Accutane for Hormonal Acne: A Case Study in Katy & Houston, TX
At Village Dermatology, we frequently see patients struggling with acne that has resisted over-the-counter solutions for years. A recent case involves a 34-year-old female who presented with persistent, moderate facial acne marked by comedonal papules, inflammatory pustules, and scarring—especially around her menstrual cycle. With no prior treatments tried and increasing psychosocial impact, she was ready to pursue a definitive solution.
Initial Evaluation & Hormonal Acne History
This new patient visited our Katy, TX dermatology office seeking answers for her acne, which had been affecting her self-esteem and skin health for years. Her flare-ups worsened cyclically with her menstrual periods—an indicator of hormonal acne. At the time of consultation, she was not using any acne medications or skincare routine targeting her breakouts.
A full facial examination confirmed moderate acne consisting of:
Blackheads and whiteheads
Inflamed pimples
Post-inflammatory hyperpigmentation and scarring
The acne distribution was limited to the face, with no signs of nodulocystic activity, but the patient expressed concern about ongoing scarring.
Why Accutane Was Chosen
After a thorough evaluation and discussion of treatment options—including topical retinoids, oral antibiotics, and hormonal therapy—we determined that Isotretinoin (Accutane) would offer the most effective long-term results. This decision was based on:
Acne present for years
Lack of prior treatment response
Worsening around menstrual cycle
Early scarring
We discussed the risks and side effects of Accutane extensively, including dry skin, mood changes, lab monitoring, and teratogenic risks requiring iPledge enrollment and monthly pregnancy tests. The patient was also educated on expected outcomes: approximately 60-80% improvement after 2-3 months of treatment.
Lab Testing and Next Steps
Before starting Accutane, the patient completed her initial lab testing:
Urine Pregnancy Test (negative)
Liver Function Panel
Triglycerides
She was also counseled on skincare routines to support her treatment, including:
Non-comedogenic cleanser and moisturizer
Avoiding skin-picking and harsh exfoliants
The patient understood the process and agreed to begin Accutane in 31+ days, after completing the iPledge protocol.
Empowering Patients with Acne in Houston and Katy
This case demonstrates the importance of personalized acne care. At Village Dermatology, our team is committed to educating patients and creating tailored plans for long-term results. Whether you’re experiencing hormonal acne, cystic breakouts, or adult-onset acne, we offer expert solutions from board-certified dermatologists.
