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Member Since 19 Sep 2012
Offline Last Active Aug 09 2014 08:12 AM

#3427342 My Skin Is Finally Clear. You Only Need A Low Dose Of Accutane!

Posted by crab76 on 19 April 2014 - 09:00 PM

This thread is so interesting! I have a question do you think a low dose of Accutane is appropriate hormonal acne? I came off of birth control but was breaking out even when I was on it. I never had acne prior to this..but anywho my face is just insanely oily all the time! I wash my face and within and hour my face is producing oil which is VERY frustrating! Im getting more and more closed comedones all over my face and I am concerned that they will all become inflamed. I know the problem right now is the oil. Do you think requesting Accutane would make sense even though the acne is mild/moderate as of right now? I don't want to go on Spiro and much less birth control to resolve this issue and I am concerned that this will just get worse as it has been for the past few months. Thank you.

Yes I 100% think accutane will help you. I have hormonal acne also and took BCP & Sprio for many many years. Those treatments are a bandaid. If your having adult acne then most likely it is something you will struggle with long term. A low dose of accutane will work wonders for you. But pls note that in 8-10 yrs down the road if your acne creeps back then you may need another course. It's not 100%. But it's much more of a "cure or almost cure" than any other Hormonal medication. It's very difficult if not impossible to control your hormones. But you can control your oil! And Oil is what's causing you to break out. Also oil destroys your texture, stretches pores and ages you. Oil is the enemy!


Just make sure your labs check out with your Dr. And don't let them push you into a high dose. Be confident and demand the low dose and tell them you don't want to risk the bad side effects. As long as your healthy to start with.... U will love the accutane. Ur skin will be amazing! :)

#3427135 My Skin Is Finally Clear. You Only Need A Low Dose Of Accutane!

Posted by crab76 on 18 April 2014 - 09:28 PM

That does sound bad. But what if my dermatologist prescribed me moisturizer to use along with the retin-a gel? Then it's ok?

I think your Dr probably prescribed a moisturizer to use becuase he or she knows that your going to get red, dry, peely & irritated from the Retin A. So the Dr wants you to use a moisturizer to help ease your discomfort and also wants to make sure your using one that won't clog your pores and make your acne worse.


I say use it if you need it! Absolutely! But try to use it only when absolutely necessary. Then your skin in time will get strong and tolerant to the Retin A and won't be irritated anymore. Then you won't need the extra moisture. Your skin will hydrtate itself once it's strong! :)

#3426909 My Skin Is Finally Clear. You Only Need A Low Dose Of Accutane!

Posted by crab76 on 17 April 2014 - 08:25 PM

First off I'd like to thank you for posting this, really opened my eyes to SO MANY things I was doing wrong. You practically saved me hundreds of dollars, and a useless effort at what I thought was helping my face. I have a question though... I already have gone through various bad treatments and I'm left with redness and scarring along my cheeks and neck, what should I do to combat this? Thank you once again, you truly opened my eyes. 


Awh I'm so glad to read this. I truly only wish to help someone. Even just one person would be worth it to me. smile.png glad to help!


How deep is your scarring??


There are a couple things you can do and in a certain order.


You can use Hydroquinone to bleach out the pigment (for 5 months tops) & Tretninoin to excelerate it and make new healthy cells and make your skin strong.


You can use Glycolic Acid to help texture.


If your scarring is really bad... like pitted... then really the only thing that will fix that is CO2 fraxel. Which is a leveling procedure. BUT... be very careful who you go to for this. You must prep the skin first with 1% Trentinoin for 6 wks to make the skin healthy & strong. Most Dr's skip this very important step. And what happens is the laser penetrates at different depths and also the skin is weak so it doesn't heal properly. I have seen so many bad fraxels & peels becuase Dr's don't prep the skin.


But I'd only go the Fraxel route if your scars are really bad becuase it's expensive and also it's 10 days of downtime. If you dont think it's that bad then you can do some TCA peels. But again... prep the skin first with Trentinoin. Always prep for 6 weeks... take 4 days off then do the peel. Let your skin peel for a week... then start your trentinoin again.


