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Hoping someone can shed some light and advise which methods are recommended to having clear skin. I have tried so many before but none seems to work permanently: Accutane, laser, topical medications. There was this prized hydradermabrasion that I went for and that resulted so badly with more outbreaks. A facial lady once said that my skin is too dry hence there’s sebum build up and given my sensitive skin, I will suffer more outbreaks if force is exerted to extract and clear the clogged pores. I’m unsure where and who to go for for help. Looking forward to some professional advice. Thanks!
I have tried so many methods to rid of acne before but none seems to work permanently: Accutane, laser, topical medications.
If you want a permanent fix, oral accutane is still your best option. About 2 in 3 people will not have any acne issues after completing a course of oral accutane. Even if they do, any recurring acne tends to be much less severe.
Unfortunately, not everyone can be permanently rid of acne after only one course. Some people may require 2, or even 3 courses. You may want to consider taking a repeat course of oral accutane, after discussion with your doctor.
I’m assuming that you’ve correctly completed your course of oral accutane the first time. Patients who do not get the correct total dose are more likely to relapse.
There was this prized hydradermabrasion that I went for and that resulted so badly with more outbreaks.
Sounds like it was offered by a spa/beautician, who often do not use the most sanitary techniques.
When your skin barrier is traumatised (like any form of dermabrasion will inevitably cause), you will definitely be more prone to infection and acne outbreaks.
I personally also wouldn’t recommend patients to undergo dermabrasion in order to prevent acne outbreaks.
I’m unsure where and who to go for for help. Looking forward to some professional advice.
If I were you, I’d visit a dermatologist or doctor who’s interested in managing acne problems.
He’ll be able to assess your skin type, location and severity of your acne outbreaks, before advising you on the best acne management regime.
Personally, I have a preference towards oral accutane in those looking for a permanent fix. Topical creams wise, clindoxyl lotion and topical retinoid (if you’re not taking oral accutane) work pretty well too.
If your acne tends to be hormonal (cyclical acne around your period) and appearing only at your chin/neck region, there are also several other effective options, such as oral spironolactone and oral contraceptive pills.
Do let your doctor decide on the best management plan!
There are effective treatments for acne and I agree with Dr Ethan that isotretinoin or roaccutane is a very effective treatment. If used appropriately, most cases of acne can be well controlled so it might be worth re-visiting its use. Oral antibiotics are another option that can be considered and they are often used together with topical treatment like tretinoin cream.
Picking and squeezing clogged pores can leave behind more marks which take a long time to clear and is generally not recommended.
I would suggest visiting your dermatologist/doctor again to get your condition re-evaluated so that the appropriate treatment can be prescribed.
Dr Colin Theng