Abnormal/Keloid Scarring- Ok to take accutane?

[delusivecontentment]

Does anyone know about the scarring after-effects of accutane? I've read several reports of scarring left after it's use. I'm sure that scars are to be expected, as with any open wound, but I don't know if these reports are by anyone with abnormalities with healing/scarring. Here is the situation...

I have mild, maybe slightly moderate acne. I get keloids on other parts of my body, but thankfully not my face. I still get abnormal facial scarring though. After a years worth of breakouts, I'm left with several flat and brightly pigmented scars. On my fair skin, they look like new acne. Even when my skin is "clear" it looks like a break out.

I finally got desperate and saw a dermatologist today! Seeing my scars, she immediately suggested accutane. She said they normally would not prescribe it to someone who hadn't tried any other prescription acne treatments, but with how I scar, I need accutane to prevent the acne which is causing my scars.

Is this product going to save my skin or destroy it? I don't heal like everyone else, and I cant seem to find any feedback from anyone who's taken accutane that always gets unusual scarring or overhealing. Any advice is appreciated.

[delusivecontentment]

Thank you for the answer, I appreciate your time. I still don't think I can make an informed decision, because I don't know how this effects people with abnormal scarring. These studies seem to be based on people with no unusual scarring, just the general population of accutane recipients. I've posted my question in the "ask a doctor" forum hoping for a more detailed response regarding the use of accutane in those with abnormal scarring who do not have what would be considered "severe" acne.

[Dr_Aparna]

Hi,
Isotretinoin (INN) is a medication used for the treatment of severe acne.Accutane is the most common trade name for this drug.
Currently, isotretinoin continues to be used only after other acne treatments fail to produce results.
Commonside effects are mild acne flare, dryness of skin, lips and mucous membranes, infection of the cuticles, cheilitis, itch, skin fragility, skin peeling, rash, flushing, photosensitivity, nose bleeds, dry eyes, eye irritation, conjunctivitis, reduced tolerance to contact lenses, hyperlipidaemia, raised liver enzymes, headaches, hair thinning, myalgia and/or arthralgia.
Infrequent re-action to the drug is severe acne flare, raised blood glucose level, increased erythrocyte sedimentation rate, fatigue.
Considering your skin's pre-disposition to form scars please make a careful, informed decision.
ref:http://en.wikipedia.org/wiki/Isotretinoin.