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Member Since 06 Dec 2012
Offline Last Active Jul 23 2015 02:31 AM

Topics I've Started

Fraxel Causing Cystic Acne?

08 July 2015 - 01:49 AM

Can Fraxel cause cystic acne? I had a treatment about a year ago for acne scars, and shortly after that I had the worst breakout of my life. I had my suspicions then, but thought it was just a horrible coincidence at the time. But the acne was really, really stubborn, the worst I'd ever seen and eventually I had to go on Accutane for 6 months, which cleared up my skin again to the point where I could have another Fraxel treatment. 

My Accutane course ended in December, and I was told that I should wait about half a year before getting the treatment again (I still have a lot of pitted scars on my cheeks from the acne, before and after Accutane), so today I went in to have another Fraxel treatment.

I'm doing the vinegar soaks and applying Aquaphor as recommended, but I'm seeing the same troubling signs that I had from my last treatment. It's only been a few hours and I'm seeing a bunch of little whiteheads pop up. This happened last time too, and by the time my skin healed from the Fraxel treatment, my acne got worse and worse until it became the full-blown cystic breakout that needed Accutane to stop and I am terrified that it will happen again.

I looked this up a little while ago too, and it seems like a common problem with Fraxel for some reason? I know this isn't a medical article or anything, but it's enough comments from other people that went through the same thing to worry me: http://www.realself....raxel-treatment

Why does this happen? I'm so terrified right now. My last breakout was absolutely devastating and I'd hate to have to go on Accutane again. My cheeks are really scarred and I thought Fraxel would be the way to fix it but this is really troubling news. I'm really having trouble understanding why something that is just supposed to help with scarring can cause cystic acne.

Please help! Thank you!

tl;dr: for anyone that doesn't want to read through all that, basically all I want to know is why Fraxel can cause cystic acne, and if there's anything I can do to prevent this from happening again?

Missing Doses

23 September 2014 - 03:18 PM

I've tried looking for answers to this but the responses have been pretty varied - some people say missing up to a week won't mess anything up, while other comments have been like "miss two days and you're fucked".


I'm currently a few days shy of 4 complete months into Accutane - September 26th will mark the beginning of month 5. I'm 95lbs, female and on 40mg/day. I'm on my last pill today, and I've scheduled to see my derm next Monday, so I'm going to be missing almost a week of Accutane. The last time I saw my derm he said my course would be 4-6 months, so depending on how the next appointment goes, I may be done with Accutane already, but in case I'm continuing, would missing a week of medication affect me in any way?


My acne has gone pretty much completely at this point and aside from the scars, I seem to have "normal people skin" now, but personally I would prefer taking at least another month of Accutane - my acne had been quite stubborn and persistent prior to Accutane so I don't feel comfortable only doing a 4 month course, as I hear there's a higher chance of the acne coming back on a shorter course.


But yeah, main question: how bad would missing a week of medication mess up my course at this point? 

Enlarged Pores From Accutane?

18 August 2014 - 02:35 PM

I am almost 3 months into my Accutane treatment, and in general my acne has improved (though I still get the occasional pimple and get break outs when I'm on my period), however I noticed that the texture of my skin is just terrible these days. My skin around the acne used to be very soft and smooth, and the pores on my nose were bigger than average, but not as huge as they are now. Overall, the condition of my skin has worsened and it looks like the pores all over my face have enlarged. My skin is acne-free now, but it's looking really rough. Is this normal? I hear Accutane is supposed to shrink pores, not make them bigger. :c

Help! Skin Oily Again On Accutane

28 June 2014 - 09:20 AM

I am currently 34 days into my treatment - 40mg/day Accutane. So far it has done nothing for my acne, except for the extreme dryness. When I was 15 days in, my skin was extremely dry, which I thought was a good thing because it meant the medication was working. And also it was really nice not having oily skin and having to blot throughout the day.

But today, suddenly I woke up to find the skin around my nose oily again. It's definitely not as bad as it used to be, but my skin is definitely not as dry and itchy anymore. Should I be worried that Accutane is not working for me?

I'm hesitant to increase my dosage, because if it's true that you should be taking 1mg/day/kg then I'm pretty much at my limit as I weight about 43 kg.

Has this happened to anyone else?

Accutane And Scar Treatments

22 June 2014 - 02:01 AM

This is kind of confusing me - a lot of people say that you must wait at least 6 months before undergoing any kind of treatments for deep scars, like laser and such.

But exactly why is this? I can't find an explanation anywhere, just "don't do it!"s over and over. Does anyone know?

You don't have to read this next part. It would be nice if you could give some input on my situation, but all I really want to know is why you need to wait at least 6 months before undergoing scar treatments.

The weird thing is, prior to starting Accutane, I had already undergone one laser resurfacing treatment (my skin was clear just a few months ago, then suddenly boom, severe cystic acne out of nowhere - couldn't do a second treatment). After that kind of healed up is when my acne started getting /really/ bad, and I called my derm and asked for Accutane. He refused at first, saying that it would interfere with the healing from my scar treatment. Nothing weird there, that's what everyone says.

But after a while, when my acne did not respond to the antibiotics he had prescribed instead, he finally agreed to put me on Accutane. I had already had an appointment scheduled for my second scar treatment, which will be right in the middle of my second month of Accutane. I asked him if it's alright to do a scar treatment during Accutane, and he said it would be fine, which goes against what everyone else said, and what he initially said, about scar treatments and Accutane, so I'm a bit confused about that. I will ask him during my next appointment, but I'd just like to see what you guys think in the meantime.