Isotretinoin (Accutane®)
5
37.1%
4
34.1%
3
15.3%
2
7.3%
1
6.2%

Used Isotretinoin (Accutane®)? Rate It:

Choose from 1 to 5 stars
July 3, 2008

Pros:

One year later = acne FREE!!!! AMAZING!!!!!
Totally worth it!!!!!!!!!!!!!!
The only thing that REALLY worked for me.

Cons:

Lips got pretty dried out. I used vasaline on them = just looks like glossy chap-stick lol
and I had several breakouts throughout & after treatment... take it, wait it out & you'll see!!

TRY IT!!! I know what acne did to my self esteem & feeling like I ALWAYS had to wear makeup... Now I don't have to wear it = I don't even want to! God's miracle pill for acne :) I never thought the day would come where I'd be this comfortable with my complexion.
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July 2, 2008

Pros:

Improvement in my face, but not my back and shoulders.

Cons:

EXTREMELY chapped lips. TO the point where they were cracking on the sides and it hurt to open my lips or smile! Cleared up my forehead and half way down my face, but do get breakouts during my period and every 2-3 weeks.

I say, try everything once. If you have tried the rest, why not?
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July 1, 2008

Pros:

It works like magic once you take it for a little while. It is as simple as swallowing a pill once a day and your acne,as severe as it may be, clears up!

Cons:

The list of side effects: Insane dry skin, aching bones, hair falling out, eye problems, nausea..and the more serious like abnormal fetus, liver failure, depression.

My skin was so dry that my lips were bleeding all the time. My skin was so dry that I could not wax my legs, eyebrows, etc because it would tear the skin. Forget about wearing contacts becaue of the dryness. My hair began to fall out and I was taken off after 2 months because of liver problems.DANGEROUS. It seemed worth it at the time, because I was young and wanted to get rid of my acne, but I don't know what this did to my body. Blood tests once a month were brutal but that is how the docs discovered the liver damage. AND your acne will come back!!!It disappeared for about 2 years, but now I am back in the same boat once again. But I refuse to take Accutane because it makes me uncomfortable.
June 29, 2008

Pros:

directly after coming off it my skin was great except some minor scarring

Cons:

its been 2 years and im starting to break out again in different areas... besides that the stuff increased depression and suicidal thoughts and i ended up in the emergency room

it helped alot... i shouldve gone back on it but if u have a history of depression and anxiety BE CAUTIOUS. it made me lose my ability to enjoy anything. i weighed 110 and lost 20 pounds and all i wanted to do was die. it messes with ur head.
June 29, 2008

Pros:

reduced severity of the acne on my face, for sure. fewer nodules. cleared back acne for the most part.

Cons:

made me terribly terribly depressed, failed to clear skin entirely.

they strictly monitor this drug for good reason. i took accutane in tenth grade and refused to acknowledge the depression symptoms. in my case, it did more harm than good. SERIOUSLY. heed the warnings, yo.
June 29, 2008

Pros:

it cleared up my acne to a certain extent. i was one of the 10% of people who it didn't work completely for.

Cons:

super dry skin (face, lips, etc)

it was worth it, but it didn't clear it up perfectly. i still use the topical tazorac for breakouts.
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June 28, 2008

Pros:

Makes acne nonexistant, takes away ALL pain from it.

Cons:

Face a bit dry - Just use a moisturiser twice a day
Lips crack - Use a lip balm/chap stick

This stuff is so good. I have been using it for 3 & 1/2 months now and have enjoyed it so much. I never had an "initial breakout" or anything, and my face is completely smooth (although there are still a few red spots, but not that red) and I havent had any problems whatsoever while being on isotretinoin.
June 26, 2008

Pros:

Take it and you will never have acne ever again

Cons:

Dry Lips

I've had acne for 6 years; face, back, and chest. I started taking Accutane and my acne was gone in the first month. I broke out pretty bad at first and then it was gone. This is definately worth it.
June 24, 2008

Pros:

definitely works so I give it a 5, though it doesn't last.

Cons:

doesn't last, acne comes back like before sometimes worse than before, which was the case for me

i totally regret using accutane, it cleared my skin for about 1.5 years. for all the money and the damage it probably did to my liver and body, not worth it. the acne came back after 1.5 years and it was worse, felt like all the acne was suppressed inside and all 1.5 years worth came back all at once. ARGH!
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June 24, 2008

Pros:

Definitely works - it is amazing the way it literally unclogs pores.

Cons:

Your skin will be dry and I experienced flushed cheeks, but only slight discomfort really.

Definitely worth trying. I used this five years ago and haven't had more than the odd whitehead since. I've also been taking diane-35 for the past five years and it has kept my hormonal related zittage under control.
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.