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  1. Dr. Joyce Lim (Joyce Lim Skin & Laser Clinic)
    Dr. Joyce Lim (Joyce Lim Skin & Laser Clinic) Dr. Lim is a dermatologist who treats skin, hair and nail problems in both adults and children. Besides medical dermatology, Dr. Lim has the expertise to treat aesthetic skin problems as well as perform laser and skin surgery. In addition to her clinical practice, Dr. Lim conducts teaching sessions for dermatologists and aesthetic doctors.

    Thanks for sharing the image of the skin problem in question. It is difficult to give specific advice without a proper skin examination. It looks like a benign skin rash on an area of pigmented skin. It is better to consult a dermatologist in person to have a proper examination and decide on the diaRead more

    Thanks for sharing the image of the skin problem in question. It is difficult to give specific advice without a proper skin examination. It looks like a benign skin rash on an area of pigmented skin. It is better to consult a dermatologist in person to have a proper examination and decide on the diagnosis and treatment 

    Dr Joyce Lim
    Consultant Dermatologist
    Joyce Lim Skin & Laser Clinic
    http://www.joycelim.com

    The information provided on this forum is for educational purposes only and not intended as medical advice. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

    See less
  2. Dr. Joyce Lim (Joyce Lim Skin & Laser Clinic)
    Dr. Joyce Lim (Joyce Lim Skin & Laser Clinic) Dr. Lim is a dermatologist who treats skin, hair and nail problems in both adults and children. Besides medical dermatology, Dr. Lim has the expertise to treat aesthetic skin problems as well as perform laser and skin surgery. In addition to her clinical practice, Dr. Lim conducts teaching sessions for dermatologists and aesthetic doctors.
    This answer was edited.

    I hear you - it can be frustrating dealing with persistent acne, especially when it doesn’t seem to improve with time. Yes, isotretinoin (Accutane) is an effective treatment option for moderate to severe acne that hasn’t responded well to other treatments. It works by shrinking the oil glands in youRead more

    I hear you – it can be frustrating dealing with persistent acne, especially when it doesn’t seem to improve with time. Yes, isotretinoin (Accutane) is an effective treatment option for moderate to severe acne that hasn’t responded well to other treatments. It works by shrinking the oil glands in your skin, which helps reduce oil production, clogged pores, and inflammation. Many people see significant, long-lasting improvement after taking the medication.

    Dermatologists like myself typically recommend it when conventional acne treatments are not effective. It is also useful for nodulocystic acne. Nowadays it is given in a low dose regime to reduce side-effects without compromising efficacy 

    This medication can have potential side effects:

    • Mucosal areas like the lips and eyes as well as the skin  can become very dry when on isotretinoin and so you need to use moisturisers and lip balm
    • Isotretinoin can cause increased sun sensitivity and you need to use a sunscreen when outdoors
    • The medication can cause serious birth defects, so female patients must use strict contraception while on it.

    Regular blood tests may be needed especially if you are on high doses.

    Since your acne has persisted for years without improvement, it’s a good idea to consult a dermatologist. A dermatologist is a skin expert in acne who can assess your acne severity, identify any trigger factors and discuss the treatment options with you.  If you need isotretinion, your dermatologist can guide you through the treatment plan and possible side-effects.  

    In the meantime, you can also manage your acne by using skincare products for acne-prone skin, reducing foods in your diet that you notice may cause acne flare-ups, and managing stress (which can also cause acne flares).

     

    Wishing you all the best in your skincare journey!

     

    Dr Joyce Lim

    Consultant Dermatologist

    Joyce Lim Skin & Laser Clinic

    http://www.joycelim.com

     

    The information provided on this forum is for educational purposes only and not intended as medical advice. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

    See less