💬 Case Clinic: Post-Accutane Skin

Client Profile
Female, 28 | Fitzpatrick II
Chief Concern: “I finished Accutane six months ago, and my skin still feels dry and sensitive. Can I start actives again?”

History

• Completed a six-month course of isotretinoin for cystic acne

• Acne remains about 95 % clear, occasional mild hormonal flare-ups

• Current routine: gentle cleanser, hyaluronic acid serum, rich moisturizer, SPF 50

• Interested in treating post-acne scarring (rolling scars + hyperpigmentation)

• Hesitant to restart actives for fear of re-triggering acne

Current Presentation

• Mild dryness and residual flaking

• Post-inflammatory hyperpigmentation (red and brown)

• Rolling scars on cheeks

• Fragile barrier with some stinging from products

• No active breakouts

🧠 Your Turn:
How would you approach this case? Share your reasoning, preferred modalities, and barrier-first strategies below. Let’s compare professional perspectives and learn from one another. 👇