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Dr Simon Zokaie BSc MBChB MRCP

Linia Skin Clinic

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Roaccutane Cystic Acne Treatment in London (Isotretinoin)

Cystic acne treatment can be difficult to obtain in London and throughout the UK with GP’s often prescribing antibiotics or topical solutions. These may work to treat mild acne but aren’t so effective in treating severe, nodular acne.

Isotretinoin for acne (Roaccutane) treatment is an effective solution but can be a frustratingly slow process to get prescribed on the NHS. This is due to the need for a dermatologist referral and blood tests prior to being prescribed Accutane, which can take months.

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Dr Simon Zokaie

    Isotretinoin For Acne – What is Accutane?

    Isotretinoin (Roaccutane) is an oral retinoid used to treat severe and chronic forms of acne in adults and young people over 12 years of age. This retinoid is derived from Vitamin A and occurs in small quantities naturally in the body. This acne treatment is very effective in preventing further scarring. As an adult acne treatment, Roaccutane (Accutane) has been effectively used for over 30 years.

    Isotretinoin is often still referred to by its former brand name Accutane or Roaccutane.

    Is Isotretinoin Acne Treatment (Roaccutane) available in the UK on the NHS?

    Yes – however the typical wait for an NHS appointment is 6 months. You don’t need to let acne ruin your life when there are fast, effective and safe treatments in the UK for Accutane, accessible via a private prescription from Linia Skin clinic in Harley Street, London.

    How Does Accutane Work?

    Accutane works in a number of different ways to treat severe acne. It dramatically reduces the size of the skin’s oil glands (35%-58%) and even more significantly decreases the amount of oil these glands produce by around 80% according to some studies.

    Acne bacteria (P. acnes) is also largely reduced. This bacteria lives in skin oil and as the amount of oil that your sebum glands produce is decreased, so are the levels of acne bacteria in your skin.

    Isotretinoin is also thought to slow down the speed at which the skin produces skin cells within your pores. This also ensures that your pores do not become clogged in the first place which can cause severe acne. The final way in which Roaccutane works is by decreasing inflammation underneath the skin.

    What Are the Benefits of Isotretinoin Acne Treatment?

    • Accutane is probably the quickest, most effective and longer term treatments available at present for adult onset acne. As long as the Doctor prescribing your Roaccutane is providing you with professional supervision
    • Roaccutane (Accutane) makers stop short of claiming it’s a cure for acne, but many patients enjoy skin that is free of spots for many years or even permanently.

    What is Involved in Acne Treatment With Roaccutane?

    Oral Isotretinoin or Accutane can only be prescribed in the UK by a Dermatologist as it is a specialist medication. There is a broad range of acne medications available and the Dermatologist will firstly assess if Isotretinoin (Roaccutane) is the most suitable treatment for you.

    It is not suitable for female patients who are pregnant or trying to conceive, or in cases where patients have a history or a susceptibility to depression.

    For this reason, it’s critical that your course of Roaccutane is supervised by a professional Dermatologist with experience.

    Treatment includes the following

    • Your initial consultation and assessment with our experienced prescriber
    • Regular prescriptions for Roaccutane (Accutane) that can be filled at any pharmacy
    • (For men) Assessments every 6- weeks are required with your dermatologist during the 5-8 month treatment course
    • (For women) Assessment every 4 weeks are required with your dermatologist during the 5-8 month treatment course, including a monthly pregnancy test

    It is not uncommon for patients to experience an increase in acne when starting treatment, and at each point, that dosage is increased.

    How long does Accutane take to work?

    Isotretinoin for acne treatment generally takes around 4-8 months to complete. How long it takes to start seeing an improvement in severe acne is dependent on a few factors, for example, how severe the acne is to begin with, genetics, and lifestyle among other things. Some individuals may start seeing changes in the second month while others may experience slower changes.

    What are the risks or potential side effects of an Isotretinoin Acne Treatment?

    Side effects of Accutane can include:

    • Dryness and cracking of the skin and lips
    • Headaches
    • Joint and muscle pain, back pain
    • Dry irritated eyes, inflammation of eyelids
    • Skin rash, mild itching
    • Dry mouth
    • Dry nose, potential nosebleeds
    • Raised cholesterol
    • Raised Liver function

    What aftercare is required for Isotretinoin Acne Treatment?

