Acne/Rosacea   

VA patient. Not responding to usual TCS, barrier pastes, acitretin, etc. Considering IL-17/-23 inhibitors. 

Do you favor PDL vs IPL? Do you prefer hydroquinone-based therapies?

Back and chest who deferred systemic antibiotic.

Have you had experience continuing low dose Accutane past the goal dosage recommendation? 

I.e., specific brands 

Do you recommend a six-month wait period? Have you had patients that developed poor outcomes due to pursuing cosmetic procedures too early after compl...

And if so how soon after do you start?

Is isotretinoin the only effective option?

Do anti-inflammatory topicals such as niacinamide or sulfur-based products help with this type of rosacea?

Isotretinoin provides a permanent benefit to acne because it atrophies sebaceous glands. My assumption is that it leaves the skin and eyes permanently...

Is long-term oral ivermectin ok? What topical therapies other than topical ivermectin do you recommend/prescribe?

In your experience, do specific patient features predict a better response?