Accutane and sterility

For some background I got my navel piercing done in January and this is the current state of it. The bump sometimes bleeds. I clean it once a day with sterile saline. I also started accutane in late february i heard that you are not supposed to get piercing while on it but I had already gotten it before starting the treatment. I have no idea if there is a correlation. But i need advice!!! what do i put to bring down the moisture bump, i know drying it properly is important but I feel this is something different ! I hope it's not rejecting and it want to try anything to save the piercing

I just wanted to share something that really really helped me in making my eyes feel better. I have MGD from Accutane and have had dry eyes for years. The one fact that transformed my eyes was Dryness during the night = Dryness during the day. If you can keep your eyes moist at night then they have time to heal and recover from the damage happening to them from us using them all day.
The way that I keep my eyes moist at night is with Refresh Optive Omega 3 Eye Drops and Refresh PM Lubricant. I put the eye drops in, close my eyes and move them around, and then immediately put the PM lubricant in. It's really thick so you wont be able to see anything, but it feels amazing after a long day when my eyes hurt. I do this right before bed. You basically mix them in your eye, the eye drops to add moisture and the PM Lubricant to trap it in.
I don't know the implications of mixing things in your eyes but I've been doing it for almost a year now and have had no problems. Please try it! It is the one thing that actually helped me a ton. Also when you wake up you'll probably have to do a warm compress to un-gunk your eyes.
I know some people will be annoyed at me using the word cured, but truly I don't have symptoms anymore. Goodluck on your dry eye journey!

Hello, I would like to share my experience using microneedling while taking isotretinoin (40 mg daily). I want to clarify that I DO NOT recommend it UNLESS you have complete authorization from your dermatologist.
Having said that, let's start: a few weeks ago I went to the dermatologist (the derm sees me every month while I'm taking accutane to keep check of the side effects, etc), and talked to him about how I had a lot of hyperpigmentation and he offered me the dermapen (done it by himself), at first I was very scared because of everything I read here that it was not safe and all that stuff. The doctor showed me the evidence that some cosmetic procedures are completely safe while taking isotretinoin and that the evidence that it is not safe is old and not accurate anymore. The procedure was WONDERFUL, but I want to clarify that it was done by the same dermatologist (who is a dermatological surgeon so he is very trained and prepared to do any kind of skin procedures) and NOT by an aesthetician AND also under totally sterile and controlled conditions. The procedure was incredible, I had no problems and so far, it has considerably reduced my hyperpigmentation. I am just saying that if your derm recommend you something like this maybe you should just trust them and stop believing everything you see on the internet. I AM NOT ENCOURAGING YOU TO DO THIS PRECEDURES IF YOU DONT HAVE FULL AUTHORIZATION from your doctor (and of course please DO NOT do it at home!!!) but yeah, that was my experience I was really really scared but everything went really well and I am really happy with the results 🤷🏼‍♀️

So, I am almost mid twenties, and I have struggled with acne for approximately 13 years now.
Since I started getting acne I have done all the treatments (that I can afford) first I tried antibiotics when I was 11, did not work at all.
Then I tried Accutane (took 4 courses, 1 mg per kg that I weighed between the ages of 13 and 19 years old) my acne returned everytime about 3 months after stopping taking Accutane.
I tried spironolactone at age 17 for a solid 3 months but it made my acne so bad that at one point I could not even sleep (I am a tummy sleeper) so I went back on Accutane for 9 months after I stopped taking spironolactone.
I was medication free from 19 to 22 where I had mild acne, a cyst going at all times, so the second one healed a new one was forming but it was manageable.
I decided to try medication one more time and agreed to spironolactone as my provider suggested that I might have more luck since I now have what is considered adult acne.
The spironolactone worked wonders I had no side effects and my skin was beautifully clear!
In that time I met my now husband and after 6 months of dating decided to get birth control as I have not been on any hormonal birth control since I've been on Accutane over 4 years ago. I decided on the implant (originally I went for the IUD but tapped out due to extreme pain)
That birth control was a horrible idea. Big cystic acne all over my face! Big and painful and my provider upped my spironolactone to 200mg (highest dose my provider could prescribe me) and it just did not work. I waited 6 months hoping my body and hormones would adjust and I just did not so I had the implant taken out.
Now a whole year and a half later, I'm still struggling with my skin. My skin is where I was when I was 20, I am once again medication free and no hormonal birth control.
Here is where my problem comes in. My husband says it's because I do too much. He has clear skin because he just rinses with water and doesn't moisturize, and claims my acne and dry skin would clear up when I stop using moisturizers and topical stuff.
I use the Cerave moisturizing cleanser, niacidimide serum and Cetaphil daily facial moisturizer. And use benzoyl peroxide on active spots, I just spot some on an active spot.
He does not understand that when I do not moisturize my skin actually hurts it's so dry.
And it's not just my face that is dry. My legs and arms gets so dry when I don't put on lotion.
I understand that I have eczema and that hot showers and scented body wash is a no no, but my eczema is not nearly as bad in the last 2 years, so I've been using scented soaps.
How do I explain to my husband that I need to wash my face or my acne will get worse or I'll have more breakouts if I don't follow my skincare routine?
Edit: I forgot to add that his reasoning for not washing with cleanser and only rinsing is because he worries about his natural skin flora. And says that I'm sterilizing my skin by washing it twice a day every day.
But for everyone saying he is a bad husband, he's really not. I did get really upset when I felt he was dismissing my situation and I let him know that I was really unhappy about how he was handling the situation. I was ugly crying at one point lol. He admitted not knowing much but kept trying to reason that he got pimples as a teenager and not moisturizing helped him. The horror! But he eventually just accepted that this conversation is not going anywhere other than making me more upset.
And thank you for everyone's advice and suggestions. I did not have health insurance for a little bit , but got a new job, so I'm actually getting health insurance again August 8! And will be seeing an endocrinologist and now maybe an allergist too!
I know cerave can be a problematic brand but I've checked the ingredients and it's all non clogging ingredients according to those label reading apps. I was using a lot of acids such as salicylic and glycolic acid as well as differin gel at different points and sometimes together and decided it was just damaging my skin barrier m9re than it was helping. I actually stopped using 5% glycolic acid about 3 weeks ago and already my skin looks less inflamed.
I just get so anxious that I get tunnel vision and overdo it with products sometimes and I understand that is not good. But generally I lead a very basic skincare routine and my products at least does not make anything worse... that I know of. Everything was so perfect when I was on spironolactone and thus I feel like it is a hormonal or at least an internal problem and that no amount of topicals will actually help me.

