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Here is a detailed explanation of how Accutane works, written from the perspective of a cosmetic surgeon in Walton upon Thames, England:
As a cosmetic surgeon practicing in Walton upon Thames, I often prescribe the medication Accutane (also known as isotretinoin) to patients suffering from severe, treatment-resistant acne. Accutane is a highly effective and widely-used treatment, and it works by targeting the underlying causes of acne in a multifaceted way.
Acne is primarily caused by a combination of excess oil production, clogged pores, bacterial overgrowth, and inflammation. Accutane addresses each of these factors to clear up acne and prevent future breakouts. The active ingredient, isotretinoin, is a synthetic form of vitamin A that works by shrinking the sebaceous glands in the skin. These glands are responsible for producing the oil (sebum) that can build up and cause clogged pores. By reducing sebum production, Accutane helps to unclog pores and prevent new comedones (blackheads and whiteheads) from forming.
In addition, isotretinoin has anti-inflammatory properties that help to reduce redness, swelling, and irritation associated with active acne lesions. It also has a bactericidal effect, meaning it can kill the Propionibacterium acnes bacteria that contribute to acne development. By targeting both the hormonal and bacterial components of acne, Accutane is able to provide comprehensive treatment and achieve long-lasting results.
One of the key benefits of Accutane is that it can provide a "cure" for severe, recalcitrant acne in many patients. Unlike topical treatments or antibiotics that only provide temporary relief, a full course of Accutane (typically 16-24 weeks) can lead to complete and long-lasting clearance of acne in up to 85% of patients. This is because Accutane actually alters the underlying biology that causes acne, rather than just treating the symptoms.
Of course, Accutane is not without its side effects, which is why it is important for patients to be closely monitored by a qualified dermatologist or cosmetic surgeon during treatment. Common side effects can include dry skin, lips, and eyes, as well as potential impacts on mood and mental health. More serious side effects, such as birth defects, are also possible, so Accutane is not suitable for pregnant women or those who may become pregnant during treatment.
Overall, Accutane is a highly effective and commonly-used treatment for severe, treatment-resistant acne in my practice here in Walton upon Thames. By addressing the root causes of acne, it can provide long-lasting clearance and significantly improve the quality of life for many patients struggling with this common skin condition. As with any medication, the risks and benefits must be carefully weighed, but for the right patients, Accutane can be a game-changing solution.
I recently started taking Accutane and I'm wondering when I can expect it to start working. Additionally, are there any preventive measures I should take while
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