Our expert says:
Hello Jay, thank you for the question and sorry for the long delay in the answer to your question, but I have just come back from working in my London clinic.
I am not sure if the ‘holes’ you describe are pores or acne scaring. The Roaccutane you are using should over time help for the larger pores, but one could also try glycolic acid peels (once 6 months have passed from your last Roaccutane tablet) and the topical NeoStrata Clear Skin Solution. If the ‘holes’ are acne scaring then the problem becomes more difficult to correct. Mild and medium size scarring can respond well to glycolic acid peels or deeper peels such as Jessner peels, but ultimately one may need (especially with deeper acne scarring) to consider laser or needling to resolve the problem.
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