Acne Scarring - Post Inflammatory Hyperpigmentation – Simplicite Skin Care.isotretinoin for acne (Accutane & Roaccutane)

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How to get rid of acne marks after accutane. Will Accutane Remove Acne Scars? 



How to get rid of acne marks after accutane -


A common question that we receive at the Advanced Acne Institute is whether Accutane can treat acne scars. At first this seems like a pretty straightforward question.

However, it is actually more complicated than you may think. First of all, acne sufferers think of acne scars in different ways. The discoloration left by pimples is technically referred to as post inflammatory hyperpigmentation or post inflammatory pigment alteration, in which the discoloration can be darker than the normal skin color or appear persistently reddish even after the initial pimple has healed.

In the field of acne treatment, we typically refer to these different types of acne scars as boxcar scars which have a rectangular depression with fairly defined borders, and ice-pick scars which are small, deep holes in the skin or rolling scars which are areas of uneven skin surface. Hypertrophic scars are acne scars that are raised above the skin surface.

A comprehensive discussion of the different types of acne scars can be found here. One of the important considerations in answering the question whether Accutane can treat acne scars must take into consideration how each acne sufferer defines the term.

Only then can this question be answered appropriately for each individual. For example, is it the skin imperfection that is bothering them or is it the discoloration? Furthermore, red or dark discoloration often accompanies the actual physical scars. Therefore it is often necessary to tease apart the feature that is most unsettling for each patient. Is it the scar itself or is it the discoloration within the scar?

So the first objective is to develop a mutual understanding of what is meant by a scar. And then it is vital to understand whether the patient is bothered by the redness or discoloration within the scar or if it is only the skin depression or the hole within the surface of the skin or the unevenness of the skin surface.

Only after achieving common ground as to what the real concern is can a treatment plan be effectively formulated and the role of Accutane considered.

To be more clear, if an acne sufferer is concerned mostly about how visible the scar is, this can often be addressed by targeting the discoloration without having to actually treat the actual scar itself. In other words, if we use Accutane treatment to prevent new breakouts from erupting, this will prevent new spots of discoloration and allow the old marks to simply fade away with time.

The effectiveness of waiting for discoloration to fade should not be under-appreciated. In reality, the fading can occur relatively quickly and the patient can be very happy with the results. In this way, Accutane can be a very effective treatment to gain control over the troubling appearance of redness or discoloration that so often occurs within acne scars.

Another important consideration is that Accutane is the most effective way to prevent further acne scarring. That is, by preventing more breakouts, Accutane is a very effective treatment which can limit the risk of additional scars forming. This is a vital part of any treatment or discussion regarding acne scar treatment.

Once this is explained and once an acne sufferer understands that the persistent discoloration will disappear completely over time as long as we can prevent new breakouts from forming, expectations are better managed and hopefulness can be achieved once again. So in this scenario, a patient who is seeking treatment for acne scars may be best helped by explaining the difference between scars and discoloration and by further targeting what is actually the source of their frustration.

The Advanced Acne Institute is a unique dermatology practice located in Miami, Florida specializing only in the treatment of acne. We focus solely on providing the most effective treatments to help our patients achieve clear skin. We are pleased to share our insights and perspectives in acne treatment as an educational service, however this information is provided strictly for educational purposes only and should not be considered medical advice and is not a substitute for seeking the advice and treatment by an appropriate medical professional.

Acne Treatment Miami. Request Appointment Login Stopping Further Acne Scarring Another important consideration is that Accutane is the most effective way to prevent further acne scarring.


When Can I Treat My Acne Scars After Accutane?

  In summary, yes you can have chemical peels and laser after Accutane, if it has been greater than 6 months. The best approach is to consult one. After you have been off Accutane for about 6 months, talk to your dermatologist about options for treating the scars, such as chemical peels and lasers. more.     ❾-50%}


Will Accutane Remove Acne Scars? - Advanced Acne Institute - A Laser & Acne scar Specialist Explains

    We focus solely on providing the most effective treatments to help our patients achieve clear skin. There are many case series and 1 randomized clinical trial demonstrating normal wound healing after treatment with ablative and nonablative fractional lasers in patients receiving systemic isotretinoin. Severe acne scarring can be avoided when relevant treatment is given early on.

