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What to Expect During Your First Month on Accutane®

A woman looking at acne before starting Accutane®

Starting Accutane® (Isotretinoin) is a big step toward clearer skin, especially if you’ve struggled with severe acne for years. However, as is the case with any strong medication, it’s natural to have questions or feel a little nervous before you begin. Knowing what to expect during your first month can help you feel more prepared and confident as you start your treatment.

At Stone Oak Dermatology, our providers take a caring, patient-centered approach to acne management, especially when prescribing medications such as Accutane. We tailors each care plan to your skin goals and makes your well-being a top priority.

Initial Adjustments and Skin Changes

During the first few weeks, your skin may actually appear to worsen before it gets better. This “purging phase” is common as Accutane works to unclog deep pores and reduce oil production. You may notice:

  • Increased dryness and peeling, especially around the lips and nose
  • Flushing or redness on the face
  • An uptick in breakouts (temporary)
  • Dry eyes or sensitivity to contact lenses
  • Joint or muscle aches

These symptoms can feel discouraging, but they are temporary and manageable. Our team at Stone Oak Dermatology will monitor your progress closely and recommend supportive skincare products to minimize irritation.

Lifestyle Modifications and Daily Habits

Accutane affects more than just your skin, so you may need to make a few lifestyle adjustments. For example:

  • Stay hydrated: Drink plenty of water to help combat dryness.
  • Moisturize often: Use gentle, fragrance-free moisturizers and lip balms.
  • Sun protection: Accutane increases sun sensitivity, so wear SPF 30+ daily.
  • Avoid waxing: Your skin will be fragile and prone to damage.
  • Avoid alcohol: Especially important if you’re also taking medications that impact your liver.

You will also need to visit your dermatologist for routine check-ins and possibly monthly blood tests to monitor your liver function and other important health markers.

Start Your Accutane Treatment in San Antonio

Clearer skin begins with expert care. If you’re considering Accutane in San Antonio, TX, contact Stone Oak Dermatology to schedule a consultation. Our team is here to support you every step of the way. Call 210-494-0504 or book an appointment online.

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