Hello guys, med student here, wanted to post this advice on evidence based HS care according to the HS Consensus of Brazillian Dermatology Society, the treatments listed according to their success levels on the literature following the ranking of evidence based grading.
Evidence I/A (Highest): LHR (Laser Hair Removal) and Adalimumab (Humira).
​
Evidence II/B: Quit smoking, weight loss, bandages, Clindamycin, Tetracyclin, Metformin, Infliximab.
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Evidence III/C: Resorcinol (cream), Clindamycin+Rifampicin, Clindamycin+Ofloxacin, Finasteride, Ethinylestradiol, Dapsone, Zinc, Anakinra, Etanercepte.
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Evidence IV/C: Local sterilization, Fusidic Acid, Gentamicin, Topic Retinoid;
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Evidence IV/D: Clindamycin+benzoyl peroxide, corticosteroid injection, botox, sistemic corticosteroid, Canaquinumab, sulfametoxazol+trimetoprim, isotretinoin (accutane), Apremilast;
​
​
I had access to the document and had to translate most of it, but it's high quality information.
http://www.anaisdedermatologia.com.bdetalhe-artigo/103227/Consenso-sobre-tratamento-da-hidradenite-supurativa-%E2%80%93-Sociedade-Brasileira-de-Dermatologia-
Here's more if anyone is interested.

I’m still new to this community and even newer to contemplating getting a bisalp. I’m trying to do as much research as I can. My one question that I have is—does a bisalp or other form of sterilization affect hormones?
I ask this mostly because for a large majority of my life I’ve struggled with really bad acne. I have severe cystic acne and acne scars and marks. I’ve tried Accutane and other drugs, and just about anything else you can imagine I’ve tried. Truly I am someone who’s relentlessly trying to end my acne.
Does anyone know if sterilization can positively change one’s hormones so that acne isn’t caused? This might be a stupid question but this is something I’m really curious about.

i developed acne at 17 as a result of delayed puberty after recovering from a 5-year battle with anorexia. basically i fought off the onset of hormonal change from the age of 11 by starving myself, i noticed acne begin to develop when i was 16 but by then my eating disorder intensified and it all went away. i spent all of last year recovering and am now fully stable. but huge, painful nodules began to present themselves last august and my skin’s condition has only worsened since. because of my derm’s requirement that i do a full course of antibiotics (sarecycline, december-february, 3 months, worked for 2 and then fucked my body and face up big time) before deciding the options were exhausted and switching to accutane, plus the 30 day waiting period (even though i’m amenorrheic, AND a minor, AND a lesbian), i started accutane 3 weeks ago at the WORST possible time. i kick myself every day thinking of how much better off i’d be right now if i had been able to start my course back in december. the scarring has only accumulated since then, my acne has only gotten worse since coming off the antibiotic, and on top of all this i’m now purging on accutane! i’m a high school senior; prom is next week, graduation is in a month, i told my dean i may not make it to graduation because of a “health concern” (i just don’t want to receive my diploma looking like this), and i’ve already withdrawn from the majority of senior year-end activities because i don’t want to be seen any more than i must be. i’m the only senior without a full-page yearbook portrait. at least 50% of my classmates went through accutane many months or years ago (i go to a very wealthy private school at which many parents are doctors or dermatologists) so having acne has made me feel horribly alone all school year. it seems like the only people with bad skin are freshmen! so now i’m purging violently, my acne has consumed my thoughts since it developed nine months ago, and i can’t think about anything else, let alone feel happy or bittersweet or anything about the end of high school. for nine months i have watched in anxious dread and horror as my skin has gotten worse and worse. the past few months, the change has been the most exponential. i no longer smile because moving my face hurts my cysts and reminds me of what’s there. i’m scared of being under harsh light and have moved my seat in every class to be away from the shine of the fluorescents. i can’t look people in the eye when i talk to them. i’m scared of meeting new people because i don’t want this to be anybody’s first impression of me. i talk less in class and turn my head in odd directions. i’ve changed the way i dress. i haven’t worn my glasses in half a year because i’m afraid to see myself too clearly. i turn the lights off before i use the restroom so i don’t have to look in the mirror. i feel a distinct hatred for everyone around me with skin better than mine—this includes my closest friends. sometimes i feel like physically hurting other people if i look too closely at their good skin. i have OCD and my acne is a huge trigger—the way i look has to be perfect, something not feasible in my skin’s current condition; i’m obsessed with extracting pimples in a really methodical and meticulous way, using sterilized lances and essentially turning the process into an intricate ritual i perform nightly. it consumes hours of my time. i wash my hands 30+ times a day and have had panic attacks if people/objects so much as brush my face. i haven’t been able to develop myself as a person since this started. every achievement has been clouded by this inescapable reality. maybe not in anybody else’s, but in my own understanding of myself, i am nothing more than my acne. i had only just healed my relationship with myself and my body when my skin started to get bad. i can’t even see my own face behind it now unless i cover my cheeks with my hands and squint into the mirror. i finally, for the first time in my life, think i’m truly and perfectly beautiful… there’s just this disgusting layer on top clouding over it all. i cry at pictures of myself because it’s a shame somebody so pretty should have to fight something so ugly. yes i’m vain—i don’t care, i’ve earned it. but i haven’t felt strongly about a single other thing besides my skin all school year. and now i have to graduate feeling this way. i can’t wait for this drug to do its work, but already it’s too late.