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Isotretinoin, the drug that revolutionized acne treatment, is the only medication that can clear acne and produce long-term remissions. Since its introduction init continues to be a vital and widely used acne medication worldwide.

It is used mainly for severe, recalcitrant nodulocystic acne as well as recalcitrant moderate acne. Abroad, isotretinoin tends to be dispensed more liberally than in the US and with a trend toward lower doses. This article will not cover the well known pharmacology, dosing, and side effects of this medication. The goal is to have the patient very well educated and for the provider to have all the tools and knowledge to guide the patient through a successful treatment.

Educating patients about isotretinoin and how it differs from other treatments is no easy task. Isotretinoin is a unique drug and is completely different than any other acne medication. Below are the topics that are essential to cover during the patient visit and information on how I explain them to patients. Much of this information is included in the Isotretinoin Fact Sheet to be discussed later that I routinely hand out.

Q: What is isotretinoin? Isotretinoin is a pill you take for four to five months. Your acne will start to improve in one to two months, and the vast majority of people are clear at the end of treatment. It is the only acne medication that permanently reduces acne an average of 80 percent—some people a little more and some a little less. It also makes our skin less oily long-term.

Twenty percent of patients take the medication a second time if they still have significant acne. Some blood tests are required. After hearing so much about how effective isotretinoin is, patients expect dramatic results the first month and need to have their expectations managed. Temporary improvement vs. Isotretinoin is the only medication to produce a substantial permanent reduction in acne after you stop taking it.

Isotretinoin is the only medication where these expectations can largely be met. For some people, it is quite a shock that at age 14 for example, without isotretinoin and sometimes with it if they do not get full clearance they will be treating their acne at least another five years.

This stark contrast between isotretinoin and non-isotretinoin treatment should be made crystal clear. How does it work? Isotretinoin works by shrinking your oil glands and normalizing the way your skin grows, which prevents pimples and clogged pores.

Because your lips have a lot of oil glands they will become dry first, followed by your face and possibly other areas.

Using lip balm frequently and moisturizing creams can manage these symptoms quite well. You will also sunburn faster. We expect the medication to do this—this is how it works.

Isotretinoin does not make scars or PIH post inflammatory hyperpigmentationor post inflammatory erythema disappear. Some of the red marks and brown spots will clear up as your acne clears.

The scars will not be affected by isotretinoin. A few months after you finish treatment, we can see what red marks and brown marks remain, assess your scarring, and review your treatment options for clearing those up. Some treatments, like hydroquinone blend bleaching creams, can be initiated immediately after isotretinoin is finished or even during treatment if the skin can tolerate it.

For some treatments lasers, chemical peels, etc. Initial flare is not therapeutic! I f your acne gets worse in the first month or two, let us know so we can treat it! Initial flare is a common but preventable side effect. The more severe, inflammatory, widespread and cystic the acne is, the more common initial flare is.

Strategies to prevent initial flare include lower initial dose and concurrent use of prednisone the first month. Acne can also get worse the first month simply because all other acne medications have been discontinued and isotretinoin may take a month or two to begin working, causing a treatment gap.

Keep in mind that non-drying topical medications can be continued as can spironolactone for female patients and any antibiotic except tetracyclines due to the increased risk of Pseudotumor Cerebri. Take with food: Isotretinoin absorbs twice as well if you take it with meals. Isotretinoin is a lipophilic medication. One study showed 1. For the first few monthly follow-ups, I reinforce this important message of taking the medication with food.

The easiest way to asses if the patient is a candidate for bid dosing is to ask if they have breakfast most days. If they do, ask what they eat. If it is a light meal or they do not regularly eat breakfast, stick with QD dosing. Although the pharmacokinetics do favor twice daily dosing, if that causes more medication to be taken in the fasting state with poor absorption, it is counterproductive. In isotretinoin-Lidose Absorica came on the market promising higher absorption both in the fed and fasting states.

While it does have a marginal edge in the fed state vs generic isotretinoin keep in mind this was tested with the 1, calorie high fat meal, which very few people eat its real advantage is in the fasting state.

Its fasting absorption is 68 percent versus the fed state. This was much better than standard isotretinoin, which only reached Over the course of treatment, poor absorption could lead to lower actual cumulative doses and higher relapse rates.

Patients with low fat diets or those who have irregular meal schedules benefit most from isotretinoin-Lidose. Birth defects: This medication can cause birth defects only while you are taking it and a month after, which is explained at the last visit but does not affect long-term fertility.

What this means is that if you become pregnant while taking it there are very strong odds of losing the baby or of serious birth defects. For this reason every female who is biologically capable of becoming pregnant must take monthly pregnancy tests and have a pregnancy prevention plan. Your colleagues will almost certainly offer positive feedback and praise for this drug. Many have even prescribed it to their own children.

However, when you discuss it with patients, a significant number have a negative opinion. How did this huge disconnect happen? It would take an entire article to detail the history of the bad press isotretinoin has received. This creates significant challenges reconciling our views with what the patient has heard from non-expert sources.

Great care must be taken when discussing isotretinoin as a treatment option, as it has a potential to alienate patients if not done properly. They report feeling overwhelmed and like they had little input and were not given all the treatment options. Even if the patient is open to taking isotretinoin, it is easy to understand their concern taking a medication that requires monitoring and is teratogenic.

The right approach is crucial. If our opinion is that isotretinoin is the only viable option, the conversation is straightforward. A new acne patient questionnaire is a great starting point. Isotretinoin is on that list listed as Accutane so patients recognize it. Some people circle it and some cross it out this does not necessarily mean they will never consider it, but expect resistance. This level is very difficult to achieve for severe acne patients without isotretinoin and patients need to be educated to that reality.

Many believe that there has to be something else that will get them these results, therefore, a breakdown of available treatments and expected results is often needed. If not, the patient may believe that you are just pushing one treatment option on them. Accutane is also a good option. The patient may then offer up what they have heard about Accutane, negative or positive. Many will not say anything, which usually indicates they have not heard of it at all and need to know the basics.

Even if we convince them that this is the best treatment choice, and they agree, many will not return or will return wanting to try something else. We cannot and should not hold it against patients or look down on them that they have been exposed to misinformation that they accept it as fact.

There are not experts. It is considered safe, very effective, and has never been withdrawn from the market in any country for safety concerns. Within the dermatology community, it is not considered a controversial medication. Dermatologists are very comfortable with its use, so much so that many prescribe it to their own children or relatives I usually add here that my brother took it on my recommendation.

But the most important thing is that you have to be comfortable with it. If the patient wants to consider it as an option right then and there they will pursue that conversation, if not I pivot to other treatments. If the patient chooses other treatments, at least you have set the stage for more informative discussion down the road if they are not getting the results they want.

We have become very comfortable with using isotretinoin but must remember that for a patient, parent or teen, to consider taking a medication that is teratogenic and needs monitoring may just be too scary to consider, even if it is the only thing that will help. Often times our failure to navigate it and guide patients through it prevents patients from getting their medication. Prescribers should not delegate iPLEDGE responsibilities to medical assistants without first mastering the system ourselves.

For me this required several months of clearing people and making multiple calls to iPLEDGE, but it was a worthwhile investment. Going through this process, I concluded that it is unrealistic to expect a person with a medical assistant level education to master iPLEDGE on their own. We have to register them and clear them every month but they do absolutely nothing. Whether these patients had blood tests is not a criteria for clearing them. They have a day window to pick up their medication.

Registration cannot take place without a pregnancy test and even if the pregnancy test date precedes the registration date, the day window starts on the registration date. This is why it is important to register patients the day the pregnancy test results come in to avoid delays.

Schedule a four and a half to five week follow-up rather than four weeks follow-up for the second visit.

