Acne Treatment in New York

Accutane is used for severe cystic, and nodular acne. When the patient has tried other treatment routes and acne problems persist, Accutane may be recommended. It needs to be prescribed by a doctor.

Accutane is a form of vitamin D. It is an oral supplement that works by reducing the amount of oil released by the glands in your skin. High amounts of oil, also known as sebum, can lead to severe acne and if left untreated, severe acne may cause permanent scarring.

The prescription is taken for a few months, twice daily, and it can take at least a month before the benefits of the medication start to show. Additionally, it may take several months before the patient experiences the full benefits from Accutane.

No. Accutane treats the actual chemical makeup of acne and stops recurring breakouts. Dr. Cameron Rokhsar uses Fraxel, which is considered the gold standard in laser technology, to resurface and rejuvenate the skin.

Accutane is not safe for women that are pregnant. Women of childbearing potential are required to sign a written agreement that they are using two forms of birth control. Accutane can lead to severe, life-threatening birth defects and may be dangerous to the mother’s health as well.

Considered a last resort medication, Accutane should only be considered if the patient has tried other routes of acne treatment and has not gotten the results that were intended. It is suggested that those who are prone to depression or who are on medication for depression should not take Accutane.

No. The skin becomes very sensitive to light and environmental factors, making the skin more susceptible to sunburns and rash breakouts. Patients who are taking Accutane should wear strong sunscreen. Avoid sunscreens that contain fragrances, alcohols, or dyes. Look for high SPF sunscreens and also ones that have more zinc. Zinc is a key nutrient that can help protect your skin from harmful UV rays instead of just UVB rays. It is important to stay out of tanning beds and shade the skin while outdoors.

Accutane (isotretinoin), a medication used to treat severe acne, typically takes around 1 to 3 months to see significant improvement in skin clarity, with some patients noticing improvement as early as two weeks into treatment. However, some people may experience an initial worsening of their acne after starting isotretinoin therapy. The treatment course for Accutane usually lasts from 5 to 7 months, but it may vary depending on the patient’s individual response and the severity of their acne. The exact duration of treatment is decided by a dermatologist. Dosage for Accutane ranges from 40 mg to 120 mg daily, and treatment duration can last anywhere from 5 to 10 months.

It is important to take Accutane as directed by your doctor. Each prescription of Accutane must be filled within 7 days of the date it was written by your doctor, and you will receive no more than a 30-day supply of Accutane at one time. Always take Accutane with a full glass of water and swallow it whole without chewing or sucking on the capsule.

The cost of Accutane can vary widely depending on a number of factors. Most insurance plans cover the cost of Accutane while patients may be responsible for a copay/coinsurance or deductible. Patients are encouraged to discuss pricing options with their health insurance provider and explore various resources for cost-saving opportunities.

The most common side effects of Accutane are dry skin, sensitivity to sun, muscle aches, joint pain, dry/irritated eyes, redness and itching, nosebleeds, and dry lips. These side effects can be managed with over-the-counter creams, SPF, and pain relievers. Other less-common side effects include increased cholesterol and triglyceride levels, increased liver enzymes, and blood sugar problems. Patients taking Accutane must abstain from drinking alcohol until the completion of their course.

Accutane must not be used to treat women who are or are planning to become pregnant, as it can cause severe birth defects in the developing fetus. Women who take Accutane must use two forms of birth control at all times while taking the medication and for at least one month after stopping treatment. Accutane is also not recommended for people with liver disease, high cholesterol, or depression.

Accutane is a controlled substance regulated by the FDA and the office of Dr. Rokhsar adheres to its strict guidelines and iPledge system. Dr. Rokhsar requires all patients to complete blood work every month of treatment to ensure that the patient is responding well to the treatment.

Butt acne is a common skin condition that affects many people. While it is often referred to as “butt acne,” it is important to note that the condition is not actually acne. Rather, there are a few different skin conditions that can cause bumps or pimples on the buttocks.

One of the most common causes of butt acne is folliculitis, which is an inflammation of the hair follicles caused by bacteria, yeast, or fungi that live on the skin. Folliculitis can cause red, inflamed pimples on the buttocks. Keratosis pilaris is another skin condition that can cause butt acne. It is the result of a buildup of keratin, a skin protein, that can sometimes block the hair follicle. Finally, tight clothing rubbing the skin during sports, staying in sweaty clothes, and prolonged occlusion from sweaty clothing can all lead to butt acne.

It is important to note that butt acne can be caused by more than one of these conditions, and that what appears to be acne on the buttocks may actually be one of these other conditions. If you are experiencing bumps or pimples on your buttocks, it is recommended that you see Dr. Rokhsar who can help diagnose the underlying cause and recommend an appropriate treatment.