Regardless of how a scar mark happens, for some people they can be a reason for great discomfort. The Camouflaging technique with medical tattooing can be a great solution that can help alleviate your self-image and boost your confidence. The procedure aims to blend the mark with the healthy skin around it and thus make the scar mark less apparent to the normal eye. At The BrowMaster Permanent Makeup studio in Mumbai India, we bring you certified treatments from best of the experts & medical trainers from around the world to be completely sure about long term integrity of these treatments.
This is a specialized area of permanent cosmetic tattooing, which falls under the category of medical or paramedical tattooing. This technique can improve the appearance of scars, marks, or blemishes from accidents, burns, surgery, or congenital disorders such as cleft palate, as well as stretch marks from pregnancy or weight gain or loss, by concealing them with a custom blend of the right pigments. This process is also called skin depigmentation, corrective pigment camouflage, or skin color tattooing. Unlike traditional tattoos that are injected deeper in the dermis with specific hand motions, cosmetic tattooing is done more superficially in the upper layer of skin with different machines and hand techniques, which enables them to heal realistically, fade completely, and be redone for fresh-looking results forever.
Who can perform Scar Camouflage:
The science behind pigment formulation and ageing and the physiology of human scar skin tissues must be understood by the specialist who is performing the procedure. It also requires advanced medical tattooing skills with PMU cosmetic devices that are much gentler than regular tattooing, as the scarred skin needs specialised techniques and tools to accept the treatment. At BrowMaster Cosmetic Tattooing Studio, with over 5 years of experience as leaders in permanent makeup, we are trained and certified by international artists who hold over 20 years of experience intaking care of third-degree scars. Our pigments and machines are sourced from South Carolina, USA.
The Process of Scar Camouflage:
First, a topical numbing cream is applied to the scar or mark area to reduce skin sensitivity by about 50%. The camouflage expert then picks out a selection of pigments that are meant to shift the color of the scar. The scar marks could be lighter or darker than the normal skin tone. The professional will also check on the undertones of the body and the skin’s tendency to darken or lighten the color implanted.
Depending upon the skin’s assessment, the expert shall prepare a mix of pigment tones.
Tiny dots of the pigment mix are applied to the superficial layers of the skin with a gentle pen-like machine. The pen deposits only in the top layers of the skin, which is more superficial than tattooing. The application is less invasive and more gentle in comparison to tattoos. Depending on your sensitivity, a few more rounds of numbing ointment can be applied again while building up the desired pigment saturation.
Scar Camouflage is a Multi-Session process. The number of sessions can range from a minimum of 2 sessions to a maximum of 5 sessions, depending on the nature of the scar and the skin’s response to the procedure. The sessions should be scheduled with a 30- to 60-day gap for the skin to heal completely before the next session. Depending on the size of the scar, each session could be 45 minutes to 2 hours long.
The final, healed results look much different from when the pigment was initially implanted.
Types of scars that medical tattooing can improve:

• Scars from injury, surgery, burns, and skin grafts: Every surgical incision leaves a scar. Breast augmentations, stomach tucks, liposuction, a boob job, and other cosmetic procedures Scars caused by violent crimes or self-inflicted scars Once the scar has healed completely, usually after 18 months of surgery, we can treat it.
• Stretch marks from pregnancy, weight gain or loss, gymming, and growth spurts. A camouflage is a much better treatment for stretch marks than lasers as lasers do not put color back into the skin and can end up being much costlier despite the inferior results.
• Loss of natural skin color – Hypopigmentation
• Uneven Nipple Areola shape correction / restoration
• Nipple re-creation post Breast cancer treatment: mastectomy
• Birthmarks — Port Wine Stains
• Vitiligo skin tattoo camouflage
• Toe Calluses

