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What are my options if Accutane does not work?

Acne & Scars Skin, Hair & Nails

I have just completed 2 courses of Accutane, but seem to relapse after stopping it each time. After ending my second course a few days ago, I noticed that my skin has already started becoming oilier, and little pimples are popping up every day. I do not want to go on Accutane again due to the side effects. What are the best acne treatment options for me?

DOCTOR’S ANSWER (2)

Sorry to hear that you are suffering from recurrent acne. Accutane is generally extremely effective at treating acne and shrinking the oil producing glands.

Usually when acne flares quickly on stopping, it is because a suboptimal dose has been given, or that it has not been given long enough.

I would suggest you seek help from a dermatologist or doctor who is experienced in acne management. There are also other treatments such as topicals or even lasers that you can add in for the best possible treatment outcome.

Hope this is helpful and you get better soon!

Warmest regards

Dr Stephanie Ho, Dermatologist


Dr Stephanie Ho
BSc (Hons) in Psychology, MB ChB, MRCP, CCT Dermatology, FAMS Dermatology

Stephanie Ho Dermatology

PACIFIC PLAZA, #08 - 05
9 SCOTTS ROAD
Singapore 228210


995 views 23 Aug 2018

Accutane (Vitamin A derivative) is used to treat severe cystic acne that does not respond to oral antibiotics (Tetracycline, doxycycline) or topical gel (Benzoyl Peroxide or clindamycin)

The other options that are available if you are not keen to take accutane could be a combination of the other treatments as listed below

1) Hydrabeauty or Hydra facial 

 This deep cleansing facial can help to deep cleanse the pores reducing sebum and bacteria on the skin. It can also hydrate the skin

2) Innoplus Microneedling 

This treatment uses very fine 33 G needle to deliver RF Waves to destroy  the sebaceous glands and bacteria thereby reducing acne outbraeks

3) Spectra Carbon Laser

The heat and exfoliation produced by the Carbon laser can destroy the bacteria,reduces pore size and pigmentation

4) Intense Pulse Light (IPL)

IPL can kill the bacteria,lighten pigmentation and reduce inflamation in acne

3) Oral contracetive pills such as Diane 35 may help

It would be good for you to see a doctor to discuss your problems and  other alternative treatment

Cheers

Dr Lim Heng Wei

Aesthetic


Dr Lim Heng Wei
MBBS

LIM CLINIC & SURGERY
109 TOA PAYOH LOR 1
#01 - 312 Singapore 310109

946 views 25 Aug 2018
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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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