Should i hop on accutane? (Photos)

[Laczekkk]

Im 17, 171cm idk if plates are closed but i can check it.
Im using good skincare for over 2 years like month or two i stopped using tret 0.05 that i used for 4 months because the results wasn't satisfying.
I do clean diet etc...
I need your help to tell me if i should hop on it and is there sides effects or things that i need to know
Thanks yall ;D ( i don't have any acne on forehead but some really small pimples on back btw)

 

[LLcel]

i dont type in the word yes because it hurts

 

[Laczekkk]

@iamlč @crim.sor @ascendedltn @kingofkings

 

[Zeekie]

Accutane sounds like it could help you for your backne, but if tretinoin didn't remove those... I think that's not acne bro, not active acne at least. Could those be acne scars instead?

Also, buy a back scrubber and potentially use benzoyl peroxide or salicylic acid for your back if you don't the decide to use Accutane or while you don't have it.

 

[Laczekkk]

Accutane sounds like it could help you for your backne, but if tretinoin didn't remove those... I think that's not acne bro, not active acne at least. Could those be acne scars instead?

View attachment 3924898

Also, buy a back scrubber and potentially use benzoyl peroxide or salicylic acid for your back if you don't the decide to use Accutane or while you don't have it.

Back isn't the thing that im scared of. It is just a fact that i could have some really really small pimples from time to time and i didn't used tret there.

 

[hybobu]

looks super minor and kinda indented accutane might be pointless

u couldnt pay me to hop on it i wouldnt bother with something that i had to zoom in to see

 

[Zeekie]

Back isn't the thing that im scared of. It is just a fact that i could have some really really small pimples from time to time and i didn't used tret there.

I mean Accutane sounds like a great option there, probably a micro dose though, your case does NOT warrant a high dose of Accutane at all, and the bodily issues you get from a high dose of Accutane wouldn't be a small trade-off here.

But again, not that even on Accutane, it looks like you have some active pimples, but that majority of the stuff on your face is actually acne scarring or post inflammatory pigmentation. A retinoid will not get rid of that per se, Accutane or continuing tretinoin long-term will very slowly improve the appearance, but you need targeted treatment or actives to fix the hyperpigmentation.

My personal verdict is that it's not worth it. Continue with the tretinoin, and seek to target the acne scars with direct treatment, I can elaborate on that. But Accutane will not help completely clear your skin here, though it will prevent any small pimples from forming

 

[Laczekkk]

looks super minor and kinda indented accutane might be pointless

u couldnt pay me to hop on it i wouldnt bother with something that i had to zoom in to see

Thanks, the worst is the right side but i do have it for so long time that i don't even know what should i do now.
I'm Lost ;'D

 

[Zeekie]

Thanks, the worst is the right side but i do have it for so long time that i don't even know what should i do now.
I'm Lost ;'D

Sounds like instead of Accutane you should do hydroquinone to address your hyperpigmentation.

Hydroquinone + Tret + Sunscreen will help you.

 

[Laczekkk]

Sounds like instead of Accutane you should do hydroquinone to address your hyperpigmentation.

Hydroquinone + Tret + Sunscreen will help you.

Thanks for great advice!
How could i get the "Hydroquinone"?
And tbh tret was kinda rage baiting me, Every 2 to 3 days my skin was coming out like i saw some white things on my face that looks like peeled skin (mostly on chin and while washing the face it would come from jawline to)

Edit: im trying to tan this summer, isn't tret gonna be bad even with spf 30? im scared

 

[Zeekie]

Thanks for great advice!
How could i get the "Hydroquinone"?

Did you get the tretinoin prescribed or did you guy it online? If you bought it online, I'd assume the same place you got the tretinoin. but maybe a dermatologist can help you if you need a prescription.

And tbh tret was kinda rage baiting me, Every 2 to 3 days my skin was coming out like i saw some white things on my face that looks like peeled skin (mostly on chin and while washing the face it would come from jawline to)

That's retinoid peeling, if you're never used a retinoid, or you hopped straight into it every single day (instead of the traditional "warm up" where you do 1x/week, 2x/week and finally work up to every day) the hyperpigmentation may not have been caused by the acne itself, but the retinoid inflammatory response since you went too quickly lol.

As for usage:

• The same way you use tretinoin, a pea sized amount mixed with tretinoin all over your face AT NIGHT, avoiding direct application to the undereye area.
• The following day you use sunscreen if you are exposed to the sun.
• Avoid concentrations above 10%, ideally 4-6% because you can get rebound hyperpigmentation if you use high amounts when your skin doesn't need it.
• Discontinue the treatment once the scars fade, but of course, continue tretinoin, that's for life bro

 

[ascendedltn]

Your skin isn't so raped that accutane is the only solution it seems like... That being said if you haven't seen any significant improvement after months of diet and skincare I think you should absolutely go for the accutane. I think anyone with moderate to sever acne should just take it.