In summary, yes you can have chemical peels and laser after Accutane, if it has been greater than 6 months. The best approach is to consult one. After you have been off Accutane for about 6 months, talk to your dermatologist about options for treating the scars, such as chemical peels and lasers. more. Patients to some degree view scars, PIH, or post inflammatory erythema as “acne,” and many believe everything will clear up with isotretinoin. Some treatments. Getting rid of acne and addressing acne scarring is a challenge. It takes a great skin care regimen, dedication, persistence and an. When can you begin your acne scar treatment after discontinuation of Accutane, Prescribing Accutane might completely cure acne, hence improving the. Norddigesvej 4, 1st floor Risskov, Denmark, DK. Basically, Accutane has an immense effect on the oil glands by reducing the size of the oil glands, cell shedding and the stickiness of cells in the glands. As upsetting as acne scars and PIH can be these conditions can be successfully treated with effective natural skincare - the key is patience and consistency.

Also, what you may think is acne scarring could actually be something else: post-inflammatory hyperpigmentation PIH. The pesky pink, red or purple marks that are left behind after acne and breakouts finally clear. Some people are more prone to having this residual scarring than others - this is usually due to genetics as well as skin tone influence - the fairer the skin, the more obvious the red, pink or purple scarring is.

More severe acne and breakout problems leave more pronounced red, pink or purple scarring. The good news is that this sort of acne scarring is easily treatable when you use effective natural skin care products that contain specific mixtures of high quality plant extracts aimed at reducing acne scarring. The routine to do this includes using One Step Exfoliating Cleanser every night after cleansing, also twice daily application of Antioxidant Plant Serum - as part of the basic skin routine.

Many people who have taken the drug Accutane aka Roaccutane as an acne treatment are left with this pink, red and purple scarring. We strongly suggest avoiding Accutane at all costs as not only can it damage your skin but it can have serious psychological effects. Indented marks in the skin - this 'pitting' is caused from not extracting bacteria from breakouts and pimples; bacteria left to sit in the pore will gradually eat into skin and leave an indented mark, a hole in skin.

Improvement for this type of acne scarring can be achieved by using the gentle and effective One Step Exfoliating Cleanser nightly, with additional results found by applying Rosehip and Lavender Complexion Refiner at least twice weekly. Otherwise it is best to consult a dermatologist for specific help. Knowing the difference between acne scarring described above and post-inflammatory hyperpigmentation below is important.

When you can accurately identify and then be able to treat either condition properly you'll avoid any further damage to your skin. Post-inflammatory hyperpigmentation is the reddish, pinkish or brownish spots that are left over after a pimple heals. These is not true scarring as such, more a temporary discolouration of skin as part of its normal inflammatory healing process.

When skin is opened up — for example after popping a pimple — abnormal pigmentation, tone, and texture that is different to the healthy surrounding skin can result. For those with paler skin tones, PIH is usually pink, red, or purple.

Those with darker skin tones may develop brown or even black spots. PIH can sometimes fade by itself, but this is rare and if it does happen can take a very long time. As with any skin condition, faster and more lasting improvements will be seen if you are using effective natural skin care that feeds your skin back to health. The better overall shape your skin is in, the more quickly any new blemishes and marks will fade. One Step Exfoliating Cleanser - use every evening after cleansing or no less than 4 times per week.

Contains Cinnamon - encourages contraction of skin tissue and contains substances that encourage a protective coating to form on damaged scarred skin; Lavender - encourages cellular regeneration and reduces surface scarring. Sage Face Oil will help to reduce scarring and also to correct excess oiliness. It must be applied morning and night after cleansing - apply with Hydrating Floral Toning Lotion for combination dry oily skin.

Lemon Night Creme applied after Sage Face Oil in the evening will help to reduce the depth of the scars. As upsetting as acne scars and PIH can be these conditions can be successfully treated with effective natural skincare - the key is patience and consistency. Read about the wonderful results one of our customers Jenny Douglass achieved for reducing acne scarring and post inflammatory inflammation. Natural skin care treatments for acne scarring. Nutrient Rich.

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