I'm sorry to hear about your ordeal with acne; it surely can be a frustrating affair.
1. With regards to the current treatment of your active acne, it might be best to have a thorough history of your acne occurrence, your previous forms of management, and your current regime to find an effective solution for it. Oral isotretinoin, together with continued topical management is key.
Other solutions include chemical peels for acne control, as well as more definitive solutions such as AGNES micro-needling radio-frequency treatment to permanently destroy existing sebaceous glands that are causing the recurrent breakouts.
2. Ablative treatments have been deemed safe for use even if on oral isotretinoin, and especially so if on low-doses. These treatments include the traditional CO2 and erbium lasers. If you are looking for something with a lower downtime, however, non-ablative lasers like the Picosecond fractional lasers (also offered at our clinic) are a good option.
A combination of treatments are ultimately key, but that will be decided during consult.
3. I would not recommend attempting acne scar treatment if you are currently facing a severe acne breakout for two main reasons:
i) The stimulation and heat from scar treatment can aggravate active acne
ii) As the active acne subsides, it may leave new scars that were not otherwise treated by the scar therapy, requiring more subsequent sessions to completely manage
Your current issue with acne sounds like a tricky one, and I would advise a a thorough consult to align your understanding and expectations with medical management. Do feel free to contact us should you require further assistance.
Dr Shane Abucewicz-Tan