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Kmarqui

Bad Acne Scars After Accutane Treatment

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Hello! So about two years ago I ended my accutane treatment, I had pretty bad acne. Now that it's settled down I was wondering what are effective ways to help fade the numerous amounts of nasty scars and pits on my face. I am trying out the dermastamp 1.5 mm and have used it three times in a span of 4 months, if I keep going at it with patience and longer gaps between treatments will that help? Unless there are other options out there then please let me know!

I have taken pictures in different lightings to get a general idea of how bad it is.

Thank you!

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First of all clear up your acne, if one course of Accutane did not help try another one. Doing treatments while having so much active acne can result in even more acne and infections. Dermarolling/Dermastamp wont help much in my opinion, you need to do lasers such as Fraxel Repair or Deep FX.

Also, maybe abit unorthodox, but look into Dutasteride, I have been taking it for my hair loss and I have noticed that it helped my skin also. Hair loss & acne are caused by DHT, Dutasteride is very effective at blocking DHT.

http://www.nicehair.org/your-questions/is-there-a-connection-between-acne-and-hair-loss

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Yeah, I would take care of the remaining acne before attempting any scar treatments. Dermastamping over inflamed, active acne is not a good idea. As for scar treatments down the road, I feel like a broken record, but probably subcision for the rolling scars and maybe TCA cross for the icepicks. Laser is an option, but my feeling is that resurfacing procedures are best done at the very end when you have elevated the scars as much as possible. It's like trying to level a mountain, where if you make the valleys shallower (subcision, TCA Cross) you don't have take down more of the peaks (resurfacing). Also you will find that as the hyperpigmentation fades, the scars do appear to be shallower because redness just exaggerates the depth.

Edited by blahblah82

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My skin is fairly similar. Except I quit Accutane after one cycle, and my acne came back and was just as bad. I won't go back on Accutane, the side effects are way too great and I still feel as if I haven't fully recovered from it and I haven't been on it for 2 years now

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Wow your acne look similar to what I had. For your acne, I have 3 suggestions which really helped me from my experience.

1)If you're a night owl, stop it, it messes with your body. I was a horrible night owl and it contributed to imbalancing my hormones and giving me bad acne.
2) try washing your face with warm water, no soaps. You can also try mixing some epsom salt in some water (like maybe a tablespoon per cup about) and applying it to your face to help with current acne. If it leaves a white powder after it dries, just wipe it off. Don't pick at your face. If you're comfortable with your skin care regimen right now, I'd just keep up with it as to not freak out your skin.
3) Diet. Despite what dermatologists claim, diet is huge. I wish I saw my D.O before I went to a dermatologist. Try and get a food allergy test/sensitivity test. If not, switch to paleo. Its hard at first, but after a while you stop craving junky foods. I switched to primal diet (it allows dairy) and it took about a year for my acne to totally go away. Within the first couple months there was a huge improvement though and when a spot came up, it would go away quickly (about a week or less). A year later after I went primal, I got a food allergy test and it turns out I'm allergic to dairy (among some other foods I was still eating regularly). So maybe my acne would have went away faster if I just went paleo first. Upon switching your diet, you might break out more, but it will be mostly whiteheads and they will go away pretty fast if you leave them alone.

Your scars don't look too deep from the pics. I know I did do some single needling on areas that were clear when I still did have acne. But at this point I would let your face calm down more before trying to do anything. I think subcision would help out after you're cleared up as well as dermarolling. I roll about every 4 weeks, though 5-6 weeks may be better. I use a topical too when rolling, but I'm still playing around with topicals so I don't know what to recommend right now... but you can look into copper peptides, vitamin c, and hyaluronic acid. I think laser would be beneficial too if you can afford it/ if you think your skin can handle it. But like blahblah said, I'd wait to get laser till the end for touching up.

Best of luck! :)

Edited by NomNomWaffles

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I can also attest to the staying up late part. Looking back, I know that my chronic insomnia contributed to the severity of my acne. My genetics meant that I was always going to get bad acne, but not getting enough sleep made it so much worse. It raises cortisol levels in your body (stress hormone) and just makes your skin look terrible.

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Awesome thanks for the help! I am pretty bad with staying up late so I will try to fix that, also have been trying to cut soda out of my diet, I think that may be a cause of my breakouts.

Again thanks for the advice, I will look into all of it!!!!

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You must be using a topical that irritating the hell out of your skin. I can tell because you're only getting cystic breakouts that don't come to a head. Stop with it, be it Retin A, Benzoyl or Sali. Stick to a gentler skin care routine.

I as well can also attest that diet made the most difference for me. Switching to a plant based diet didn't cure my acne but significantly improved it. I suggest you clean up your diet. Cut the dairy and get into a habit of eating whole foods, be it plant based or non, basically cutting out the processed crap.

Once you get your acne under control you can get subcision done.

Edited by Robertitoo

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