Cryosurgical [posted 7/24/98] Question: I have cystic acne and have an HMO. Would cryosurgical treatment be considered cosmetic?
Usually, but, you’ll need to check with their benefits office. Cystic Acne Question: I have just finished my 20 week course of accutane (40 mg twice a day). Accutane helped me clear up my acne, but I still have deep red scars. I was told they would fade away but its been almost 6 weeks since I have stopped accutane they haven’t cleared up as yet. I also have problems shaving because after I shave I get small red pimples on my neck. They go away in a few days and then again return. Answer: It sounds like you have some permanent problems from cystic acne. Accutane is one of the preferred treatments for this problem and I’d stay on it. Local steroid injections may be of help (by your dermatologist or plastic surgeon). If this fails, ruby laser treatment to remove all the skin to the dermis is next (this is expensive but, works usually). I’d change to an electric razor and see if these “bumps” go away. Many of my patients with acne have difficulty with blade razors. I’ve never been sure if
