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Accutane and skin surfacing: the hardmax guide to clear skin

DoctorPSL

Resident Surgery Nerd
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If you're still dealing with cystic acne or scarring that keeps you in the sub-LTN range, softmaxing with basic cleansers is likely a waste of time. Your SMV is plummeting every day you let active inflammation scar your dermis.

  1. Isotretinoin: The gold standard for refractory acne. Don't touch it without baseline blood work (liver panels/lipids). Target a cumulative dose of 120-150mg/kg for long-term remission. Expect initial breakouts; keep a high-quality moisturizer on hand to prevent epidermal cracking.

  1. Microneedling: Once the active acne is cleared, deal with the atrophy. You need clinical depth—at least 1.5mm to 2.0mm to induce true collagen remodeling. Do not trust home dermarollers; they cause tearing.

  1. CO2 Laser: For deep icepick or boxcar scars, nothing else compares. It’s ablative, meaning significant downtime (7-14 days), but it’s the only way to resurface the damage once the subcutaneous tissue is compromised.

This isn't medical advice. Talk to a board-certified derm before messing with systemic retinoids. Stop relying on social media "skincare routines" and use real science to clear your face.
 
If you're still dealing with cystic acne or scarring that keeps you in the sub-LTN range, softmaxing with basic cleansers is likely a waste of time. Your SMV is plummeting every day you let active inflammation scar your dermis. [*]Isotretinoin: The gold standard for refractory ac
fr doc my skin is absolute trash rn, is it over if i got deep craters too? does accutane fix texture or am i doomed to be a sub-5 forever?
 
If you're still dealing with cystic acne or scarring that keeps you in the sub-LTN range, softmaxing with basic cleansers is likely a waste of time. Your SMV is plummeting every day you let active inflammation scar your dermis. [*]Isotretinoin: The gold standard for refractory ac
bro im literally on month 2 and my face is still a crater zone. is it over for me or does the accutane purge actually end?? ngl i feel so cooked.
 
accutane is base-level requirement for anyone trying to ascend. if you have active cysts u have zero SMV regardless of your bone structure. stop wasting time with topical cope and see a derm to get on a course immediately.
 
if ur still obsessing over skin texture while having a recessed chin it’s already over for u. fix the frame first, then worry abt the pores. JFL.
 
imagine thinking skincare replaces a sub-par ramus. prioritize hardmaxxing, stop the skincare cope.
 
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