 

[Laczekkk]

Did you get the tretinoin prescribed or did you guy it online? If you bought it online, I'd assume the same place you got the tretinoin. but maybe a dermatologist can help you if you need a prescription.

Long story short, i got it in egypt

That's retinoid peeling, if you're never used a retinoid, or you hopped straight into it every single day (instead of the traditional "warm up" where you do 1x/week, 2x/week and finally work up to every day) the hyperpigmentation may not have been caused by the acne itself, but the retinoid inflammatory response since you went too quickly lol.

As for usage:

• The same way you use tretinoin, a pea sized amount mixed with tretinoin all over your face AT NIGHT, avoiding direct application to the undereye area.
• The following day you use sunscreen if you are exposed to the sun.
• Avoid concentrations above 10%, ideally 4-6% because you can get rebound hyperpigmentation if you use high amounts when your skin doesn't need it.
• Discontinue the treatment once the scars fade, but of course, continue tretinoin, that's for life bro

I did used tret every 4 days, after 1,5 month every 3 days, then i was keep switching from 2 to 3 days because skin was peeling and i was scared asf. I used la roche posay moisturizer and after 10 minutes i apply tret

 

[Zeekie]

Long story short, i got it in egypt

I did used tret every 4 days, after 1,5 month every 3 days, then i was keep switching from 2 to 3 days because skin was peeling and i was scared asf. I used la roche posay moisturizer and after 10 minutes i apply tret

Oh okay, then it's likely acne scarring (although I wouldn't discard some post-infammatory hyperpig.) either way, hydroquinone is your solution

 

[Laczekkk]

Oh okay, then it's likely acne scarring (although I wouldn't discard some post-infammatory hyperpig.) either way, hydroquinone is your solution

Soo I should get the hydroquinone from india market and use tret again, if I can ask do I really need to get hydroquinone? And if I would be in same scenario when my skin was peeling should i keep going and stick with plan (by saying plan I mean after some time come down to even use it everyday I have in my gallery photos of thread about tretinoin that have full schedule) or what should I do and can I still tan while being on tret?

Edit: I forget to mention that my face was more red

 

[Zeekie]

Soo I should get the hydroquinone from india market and use tret again, if I can ask do I really need to get hydroquinone?

You would ideally get the hydroquinone, yes. But I've heard that vitamin C and azelaic acid can have a similar effect, but hydroquinone is the strongest and most effective anti-pigment active there is available, with proper usage and in the right dose it will help your case.

And if I would be in same scenario when my skin was peeling should i keep going and stick with plan (by saying plan I mean after some time come down to even use it everyday I have in my gallery photos of thread about tretinoin that have full schedule)

if you truly had a horrible experience with tretinoin, which is fair, we all have individual variations, for example, I tried all retinoids underneath it and they didn't have an effect on my skin until tretinoin, then you can default to something weaker. I'd suggest Adapalene 0.1%, which you can get at any pharmacy, probably without a prescription. It is more stable than tretinoin, so it will be less irritating and inflammatory, but a bit less strong (but this may be as much as you need if tretinoin is just too much for you)

what should I do and can I still tan while being on tret?

Edit: I forget to mention that my face was more red

I mean you should not tan at all, but specially not on retinoids, this is why it's also ESSENTIAL to use a sunscreen whenever you use tretinoin (or really at all). I would not recommend you tan while using it, it's kind of a tradeoff situation here, retinoids make your skin really sun sensitive, increasing your risk of skin cancer without sun protection.

If I were you I would instead opt to use carotenoids, and avoid melanin-based tanning, it's just not worth the cancer risk and skin aging anyway, and again, it's even worse on retinoids.

 

[dumb]

if you HAVE hormonal acne, then yes.

most people spend 1 year trying anti-biotics before hopping on accutane, you can skip it or try it

 

[Laczekkk]

You would ideally get the hydroquinone, yes. But I've heard that vitamin C and azelaic acid can have a similar effect, but hydroquinone is the strongest and most effective anti-pigment active there is available, with proper usage and in the right dose it will help your case.

I use already Azelaic acid

if you truly had a horrible experience with tretinoin, which is fair, we all have individual variations, for example, I tried all retinoids underneath it and they didn't have an effect on my skin until tretinoin, then you can default to something weaker. I'd suggest Adapalene 0.1%, which you can get at any pharmacy, probably without a prescription. It is more stable than tretinoin, so it will be less irritating and inflammatory, but a bit less strong (but this may be as much as you need if tretinoin is just too much for you)

Tbh I could get used to this skin, maybe I just should use more spf? Or reapply some of it thought a day. I would rather to not buy some weaker things than tretinoin but your comment still don’t respond to my question, should I stick with the plan or do smth else idk

I mean you should not tan at all, but specially not on retinoids, this is why it's also ESSENTIAL to use a sunscreen whenever you use tretinoin (or really at all). I would not recommend you tan while using it, it's kind of a tradeoff situation here, retinoids make your skin really sun sensitive, increasing your risk of skin cancer without sun protection.