Patch testing before the actual session:
If you have a big scar mark whose nature or category you are not sure of, or if you are unsure how your skin would respond to a camouflage tattoo, you may always opt for a patch test on a small, pea-sized area first and see how your skin responds. Two or more different combinations of pigments may be applied to different areas to check what heals closer to your true tones. A 40–80-day healing period is needed to determine if the final outcome of the test has been positive. At the time of the actual session, after the positive result of the patch test, the pigment formula or degree of application may be adjusted if the expert feels the need.
Lifespan of the Results and Maintenance:
Camouflage pigments are deposited in the top layers of the skin. As the skin recycles and sheds over time, combined with the effect of UV rays that break down the pigment further, the results are supposed to last for 2–5 years, after which you may revisit for a retouch or refresher session. Also, if the skin area of the scar has a lot of movement, e.g., the fingers, the life span reduces in comparison to non-moving areas, e.g., the back.
One can improve the results by applying sunblock and avoiding any kind of exfoliant like retinols or glycolic acids, which are usually found in general cleansers, moisturizers, and creams.
Are you a candidate for scar camouflage?
You must meet the criteria below to be a candidate for the procedure. Your scar must be:
● Relatively Flat and Smooth: The technique aims at the colour. Although some improvements in texture can be expected, it may not be very effective in hiding extremely textured, irregular, or raised skin. Scar revision treatments like laser or microneedling are advised to improve the texture before attempting colour blending via medical tattooing.
● Any other Treatments: If you are already doing any lasers, chemical peels, or other treatments that work directly on the scar, there must be a 45–60-day gap before starting the camouflage process. Do not attempt other alternative treatments in between or until 60 days after the completion of all your camouflage sessions.
● Fully Healed, Stable in Color and Form: Your scar must be at least 12 months old and stable in both form and color. If your scar shows traces of pink or red, working on such a scar may further damage the skin, and a well-trained medical tattooist will not undertake such cases.
● Without Dark Edges: Dark edges on a scar are indicative of a skin tendency towards hyperpigmentation, and working on such a skin might increase the darkness. This risk is usually more on darker skin melanin rich tones.
● The scars don’t classify as keloids, raised scars, dark-edged scars, port wine birthmarks, spider veins, freckles, age spots, under-eye circles, or hyperpigmentation. Lasers and peels are better courses of action for such conditions. A visit to a dermatologist is recommended as the first course of action to better understand the categorization of your scar or mark. A medical tattooist may not be qualified to understand the nature of a scar.
● Have realistic expectations. A camouflage tattoo will improve the appearance of a scar, but it won’t restore it to the way it looked before the injury. It may not erase the scar or skin irregularity or make it look perfect as before; it simply makes the scar less noticeable by reducing the color contrast in the skin.
● Other Medical Disqualifications: Anyone who is suffering from Hemophilia, Seizures, Epilepsy, Cold, Flu, has active acne, eczema, psoriasis,Keloids, Hypertrophic scars in the area to be treated, is undergoing chemotherapy, is pregnant, is breastfeeding, has heart problems, has immunodeficiency, or has consumed accutane for less than one year.
Is it painful?
It can be mildly uncomfortable as the machine pricks through the top layer of the skin. However, with topical numbing, the skin is desensitized to some extent. It’s definitely less painful than regular art tattooing. Again, pain is subjective and depends upon the person’s sensitivity and the organs being worked upon. Soft areas of the body are easier in comparison to muscular or bony areas.
How will it look after the procedure?
The skin may look darker and more inflamed after the procedure. The darkness can last for 2–3 weeks before it fades. You should expect it to look worse for a few weeks before it starts to look better.
What’s the best time to plan this procedure?
You are required to let the scar area breathe by wearing loose cotton clothes, keep the area clean and dry, and avoid sun exposure for 7–10 days. You are also required to avoid sweating & swimming. Most people don’t really take any time off from work after the treatment. If you have any special occasions or travel plans over the next week’s time, schedule your procedure mindfully.
When will I see the results?
A professional has to be conservative with the application of pigments as everyone’s skin takes them in differently; hence, the approach is not aimed at packing too much pigment in the first session itself. The coverage has to be built over 2–3 sessions. Do not have too many expectations of results from the first session itself. You can expect a noticeable difference in the first two sessions. Depending on the number of sessions advised by the practitioner for your specific scar, you have to be patient for the final results to heal and show up to 8 weeks after your final session. If you are prone to dark scars or hyper-pigmentation, it could take longer up to 4 months to reveal final results. Patience, trust, and a free flow of communication with the professional would be of great value to those who would most benefit from this treatment.
Can a Scar Camouflage tattoo be removed or altered?
Yes, it can be removed by saline tattoo removal. Again, 3-6 sessions of removal may be needed, depending on the life and saturation of the pigments. Due to the presence of titanium dioxide in skin pigments, laser removal is not a viable option.
Is it Safe?
Procedures are done under strict sterile standards in keeping with those set by the Center for Disease Control. Most supplies used in the process are sterile and disposable.
Is there any possibility of infection?
Any time the skin is exposed, there is a potential for infection. Hence, it is extremely recommended to keep the area clean. Mild medicated soaps can be used sparingly once a day on the treated area. Also, make sure that you are always in a clean environment over the next week so that dust or sweat doesn’t catch over the worked area. Make sure you wear breathable, clean clothes and use fresh, clean fabrics for bed sheets and covers to evade any possibility of infection.
What precautions are needed before the procedure?
Make sure you have not taken any alternative treatments or topical applications for the scar remedy at least one month prior to your procedure. Wash the area thoroughly on the morning you visit the clinic for the procedure.
Avoid consuming any form of blood-thinning medication or food 48 hours prior to the procedure.
Blood Thinners: Painkillers, Vitamins B and E, All caffeinated beverages, Fish, flaxseed oils, curry powder, ginger, paprika, cinnamon, peppers, chillies, and onions
Upon visiting the professional, always make a full disclosure about the complete history of the scar and all treatments or topical applications you have undertaken, making sure that such disclosures are done in a written format.
Cost of scar camouflage: How are these treatments charged?
Paramedic Micropigmentation is currently a very niche and upcoming field, with very few specialists across the world. It may seem simple as it looks similar to tattooing, but it requires a very different set of tattooing skills with specialised pigment brands and colour theory knowledge. Getting this treatment done by a regular tattooist who is not formally trained with experienced trainers can lead to disastrous results that can worsen an already poor situation in 1-2 years time, if not immediately. Hence, if you are serious about achieving good results, you should be willing to reach out to a specialist who is well trained and certified for paramedic micropigmentation. The cost may be much higher than at your local tattoo shop. The price will depend on the experience of the professional, the size of the scar, the time it takes for the procedure, and the number of sessions required. At BrowMaster Studio, the cost for this treatment could be anywhere between Rs 8000 to 100,000 or more depending on artist, sessions, size and severity of the scar.
Do you offer Payment plans?
Yes we do! We have partnered with financing firms that provide regular easy finance options to our clients so that they don’t need to wait to get their treatment started.
#vitiligotreatment #vitiligocamouflage #scarcamouflage #scarcamouflageprice #nipplecolor #stretchmarkremoval #stretchmarkstreatment #areolareconstructioncost #3dnippletattooforbreastcancerpatients

