What is the best method to get rid of severe acne permanently?
I am 21 years old. I have severe acne. How can I have a healthy face that is permanently cleared from acne?
Thank you for the question. There are many good treatments for acne vulgaris. These include topical treatment, oral antibiotics and oral isotretinoin.
Among these treatments, oral isotretinoin is probably the most effective treatment for controlling severe acne and majority of cases of severe acne can be well controlled.
The recurrence risk of acne upon discontinuation of isotretinoin is also generally lower than with other treatments.
It does have some side effects including dryness of the lips, teratogenicity, photosensitivity and can affect the liver enzymes and lipids.
It is best for you to see your dermatologist/doctor for assessment to determine your suitability for the treatment.
You definitely sound like you need a combination of oral and topical therapies.
Oral isotretinoin is definitely something to consider, although it has side effects. Your doctor can better discuss the risk-benefit issues with you.
Topical chemical peels in light concentrations regularly should help you dry the pimples. Do consider applying some topical antibiotics as well.
Some doctors also consider adding oral erythromycin to reduce the "purge" of isotretinoin in the initial stages.