Bro I just got supplements for 50$ for tanning I can’t quit tanning rn and in Poland it is hot as shit sun is burning, maybe if I would cover my face it will be good? But where is the point of tanning if the face will not be tanned…

If I were you I would instead opt to use carotenoids, and avoid melanin-based tanning, it's just not worth the cancer risk and skin aging anyway, and again, it's even worse on retinoids.

I’ve never heard about carotenoids, you mean to use smth like melanotam 2?

 

[Zeekie]

I use already Azelaic acid

Yeah if you've seen no improvements from it, I'd just use hydroquinone

Tbh I could get used to this skin, maybe I just should use more spf? Or reapply some of it thought a day. I would rather to not buy some weaker things than tretinoin but your comment still don’t respond to my question, should I stick with the plan or do smth else idk

Here's what I'd suggest:
AM:

• Water/Cleanser (you don't necessarily need to cleanser in the morning with a dedicated cleanser, if you do make sure it's skin-appropiate and non-stripping)
• Vitamin C+E (optional really, a nice-to-have, not a need)
• Sunscreen

PM:

• Cleanser (now it's actually needed)
• Tretinoin + Hydroquinon
• Moisturizer

I'd cut all other actives, specially if they're irritating (like Azelaic Acid) and just stick to those 4 things (cleanser, hydroquinone, tretinoin, sunscreen), give or take a vitamin C serum.

Bro I just got supplements for 50$ for tanning I can’t quit tanning rn and in Poland it is hot as shit sun is burning, maybe if I would cover my face it will be good? But where is the point of tanning if the face will not be tanned…

If you wanna tan your body, it's okay, but yeah, it would be best if you use sunscreen and avoid sun exposure to your face because of the tretinoin. Only the parts where you use the tretinoin will become sun sensitive.

I’ve never heard about carotenoids, you mean to use smth like melanotam 2?

Carotenoids as in astaxanthin, beta-carotene, lycopene, etc., the things that basically give you a yellow/orangish hue to your skin, it's not real tanning, it's just pigment deposit underneath your skin, which can give you like a "golden glow" without the UV damage

 

[pentaChad_doomer]

Im 17, 171cm idk if plates are closed but i can check it.
Im using good skincare for over 2 years like month or two i stopped using tret 0.05 that i used for 4 months because the results wasn't satisfying.
I do clean diet etc...
I need your help to tell me if i should hop on it and is there sides effects or things that i need to know
Thanks yall ;D ( i don't have any acne on forehead but some really small pimples on back btw)

View attachment 3924885View attachment 3924886

You dropped tret after 4 months ‘cause it “wasn’t satisfying”? Bro, tret takes 6-12 months minimum to show full results — especially on body acne. You quit too early

Hop back on tret, but go topical + patience. Use it consistently, buffer it with moisturizer if it dries you out. Shower immediately after sweating, especially post-gym. Sweat clogs = instant bacne. Back-specific cleanser like PanOxyl (benzoyl peroxide 4–10%) 2-3x/week. That stuff works, no joke. Add zinc + omega-3s to your stack — internal inflammation killers. If it still doesn’t clear, then maybe talk to a derm about low-dose doxy or even short-cycle Accutane AFTER a blood test (you’re still young)

 

[pentaChad_doomer]

You dropped tret after 4 months ‘cause it “wasn’t satisfying”? Bro, tret takes 6-12 months minimum to show full results — especially on body acne. You quit too early

Hop back on tret, but go topical + patience. Use it consistently, buffer it with moisturizer if it dries you out. Shower immediately after sweating, especially post-gym. Sweat clogs = instant bacne. Back-specific cleanser like PanOxyl (benzoyl peroxide 4–10%) 2-3x/week. That stuff works, no joke. Add zinc + omega-3s to your stack — internal inflammation killers. If it still doesn’t clear, then maybe talk to a derm about low-dose doxy or even short-cycle Accutane AFTER a blood test (you’re still young)

Side effects? If you’re talking Accutane — yeah, it’s heavy. Dry lips, nosebleeds, joint pain, mood dips. You don’t need that unless it’s cystic-level, which this ain’t

 

[Laczekkk]

You dropped tret after 4 months ‘cause it “wasn’t satisfying”? Bro, tret takes 6-12 months minimum to show full results — especially on body acne. You quit too early

Hop back on tret, but go topical + patience. Use it consistently, buffer it with moisturizer if it dries you out. Shower immediately after sweating, especially post-gym. Sweat clogs = instant bacne. Back-specific cleanser like PanOxyl (benzoyl peroxide 4–10%) 2-3x/week. That stuff works, no joke. Add zinc + omega-3s to your stack — internal inflammation killers. If it still doesn’t clear, then maybe talk to a derm about low-dose doxy or even short-cycle Accutane AFTER a blood test (you’re still young)

thanks bro, maybe I wasn’t really patience. What about skin pelling should I do this if I get this from day to day?

