Hello. I'm Sarah Johnsen.
If you are here, you have probably tried everything American dermatology offers. Topicals. Three rounds of doxycycline. Accutane once or twice.
Your dermatologist said, "Some people just have stubborn acne. We can try a stronger dose."
Stronger dose. After you already did Accutane.
You have probably also cried about it. Stopped showing up to family dinners. Avoided photos. Checked the mirror at 11 pm to see if anything had changed.
In eighteen years and over eight hundred acne case files, I have seen this pattern hundreds of times. The skin is never the problem. The skin is the exit.