What skincare routine should you use during isotretinoin treatment?

By Dr Magnus Lynch
MA(Cantab) DPhil(Oxon) MRCS FRCP
Consultant Dermatologist & Dermatological Surgeon

Isotretinoin (roaccutane) causes significant changes to the biology of the skin resulting in significant dryness. This dryness is one of the most common side effects of the treatment and can be unexpected for those with acne-prone skin which tends to be greasy.

Whether you are just about to start a course of Isotretinoin or have been taking for some weeks, here are our recommendations for skin care products to ease dryness of the skin, chapped lips and eyes.

It is important to start your routine with a non-comedogenic cleanser. It is not essential to spend a lot of money - we like La Roche Posay Toleriane Dermo-Cleanser and Foaming Gel Cleanser. Cleansers produced by CeraVe and Cetaphil are also effective and inexpensive.

You may need to use a moisturiser due to skin dryness. Again the key here is to use a non-comedogenic products. We like La Roche Posay Effaclar H.

Finally, almost everyone will experience dry lips and the key here is to apply a lip balm as often as possible. We like Elizabeth Arden Eight hour intensive lip balm. Cheaper - but still effective - options include eucerin intensive lip balm or good old vaseline.

Related Articles

• What are the side effects of isotretinoin (roaccutane)?
• What skincare routine is best for acne-prone skin?
• What is the best cleanser for acne?
• What is the best moisturiser for acne?

About Dr Magnus Lynch

I am a London-based Consultant Dermatologist and Dermatological Surgeon. My NHS practice is at Guy's Hospital and is focused on Mohs micrographic surgery and the treatment of complex skin cancers. My private practice additionally focuses on laser treatments, regenerative dermatology, rosacea, acne, pigmentation and scarring. I have particular expertise in the diagnosis and treatment of skin cancer, including minimally-invasive techniques, Mohs micrographic surgery, and facial reconstructive surgery. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John’s Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King’s College London investigating the molecular biology of skin cancer and skin cancer diagnostics, and I constantly aim to translate the latest findings into better patient care. You can learn more about my Research.

In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions. Filming for the next series has recently completed and the series will be released later in 2025.

How I can help

I consult with private patients at several well-appointed and conveniently located sites across central London:

• London Bridge Hospital: Conveniently situated within The Shard, next to London Bridge station.
• Skin55 Ltd: Located at 55 Harley Street, this beautiful Edwardian building houses one of the largest private dermatology facilities in the UK with a comprehensive laser suite.
• OneWelbeck: Located close to Bond Street underground station. Mohs surgery, lasers, and other skin surgeries are performed in the state-of-the-art surgical suite here.

A new consultation is £250, a follow up consultation is £220. For more information on fees, please visit Prices.