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Posts Tagged ‘accutane’

Isotretinoin Helps Acne and Emotions: Notes from a San Francisco Bay Area Dermatologist

Thursday, May 26th, 2011

There is no doubt that acne affects your skin, but it can also have a major impact on your emotional well-being. This is especially true for teenagers, who are already trying to navigate through many new social, physical and hormonal changes.

Many parents’ first reaction to the suggestion of treating their teenage son or daughter’s severe acne with isotretinoin or Accutane is one of great hesitation.  It’s understandable with all the mis-information about the risks of isotretinoin’s potential side effects in the media and on the internet.  While depression is listed as a possible side effect, I have found that in most cases with teenagers, they actually become less depressed as their skin improves and their confidence builds.

Following is a brief about the effects of acne and the treatment of isotretinoin:

THURSDAY, March 24 (HealthDay News) — Adolescents who suffer from acne are more likely to have a lower quality of life and psychological disorders, including anxiety, depression, and suicide ideation, according to research published in the January issue of the Dermatology Online Journal.

Lauren K. Dunn, Ph.D., from the Wake Forest University School of Medicine in Winston-Salem, N.C., and colleagues determined the impact of acne on quality of life, and its effect on self-esteem, mood, and psychological disorders in adolescents aged 13 to 18 years.

The researchers found that the presence of acne had a significant impact on adolescents’ self-esteem and quality of life. Acne was linked to increased incidence of anxiety, depression, and suicidal ideation. Acne treatment with isotretinoin was found to improve quality of life and decrease depressive symptoms.

What I have also seen in my practice is how low self-esteem from acne can follow adolescents into their adulthood.  Even if their acne has cleared, adults may still suffer from its emotional effects and from physical scarring.  That is why treatment of acne early on is so important and the option of using isotretinoin in certain cases should be a consideration.  Successful treatment of acne in teenagers requires open and clear communication between the doctor, the parent and the patient.

 

Spotlight on Acne: Notes from a San Francisco Bay Area Dermatologist

Monday, July 27th, 2009

On its website and on the air, CBS News (7/23) discussed adult acne. In a segment on The Early Show, dermatologist Jeannette Graf, MD, “spoke to Maggie Rodriguez about various solutions for chronic adult acne.” According to the American Academy of Dermatology, “acne is a disease that can affect anyone beyond puberty, and it’s the most prevalent skin condition in the United States…with almost 50 percent of adults suffering from some form of” the condition. Dr. Graf explained what triggers adult acne (genetics and hormones), “who generally suffers from it” (most often women), and “the latest treatments.” If self-treatment at home with cleansers containing salicylic acid or 2.5 percent benzoyl peroxide are not effective, Dr. Graf recommended that people with adult acne see a dermatologist “who may prescribe” retinoids, “antibiotics, or special topical creams.”

We see patients of all ages who are frustrated and embarassed by their acne.  Acne can be a difficult condition to improve, which is why our office offers so many options to help patients.  Our treatments include chemical peels and  Silkpeel Dermalfusion to exfoliate skin and clean out pores.  We also have Isolaz, which uses a vacuum suction to clean out pores followed by a light treatment to destroy acne causing bacteriea.  The Levulan Photodynamic Therapy treatment for acne involves the application of Levulan, a photosensitizing agent, which is then activated with laser.  Levulan PDT inactivates the bacteria that trigger acne, exfoliates the skin to unclog pores, and reduces the activity of sebaceous (oil producing) glands in the skin.

Getting acne under control may also include hormonal  manipulation with  birth control pills or spironolactone, antibiotics or Accutane for refractory cases.  Topical treatments include Retin-A, a chemical that promotes skin exfoliation to reduce clogged pores.  Benzoyl Peroxide to reduce sebum (oil) on the skin.  Salicylic acid helps slow down shedding of the cells inside follicles, preventing clogging.  It also helps break down blackheads and whiteheads.  Topical antibiotics work by killing bacteria. This not only helps reduce the small infections in the pores, but also indirectly keeps the pores open.

One of the most gratifying parts of my job is to treat patients with acne and get results.  Nothing is more rewarding than to see the positive transformation in attitude and self-confidence of patients who suffer from this condition.  No longer do patients feel hopeless or depressed because of their skin.  If you have always thought you had to just put up with your acne, consult with a dermatologist - start looking and feeling your best today!

 

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