Cystic acne can be a stubborn and painful condition to deal with, but there are several effective treatment options available. Here are some of the most common treatments for cystic acne:

• Over-the-counter creams, gels, solutions, and lotions: These topical treatments can help kill bacteria and decrease inflammation in the affected area. Examples of such medications include azelaic acid (Azelex®, Finacea®), salicylic acid, and benzoyl peroxide.
• Oral antibiotics: For moderate to severe cystic acne, a doctor may prescribe oral antibiotics such as doxycycline hyclate to reduce bacteria.
• Isotretinoin (Accutane): This powerful prescription medication is considered the most effective treatment for cystic acne. It is derived from a powerful form of vitamin A and is taken orally.
• Topical antibiotics: Topical antibiotic products can kill the types of bacteria that may cause or worsen severe acne. A doctor may prescribe topical antibiotics for cystic acne.
• Tretinoin: This vitamin-A derivative is used topically at night to help increase cell turnover to help unclog pores. Tretinoin cream also has significant anti-aging benefits. Although tretinoin can only be obtained with a prescription, some over-the-counter alternatives are available.
• Cortisone injections: Dr. Rokhsar recommends making an appointment for cortisone injections whenever you’re having a cystic acne breakout to reduce inflammation, avoid picking, and prevent scarring.
• Accure laser acne treatment: This device is a revolutionary laser which targets the sebaceous gland in the skin which is the main source of acne. By shrinking the gland and decreasing sebum production, acne can go into remission on a long term basis similar to accutane. The Accure laser is a game changer in the treatment of mild moderate or severe acne. It is FDA approved and safe to use on all skin types and colors including brown or black skin. There is no insurance coverage for Accure laser treatment for acne.

Butt acne can be an uncomfortable and embarrassing condition, but there are several ways to treat it. One option is to use an acne wash containing benzoyl peroxide or salicylic acid, which can help to dry out the skin and reduce acne-causing bacteria. However, it is important not to overuse these products, as they can also cause excessive dryness. If using an acne wash daily, follow up with a non-comedogenic moisturizer to prevent excessive dryness.

Another effective treatment for butt acne is tea tree oil, which has natural antibacterial properties. Benzoyl peroxide can also be applied directly to the affected area to help reduce inflammation and kill bacteria. In addition, lactic acid lotions and salicylic acid medicated pads are also effective in treating butt acne.

It is important to keep the affected area clean and dry to prevent further breakouts. Avoid tight-fitting clothing that may trap sweat and bacteria against the skin, and shower immediately after exercise. Applying a warm compress to the affected area may also help to open up the pores and drain pus and bacteria.

If over-the-counter treatments are not effective, a dermatologist may be able to prescribe stronger medications, such as topical or oral antibiotics. However, it is important to note that not all bumps on the buttocks are acne. It is recommended to see Dr. Rokhsar for a consultation during which he can prescribe a treatment.

Hormonal acne is a type of acne that is caused by hormonal imbalances in the body. It can be difficult to treat, but there are a variety of options available. Here are some ways to treat hormonal acne:

• Topical treatments: Depending on the severity of your acne, different treatment options are available to reduce sebum production, pimple formation, and painful inflammation. Blackheads and whiteheads can be treated with a topical cream containing tretinoin, while inflammatory acne can be treated with a topical antibiotic and/or benzoyl peroxide.
• Skincare routine: It is important to establish an appropriate skincare routine to clear up hormonal acne and keep it at bay. You should wash your face in the morning and again in the evening and apply no more than a moderate amount of skincare products. It is also recommended to exfoliate with salicylic acid and limit stress to reduce inflammation. Dr. Rokhsar recommends using the Skin Scripts acne cleanser system which contains salicylic acid, glycolic acid, and tea tree oil.
• Oral medications: Oral medications such as Aldactone (spironolactone) or birth control pills containing estrogen and progesterone can be effective for treating hormonal acne in women. The FDA has approved several contraceptive medications specifically for acne in women.
• Dietary changes: Eating an anti-inflammatory diet and eliminating specific acne triggers such as cow’s milk, dairy, and sugars can also help reduce hormonal acne. Coconut oil, avocado, omega-3 fats, dark chocolate, pumpkin seeds, Brazil nuts, and carrots are also beneficial to people with acne in general and, more specifically, hormonal acne. Taking supplements such as probiotics, zinc, and possibly vitex can also help.
• Professional treatments: In addition to the above, there are professional treatments available such as oral medications (antibiotics and Accutane), prescription topicals (retinoids, antibiotics, anti-inflammatories), and laser treatments that can be effective for treating hormonal acne.
• Accrue laser treatment can help solve hormonal acne by targeting the sebaceous gland and decreasing sebum production. It is effective for all skin types and colors and is FDA approved
• Hydrafacial treatments are very helpful to exfoliate the skin and help get rid of dead skin as well as black heads and white heads.

Overall, if you are experiencing acne, it is recommended see Dr. Rokhsar for a consultation for a personalized treatment plan and expert guidance in managing acne.

