#oratane

[lasermd]

Prior to formal revisions, Accutane or isotretinoin was contraindicated if undergoing lasers, microneedling, deep peels & energy devices. A washout period of 6 months was recommended.This was based upon case reports of skin scars secondary to argon lasers & mechanical wire dermabrasion in the 80s & 90s . . 🔬Skin Science: Accutane #oratane #roaccutane - #isotretinoin increases skin fragility, delays wound healing, & has effects on #collagen synthesis. Keloid formation has been reported following certain procedures, & hence the blanket cover on all procedures over the past 4 decades . . 👀Revisions: JAMA 2017 revisions & other publications revised recommendations with evidence based medicine in mind. Obviously recommendations are worded as ‘no increased risk’ not no risk. Excluded procedures include wire or mechanical dermabrasion. This is different from #microdermabrasion. Fully ablative lasers are also not advised . . 👉Caveat: I, along with most other #dermatologist are still mindful of the side effects of #accutane & may modify the dose & timings based upon individual side effects & relevant history such as a personal or family history of #keloid scars, location of scars, density of lasers-energy based devices, considerations with staph carriage & many more. Be guided by your dermatologist as to suitable procedures & timings . . 😎Dr Davin Lim @drdavinlim @cliniccutis Brisbane🇦🇺 . . #accutanejourney #acnescars #nomorescars #dermatologistbrisbane #skinspecialist #acnescartreatment #scartreatment #banishscars #scareraser #microneedling #acnejourney #dermaroller #drdavinlim (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CJwf3MTjJDb/?igshid=1cw69bbhay2cy

[lasermd]

An oldie but a goodie. Spironolactone is a potassium sparing diuretic used by #endocrinologists & #dermatologist for the management of conditions that are modulated by androgens (hormones) . . 👀👉What skin conditions can be treated with spironolactone? . 😩Hormonal acne: It’s the impact spironolactone has on the hormones that give it its acne fighting reputation. That’s because it blocks the effect that androgens have on oil glands. This medication is an alternative to #Accutane or #Oratane . 👩‍🦳Hair loss in women: Due to its impact on hormone regulation, the drug has recently been prescribed for women experiencing hair loss, also known as androgenic #alopecia . 🧑🏻‍🦰Excessive unwanted hair: On the other hand excessive hair known as hirsutism, commonly seen in #PCOS can be treated with spironolactone . 🍳Oily skin: can also be effectively treated with this medication. Most patients only require a very small dose of between 50 to 75 mg . 📆How long before you see results? 6-12 weeks. Be patient . . 🍌What foods should be avoided if I am taking this medication? Spironolactone is a potassium-sparing diuretic (water pill). It prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. Hence it is important to avoid food rich in potassium, for example bananas & nuts . . 👍🏻👊How to start? See a dermo, endo or family physician to see if this is right for you 😎Dr Davin Lim @cliniccutis Brisbane, AU .🇦🇺 . #skincarescience #sensitiveskincare #rosaceaskin #skincareroutine #instaskincare . Disclaimer: I am procedural in my work, if you have medical conditions like #acne, please see my colleagues💯 @cliniccutis (at Cutis Clinic) https://www.instagram.com/p/CHeJJr3DHK_/?igshid=1tj08m9c7vpkt

[lasermd]