    While being treated it is important that patients:

    • Avoid wax epilation, dermabrasion, and laser skin treatment during treatment and for 6 months after treatment.
    • Minimise excess sun exposure and use high SPF factor broad-spectrum sunblock when in the sun
    • Use plenty of moisturiser, particularly on the lips (we recommend Vaseline petroleum jelly)
    • For female patients, avoid becoming pregnant

    Some patients may need to repeat treatment with Isotretinoin (Roaccutane) in the future.

    Acne scars will tend to fade over a period of six months once treatment has finished. Laser procedures may be suitable at that point for further improvement of the skin.

    What is the cost of an Accutane or Isotretinoin Acne Treatment?

    Patients will need to be seen for an initial consultation and then typically for up to 5-7 further consultations. The fee for the initial consultation is £199 and subsequent consultations are £180. 6-8 consultations may be required. Blood tests are required prior to treatment and then during treatment and we can organise those tests at a charge (around £50-£100 per test). If you live outside of London we will help you source a blood taking centre and charges may differ to ours. Prescription of the medication is dispensed by pharmacy and not the clinic. Medication can cost around £40-60 per month supply of 20mg tablets depending on which pharmacy you use and the typical dosage ranges from 40mg/month through to 80mg/month depending on one’s weight. Price Packages:

    Pay-as-you-go option is also available, please enquire for details. Accutane needs to be purchased from your pharmacy after you receive your prescription. The price of our consultations doesn’t include the isotretinoin/Accutane, which must be purchased separately. What dosage you’re prescribed will depend on your body weight among other things. As a rough guide, if you’re calculating the cost of Roaccutane by body weight, you’re looking at around £36 per stone across the length of your treatment. A 10 stone patient, for example, would expect to pay around £360 over a period of around 6 months to the pharmacy for their Roaccutane meds. Book your consultation to discuss whether isotretinoin is a suitable option and how acne treatment with Accutane based in the UK (London) can help you HERE

    Before and After Treatment

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    Frequently Asked Questions

    Why Choose Us At Linia Skin Clinic?

    Located in London’s renowned Harley Street, at LINIA, you can expect to find professional Dermatologists and Aesthetic doctors who will work with you to ensure your needs are met.

    Choosing LINIA means you’ll see the best doctors in their field, whatever procedure you are looking to have performed.

    We don’t stop at just your treatment – our experienced nursing and management team are dedicated to making sure that you’re comfortable pre-treatment as well as aiming to deliver the best aftercare at every step of your journey with us.

    Who Will I See During My Consultation?

    Linia’s london-based skin clinic is run by the Medical Director, Dr Simon Zokaie, BSc MBChB MRCP.

    Qualifying from the University of Manchester in 2003, he then underwent his medical training in London. He gained membership to the Royal College of Physicians (MRCP) and subsequently spent over four years training in dermatology.

    He has practised cosmetic dermatology since and offers his patients a variety of non and minimally invasive treatments to improve the appearance of their skin and to minimise the visible effects of premature skin ageing.

    Dr Zokaie will listen to your needs during the consultation and, depending on the best course of action for you, will recommend a suitable treatment. These may include but aren’t limited to topical products, anti-wrinkle injections, dermal fillers to add volume to parts of the skin, including the lips and cheeks, and lasers, which tighten the skin on the face, jawline and submental area to smooth away wrinkles.

    Dr Zokaie is passionate about standards in his practice and ensuring that he is at the forefront of the latest and most effective methods. Along with his day-to-day skin clinic work, he also attends as many conferences and meetings as he can.

    You may also meet our medical aesthetician and certified laser technician, Rebecca Slade, who has over six years of laser treatment experience.

    With her talent for analysing skin, she’ll determine a successful treatment plan for the best result. Becca has a proven track record of practising safe, effective, and hygienic aesthetics at skin clinics.

    Can I Trust Linia Skin Clinic?

    With our years of professional experience and medical qualifications, you can trust that you’ll get the best result and care possible with Linia Skin Clinic.

    Don’t just take our word for it. Please take a look at the independent five-star reviews we’ve gained from our satisfied customers.

