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Lump Bumpy Skin and Accutane

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clsykes00



Joined: 11 Jun 2005
Location: Philly
Posted: Wed Jul 13, 2005 9:10 pm    Post subject: Lump Bumpy Skin and Accutane  

Dr. Nase,
Can accutane reduce the lumpy bumpy appearance of skin much like it reduces the inflamation and beginning stages of Rhinophyma? How can we detect whether fibrosis of this lumpy bumpy skin has set in? Is the result of this lumpy bumpy skin and fibrosis similar to that in rhinophyma?

Thanks so much,
Trey


drnase



Joined: 10 Jun 2005

Posted: Sun Jul 17, 2005 1:19 am    Post subject: Re: Lump Bumpy Skin and Accutane  

clsykes00 wrote:
Dr. Nase,
Can accutane reduce the lumpy bumpy appearance of skin much like it reduces the inflamation and beginning stages of Rhinophyma? How can we detect whether fibrosis of this lumpy bumpy skin has set in? Is the result of this lumpy bumpy skin and fibrosis similar to that in rhinophyma?

Thanks so much,
Trey




Yes, lumpy bumpy skin without any notice papules or pustules is due to mild fibrotic changes in the skins surface that causes a ripple effect throughout the facial appearance. Accutane has moderate antifibrotic actions. This would be one indication for the photoderm with RF because that is more about treating those symptoms and skin remodelling than treating rosacea blood vessels.
_________________
Geoffrey
------------------------------------------------
Dr. Geoffrey Nase
Ph.D. Neuro-Vascular Physiologist
Rosacea Specialist and Consultant
http://www.drnase.com
------------------------------------------------
Visit poster's website


clsykes00



Joined: 11 Jun 2005
Location: Philly
Posted: Sun Jul 17, 2005 7:24 am    Post subject:  

Dr. Nase,
Thank you for getting back to me!!!

Does fibrotic tissue tend to swell and decline given the amount of sebum being produced (non nose areas)?

Thanks again,
Trey


snwbdrloco84



Joined: 12 Jun 2005
Location: Buffalo, NY
Posted: Sun Jul 17, 2005 2:47 pm    Post subject:  

Dr. Nase,

On what condition you reccomend a low dose of accutane before laser/IPL treatment or is it better afterward to maintain clearance from the treatments? I was thinking of going your route, 6 months at 10mgs and 9 months of 5 mg either before or after. If my memory serves, I believe that it is what you did when reading some post last year on the yahoo rosacea board. However, I wonder since I have permanent facial redness, micro-vascular matting, lumpy/bumpy skin texture, and scattered broken blood vessels, laser/IPL should be first to help clear the micro-vascular bed.

Thanks,
Ray
_________________
22 yo male
Sub-type 2: Papulopustular rosacea
4 v-beam and 2 smoothbeam treatments last Summer through Winter of 2004.
Currently using Plexion SCT 2-3x weekly on face(after shaving) and Ovace foam on scalp


 


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