Isotretinoin (Accutane®)
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Side Effects

Isotretinoin is a vitamin A derivative called a retinoid that is taken orally and is approved only for severe acne. It is thought...

Isotretinoin is a vitamin A derivative called a retinoid that is taken orally and is approved only for severe acne. It is thought to clear acne primarily through its ability to permanently reduce skin oil (sebum) production.

Isotretinoin is available in capsule form and is usually taken twice a day. Your physician will prescribe an initial dose, and this dose may increase or decrease depending on the response to treatment and side effects.

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October 12, 2006

Pros:

Completely cleared my skin

Cons:

Dry skin, headaches

Took for 6 months. I didn't see any real improvement until my 4th month on it, but if only I could show you a before and after pictures, you would be amazed. The week I stopped my dry skin and headaches ceased and my skin was left clear and unblemished. Bottom line is simple, the side effects are a small price to pay for the amazing things this drug can do to your skin.
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October 11, 2006

Pros:

Dry Skin

Cons:

Headaches

I am 27 and have had cystic acne since the age of 12.My breakouts are not all over my face but a few nodules deep under my skin.Unfortunatly they swell and can be extreamly painful, some times so presistant they require surgery.When I was 18 I started seeing a dermatologist and he perscribed Azaelic cream, it did nothing.After 25 I noticed my skin starting to scar, that is when I foud a better dermatologist. After numerous topicals and perscriptions I started accutane treatment three weeks ago. Dry skin is the greatist thing ever. I am dealing with three cysts at the moment but I am not oily at all. I get all excited about using chap stick, a thing that would have broken me out big time in the past. I have been having headaches behind my eyes in the morning, but that is the only side effect so far, besides the peeling skin on my face ears and scalp,a little gross, but ok. Hopefully it works for me I am keeping my fingers crossed, and I guess my insurance covered it only $15.
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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.
Find a Doctor Using The American Acacemy of Dermatology Website

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.
Find a Doctor Using the American Society of Plastic Surgeons Website