And this is probably obvious... But you would never want to do a Fraxel while your on accutane. What we do is Prep people for 6 weeks on retin A, then do the fraxel, then immediatly after the fraxel start accutane and one week later back on retin A. This is an a amazing treatment protocol!


If you do accutane first... you must wait 6 months after being off accutane to do the fraxel. Becuase your skin won't heal properly due to accutane.

#3425538 My Skin Is Finally Clear. You Only Need A Low Dose Of Accutane!

Posted by crab76 on 10 April 2014 - 08:56 PM

Hello, I used to visit this board alot when I was breaking out and desperate.


I'm a medical esthetician & medical assistant for a very prestegious dermatologist who is AMAZING at getting people's skin clear. I follow his program and for the first time in my whole life I have clear skin and really understand how & why this works. I thought I'd come back on here and share what I now know. Hope this helps someone. :) I'm going to talk about a few different things.



ACCUTANE: This a MUST and is the only oral medication anyone should waste their time with (as long as your healthy). BUT with that said.... you only need a low dose. 20mg of accutane is plenty to do the job. When you take it in this low of a dose you will save your body the side effects. All the side effects you read about are from people taking high doses. If your healthy and your cholesterol & liver tests are good then 20mg of accutane will do the trick. Some people may have to take a longer course or repeat courses if acne comes back. Some people with minor acne may only need to take it every other day. We have many patients who take 1 pill a week for life just to keep the oil at bay. At this dose it's nothing more than a megadose vitamin A suppliment. I cringe when I see people taking high doses. It works in a low dose!! Trust me! I see it every day in our patients.


ANTIBIOTICS: These DO NOT WORK and will Wreck your natural bacteria in your gut. Trust me... I did it too! I took antibiotis for years! and guess what??? I still had acne!! Here's why.... Everyone has bacteria on their faces. So why do some people get acne and others dont? Well because the bacteria is mixing with the oil and getting trapped under the skin. So the problem is the Oil! Not the bacteria. You have to get rid of the Oil! (accutane is the answer for this)


EXFOLIATE EVERY DAY: You must exfoliate becuase people with Acne have a disorder with how their skin naturally exfoliates. This is why some people can have oily skin but not get acne. Becuase their skin is exfoliating properly. Someone with acne has an issue with the way their skin cells shed so the oil is getting trapped. So you have to Scrub every day! But make sure your using a gentle scrub with tiny crystals. Nothing jagged that will tear your skin... like St Ives appricot scrub! YIKES! Don't use that! lol


RETINOID: You gotta use trentinoin. 1% is best. I know it makes you red, dry & peely but this is ok! You have to get your cells turning over quickly to help the shedding process. Cuz remember...... your cells aren't shedding properly. So you gotta help them out. Also... trentinoin will keep you young forever! ;) If you can't tolerate every day that's ok. Just do what you can. Even a few nights a week is better than nothing. You will build a tolerance. And once your get your skin clear you can drop down to a retinol.


MOISTURIZER: DO NOT USE A MOISTURIZER! It's absolute CRAP that people say that you have to put oil or moisture on your skin or your skin will produce more oil. This is FALSE! Moisturizer makes your cells go to sleep. Your body has a natural hydrator called your barrier function. It's a mixture of lipids & water. If you have been using moisturizer then your skin is dependant on it. Like a drug. And in the beginning you will withdraw. But trust me.... once you kick the habit then your skin will thank you. All moisturizer does is trap dead cells on your face. And remember what I said above??? I said that you have an issue with your cells shedding! So don't make that issue worse by trapping them on there eve more.

NOTE: If you are SO DRY from your Trentinoin and you just have to use a moisturizer to "Comfort" you thru the tough part.... then that is fine. Just use it when you feel you really need it.


BENZOL PEROXIDE: Is great for a spot treatment on "pustual" type pimples. An infection can't live in the presense of benzol peroxide. So if you have pimples that have puss in them then you can spot treat with benzol peroxide. But it's pointless to rub benzol peroxide all over your face over blackheads. All that will do is dry your skin out more.