Hi all, after suffering with hormonal cystic acne since my late teens, now 33 and having tried a multitude of treatment options ive been given a choice from a dermatologist on how to move forward.
Isotretinoin (Accutane) or Spironolactone.
I know the benefits and side effects of both, but im still so torn! I'm sterilized + im long distance with my fiancé currently so the pregnancy issue isn't an issue at all for me, and i dont want to take pills forever (i came off BC when i was sterilized but had to go back on it when my acne went nuts) so Accutane is looking like the best option. A cure, potentially.
The thing thats holding me back from deciding is .. anxiousness? I was given a 7 page, A4 document of the potential side effects and the fact that it can re-occur in 10-60% of cases is just... off putting. I'm willing to go through whatever to cure my acne, but if its not a cure and there's a high likelihood it'll come back anyway maybe i should go for the Spiro?
My doctor said i can try Spiro and then go to Accutane, but im tired of trying treatments. I just want it gone.
I just keep going round in circles in my mind, I have a week till my next appointment.. please.. help? Thoughts, opinions, experiences, anything! I dont know what to do.

Hi all I am a 24M with mild acne, mostly around the areas in my facial hair were I cannot grow facial hair (the bald beard patches). I also get a lot of tiny white bumps which start off as white bumps then usually become a blind pimple if I don't remove the white goo with a sterilized needle or exfoliate.
At 14 I had full blown cystic acne and tried everything topical you can imagine but by 16 it was time I went on Accutane for 8 months. My skin was beautiful by the end I couldn't believe how well it went. Then at around 19 I started getting large cysts again exclusively around my jawline, not full acne just one pea sized painful bump every week. I tried some topical creams again and it is safe to say that regardless of what I put on top of my skin (with the help of several derms opinions) nothing external ever helps. So back on Accutane at 20 for 8 months.
21 and 22 were very clear again but around 23 to now (I don't get anything anywhere near as bad) I was starting to get roughly 2 pimples a month, but am now getting them weekly and they are creeping back with a big flare up recently.
Some are worse then others and every time they shatter my self esteem and destroy my confidence. I think it would be silly going on full strength accutane again for breakouts, but I don't want them anymore! I stick to an incredibly strict regimen with my diet and cleaning but it is exhausting to barely get results. Every now and then when I might go a few days without a breakout I am complimented on how smooth/nice my skin looks, but then it all goes away when I get a flare up and every day when I wake up I am scared to go in the mirror in case there's something there to ruin the week.
I wanted to post and ask have people had this? and what have they worked out? I am reading about low dose accutane treatments like taking 10mg every second day for a year and when they come back doing it for a year again for as long as required. I am at a stage in my life where I could afford to do this every second year but am a bit worried about long term health issues being on an antibiotic that long?
Looking for any help or advice!

