Acne and Accutane Management

Acne is a common, benign skin condition characterized by localized breakouts in the form of postures, blackheads, and whiteheads.

Although it is most common in teens, adults may also experience episodes of acne breakouts.

The worst part about acne is its appearance. Since it most frequently occurs on the face, breakouts can cause extreme embarrassment and lead to a lack of self-confidence.

Acne is highly treatable by our dermatologists. With our premier dermatology practice in Miami, help is just a short drive away.

What are the Symptoms of Acne?

Since there are many types, symptoms can vary depending on the type and severity.

Generally, the most common symptoms include:

• Whiteheads. These are pores that are both closed and plugged.
• Blackheads. These happen in pores that are plugged, yet still open.
• Papules. These are small bumps that are red and tender to the touch.
• Pimples. Commonly known as pustules. These are papules, but they have pus at their tips.
• Nodules. These are painful lumps under the skin that are solid and typically large.
• Cystic lesions. These are defined as pus-filled lumps under the skin that are quite painful.

Types of Acne

The two most common forms are:

• Noninflammatory
• Inflammatory

Within these categories are subcategories. For example, noninflammatory is characterized by blackheads and whiteheads, both of which rarely cause swelling and usually respond to over-the-counter medications.

As for inflammatory, this includes papules, pustules, nodules, and cysts. This type is more difficult to treat since it involves infections that are deeper underneath the skin.

What Causes It?

When it appears, it is due to four main factors that may work in combination with one another. These include:

• Hair follicles clogged by dead skin cells and oil
• Excess production of oil
• Inflammation
• Bacteria

Along with these factors, other things can trigger an attack or worsen existing acne. Among these are:

• Hormonal changes
• Medications
• Stress
• Diet

When hormonal changes occur during puberty or midlife, androgen production increases and can trigger or worsen acne. Also, medications containing testosterone or corticosteroids can make it worse.

Accutane Treatment

Accutane (isotretinoin) is a powerful oral medication used to treat severe acne, particularly cystic or nodular, that has not responded to other treatments.

How Accutane Works

• Reduces Sebum Production: Significantly decreases oil production in the skin, a key factor in acne development.
• Shrinks Sebaceous Glands: Helps to permanently reduce gland size.
• Prevents Clogged Pores: Normalizes skin cell turnover to prevent pore blockage.
• Kills Acne-Causing Bacteria: Creates an environment less conducive to bacteria growth.
• Reduces Inflammation: Alleviates redness and swelling associated with severe acne.

Treatment Course

• Duration: Typically 4 to 6 months, though longer courses may be needed for severe cases.
• Dosage: Based on weight and severity; cumulative dosage is calculated for long-term effectiveness.
• Results: Most patients see significant improvement or complete clearance of acne during or shortly after treatment. Recurrences are possible but often milder.

Our premier dermatology practice in Miami Florida, Design Dermatology & Aesthetics, can help end the cycle of acne.

Schedule your appointment now.