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About this blog

- To make acne under control by taking low dose Accutane
- To treat leftover deep pitted acne scars and red/brown scars by various scar revision treatments
  (TCA CROSS, Subcision, RF Microneedling, etc)

Entries in this blog


Low Dose Accutane / TCA Cross Update (Photos)

Day 75 (10mg/day)
- Thought initial breaking out period ended, sadly I am still breaking out
- Got every active acne extracted 2 days ago and there are 5 new pimples growing on my face already
- Symptoms of depression 
- Mild pain in back and around heart area

Day ~60 (Spot treated with TCA)
- Very little improvement, one of the area became so much wider
- I have done light peel 2 days ago and it made the treated area very red

I decided to stop posting updates until this freaking stubborn initial break out period ends.
I am seriously so freaking sick and tired of being depressed and frustrated, it is affecting me so negatively..






Low Dose Accutane / TCA Cross Update (Photos)

Low Dose Accutane (10mg/day): Day 55  Only one cystic acne that got popped during shower (still taking so long to get dried up).   Few small ones come out but they disappear in 1-2 days. A lot of left over red/brown spots. Got 2 new pitted scars from breakouts..   I notice a lot of facial hairs grown up after I started Accutane (I am pretty sure I never had this much before) Eczema developed around my eyes and nose and it made me extremely itchy... but after applying some moisturizing cream, they disappeared in a week. Planning to take 20mg/week after I finish this pack (15 pills left)
TCA Cross (Spot Treated): Day 42 Pretty much the same.. not much improvement.. One of the treated area got so much wider... but got like 10% improvement in depth. 
My face got so much worse for past few months..meh.. but I am so glad that the initial breakout is near the end. 






Low Dose Accutane / TCA Cross Update (Photos)

Low Dose Accutane (Day 45),10mg/day.
- Still in initial break period but the severity is getting better slowly
- 2~4 pimples every week
- Dryness 
- Itchiness (especially around eyes and nose)
- Still getting extracted from spa bi-weekly
- Skin texture got softer
- Face with a lot of red/pinkish spots from breakouts and extractions. Some of them fade away within 2-4weeks but some of them are still very visible even after 3 months. 

TCA Cross (Day 32)
- TCA test-treated spots (yellow circled in the picture)are basically not improved much.. in my opinion.They certainly got wider and became more noticeable. In depth-wise, they became around 10% better. However, so far, I still think the scars actually got worse. Hopefully, they get better in time. 

Within 2 months when my face become more stable, I am planning to visit clinic to consult about TCA Treatments. Probably 5 treatments every 1-2 months. 





Low Dose Accutane / TCA Cross Update (Photo)

Day 28.

Basically the same, more dryness. All pimples from last update still on my face with new pimples but I noticed they are being dried a bit faster. They still take forever to get dried up though. Going to go get extracted AGAIN tomorrow. I got extracted last Friday.. yet there so much more to extract tomorrow yoohoo!

Few days ago, I woke up with extreme itchiness on both my hands (it literally woke me up at 12:30pm) and I could not sleep for a long time because of this extreme itchiness. 

This side effect is quite harsh.. so I decided to even lower my dose to 20mg/week. I am going to take 20mg/week for at least a year and going to start treating my pitted scar with TCA Cross treatment within few months when my face become completely stable with low dose Accutane.Hopefully, the side effects and initial breakout are less severe for 20mg/week..

- Not much difference on spots treated with TCA Cross. They still look pink/worse. 

I will probably update weekly/monthly from now. 





Day 25 - Low Dose Accutane/ Day 12 for TCA Cross (Photo)

Day 25 Low Dose Accutane:

Taking 10mg/every day this week,
- More noticeable dryness on face
- Body getting itcy for no reason
- Planning to get extracted/managed by Spa bi-weekly
- Usually.. more like most of the time, 6-8 active acne on face, one very huge cystic acne on my left cheek beside the nose.. it will be huge..  I can feel it
- Going to start managing my diet too.. not very strictkly though..

Day 12 for TCA Cross (Test Spot Treated); indicated by yellow circles:

- Scrab from 40% TCA fell off more quickly (could be because the scrab for 40% was a bit smaller)
- All scrabs fell off by the 7-8 days.
- They are quite red, and look worse, deep.. hopefully they get better over time
- 40% treated spot does not really have significant difference





Day 21: Low Dose Accutane / TCA Cross (Photos)

This week, I took 10mg/every other day:

- Most of extracted ones left me red scars (got extracted last week from clinic); my doctor said they won't be       scars.. but.. meh... most of them left me scars.. 
- 1-2, 5-6 new active acne on right, left side respectively 
- Little dry lip
- Acnes taking forever to get dried up.. 

