Isotretinoin, which is commonly sold under the brand name Accutane, has long been considered an essential treatment for severe acne. It provides a viable solution when other therapies prove ineffective. At Dermatology Group of the Carolinas, serving Concord and Charlotte, NC, we often encounter questions about how this powerful medication works to combat persistent acne issues. Here, we delve into the scientific mechanisms of isotretinoin, exploring its effects on the skin at a cellular level and its role in providing long-term relief from severe acne.
What Is Isotretinoin?
Isotretinoin is a powerful medication primarily used to treat severe or cystic acne, a stubborn form of acne characterized by deep, inflamed, and painful lesions that often resist other treatments. It is a vitamin A derivative and belongs to a class of medications known as retinoids.
Isotretinoin works by targeting multiple factors that contribute to acne; it dramatically reduces the size and secretion of the sebaceous (oil) glands in the skin, normalizes the shedding of dead skin cells to prevent clogged pores, exhibits anti-inflammatory properties, and indirectly reduces populations of acne-causing bacteria.
How Does Isotretinoin Work for Clear Skin?
Reduces Sebum Production
One of the primary actions of isotretinoin is to dramatically reduce the size and output of the skin’s sebaceous (oil) glands. Since acne is often fueled by excess oil production, this reduction is crucial in clearing the skin.
Prevents Clogged Pores
Isotretinoin normalizes the shedding of dead skin cells to prevent clogged pores. In acne, these cells can accumulate and block pores, forming comedones (blackheads and whiteheads). By preventing this blockage, isotretinoin reduces the likelihood of new acne lesions.
Anti-inflammatory Effects
It has anti-inflammatory properties that help to reduce the redness and swelling associated with acne lesions. Inflammatory responses are a significant part of acne, and reducing inflammation can lead to less severe outbreaks and a reduction in pain or discomfort associated with acne.
Controls Acne-Causing Bacteria
Although isotretinoin is not classified as an antibiotic, it indirectly reduces the population of Propionibacterium acnes, a bacterium known to contribute to the development of acne. This reduction is primarily attributed to the decrease in sebum production, as these bacteria rely on sebum as their primary growth environment.
Reduces Scarring
By preventing the formation of new acne lesions, isotretinoin can help reduce acne scars. It is important to note that while isotretinoin can prevent new scars, it does not remove existing scars.
Long-Term Remission
Remarkably, isotretinoin commonly results in a sustained period of improvement from acne following a single treatment, which can last for several months. In certain instances, this improvement can even be permanent, or individuals may notice a considerable decrease in the intensity and occurrence of acne breakouts.
How Long Does Isotretinoin Treatment Typically Last?
Isotretinoin treatment duration may differ, but it generally lasts four to six months. The treatment course can be altered based on how the patient’s skin reacts to the treatment and the occurrence of any side effects. In some cases, patients may need more than one course of treatment to get the desired outcomes.
How Soon Will You See Results From Isotretinoin Treatment?
The effectiveness of isotretinoin treatment for acne can vary from person to person. While some patients may start noticing improvements as early as one month into the treatment, others may take longer to see any visible changes.
It is important to note that in some cases, acne may initially appear worse before it starts to improve. Therefore, it is essential to give the treatment some time to work before expecting significant results. Typically, it takes four to six months for the full benefits of the treatment to become apparent. During this time, it is crucial to follow the prescribed dosage and maintain a healthy skincare routine to ensure the best possible outcome.
Can You Use Other Acne Treatments While on Isotretinoin?
It’s important to consult a dermatologist before combining isotretinoin with other acne treatments. Due to its potency and range of effects, using other treatments, particularly those that are drying or abrasive, can increase the risk of severe skin irritation and other side effects. In many cases, isotretinoin is sufficient on its own to effectively treat severe acne.
How Should You Care for Your Skin While on Isotretinoin?
Skincare during isotretinoin treatment should focus on gentleness and hydration. Use a mild, non-abrasive cleanser and a good moisturizer to combat dryness. It’s also important to use sunscreen regularly, as isotretinoin can increase skin sensitivity to sunlight. Avoiding waxing and other harsh skin treatments is recommended to prevent skin irritation.
Who Is a Good Candidate for Isotretinoin Treatment?
Ideal candidates for isotretinoin are individuals with severe cystic acne or acne resistant to other treatments. It’s also considered for those who suffer from extensive acne that causes scarring or significant psychological distress. We evaluate patients on a case-by-case basis, considering factors like the severity of acne, response to previous treatments, and overall health.
Discover the Power of Isotretinoin for Acne in Concord & Charlotte, NC
At Dermatology Group of the Carolinas, we take the treatment of acne in adults seriously. We provide isotretinoin as one of our many acne treatment options in Concord and Charlotte, NC. Isotretinoin, also known as Accutane, is a powerful medication taken orally and has been proven successful in treating severe acne that has not responded to other treatments. We are well-equipped to diagnose and treat acne for our patients. If you are seeking an acne treatment solution, contact us online or call (704) 784-5901 to see if isotretinoin may be right for you.