 

[pentaChad_doomer]

thanks bro, maybe I wasn’t really patience. What about skin pelling should I do this if I get this from day to day?

Usually, even without accutane, peels like once a week max. On accutane? Forget it, you gotta be way more gentle. Just keep your skin hydrated, slap on sunscreen like every day, and use super soft cleansers

 

[Laczekkk]

Bro

Yeah if you've seen no improvements from it, I'd just use hydroquinone



Here's what I'd suggest:
AM:

• Water/Cleanser (you don't necessarily need to cleanser in the morning with a dedicated cleanser, if you do make sure it's skin-appropiate and non-stripping)
• Vitamin C+E (optional really, a nice-to-have, not a need)
• Sunscreen

PM:

• Cleanser (now it's actually needed)
• Tretinoin + Hydroquinon
• Moisturizer

I'd cut all other actives, specially if they're irritating (like Azelaic Acid) and just stick to those 4 things (cleanser, hydroquinone, tretinoin, sunscreen), give or take a vitamin C serum.


If you wanna tan your body, it's okay, but yeah, it would be best if you use sunscreen and avoid sun exposure to your face because of the tretinoin. Only the parts where you use the tretinoin will become sun sensitive.


Carotenoids as in astaxanthin, beta-carotene, lycopene, etc., the things that basically give you a yellow/orangish hue to your skin, it's not real tanning, it's just pigment deposit underneath your skin, which can give you like a "golden glow" without the UV damage
View attachment 3925412

Bro you are fucking the best guy that I meet on org, so I should use first tret and then la roche posay moisturizer, what would happend if I used too much tretinoin for long period of time?

 

[pentaChad_doomer]

Usually, even without accutane, peels like once a week max. On accutane? Forget it, you gotta be way more gentle. Just keep your skin hydrated, slap on sunscreen like every day, and use super soft cleansers

If you peel too much, you’ll end up all red and messed up. Trust me. Stay safe and don’t go overboard, fam. Skin care on accutane ain’t a joke. Good luck

 

[Sujumh]

js microdose accutane like me boyo

 

[Laczekkk]

Usually, even without accutane, peels like once a week max. On accutane? Forget it, you gotta be way more gentle. Just keep your skin hydrated, slap on sunscreen like every day, and use super soft cleansers

By pelling I mean random small white dead skin on my face, sometimes my classmates even told me that I have smth on my chin. Only reason that comes to my head is that spf just washes of but I don’t think that I do smth in day that could wash it there.

 

[Laczekkk]

If you peel too much, you’ll end up all red and messed up. Trust me. Stay safe and don’t go overboard, fam. Skin care on accutane ain’t a joke. Good luck

Yea… when my skin was pelling the most on my chin and jawline it was so fucking red

 

[iraqi]

Im 17, 171cm idk if plates are closed but i can check it.
Im using good skincare for over 2 years like month or two i stopped using tret 0.05 that i used for 4 months because the results wasn't satisfying.
I do clean diet etc...
I need your help to tell me if i should hop on it and is there sides effects or things that i need to know
Thanks yall ;D ( i don't have any acne on forehead but some really small pimples on back btw)

View attachment 3924885View attachment 3924886

Yes but theres side effects like u will feel weak, dry, muscle and joint pain, hard to play sports or run, u can use cream but acctune will help most, use it if u can in the winter tho, gimme solution

 

[boneless.mutt64]

Should be last resort because of the horrible side effects of accutane

 

[Zeekie]

Bro

Bro you are fucking the best guy that I meet on org, so I should use first tret and then la roche posay moisturizer, what would happend if I used too much tretinoin for long period of time?

It actually depends on how sensitive your skin is, if you think you can handle it, it's technically better for absorption to use the tretinoin first, but if you get really irritated you may want to moisturize first, wait a bit and then use the tretinoin. BUT IDEALLY, tret first, moisturizer second.

Regarding your second question, it depends on what you mean by "too much" tretinoin, typically a pea sized amount is all you need, if you use anything more you may be causing unnecessary inflammation, peeling and put you at risk of PIH (post-inflammatory hyperpigmentation), so I wouldn't recommend that. Using just the right amount over weeks or months would slowly but surely fade your issues, with hydroquinone being a bonus to 100% get rid of the acne marks