and post-inflammatory hyperpigmentation, but other than that I am clear. I am wearing NO makeup in this picture, and my moisturizer is untinted.


Hi meg

Looking great thanks for the update. Please continue to update if you can, gives me hope!

I am about to come off a 15 month low dose accutane course and go onto tretinoin for maintenance. Hope it works as well as it is for you - I never got 100% clear on tane.

Did you have an IB on the tretinoin or did it just get better from the start? How long have you been on it for now? Will you eventually have to phase out the antibiotic?

Hope all continues to go well for you smile.png

I did not have an IB on tretinoin (at least, not anything that I noticed, maybe a little oilyness?), but it should be noted that Ziana contains a very low dose of tretinoin. I would talk to your doctor about ziana (if it's covered in your insurance), I think the combo of low tretinoin and clindamycin might help mitigate the dreaded retinoid IB. In terms of weaning off the topical clindamycin, that is certainly a good question. I am not sure, but I'll talk to my derm about it at our next appointment and report back here :) In terms of not getting all the way clear on 'tane, I was not all the way clear when I finished either, in fact I did not reach 100% clarity (well, how I would define it) until well into my second month off accutane. 


My Accutane log (with pictures):
 
 http://www.acne.org/...r-accutane-log/
 
26 y/o female- approx. 54kg
Absorica -40 mg, 1 daily, December 26, 2013 - February, 25, 2014
Absorica - 60 mg, 1 daily. February 26, 2014 -
Probiotic - 1 daily
Fish oil supplement w/ vit D - 1 daily

Morning:
Cetaphil cleanser
Food Grade Rose water - Toner
La Roche Posay Mineral Water Spray
Vichy 50+ Capital Soleil Cream for Sensitive Skin


Night:
Cetaphil Cleanser
Food grade Rose Water - Toner
La Roche Posay Mineral Water Spray
Aveeno Positively Radiant intensive night cream
Cerave Facial Moisturizing Lotion- PM
Cerave Moisturizing cream
Avene Cicalfate (as needed)


#164 JJ

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Posted 28 November 2014 - 10:18 PM

 

As I promised, here are pictures of my cheeks I took this morning (I am almost 4 months post accutane). You can see some milia  and post-inflammatory hyperpigmentation, but other than that I am clear. I am wearing NO makeup in this picture, and my moisturizer is untinted.


Hi meg

Looking great thanks for the update. Please continue to update if you can, gives me hope!

I am about to come off a 15 month low dose accutane course and go onto tretinoin for maintenance. Hope it works as well as it is for you - I never got 100% clear on tane.

Did you have an IB on the tretinoin or did it just get better from the start? How long have you been on it for now? Will you eventually have to phase out the antibiotic?

Hope all continues to go well for you

I did not have an IB on tretinoin (at least, not anything that I noticed, maybe a little oilyness?), but it should be noted that Ziana contains a very low dose of tretinoin. I would talk to your doctor about ziana (if it's covered in your insurance), I think the combo of low tretinoin and clindamycin might help mitigate the dreaded retinoid IB. In terms of weaning off the topical clindamycin, that is certainly a good question. I am not sure, but I'll talk to my derm about it at our next appointment and report back here smile.png In terms of not getting all the way clear on 'tane, I was not all the way clear when I finished either, in fact I did not reach 100% clarity (well, how I would define it) until well into my second month off accutane. 

Thanks for the reply. I've already got my tretinoin cream, so I might just get a prescription filled for clindamycin and use that in the morning. Hope your good results continue :)



#165 megtree

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Posted 01 December 2014 - 12:17 PM

Good luck to you too!