I certainly experienced  more severe hair loss when I was taking normal dose (1st course) than low dose and  I  can definitely tell the side effects are reduced. Maybe its because its only been 21 days (I took 13 pills so far)





Day 14 (Low Dose Accutane / TCA Cross)

So I finally met Dr. Ngai. It was actually very satisfying visit.

I got every active acnes extracted by this device that makes some weird sound. I think over 30 acnes got extracted... 

Dr. Ngai recommended me to continue take 10mg / everyday telling me initial break out happens regardless and it will be settled within 1-2 months. So I guess I will taking 10mg/ every other day and maybe increase it to everyday later on. 

Dr. Ngai also spot treated me with 40% and 80% of TCA. I was expecting that the white scrab from TCA would at least stay on my face for few days but actually they were gone within one hour. They are rather dark brownish or grey now. 

Dr. Ngai said that subcision won't do much for my scars, so I am planning to do 3-5 sessions of TCA Cross and then 1-3 sessions of INTRAcel RF + TCA Cross later on. When acnes are under control I plan to start treating my scars right away.

I guess all can do now is to just wait at least one month to see how I react / heal to TCA Cross and low dose Accutane ..

Yellow Circled = 80% TCA
Red Circled = 40% TCA





Low Dose Accutane day 11

I think 10mg/day or every other day is definitely too much for me. For past 2 weeks, I got over 30 active acnes or more.. literally.. some got dried up and fell off, some just stay on my face and never come to the head, and I get at least 1-2 new acne every day. I am meeting my Dr this Thursday, until then, I think I should better stop taking Accutane. My new job starts next Monday so I must manage these active acnes first.. if these active ones got settled I am thinking about taking 10mg twice a week. 

+ my face got noticeably bumpy, I could tell right away when I was washing my face. A lot of small bumps over face. Face generally more dry. 





Low Dose Accutane day 1-10

for 1-8 days 
- Initial Break out is happening
- No side effects are shown
- Acnes are getting dried up a little bit faster
- Few more little bumps appeared

for 9-10 days
- I skipped taking Accutane today, decided to take 10mg/ every other day
- Few stubborn ones seem to finally come up to the head
- 3-4 new acnes
- Many brown Spots
- Many small bumps on forehead and 2 new acnes in mian (I usually never break out on forehead/mian)
- Definitely dry lips
- Hair Thinning?






Low Dose Accutane / TCA Cross / Subcision / Scar Revision

Hi guys,

I am writing this to help and to get helped by people who are suffering from acne (and scars) like me..

I am 26 years old Asian guy and I live in Canada.

I have taken a full regular dose Accutane course about 2 years ago. I was cleared up after taking Accutane for about 7months and stayed acne free for about 6 months but it left me a lot of severe acne scars.. After 6 months, it started breaking out again, nothing really serious though. Acne was pretty much moderate and under control but the major problem was severe acne scars left after the course of Accutane.

Recently, I was planning to do some scar revision treatments and have scheduled TCA CROSS + Subcision. At this time I had only few active acnes on my face, so my Dr prescribed me low dose Accutane to make my acne under control before the treatment (my Dr said it is okay to do TCA Cross and Subcision while on low dose Accutane). I am currently on 10mg/day, 8th day, but Initial Break out started I believe.. 

Just wondering if anyone here experienced Initial Break out from low dose Accutane, when it started/ended, how severe it was.. and anybody here did some scar revision treatment while on (or after) low dose Accutane? 

Currently, I have few whiteheads, several small bumps on both side of my face.. 3 stubborn red acnes that stayed at least 2 weeks on my face which seems to be never come up to the head surface.

Those new acnes basically become white heads > dry up > fall  off one day eventually > become brown spot. I have gotten at least 15 brown spots for past 2-3months..

I decided to postpone  my scheduled treatment because I was certain that it is not a good idea to do any type of scar revision treatment with active acne on my face. I am going to take low dose Accutane for maybe few more weeks/months until my active acnes are fully under control and then going to start treating my acne scars. (I am planning to take low dose Accutane for at least one year btw).

I am planning to update this thread until I finish treating my acne (low does Accutane) and acne scars (Subcision + TCA Cross + ETC)..I will keep it updated.. I am planning to upload pictures too.




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