Edit: I meant solely*
Hello, guys!
I'm sorry if this has been posted a million times, but I'm sort of anxious. I want to get back to having an active sexual life and I can't be on the pill due to genetic predisposition to thrombosis (I'm around 30x more likely to have them). Went to to OB/GYN today because I'm interested in getting an IUD. He presented the options, but seems like you can either get the non-hormonal one and suffer endlessly from cramps and long, intense periods or maybe get pretty bad hormonal acne (I'm also predisposed, even had to be on Accutane about five years ago) with Kyleena or Mirena.
So, I'm thinking about relying only on condoms but I really want to hear what are you guys' experiences with that one. I don't intend to ever have sex without it (while I don't get sterilized), have seen a bunch of videos on how to use it correctly.
So, for those relying only condoms, could you tell more about it? Do you guys still do it? Any regrets?
Thank you everyone so much in advance for hearing these ramblings and to those who are keen to share.

Likewise, with any long-lasting cosmetics treatment, the semi-super durable lip tattoo requires a touch of unique consideration to mend appropriately. Since the methodology is finished by puncturing the skin of the lips again and again with an electric needle gadget, the region needs to go through a recuperating system recovery cycle.
Lip becomes flushed aftercare is there to assist the skin with recuperating into the appealing, even shade you needed. It likewise frees the irritating aftereffects from recuperating.

What Defines Aftercare Lip Blush?

As with any permanent makeup treatment, the semi-permanent lip tattoo requires a bit of special care to heal properly. Since the procedure is done by piercing the skin of the lips over and over again with an electric needle device, the area has to go through a regeneration cycle called the healing process.
Aftercare Lip blush in Nevada is there to help the skin heal into the attractive, even shade you wanted. It also helps relieve the annoying side effects of healing.

Tips Before Having Lip Blushed

1. Positively NO sun, perspiring, or tanning before the strategy and as long as multi-week later. Try not to tan or sun openness all over before your technique. The tan will shed following a couple of days accepting variety with it as it blurs.
   
2. Try not to figure out the day of the technique as the body heat grows the pores. It is prescribed not to perspire (vigorously) for the primary week after the method. Sweat is pungent and can rashly blur the treated region.
   
3. You must be off Accutane for 1 year. NO Exceptions!
   
4. Assuming you have slick skin, your outcomes will seem gentler (eyebrows can look strong) by all accounts and may require extra methods.
   

Now, Read The Aftercare Tips

1. Keep in mind that apply nothing on the treated region (aside from your aftercare item) until recuperated. This implies no cosmetics, creams, water (with the exception of purging as definite underneath), and so on.
   
2. After your methodology, your skin will begin shaping a defensive scab. You might see liquid or slime on the skin from lymph emission. The liquid ought to be spotted and blotched off with a sterile dressing cushion. It can cover the skin over and keep it from breathing and recuperating.
   
3. Following 24 hours, clean the treated region day to day with gentle warm water and a non-liquor cleanser. Apply the sudsy arrangement on a sterile cloth and smear 4 to multiple times to clean. Then, at that point, the smear totally dry. Use tapping movements as it were. No Scrubbing. No scouring. No cleaning. No scratching. Ensure the region is totally dry since microbes love dampness!
   

Procedure For Lip Tattooing

Super durable lip tone is infused into the skin of the lips with an electric gadget like a tattoo machine, however, adjusted for long-lasting cosmetics. The needle opens up the skin and stores PMU shades into it in 1,000,000 small specks.
The immersion of those dabs decides how misty and emotional the look will be. In the event that you need an all the more sheer impact, less injury is finished to the skin. In any case, assuming that you need a full lip variety that looks obscure, many passes must be made to immerse the lips enough for a lipstick impact and they experience more injury.
This scenario would have taken a long time to read but we are pretty sure that you have gained a lot of knowledge. Well, if you any concern is there in your mind then get in touch quickly to know about extra about microblading eyebrows in Las Vegas. Out experts will assist directly to ensure you about tattooing.

Hello! A few tips and things to try (not advice, not a health practitioner - speaking from experience):