    You can see what all of our happy, verified clients had to say about Linia Skin Clinic

    Linia Reviews and Testimonials

    LINIA Skin Clinic
    4.8
    Based on 177 reviews
    powered by Google
    Thalia GovotsisThalia Govotsis
    23:00 29 Feb 24
    I have been coming to the Linia Skin Clinic since august, and my skin has never before felt so healthy and repaired. I’ve been using the ESK range throughout these months and I absolutely love them as they do not strip my skin or make my skin feel irritated but still work incredibly fast to fix any of my skin concerns. I particularly love my Hydroxy cleanser, my Ultimate A+, and my B Calm moisturiser, as whenever I use them I feel as though I can trust my skin to look clean and fresh throughout my day.Thank you so much to the Linia Clinic again for completely transforming my skin!
    MaxMax
    21:48 17 Feb 24
    People, don’t go there. They are saying that the consultation is £199, but I ended up paying over £600 in less than one hour with no results. They tried to convince me to buy lots of tablets and creams before even conducting a blood test. When the doctors realized I wasn't going to proceed, they offered me a discount on the condition that I write a positive Google review. I left feeling completely ripped off.Avoid them.
    Andy RichardsAndy Richards
    15:35 07 Feb 24
    I recently had a fantastic experience at Linia Dermatology Clinic, and I can't recommend them highly enough! From the moment I walked in, I was greeted with warmth and professionalism by the entire staff. The atmosphere was welcoming, and I immediately felt at ease.The team at Linia was not only friendly but also incredibly caring and supportive throughout my visit. They took the time to listen to my concerns and answer all of my questions with patience and expertise. Their genuine compassion and dedication to patient care truly set them apart.I underwent a procedure at Linia, and I couldn't be happier with the results. The dermatologist performed the procedure with precision and skill, and it was a success! I felt confident and comfortable throughout the entire process, thanks to the excellent care provided by the team.Overall, my experience at Linia Dermatology Clinic exceeded my expectations. I left feeling grateful for the outstanding care I received and confident in the expertise of the staff. If you're looking for a dermatology clinic that is not only professional but also friendly, caring, and supportive, look no further than Linia. They truly go above and beyond for their patients!
    Sarah GilroySarah Gilroy
    09:38 31 Jan 24
    I had an excellent experience at Linia’s acne clinic. Dr Zokaie provides expert care and clearly sets out the treatment plan at the beginning and throughout. He is on hand to respond to any questions.My acne has cleared up significantly and my skin is the best it has looked in a long time. Prior to starting isotretinoin, I was concerned about potential side effects. With Linia’s expert aftercare advice (including skincare and supplementation), I experienced very minimal side effects.Chantelle and Verity (managing the office) are friendly and helpful. They provide great advice on aftercare and are always on hand to answer questions.I could not recommend them more highly. If you are ready to leave your acne behind, book an appointment with Linia Skin Clinic.
    MM DesignsMM Designs
    10:53 11 Dec 23
    Really happy with the service, clear skin treatment plan from Dr Zokiae that worked for me. Acne has reduced significantly and skin has become more clearer. The dermapen treatment also had really good results. 100% recommend Linia Skin Clinic to others they also have male dermatologist which other clinics in London do not have.
    Mert KarukMert Karuk
    20:15 28 Nov 23
    I had a wart on my forehead and was getting bigger and bigger I luckily find the LINIA skin clinic I took an emergency appointment and Doctor Simon solved my problem in 5 minutes. I didn’t feel any pain everything was so quick and perfect.Incredible team, well organised and they are so lovely, kind, warm welcoming. They are really looking after you well. Definitely recommend them.Do not hesitate to contact with them. Go and solve your problem.Thank you LINIA SKIN CLINIC.
    June NJune N
    15:35 17 Oct 23
    Me and my partner had an excellent experience with Dr Zokaie and his team during our first acne consultation. No wonder why they had really good reviews on Google, they’re extremely nice and helpful, Dr Zokaie explained everything in detail about the treatment, his team also response quickly to all our concern. Highly recommend to anyone who has been suffer from acne for years. We can’t wait to see the improvement during the Isotretinon treatment and looking forward for the next consultation with Dr Zokaie. ⭐️⭐️⭐️⭐️⭐️
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