How effective is isotretinoin?
For a high proportion of patients, a course of isotretinoin will lead to a sustained improvement in your skin. This does not mean that you will never have acne in the future, however usually this is mild and can be managed with over the counter or topical treatments. Approximately 10-15% of patients may require a second course of acne at some point in the future and an even smaller proportion may require multiple courses.
How can I help
I see patients in person in central London. An in person consultation allows me to examine the skin directly including features that are difficult to capture in a photograph such as 3-dimensional changes and textural change. This is the better option where the diagnosis is uncertain, where previous treatment has not been effective, or where a procedure is being considered. For more straightforward conditions such as acne and rosacea a remote consultation with clear photographs can be a good option.