• Follow @dermguru & @dermdoc.jen on IG - they were so helpful for me when I couldn't afford going to a dermatologist. Super informative and don't have too many brand ads in their posts
• Wash your pillow cases (& reusable face masks) once a week (with a hypoallergenic detergent - scented detergents can be irritating!)
• Wash your make-up brushes frequently, try not to share with friends
• Do not use make-up wipes. They are damaging to your skin barrier and are not cleaning out the pores on your face. They may also irritate your acne causing flare ups to worsen and since they do not clean pores, can lead to infections in your acne.
• Try a Salicylic Acid Cleanser (for ex. Neutrogena Oil-Free Acne Wash) ~ can be drying, use once a day (night-time).
• Pat your face dry-ish with a clean soft t-shirt (face towels are generally too abbrasive for our gentle face skin)
• Apply moisturizer (for ex. CeraVe brand) to slightly damp skin (moisturizers both help hydrate and protect your skin from air pollutants, dust/bed mites etc.)
• Use pimple stickers & do not pop Instead, prick the head of a stubborn white head or deep pimple with a sterile disposable Lancet, then apply sticker over night). Do not apply the pimple patch to moisturized areas or damp skin, rather, use a qu-tip & water (or a micelle solution) to gently wipe off mosturizer, let dry, then put on pimple patch (or prick & then put on pimple patch).
• Keep your hair wrapped up when you sleep to reduce hair oils on face
• Do not sleep with make-up on. Leads to clogged pores, worse acne, acne infections, blackheads
• Remove pimple stickers in the morning (if they haven't fallen off in your sleep) and rinse face with water only. Then apply light moisturizer, SPF, lightly tinted make-up or spot concealer as need be. Wait a few minutes between each application of product.
• I repeat, do not wash your face 2x per day (unless advised to by a professional!). Rinse with water only in the morning
• Pimple patches also come in fun colours, and cute shapes.. can be used during the day instead of night. Try to let that skin breathe after removing the patch though (ie. only once, either during the day or at night) so that the acne can dry. That way remaining gunk can purge itself, the skin will begin to repair itself and it will also help to prevent infections. Moreover, its important to use only once a day to prevent scarring (like a vampire, the pimple patches are always sucking on the skin it sits on.. skin needs a chance to heal intermittently)
• Don't use toothpaste/hydro-cortisone/garlic on acne, instead try a pimple patch or acne spot treatment (salicylic acid)

Skin care is a bit of a journey, and it may take some trial and error. Furthermore, your skin may change over the years (some people get adult acne rather than adolescent acne), which will require tweeking to your routine. When you enter your 20s, get a good vitamin C into your routine, potentially a retinol and/or B5. Don't get conned into buying hyaluronic acid, it's already in regular serums. Peptides are expensive and you can incorporate them in your 30s. Also in your 20s/30s if you want to take a collagen supplement, make sure it's the right type (some for joints, others are for haiskin etc.). Remember, sometimes less is more.
You probably are already aware, but junk food, hormones, stress, lack of sleep and lack of water can also contribute to acne. For me, if I have tempura, I can expect a few zits the next day.
If all fails, ask your parents to take you to a dermatologist (or save up to go). It will transform your life! Get an idea of what kind of skin you have and list things you have tried before you go.
Also note, there are some forms of acne that are crippling (for ex. Cystic acne) and the tips I mentioned above are general tips. So, Accutane etc. can be great for some people, but you should consult a derm first and understand the potential side-effects (I have seen the good, bad & ugly) and limitations.
I am not a health practitioner, just wanted to share some ideas for those on their journey to better skin 💙
Lastly remember, skin is the largest organ on your body, care for it. Drink water, and ALWAYS wear sun-screen (most skin damage from sun is done before your 20s) SPF +30. I know it's annoying to wear sun-screen but it is so so so expensive to repair your skin and you can't completely reverse it. Fun fact, Kim Kardashian's kids have a staff that lotions them daily and applies sun-screen around the clock.. don't take my word for sun-screen, take the billionaire glam Fams actions!
Good luck!! We've all been there friends! (っ.❛ ᴗ ❛.)っ
Edit: grammar, formatting

Is there anyone on this sub that has been sterilized and taken accutane? I had a bilateral salpingectomy (tubes removed) and I’m curious if I would be forced to take birth control even though I cannot get pregnant

Once again I have a MASSIVE cyst right under the corner of my mouth. It feels like it’s right under the skin, but a sterile needle won’t pierce it. Can’t make a derm appointment in time for it to still be there, they schedule like a month out so it’ll be gone by then. I can literally stick a finger in my mouth and hold the cyst between my fingers, it’s a very distinct/hard ball.
Still have my lovely moustache and random THICK chin hairs too.
Should I talk to my doc about bumping up the dose of spiro? Or maybe even Accutane?

Indented hole
Timeline:
19-26 I've had my nose pierced professionally 3 times due to having it out for too long (months/years) or just didn't like the placement. I've re-opened it myself at home with a regular piercing probably 5 times. This is probably excessive but I did it for work and personal life reasons as well as just switching up my look! I can't do clear ones
I've had it keloid and crust over extremely where I had to go on antibiotics the first time and I think it was because I was living somewhere with extremely debilitating allergies in my home and was constantly touching my nose from sneezing. Then once infected by myself in 2016 because I was inexperienced at re-piercing and wasn't sterile/kept touching it! Also antibiotics but I never took them out both times
​
The scar tissue is essentially an indent that has always been really easy to pierce through with minor pressure/pain/blood that doesn't last more than a few hours. My ears do this too where if I haven't pierced it to open it up in a few months it'll "close"
​
Most recently I had it in Summer 2019-Winter 2020 and then had it out for a few months and pierced it in February-April. and it's been the same professional piercing spot since 2018
​
I am 3rd course Accutane veteran I'm one month into my third round but I still want to be cautious. Any advice?

I (23F) really want kids one day and I am terrified of the rumors about accutane basically sterilizing its users. I have checked peer-reviewed scholarly research articles and it does decrease ovarian volume while on it but then the volume goes to normal afterwards. Has anyone here used it and had healthy babies afterwards? My doctor tells me it is safe and this was just a rumor but I have heard from others that this used to happen in the 80's or something so there is some record of it happening. Thanks in advance.

Hey. So! I just started accutane one week ago- I am purging on my chin and forehead (large sore cysts). I have always been okay with not picking/popping at my skin BUT never had so many whiteheads at once.
Wondering if when they are fully risen as white heads- how I should handle them? Pop them? It's impossible to leave clusters of large poppable white heads..
Any advice on what i should do? Sterile way to pop them?

My father was irresponsible and arrogant and breached his scope of practice/medical board rules against prescribing to your family member. He is a pulmonologist and had no role in prescribing the medications that he did for me, for the conditions I had.
From ages 19-21 (and actually, even since I was 8 years old really), my father became arrogant and lazy, thinking it would be no problem for him to use his medical license to prescribe me medications/give me medical treatments.
Starting at age 8, I was given first over the counter, then stronger prescription sleeping medications by my parents.
As a child, my father stitched a wound I had in my knee in the bathroom instead of taking me to a hospital, putting me at risk for infection in an unprofessional and in-sterile surgical environment.
At age 16 I had a surgery and when i ran out of medications, I was given my parent's extra opioid pain killers and other medications like zofran with no prescription.
At age 20, my father prescribed me last-resort antibiotics with a blackbox warning to take traveling (ciprofloxacin, associated with severe debilitating and permanent effects). He gave me no warning for these medications. Furthermore, my father prescribed the HPV vaccine and my mother (who is a nurse) administered it. I am not sure if this is legal or not.
From ages 18-20, he prescribed me refill medications for medications like psychiatric meds (which I was unfortunately put on at age 16 after a situational depression in that time period) and a couple others like benzodiazapenes. He gave me irresponsible and even dangerous advice, saying that I should "take the medication when I had the urge to binge on food" (I struggled with an eating disorder and instead of having it properly treated, this was the 'treatment' I got.) He gave me irresponsible advice during this time.
At age 21 he wanted to prescribe me accutane (isotretinoin) for acne, but he wasn't able to (due to the pregnancy registration system), so he had his colleague/friend do it for me instead. I didn't really want to take the drug but he downplayed it and strongly encouraged me to take it, so I did.
At age 22 he prescribed me prednisone off-label for acne and inflammation, and shortly after that my body became to seriously and permanently break down. I had a horrible reaction to the combination of isotretinoin, antidepressants, benzodiazapenes, and gabapentin (which I think he also prescribed /gave to me). I became suicidally depressed and in severe pain throughout my body, unable to think properly (since the psychiatric medications and accutane severely altered my brain), I developed myalgic encephalomyelitis, severe bodywide tendon and agonizing nerve damage, partial paralysis in my hands and fingers, arthritis, chronic headaches/migraines, severe brain fog/memory problems/cognitive issues, severe debilitating chronic fatigue, visual damage, damaged / thinning skin, permanent alopecia, tinnitus, serious spinal problems, low blood pressure, bone pain, muscle damage and weakness, and even more.
Bottom of the line is that even a few years later I am in absolutely debilitating/disabling severe chronic pain 24/7 to the point where the neuropathy + tendon damage is so severe I am unable to work. I was a straight-A, high functioning, athletic student with a high IQ of 145 before my multiple pharmaceutical injuries as a result of my father's negligence and irresponsible prescribing behavior throughout my childhood and young adult life. I felt heavily persuaded and trusting of him because he was my father and I felt incapable of making independent decisions in childhood (because I was a child) and in adulthood (because of the violation of professional boundaries). I am without work and without a home. I feel powerless. There was a period of time for a few months where I was literally homeless (living out of my car) in the aftermath of this horrific trauma and not being able to live anywhere. My health, body, life, career, everything is down the drain and ruined forever because my father could not be a professional doctor or a responsible father.
My question is: where do I turn now? It eats me away with anger to see my father living a good life, going on vacations, having a lot of money saved up for later. He lives the life he wants to live and I have nothing. I don't deserve this. I feel that I was medically abused and there was negligence involved. I feel entitled to financial compensation for my damages.
Can I contact a lawyer? Do I have a legal case?
TL;DR: Father (a lung doctor) was medically negligent and prescribed and treated me from age 8-22, resulting in serious disabling injuries and illness. I have nothing and he has $$$. It is not fair. I am wondering if I have a legal case for compensation for my injuries.
Location: hospital, home, college, various.

I was recently recommended derma needle therapy for my more permanent skin problems (acne scars, stretch marks). I know skincareaddiction really doesn't like dermarolling so let me just lay down some info first. It was recommended by a medical professional, so it's not just a whim purchase based on a random nosey Karen from my local grocery store. I used to suffer from pretty intense acne and went on accutane 9 years ago as a teenager. I have heard some horror stories, so I would prefer getting a derma pen that will be way more sterile with its single use needles, and won't produce as wide of a hole as a derma roller would since it punctures at a 90° angle.
Problem is, there are a tonnnn of different models out there and I would like to know more before I make the purchase. I don't necessarily have a preference with cord or cordless versions. The only thing that is super important to me is the ability to adjust needle length, and that all needles are disposable for hygienic reasons. I noticed that there are usually choices between the amount of needles, could anyone give their two cents on that?