masseter10
Silver
- Joined
- Jan 18, 2026
- Posts
- 647
- Reputation
- 384
If acne is holding you back, Accutane (isotretinoin) is the most powerful reset button you can take. Clear skin alone moves your face 1-2 points.
Who should consider it?
Moderate to severe acne
Acne that scars
Topicals or antibiotics failed
What it does:
Shrinks oil glands
Cuts oil production by 80-90%
Stops new acne
Improves overall skin texture
Dosage:
how many MG's?
Usually whatever your derm gives you (based of bodyweight)
Course: 4-6 months (depends different for some people)
Higher dose = faster results, harsher sides
Moderate dose = slower, smoother ride
Side effects (expect these):
Dry lips, skin, eyes (the basic sides that i have mostly)
Nosebleeds (never had those but everyone reacts different)
Joint pain (had it in my hand for a week but its gone now)
Temporary hair shedding (hair thinning mostly in the first months gets better overtime)
Liver or triglyceride changes (bloodwork required)
How to survive it:
Heavy moisturizer and lip balm (vaseline best)
Gentle cleanser only
Sunscreen daily
Timeline:
Month 1: possible purge, dry lips/skin
Month 2-3: acne rapidly decreases, texture improves
Month 4-6: mostly clear, maintenance phase
After finishing: skin stays less oily, acne rarely returns
Important:
Accutane stops new acne/scarring, doesn’t erase old scars.
Old scars may need microneedling, laser, or peels after acne is gone.
Who should consider it?
Moderate to severe acne
Acne that scars
Topicals or antibiotics failed
What it does:
Shrinks oil glands
Cuts oil production by 80-90%
Stops new acne
Improves overall skin texture
Dosage:
how many MG's?
Usually whatever your derm gives you (based of bodyweight)
Course: 4-6 months (depends different for some people)
Higher dose = faster results, harsher sides
Moderate dose = slower, smoother ride
Side effects (expect these):
Dry lips, skin, eyes (the basic sides that i have mostly)
Nosebleeds (never had those but everyone reacts different)
Joint pain (had it in my hand for a week but its gone now)
Temporary hair shedding (hair thinning mostly in the first months gets better overtime)
Liver or triglyceride changes (bloodwork required)
How to survive it:
Heavy moisturizer and lip balm (vaseline best)
Gentle cleanser only
Sunscreen daily
Timeline:
Month 1: possible purge, dry lips/skin
Month 2-3: acne rapidly decreases, texture improves
Month 4-6: mostly clear, maintenance phase
After finishing: skin stays less oily, acne rarely returns
Important:
Accutane stops new acne/scarring, doesn’t erase old scars.
Old scars may need microneedling, laser, or peels after acne is gone.