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Was On Accutane. Now Taking Laser Ipl Treatment For Scarring. Having Redness On Face. Go Back On Accutane?

Posted on Thu, 7 Nov 2013

Question: Hello, I was on Accutane for 5 months. That was 6 months ago and iv gotten one laser ipl treatment for scarring and it improved quite abit but I broke out really bad the first 2 weeks, and everyday I always still breakout. Im debating if I should continue with these ipl treatments or get PDL done for redness and redmarks, or just go back on Accutane. I don't know what to do. My face is a mess, breakout, redness, red marks, less scarring now though. Help please. Also in my pictures, theres more redness on those areas.

Answered by Dr. Dr. Rahul Kumar (37 minutes later)

Brief Answer:
Start back accutane

Detailed Answer:
Hello
Thanks for the query and photograph.
I can see there is lot of redness.
It is better to stop any type of therapy for now.
Please start back accutane and apply clindamycin gel.
This will reduce the redness,
Once it is under control and there are no new lesions you can go back for IPL.
Let me know if you have any other doubts.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (41 minutes later)

Is that the best option for met ou think? What would happen if I did another ipl treatment? Or should I jut do accutane again?

Answered by Dr. Dr. Rahul Kumar (2 minutes later)

Brief Answer:
Yes it is best for you now

Detailed Answer:
Hello,
Yes it is the best option for you.
IPL generates heat.
Already there is lot of erythema on your face, If you use IPL there are chances of further burn.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (21 minutes later)

Well my face does not look bad today, not as red, it looks more dry, with my red marks visible. What about pulsed XXXXXXX laser? What if I got that done?

Answered by Dr. Dr. Rahul Kumar (18 minutes later)

Brief Answer:
Steroid cream much better

Detailed Answer:
Pulsed XXXXXXX laser is for fixed vascular lesions.
It is done when lesions cannot be treated with medicines.
In your case the redness is not due to abnormality in vessels.
It is due to inflammation so Pulse XXXXXXX wont be that effective.
Anti inflammatory steroid creams will be much better.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (10 hours later)

Hello, I uploaded 3 pictures of my face and what it looks like today. What do you think I should do next? Continue on with ipl laser? Options?

Answered by Dr. Dr. Rahul Kumar (9 hours later)

Brief Answer:
You can go for pulsed XXXXXXX

Detailed Answer:
Hi
I saw the photograph,
The redness has reduced a bit.
You can go for pulsed XXXXXXX now.
But better avoid IPL for now.
Also start applying clindamycin gel.
Let me know if you have any other doubts.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (8 hours later)

So I I do PDL laser how many treatments do you think I would need?

Answered by Dr. Dr. Rahul Kumar (6 hours later)

Brief Answer:
3 sessions

Detailed Answer:
Hello
At Least 3 sessions at a gap of 15 days may be required for you.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (1 hour later)

What is gpa?? My treatment that I have already done one of is ipl laser.

Answered by Dr. Dr. Rahul Kumar (12 minutes later)

Brief Answer:
typing error

Detailed Answer:
I am sorry it is typing error.
I mean take 3 sessions of pulsed XXXXXXX at a gap of 15 days.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (27 minutes later)

So it's not like ipl where I have to wait 4 weeks for another treatment? I can just be in a gap of 15 days? Are you sure? I thought you have to let the skin heal and change?

Answered by Dr. Dr. Rahul Kumar (8 hours later)

Brief Answer:
It can be done once in 15 days

Detailed Answer:
Hello,
Pulsed XXXXXXX is very safe.
You can go for sessions at a gap of 15 days.
This will give you faster relief.
Unlike IPL the intensity of LASER is mild here and hence recovery period is also faster.
Let me know if you have any other doubts.
Thank you

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar