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    So I've had acne since I was 13/14 and i'm now 18 and still have it. For the past couple of years I've tried lots of perscribed medicines from my doctor and they all seem to work a little bit, but they havn't been that affected.
    My doctor said he'll refer me to a dermatologist to see if I should be put on accutane.
    From anyone with experience with a dermatologist, what exact things will he look for to see if im suitable for accutane?
    Will he touch my face and see if the spots are in need of accutane? (or will he just look at my skin - rather than not touch it to see?)
    I'm thinking of exagerrating my spots by slightly highlighting a red/pink pen on them (because I really want to go on accutane) and I've done it before and it looks like the spots are genuinely worse (and not fake at all), but will he know? Will he literally touch my face? (because if he does, red pen will come off and i don't want him to know ive exagerrated my spots).

    I just really want to go on accutane cause it'll clear up my spots once and for all, but i fear he might not see it as a big enough deal to use accutane on (because they're not that bad).

    I know it may sound silly to you, but to me, spots are a big deal and I'm a bit body dysmorphic, but i want to know if he will rub my spots or not?

    Thanks alot,
    Zidane.
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    The dermatologist will look at your skin closely. The decision to go on accutane is yours, but you must be aware of the risks before deciding to take it.

    You will receive an information pack that you can read through before deciding. You will have to have blood tests first so there is usually a period of time in between your first appointment with a dermatologist and getting your accutane.
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    The dermatologist will take a history, talk to you about other medications you have tried and will look at your skin closely, most likely under something which will magnify the surface. The dermatologist may touch your skin. When I went to a similar appointment they most certainly did. The dermatologist will then most likely tell you what acne type you have and what is the most appropriate course of action. I really wouldn't draw on your face with pen before the appointment if I were you, it's not a good idea to try and deceive a medical professional. Plus you have to think about your own safety if you were to mislead the dermatologist and have them prescribe something contraindicative.

    It's most likely that if all other prescribed medications over the past few years have failed you, you will be offered accutane anyway. But be honest about the situation. You can even express at the appointment that you'd really like to discuss the possibility of accutane further and I'm sure the dermatologist will be more than happy to oblige.

    I'd suggest you also do some research about accutane beforehand, to be clued up. It's not always a miracle cure unfortunately. It doesn't work for some people, their acne returns and they have to do another course of accutane or find alternative treatment. It's not always the way but there are no guarantees with anything sadly. The side effects are also relatively severe and unpleasant, although you may not experience the majority of them. You just need to be prepared and aware. Like Good1m8 says you must also keep on top of the regular blood tests. It's no big deal but as accutane can damage the liver it's good to keep checks. I think if you display you have researched accutane, the pros and cons and show you've thought long and hard about the decision it will go in your favour.

    I totally understand your acne is a big deal though, I used to have severe acne and it killed my self esteem for a long while. I was offered accutane back in early 2008 but went down the line of N-Lite laser therapy and glycolic peels instead. It was expensive but it's really worked wonders.
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    do accutane. my story is identical to yours, and accutane changed me from a shy, depressed angsty teenager, into what i feel is really me. im happy now, with flawless skin!

    dont do the pen thing, seriously, theyll spot it a mile off. nothing else has worked, so she should 100% be offering you accutane now.

    i had no side effects other than hideously dry skin, which can be easily remedied with a good moisturiser. and plus, the long term effects are so amazing that its worth putting up with the dry skin for a while.

    youll find alot of horror stories on the net, but only because the majority of us are happy with it, and dont have any reason to write on the net about it! the few who are unhappy rush to the net to put others off it. im sure youll be lucky. and good luck!
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    Hi there!

    There is no need to exaggerate your spots. Be honest to your dermatologist and tell them that you'd like to try Accutane. You are by far old enough to try it. I started Accutane when I was 12 and it worked wonders for me! After 3 days, half of my acne was gone. And my dermatologist didn't even touch my skin btw.

    Oh and don't worry about the negative commens on Accutane. Yes, it will dry out your skin and yes, you will have chappy lips, but those things can be taken care of. IMO it is totally worth it. Accutane is really not as "heavy" as people make it out to be. You will be given a dose according to your weight. I.e. If you weigh 60 kg, you will get a 30 mg dose a day. I weigh as much and only took 10 mg a day and it still worked like a charm.

    Good luck with it! I think your dermatologist will prescribe you Accutane. If he doesn't, you could consider looking for another doc?
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    Wow!
    Thanks for all your amazing responses guys!
    And ok I won't highlight my skin hehe :P

    I'm glad that you've experienced accutane and you all seem to understand it alot!

    Wow though, look at what happened to this guy whilst he was on accutane.
    (Don't watch if your squeamish)

    http://www.youtube.com/watch?v=rhM0N7C_XUY
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    I'm currently nearing the end of a course of accutane and my acne (which was on my back) wasn't horrendous, though it was cystic.

    I've been blogging about it if you'd like to see how it's unfolding: here
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    You dont HAVE to go on the full dose of it (which makes the side effects bad)
    I went on a half dose, and although it took a little longer to clear, I had no side effects, and it worked the same as the normal dose, just took longer to clear.

    I would reccommend that, if you don't want to put up with side effects. Don't put red on them, putting pen chemicals on your face isn't a good idea haha.
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    Yes accutane is a 'heavy' drug.

    It was originally designed to fight cancer. The side effects while your on it are just a bit of dry skin and few other minor side effects.

    Some people get terrible side effects later on in life, some people don't, but do not take this drug lightly.

    Stay away from Vitamin a and any kind of fish oil or fatty acids while taking accutane.
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    (Original post by Anonymous)
    You dont HAVE to go on the full dose of it (which makes the side effects bad)
    I went on a half dose, and although it took a little longer to clear, I had no side effects, and it worked the same as the normal dose, just took longer to clear.

    I would reccommend that, if you don't want to put up with side effects. Don't put red on them, putting pen chemicals on your face isn't a good idea haha.
    Yeah, for my weight 60mg would be the max dose but I'm on 40mg as that's as high as I can go without the side effects being too much. Just means I'm on it a bit longer than I would have been otherwise!
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    same boat!! ive been prescribed all sorts of other stuff cleared it up but hasnt stopped anymore from forming however hopefully i'll sent to a specialist soon.
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    I used to have really painful cystic acne and I tried every antibiotic, face cream and skin regime but nothing worked. I've been on accutane for about 4 months now and my skin is totally clear not a single spot! It's made me so much more confident and I really recommend it. Don't bother drawing on your spots, if they're bad and you've tried other options and you're really unhappy they'll put you on it. If you're worried about side affects you can go on a lower dose for a longer time - I only get dry lips and some muscle pain after exercise though which I think is worth it! Also, you go to see the consultant each month and they'll give you a contact number so if you have any worries they'l be there to answer your questions.
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    Hi, I've been put on accutane and wondering about the blood tests.... i know its best to get the blood test 5-7 days before the next appointment when you receive your next accutane prescription, but if I were to go to get the blood test done a month before the appointment is that too far? It's just that I won't be in the country to get it done this month, but don't want to delay the course of tablets
 
 
 
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