Reply to Dermatologist for acne if the kid doesn’t really care?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Oral meds for acne can have some pretty strong side effects.
My friend's son got ulcerative colitis from discontinuing oral acne meds.  It has been a rough road.  The parents were fixated on the fact that the son needed perfect skin.

I live in a college town.  The wealthy kids all have perfect skin.  The poorer kids have normal teen skin with some acne. I always feel like the poorer kids are lucky.[/quote]

Where were you a few days ago when everyone on an Accutane thread was saying someone was a bad mom for not wanting her kid on it? I would not either fwiw.[/quote]
That poster said their child had inflamed cystic acne and the child already had scarring. You are a bad parent to allow your child to be permanently disfigured by cystic acne. [/quote]

Yeah, I think of your teen had accutane level of acne it would be obvious to you to take them to the derm, and it would bother them- a lot.  It is both terrible to look at and painful on the face.

A few pimples here and there doesn’t warrant a dermatologist visit.  Especially if the child isn’t bothered and isn’t even doing the basic hygiene steps at home.  I'd work on that before running to the derm.  [/quote]

I think the poster who made the comment about wealthy people nailed it: it's often not about the severity of the acne at all, just about what rich people will do to have the best _____________ (insert anything).  [/quote]

We are wealthy and my teen son refused antibiotics and accutane.  He is dead set against putting either in his body.  He also was a bad about following the topical routine--as soon as he got some irritation or as soon as it started getting better he'd back off using it and lie to us that he was using it.  We have shown him pictures of what permanent acne scarring looks like and how it is very hard (if possible at all) to get rid of.  I sort of read him the riot act that if he wasn't consistent by the next follow up derm appt. he's going on something oral.

I'm not quite sure why he is so resitant to the idea.

Just to throw that out there---some wealthy kids have bad acne too.  My other teen has none--his skin is like mine and I never had a single pimple.  Older one takes after the other side.[/quote]

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