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Is Accutane still available? Is it safe? What is the difference between Absorbica, Accutane, Isotretinion, Myorisan, Amnesteen, Clavaris

I have practiced Dermatology and Cosmetic surgery since 1995. I have treated several hundred patients with Isotretinion and its generic equivalents. I can tell you without any doubt that this is one of the best and most effective medications on the market today.

Accutane is derived from Vitamin A and shrinks the sebaceous glands and pores and can significantly reduce acne. Ninety percent of my patients never have acne again. 10% need a second a rarely a third course.  Unfortunately this medication is widely misunderstood.  A very small percentage of patients can have side effects ranging from dry eyes, and dry skin to mood disorders such as depression of inflammation of the digestive tract. Most of these side effects are mild and they do resolve after stopping the medication. It breaks my hard to see a patient experiencing deep cystic and scarring acne who is afraid to even try low dose Accutane.

My advice is this: find a good dermatologist, make sure it is right for you and try a course of it.

At any given point I have between 20 and 50 patients on Accutane.

Yours,

323 653 7700

www.foreveryoung.net

www.westlakelaser.com

a

Is Accutane still available? Is it safe? What is the difference between Absorbica, Accutane, Isotretinion, Myorisan, Amnesteen, Clavaris

I have practiced Dermatology and Cosmetic surgery since 1995. I have treated several hundred patients with Isotretinion and its generic equivalents. I can tell you without any doubt that this is one of the best and most effective medications on the market today.

Accutane is derived from Vitamin A and shrinks the sebaceous glands and pores and can significantly reduce acne. Ninety percent of my patients never have acne again. 10% need a second a rarely a third course.  Unfortunately this medication is widely misunderstood.  A very small percentage of patients can have side effects ranging from dry eyes, and dry skin to mood disorders such as depression of inflammation of the digestive tract. Most of these side effects are mild and they do resolve after stopping the medication. It breaks my hard to see a patient experiencing deep cystic and scarring acne who is afraid to even try low dose Accutane.

My advice is this: find a good dermatologist, make sure it is right for you and try a course of it.

At any given point I have between 20 and 50 patients on Accutane.

Yours,

323 653 7700

www.foreveryoung.net

www.westlakelaser.com

I have now used Bellafill for the past 3 years. I have tested nearly a 100 patients and seen no adverse reactions to the test spots. Allergic reactions to the Collagen portion of Bellafill are possible but very rare. 

Overall I have to say that I am very impressed with Bellafill. Besides the rare occurrence of bruising and swelling I have only seen deeper nodules twice. Both times the "granulomas" resolved with massage and dilute kenelog injection (kenelog 2.5mg/cc 0..2 cc).

I have found Bellafill to be effective for deeper rolling acne scars. I perform subcision with a NoKor needle followed by injection of Bellafill at various levels of the dermis. Deeper laugh lines can also be filled with Bellafill. This is an FDA approved indication.

As an off label use I use Bellafill to augment cheeks and the chin. Deeper layers of Bellafill can also be placed judiciously along the jawline. This results in a lifting of the cheeks and sharper and more well defined demarcation between the cheek and neck. It is ideal for patients who have lost a lot of weight or are experiencing sagging from excessive sun exposure.

Please watch our video on Youtube

Dr David Rahimi

https://www.youtube.com/watch?v=PoK26l412nc

One of the biggest challenges in treating patients with darker skin color and acne scarring is the possibility of blotchy skin after the treatment. This is called post inflammatory hyper pigmentation. Basically patients with an olive skin complexion (Asian, Hispanic, Ethnic skin) can develop blotchy skin and discoloration after laser treatment.

I often per-treat my patient's skin with a fading lotion (hydroquinone cream) and Retin A 1-2 weeks prior to aggressive laser treatment. Another more recent advance has been the introduction of venus Viva nono-fractional radiofrequency treatment. This incredible device is "color blind" and is ideal for the treatment of acne scarring in darker skin colors. Another advantage is that skin heals in 2-3 days (rather than the 5-10 days it takes for aggressive Mixto CO2 lasers).

I often combine the procedure with Subcision, dermal fillers such as Bellafill and Sculptra, and even laser resurfacing. Please read out this on our Acne site

www.losangelesacnecenter.com  and come in for a complimentary consultation.

Dr A. David Rahimi 

323 653 7700

Click on the link below to read about the technology and see a few before and after pics

http://www.foreveryoung.net/venus_viva.html

Acne scarring can be both physically and emotionally very traumatic. I have dedicated the last 19 years of my professional life to helping patients with unsightly and often disabling acne scarring. No 2 people are the same and no 2 scars on the same face are exactly the same. The key to being successful and achieving incredible results is to analyses each scar separately and treat it using the best possible options out there.

I was very fortunate to train with a brilliant physician and surgeon with the name of James Fulton, III, MD.

He was eccentric and aggressive but kind and caring. Among his accomplishments was the co-development of Retin A in the 1960 with Dr. Kligman. He also developed Benzamycin topical antibiotic solution for the treatment of acne. In the 1980s he had many acne clinics all over Los Angele and treated hundreds of young adults.

Since 1999 I have improved on Dr. Fulton’s approach to acne and acne scarring. New laser and radiofrequency devices have make acne scarring treatments safer and more affordable.

Please visit our Acne Scarring page under the procedures and schedule a time to visit us at

Los Angeles Acne Center.

You can also e mail me for a complimentary copy of our Acne Book.

afshinrahimi@yahoo.com

323 653 7700

A. David Rahimi, MD,FAAD,FAACS,FAAFCS.

One of the most important lessons I have learned after treating Acne and Acne scarring over the past 20 years is as follows:

No single treatment works for everyone.

Acne has many causes including hormonal, bacterial and genetic components.

Acne scars also come in a variety of form and shapes: icepick, box-car (a misnomer), atrophic, rolling are just a few examples.

My approach has always been to reduce or cure acne and attack the scars using a variety of treatment modalities.

My center offer 30 variety of laser, light sources, ultrasound, and radiofrequency devices to improve acne scarring.

I am sure why it works; but it does.

Please e mail me and I will send you a free PDF copy of my book on Acne and Acne scarring.

Features & Benefits

• Superior: Optimal platelet recovery 90% ± 10%
• Safe: High-tech gel designed for safe and consistent preparation
• Fast: Centrifuge with a single spin in a matter of minutes
• Convenient Procedure: Takes less than 30 minutes
• Patient Friendly: Small volume of blood required
• Customized Concentration: Yield various volumes and concentration levels to meet patient and procedure needs
• Consistent Platelet Concentration: Allowing for predictable performance
• No Foreign Components: Virtually eliminates the risk of adverse reactions
• FDA Clearance: 510(k) number: BK110035

 I am delighted to report that my experience with venus Viva has been quite positive.

The ablative mode causes significant remodeling of Collagen and drastic improvement of rolling and atrophic acne scars.

Downtime is only 3 days but 2-3 sessions over 6 months are needed.

The cost of a treatment is $1500 and includes oral sedation.
 

Forever Young, Inc.

A. David Rahimi, MD, FAAD.

6333 Wilshire Boulevard, Suite 409 Los Angeles, CA 90048

(323) 653-7700 Fax (323) 653-6409