This is Tixel. One of my devices that does NOT produce laser light . . 🔬Skin Science: Short pulse heat of 400 degrees is delivered via special pins that rest on the skin. Heat provides ablation & coagulation, in turn producing precious #collagen . . 👀👊What areas can be treated? Eyes. If you have loose skin or wrinkle around the eyes, it works well . . 🧑🏾‍🦲Can it be used on all skin colours? Yes, because it is not a laser all skin types can be safety treated . . 👍🏻👉What other things can it also improve? Pore sizing & upper lip lines, & it can give a modest improvement if you have cheek lines. It can also treat mild & early acne scars, ideal for patients on #accutane #oratane #isotretinoin . . 💉What it can NOT do is to replace volume (dermal fillers do that), what it can not replace is a face lift, it does not MELT fat & it WON’T treat your jowls . . 🔫Is it better than #Picosure or Picolaser? Probably is when it comes to treating skin type 1 or 2 for wrinkle removal, but pico treats pigment whilst Tixel does not . . 👉For a no obligation assessment to see if this is right for you contact @cliniccutis My talented clinical team of nurses & dermal therapists will guide you accordingly . . 😎Dr Davin Lim, Brisbane🇦🇺 . #skinrejuvenation #wrinkles #tixel #tixeltreatment #pores #enlargedpores #skinscience #eyerejuvenation #nobotox #nofilter #dermatologistbrisbane photo credit perfect eyes (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CGs_2d8DvaU/?igshid=1dvfba3spwnsn

[lasermd]

Sun protection is important in the management of photosensitive skin conditions such a #melasma, however sunscreen use is equally important in the management of acne . . 🔬Skin Science: Grade 1 #acnescars are by definition pigment alteration in the skin, a term known as PIPA (Post Inflammatory Pigment Alteration). This can be red, called PIE or post inflammatory erythema or brown, called post inflammatory hyperpigmentation. Up to 50% of cases persist beyond 12 months, 20% up to 5 years. Simple #sunscreen use can reduce both PIE & PIH . . 🌤How sunshine can reduce acne: Sunscreens protect against UVB, good ones most of UVA. All of the visible light & IR goes through (except iron oxides). This allows the acne killing wavelengths 410-440 nm & 610-630+ nm to pass through. Hence why acne improves with sensible natural light . . ☀️🥵Retinoids & Sun Sensitivity: Oral retinoid action spectrum in the longwave UVA (mostly), hence SPF will reduce s/e of #accutane, #oratane #roaccutane as well as topical #retinol, & retinoic acids . . 👀Sunscreens. How to apply? Apply 3mls twice a day. Face & neck. Form a habit, first in the morning & re-apply at lunch time. Do not get hung up over the brand of sunscreen, just use it properly. Hats not caps for adjunctive protection . . 🎬Action: If you have pigmentation issues please see my clinical team of nurses & therapists @cliniccutis . . 😎Dr Davin Lim @drdavinlim Dermatologist. Brisbane .🇦🇺 Disclaimer: I do not treat acne, my work is procedural. For Grade 1 to 2 acne scars, namely mainly pigmentation changes, my clinical team can assess & treat with topicals, lasers & peels. #sunscreenalways #mineralsunscreen #sunscreeneveryday #acnetips (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CF7-7DZjWsI/?igshid=1afmr8clcw4pt

[yourangelocionfoli]

@angelocionfoli #pescsesportiva #trabucco #oratane #crudos #crudodimare #orata🐟 #altrabucco #oratadimare #trabuccofishing #trabuccozaiana #scampi #loscrudos #prilaga #pescecrudo #crudomare #crudo #iltrabucco #crudobar #trabuccofood #cibocrudo #jamoncrudo #pesca #orata #crudodipesce #pescado #scampilife #scampicrudi #pescador #angelocionfoli (presso Trabucco Spiaggia Zaiana Peschici) https://www.instagram.com/p/CEfFFyNnszc/?igshid=igp2xhy7uzid

[weakendnostalgia]

so i think i did a dumb thing by starting my oratane on the same day i start my period, oh well clear skin here i come

[might-aswell-be]

Going for my blood test today so then I can start accutane tomorrow :) :)

[ladychatterly]

So I’m on about.... day 5 of oratane.

My skins really started to dry out tonight. Its super sensitive and super sore :( And I have a photoshoot tomorrow so I just know right now that that’s going to be a disaster!! Also my eyes and hands and lips are all starting to dry out too... I’m still on such a low dose. But hopefully it’ll all be worth it!!