My Accutane log (with pictures):
 
 http://www.acne.org/...r-accutane-log/
 
26 y/o female- approx. 54kg
Absorica -40 mg, 1 daily, December 26, 2013 - February, 25, 2014
Absorica - 60 mg, 1 daily. February 26, 2014 -
Probiotic - 1 daily
Fish oil supplement w/ vit D - 1 daily

Morning:
Cetaphil cleanser
Food Grade Rose water - Toner
La Roche Posay Mineral Water Spray
Vichy 50+ Capital Soleil Cream for Sensitive Skin


Night:
Cetaphil Cleanser
Food grade Rose Water - Toner
La Roche Posay Mineral Water Spray
Aveeno Positively Radiant intensive night cream
Cerave Facial Moisturizing Lotion- PM
Cerave Moisturizing cream
Avene Cicalfate (as needed)


#166 megtree

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Posted 29 December 2014 - 04:27 PM

Hello - just thought I would check in again. It's now been another month post- iso since ending my course in July. And *drum roll please*....I am still clear! That puts me at just over 6 months post-accutane. :) My skin is back to normal in terms of dryness/ moisture (and to my chagrin, I've had to go back to washing my hair more than once a week...). I continue to use ziana nightly, and I have had very little to almost no activity. Every once in a while (mainly around that time of the month) I will have a tiny (itty bitty tiny, about the size of a pin-head) blemish pop up around my nose. These spots are so small that I hesitate to mention them at all (I wouldn't have even noticed them a year ago), and they disappear in one or two days. There are days I honestly forget to put on makeup, and when I do, a dab of concealer under my eyes and around my nose is all I need. One year ago, it took me 20 minutes to layer on enough makeup to feel comfortable walking around outside. I am still surprised at how smooth my skin is when I happen to touch it (which I try not to do!), this time last year my temples were rough and bumpy with macrocomedones, now a couple of milium is all that remains. This drug is amazing. 

 

I went to my dermatologist before the holidays for my 6 month follow up, and he exclaimed "WOW! It honestly looks you never even had acne"! Like most dermatologist, he does not usually dispense in frivolous compliments. He said I was doing extremely well, and while there is always the risk it will come back, my results are very promising. 

 

Just a summary - I was on 40mg for 2 months, and 60 mg for the last 4. My weight hovers around 57kg. I reached a total cumulative dose of of 9600. This put my dose a little high - about 168mg/kg. I did experience a pretty uncomfortable IB around my 35th day, which did not resolve itself for about 2 weeks. I experienced another one when my dose increased at the beginning of my third month. While my breakouts slowed considerably around the middle of my fourth month, they did not stop completely until about 2 months post-accutane, when I had my "under the skin" blemish on my forehead. The side effects were never easy to deal with, dry skin, eyes and lips were very hard, especially during winter. My lips were horrendously dry at the end of my course, but they returned to normal after about one week of stopping. 

 

That being said, I have not experienced any ill effects. My joints are fine (though I could probably use more exercise...), my bowels have remained completely normal for me as well. The flushing I complained about a few months ago has largely subsided, I don't really have issues with that. Even my PIH has improved tremendously, but I have some brownish discoloration left over. I do have some scarring which is apparent in certain light, mainly small ice-pick scars evenly distributed around my lower cheeks (where I had the most severe cystic activity). Although they are not sever, I may still address it in the future. For now, however,  I am fine with giving my skin the opportunity to rest.


My Accutane log (with pictures):
 
 http://www.acne.org/...r-accutane-log/
 
26 y/o female- approx. 54kg
Absorica -40 mg, 1 daily, December 26, 2013 - February, 25, 2014
Absorica - 60 mg, 1 daily. February 26, 2014 -
Probiotic - 1 daily
Fish oil supplement w/ vit D - 1 daily

Morning:
Cetaphil cleanser
Food Grade Rose water - Toner
La Roche Posay Mineral Water Spray
Vichy 50+ Capital Soleil Cream for Sensitive Skin


Night:
Cetaphil Cleanser
Food grade Rose Water - Toner
La Roche Posay Mineral Water Spray
Aveeno Positively Radiant intensive night cream
Cerave Facial Moisturizing Lotion- PM
Cerave Moisturizing cream
Avene Cicalfate (as needed)



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