It is a rare patient that I refer to my colleagues for chemical peel. Usually, I explain to my patients that they will look awful for about a month while they are using the product, but I feel it is very effective. So in this sense, I agree with your dermatologist who prescribed this medication if you have multiple actinic-keratosis, if chemical peels are considered a cosmetic procedure. I feel like there's no other solutions out there. It is a rare patient that needs more than one or two treatments with Accutane.
Some patients require three.
Unfortunately, beyond this medication there are no other viable alternatives. If you did not respond to full treatments of 20 weeks in a full dose of Accutane, you will have to rely on the traditional topical applications. Unfortunately, we can not offer you more help. That's all the time we have for today. Thank you, Dr. Tausk, for joining us.