SALICYLIC ACID: Is your friend. Get a wash or even oil control pads with salicylic acid in them.


GLYCOLIC ACID: Is great if the texture of your skin is bad from scars. This will help.


HYDROQUINONE: This will help fade the spots quicker. But NOTE: Don't use hydroquinone higher than 4% and never for longer than 5 months at a time. Your body gets used to it and builds a tolerance. Use it to fade your spots and then get off.


And you can use all these products while on the accutane because if you take a super low dose then your skin won't get so sensitive like a higher dose.


I hope some of this info helps someone. I've learned so much working with this Dr. My skin has changed dramaticly and is so clear now. I know how awful it is to suffer with acne. I'm in my 30's and spent my whole life suffering. I finally figured it out! Hope you all can too.


#3301862 I Need Everyones Advice Please!

Posted by crab76 on 12 November 2012 - 01:07 PM

BCP gives you synthetic progesterone. So yes.... your body doesn't have to produce it on it's own. The longer you stay on synthetic progesterone the less and less your body will make. I was on BCP for 13 yrs. Yes it kept my skin "mostly" clear. I got off at 30 yrs old (I'm 36 now). My progesterone is SOOOOO low and I have estrogen dominance from the 13 yrs of BCP.

Yes.... my skin went CRAZY when I came off the Pill. I was unimformed. I had no idea that the pill had kept me clear all those years. The internet wasn't what it is now back then. Heck... I didn't even have a computer 20 years ago. So I had to rely on Dr's advice. But as we all know... Dr's aren't always very helpful.

In 2006 I obviously had a computer at this point.... so when I came off BCP and my skin freaked out I searched and searched the internet and finally found info abt Spiro. I had to BEG my Dr for it. As soon as I started Spiro it cleared up better than the pill ever did for me.

The 13 yrs I was on the pill I struggeled with my weight. During my 20's I had to diet and work out like MAD just to stay thin. With-in months of being off BCP the weight fell off my body. I am thinner now at 36 than I ever was with no struggels. I know it was all hormone driven. BCP makes you gain weight. That's a known side effect. So I don't think you'll have any issues with weight if you came off.

My opinion... if you should Definitely start back on the spiro BEFORE stopping BCP. Give it a cpl months to get in your system. I've heard of girls SLOWLY weaning off the pill. Like cutting them with a razor and taking less and less every week. Taking a cpl months to wean off completely. I wish I would have done this. I think it's less of a shock to your hormones to do it this way.

Once your off you should have your hormones checked. If your Progesterone is low you can do a progesterone cream.

I think you can also use Vitex while weaning off the pill to help regualte your hormones. I think Vitex also helps with PCOS. Look into that. I don't have PCOS so I don't know much about it.

All I can say is that if I ever have a daughter. I would NEVER let her take BCP. It messes up your bodys natural hormones. Your still young sweetie.... get off it now before you do more harm to your body. I wish I knew then what I know now. Good Luck! :)

#3300901 Laser Work For Redness On Cheeks/nose Possible Rosacea

Posted by crab76 on 08 November 2012 - 08:49 AM

how well do they work and how effective are they?

share ur stories

Look into the V-beam Laser by Candela. It is excellent for redness & rosacea. :)

I am a Medical Assistant & Esthetician. I used to be a Laser Tech. I did not operate this particular Laser but I know it's one of the best ones out there for redness. It will take out a port wine stain birthmark. (Sure you know how deep red/purple those birth marks are). With V beam there can be downtime. It basically breaks the blood vessels that are causing the redness and it will bruise. Then your body will absorbs the blood, bruise will heal and redness gone. It may takes several sessions depending on how much redness.

The Laser I used to operate is Laser Genesis by Cutera. This laser is also marketed for rosacea but it is much milder than the V beam. There is no downtime at all with the Laser Genesis. It is amazing for milder redness and texture. So it will refine texture and shrink pores. And is much cheaper than V beam.

SO it would depend on the severity of your redness as to how aggressive you want to get with the Laser. :)