The Clear Skin Project Blog

Acne Treatment and the Transgender Community

Some new insight in a recent article in Dermatology News explains how iPLEDGE cimagetempalte_6lassification for transgender patients can be challenging. Some of the patient considerations include changing hormone levels and childbearing potential.

Patients who wish to take isotretinoin, one of the most common acne treatments, are subject to the requirements of the iPLEDGE Program, a federally mandated computer-based risk management program. Based on gender, it is designed to eliminate fetal exposure by isotretinoin use. The program strives to ensure that no female patient starts isotretinoin therapy if pregnant and no female patient on isotretinoin therapy becomes pregnant.

At the annual meeting of the American Academy of Dermatology, Dr. Brian Ginsburg, a New York–based dermatologist, recommended modifying patient intake forms to allow the individual to self-identify gender and respecting the use of correct pronouns preferred by patients. Additionally, having “honest conversation” with patients who were previously registered on iPLEDGE regarding their gender classification is important.


Want to learn more? The full article by Elizabeth Mechcatie can be found here:

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Let’s Talk Lasers

Face treatmentLasers have come a long way in a short amount of time when talking about acne treatment.  There is virtually a specific laser for every need.  Often a patient will need to be treated by more than one laser depending on the types of acne or rosacea lesions present.  Lasers can be used to treat acne itself:

  • to eradicate the pimples themselves
  • to treat the consequences of acne

Different types of laser treatments include:

  • Dye lasers – used to treat the red lesions (or red remnants of lesions) of acne and for the background redness of rosacea
  • Blue light and light with a photosensitizer (photodynamic therapy) – used to treat acne itself
  • Fraxel lasers and fillers can be used to lessen acne scars

Check with your dermatologist on what laser treatment might work best for you!