Back acne can be frustrating and uncomfortable. Fortunately, there are several ways to treat and prevent it. Here are some tips on how to treat back acne:

• Keep your skin clean: It is essential to keep your skin clean to prevent the buildup of dirt, sweat, and bacteria that can cause back acne. Showering after a workout or any activity that causes sweating is crucial.
• Use topical treatments: Topical creams, gels, and cleansers that contain benzoyl peroxide or salicylic acid can help treat back acne. Benzoyl peroxide products can be used as a wash or leave-on treatment, and it’s best to allow it to stay on the pimples for up to five minutes before rinsing it off. Salicylic acid can be used in exfoliating body scrubs or acne treatment body washes to ensure healthy skin cell turnover. Dr. Rokhsar recommends using the Skin Scripts toner pads containing salicylic acid, glycolic acid, and tea tree oil after a workout to cleanse the pores and treat active acne. Winlevi is a new FDA-approved topical cream to target hormonal acne in male and female patients.
• Try retinoid products: Retinoid creams or gels can also be useful in reducing back acne. Over-the-counter creams that contain 0.1% retinoid are readily available.
• Consider oral medications: For moderate to severe back acne, oral antibiotics like tetracycline or macrolides may be prescribed. However, these medications require a prescription from a doctor and can have side effects, so it’s important to consult with a healthcare provider before taking them. Back and body acne in female patients is often hormonal and these patients may benefit from taking oral spironolactone.
• Make lifestyle changes: Wearing loose-fitting, breathable clothing made of cotton or sweat-wicking fabric when working out, and washing workout clothes after each use can help reduce back acne. Avoiding hair products that can clog pores, such as oils and gels, can also be helpful. Exfoliation can help with healthy skin cell turnover, but it’s important to do so gently to avoid inflammation and irritation.
• Accutane or isotretinoin remains an effective tool for treatment of back acne.
• Accure laser treatment promises to treat back acne on a long term basis. It is safe to treat light and dark skin alike and its is FDA approved for mild moderate or severe acne.
• Hydrafacials are helpful to treat black heads and white heads on the back. They also help with lightening up dark spots from acne on the back.

Chest acne, like acne on other parts of the body, can be treated through a variety of methods. Here are some of the ways to treat chest acne:

• Stay hydrated: Drinking enough water each day and increasing fluid intake after illness, exercise, or when in extreme heat can help stave off chest acne from dehydration.
• Use body washes containing anti-blemish ingredients: Salicylic acid or benzoyl peroxide containing body washes can be used to treat chest acne. These products help to deliver active ingredients to treat symptoms and by exfoliating skin.
• Use antibiotics or prescription oral medications: In moderate to severe cases of acne, oral antibiotics can be used to reduce bacteria. Back and body acne in female patients is often hormonal and these patients may benefit from taking oral spironolactone.
• Use antibacterial soap and lotions: For mild cases of chest acne, using antibacterial soap such as benzoyl peroxide 5 percent wash or PanOxyl wash in the shower followed by Clindamycin lotion right after can be effective. A thin layer of oil-free moisturizer should be used daily.
• Use gentle scrubs and non-comedogenic creams: Over-the-counter body washes that include salicylic acid and benzoyl peroxide can provide some relief of mild inflammatory acne. Avoid coarse or rough body scrubs, since they can be too harsh on the skin.
• Take a shower every day: If you don’t clean your skin, you invite sebum and bacteria to collect on its surface, causing acne. Scrub your chest gently to get rid of dead skin cells.
• Make small lifestyle changes: Showering after working out, wearing breathable clothing, and using a topical cream can help alleviate breakouts. Avoiding tight clothing and not picking at the acne can also be helpful.
• Consider seeing Dr. Rokhsar to explore treatments with oral pills like antibiotics, accutane, aldactone, or laser treatments like PDT or Accure laser treatments.

Cheek acne is a common problem that can be treated using a variety of methods. The first line of treatment usually involves the use of oral antibiotics such as tetracycline or macrolide antibiotics such as erythromycin, azithromycin, doxycycline, or minocycline. However, there are also several skincare tips and home remedies that can help manage and prevent cheek acne.

To start with, it is important to use a gentle, non-abrasive cleanser to clean the skin in the morning, in the evening, and after heavy exercise. Avoid using strong soaps, astringents, or rough scrub pads, as they can irritate the skin. Additionally, it is important to use gentle skin care products and ones that are alcohol-free, as alcohol-based products can also irritate the skin.

Dr. Rokhsar recommends using the Skin Scripts cleanser system which includes a cleanser, toner pads, and aloe-based moisturizer. It is important to use products that will not clog pores. The cleanser and toner pads have salicylic acid, glycolic acid, and tea tree oil which are effective for treating active breakouts and preventing new ones from forming. It is important to wash the face twice a day and after sweating. Overwashing can irritate the skin, making acne worse.

It is recommended to wash bed sheets at least once a week to maintain healthy skin, and if you are particularly acne-prone, it is recommended to change your pillowcase more frequently.

It is important to note that pimples take time to heal, so it is unlikely that cheek acne would go away overnight. However, steps can be taken to reduce swelling and make blemishes less noticeable. Dr. Rokhsar recommends avoiding picking or squeezing pimples, using an over-the-counter acne treatment containing benzoyl peroxide or salicylic acid, and applying a warm compress to the affected area to help reduce inflammation. If you are having a cystic acne breakout, Dr. Rokhsar recommends making an appointment for cortisone injections to reduce inflammation and prevent scarring. You may also chose to take prescribed pills by Dr. Rokhsar or undergo laser treatments with Accure laser or PDT. Hydrafacial treatments can be helpful to exfoliate and improve black heads and white heads.