Effective Acne Treatment: Post-Roaccutane Care and Solutions

Acne issues

Hello, doctor.
I have a few questions regarding my treatment.
I have completed an 11-month course of oral isotretinoin (Roaccutane).

1.
I currently have a lot of comedones on my nose.
Can I use topical isotretinoin (such as Tretinoin) to improve this condition?
2.
After finishing the oral isotretinoin course, my skin has significantly reduced acne, but I still experience breakouts due to late nights.
Which is better for different types of acne: Clindamycin ointment or Aczone gel?
3.
For erythematous acne scars, aside from cherry blossom laser treatment, are there any other methods to accelerate the reduction of redness?
4.
Regarding atrophic acne scars, which generation of fractional laser is more effective? Is it sufficient to refer to the device as Fraxel?

Niming, 20~29 year old female. Ask Date: 2017/06/07

Dr. Wu Yuxin reply Dermatology

1.
Yes.
2.
We need to examine it first to understand the issue before we can address it and help you choose the appropriate medication.
3.
Intense Pulsed Light (IPL).
4.
There is no standard answer to this question; it depends on the characteristics of the atrophic scars.

Reply Date: 2017/06/07

More Info

After completing an 11-month course of oral isotretinoin (Roaccutane), it's common to have questions about post-treatment care and how to manage any remaining acne or scarring. Here’s a comprehensive overview addressing your concerns:
1. Using Topical Retinoids Post-Roaccutane: It is generally safe to use topical retinoids like adapalene (found in products like AcneFree or Differin) or tretinoin (like your mentioned "痘膚潤") after completing a course of isotretinoin. These medications can help with residual comedones (blackheads and whiteheads) and improve skin texture. However, since your skin may still be sensitive post-treatment, it’s advisable to start with a lower concentration and apply it sparingly, perhaps every other night, to assess your skin's tolerance.

2. Topical Antibiotics for Acne: Clindamycin is an effective topical antibiotic that can be used for inflammatory acne, such as papules and pustules. It works by reducing bacteria on the skin and has anti-inflammatory properties. On the other hand, Aczo (which contains benzoyl peroxide) is beneficial for both inflammatory and non-inflammatory acne, as it helps to unclog pores and reduce bacteria. If you experience more cystic or inflamed acne, Clindamycin would be preferable. For milder breakouts or to prevent new ones, Aczo could be a good option.

3. Treating Post-Acne Erythema (Red Scars): For post-inflammatory erythema (red marks left after acne), aside from laser treatments like cherry blossom laser (which is likely a form of pulsed dye laser), you can consider topical treatments containing ingredients like niacinamide, azelaic acid, or vitamin C, which can help reduce redness and improve skin tone. Additionally, using sunscreen diligently can prevent further pigmentation and protect healing skin.

4. Treating Acne Scars (Indents): For atrophic scars (like ice pick or boxcar scars), fractional laser treatments, such as Fraxel, can be effective. The term "Fraxel" refers to a specific brand of fractional laser, and there are different generations of this technology. Generally, the newer generations offer improved efficacy and recovery times. It's essential to consult with a dermatologist to determine the best type of fractional laser for your specific scar type, as they can tailor the treatment based on your skin's condition and your desired outcomes.

In summary, post-Roaccutane care involves a careful approach to managing any residual acne and scarring. Using topical retinoids can help with comedones, while clindamycin and benzoyl peroxide can target different types of acne. For redness, consider topical treatments and sun protection, and for scars, fractional laser treatments like Fraxel can be beneficial. Always consult with your dermatologist before starting new treatments to ensure they are appropriate for your skin type and condition.

Similar Q&A

Effective Acne Treatments: Expert Advice and Options in Changhua

1. Could you please recommend a well-known acne clinic or dermatologist in Changhua? (Authority) 2. My acne issue seems to fall into the moderate to severe category, with comedones, many inflamed cystic lesions, and some small red papules. 3. How long does the treatment typic...

Dr. Jiang Zheen reply Dermatology
You don't necessarily need to go to a renowned specialist; any board-certified dermatologist can effectively treat your acne. In fact, many patients find that their doctors have limited interaction time. Generally, acne treatment requires 3-4 months. Oral isotretinoin is the...

Understanding Roaccutane: Side Effects and Care Tips for Acne Treatment

Hello, due to my long-standing severe acne issues, I was recently referred by a friend to a clinic in Taichung City, where the doctor prescribed me isotretinoin (brand name Roaccutane) at a dosage of 20mg. Additionally, I need to take the anti-inflammatory medication doxycycline ...

Dr. Zhang Xiaolin reply Pharmacology
Hello: Roaccutane (isotretinoin) is used for the treatment of more severe acne. This medication normalizes skin keratinization, suppresses sebaceous gland activity, reduces sebum viscosity, and decreases follicular obstruction. Side effects may include headache, fatigue, cheiliti...

Struggling with Persistent Acne: Effective Treatments and Solutions

I frequently develop acne in the same areas, particularly on my cheeks and chin, while small pimples on my forehead can be itchy and sometimes appear in clusters. The blackheads on my nose are difficult to remove, and my skin is very oily and easily collects dust. Additionally, I...

Dr. Zheng Lizhen reply Dermatology
L-ascorbic acid can help accelerate the fading of post-inflammatory hyperpigmentation after acne, but acne still needs to be properly treated. Yulian has many blackheads, so it is important to maintain facial cleanliness. In addition to washing the face, topical products such as ...

Effective Acne Treatment Options Beyond AHA and Retinoids

My acne is almost covering my entire face. I have used retinoids and alpha hydroxy acids to soften the keratin, but after using them for a while, there has been no significant improvement. Besides using retinoids and alpha hydroxy acids, what other methods can I use to eliminate ...

Dr. Huang Ruiyun reply Dermatology
While it is true that some people may have their faces covered in acne, it is not common. I hope you are not mistaking other conditions for acne. It is important to consult a dermatologist to determine the appropriate treatment method.