The Naked Truth – A year since Roaccutane

naked naked2It’s hard to believe it’s been a year since I finished treatment for what was one of the most soul destroying and confidence killing conditions I’ve ever experienced (if you would like to read more about my treatment please see here). But still to this day one of the biggest questions I’m asked across social media is “How do you have such lovely skin?” which quite honestly is amazing. It’s amazing that people sit there and think my skin is amazing. It’s amazing that I’m confident enough to show my skin (seriously, the amount of bare faced selfies I post on Snapchat is ridiculous) and it’s amazing that I have a platform like my blog to be able to tell you all about how I cured my acne.

I don’t wan’t to ramble on like I did in the first post but I thought I’d start with the good news, my acne hasn’t returned! I may suffer with a hormonal blemish now and then, which usually makes me giggle a bit because it’s just so pathetically small in comparison to what once covered my face, chest and back. Another thing that hasn’t returned is the excessive oil that used to melt whatever make up I chose to wear, whether it was Double Wear, Studio Fix or a drying powder Β foundation, my oil secretion could do away with it in a matter of hours. So essentially I have an entire new skin type, which has obviously taken some getting used to. Moisture is now no longer the enemy. Which means that the treatment has been nothing short of, a complete success.

Now I thought it would be good to put some tips together for those wanting to seek help for their own skin problems to mark the year anniversary:


Seek Help

If it effects your daily life in a detrimental way, you absolutely do not have to live like that and the best place to start is with your GP. They aren’t always the best and it can sometimes feel like they don’t understand the severity of the issueΒ (I find acne is something that those who haven’t suffered with it, find hard to understand) so don’t be afraid to seek a second opinion with another GP.


Be Assertive

Do not be afraid to tell them what you want, if you want a course of Roaccutane, make it abundantly clear from the outset. They may make you try alternatives to begin with but that’s because the treatment really is supposed to be a last resort. But you know your body and your skin better than anyone.


Do your research

Make sure you are well aware of everything that comes with Roaccutane. Yes there are lots of side effects but it’s rare that you experience all of them. None the less it’s good to be prepared and aware before starting as Roaccutane can cause mild side effects (such as dry skin and lips) but it can also have catastrophic ones (such as depression, hair loss and suicide). So please please please arm yourself with knowledge before hand.

Lots’s of people have asked what ones I experienced and I can safely say I was one of the lucky ones which only really experienced severe dry skin, lips and eyes which I made sure I had the best products to treat the effects.


Pay Attention

As mentioned above, there can be some seriously awful side effects so you need to pay attention to how you feel. Do you feel low? Is that out of character? Do you have a sense of hopelessness? All these things can be a direct result of Roaccutane, so make sure you speak to your family first and confide in them, but also bring your dermatologist up to speed.


Take Care of your skin

Your skin is going to be in a bit of a bad way during your treatment and you want to use the best products so ensure the minimum amount of damage is done whilst your skin is extremely dry and brittle so I’ve popped together a list of products which are perfect for dealing with the side effects.

1. Hibi Scrub Β – My dermatologist recommended I wash my face once a day with this face wash to aid the cleansing and healing process.

2. Carmex/Nipple Balm/8hour Cream – You are gonna need A-LOT of lip palm and good ones at that, so stock up and make sure you’re never caught without.

3. SalineΒ – I used this for when my eyes were extremely dry. It’s best not to use to often so that your eyes don’t get used to the added moisture but I found saline a lot more gentle than other eye drops.

4. Rose Facial Oil – I used this morning and night as I really noticed the difference from using it. I didn’t stick to one brand for the whole 6 months but my favourite was definitely Neal’s Yard. I used this under an intense night moisturiser which mean’t I usually woke up refreshed and not flakey.

5. Water – You are going to need to drink A-LOT more of this to ensure your skin is hydrated from within. So if you don’t drink enough and are about to embark on treatment. Now is the time to start making a point of drinking more.


Be Realistic

Nothing upsets me more than seeing fad products promising amazing results when in reality all they are doing is playing on our biggest insecurities in order to make a profit. I’m astounded it’s not illegal but regardless be realistic, there is only so much topical products can do. Most of the time acne is a virus that needs treatment with medicine.


I really hope these tips have helped. I was completely over whelmed by how many of you commented and continue to comment on the previous post so if you have any questions regarding this post please don’t hesitate to leave a comment below.


  1. Katie 13th April 2015 / 10:12 am

    I had absolutely no idea you suffered with bad skin! You are literally flawless now. So pleased for you that the treatment all worked!

    Katie <3

    • lydia 13th April 2015 / 1:33 pm

      Hey Katie,
      I was able to cover it very well, even people in person rarely noticed but it destroyed me inside for so long. I’m so glad it’s over πŸ™‚

    • Tracy 2nd July 2016 / 2:02 am

      I’m really, very happy for her. Will certainly have argued, had someone told me about it, if I didn’t see the pictures myself.

  2. Primrose 13th April 2015 / 10:34 am

    So glad you posted an update with tips! Still struggling what my next move for my skin is, as I’m a bit worried I would be susceptible to the emotional side of the medicine. However having read your experience it’s great to actually be further educated about it and your experience, the dermatologist who recommended this to me failed to make me aware of the side effects! So glad to hear you’re happier in your skin now, thanks for being so open and sharing! X

    • lydia 13th April 2015 / 1:35 pm

      Hey Primrose,
      Yes I can imagine the effects on your emotions would be quite scary but as long as you stay aware of how you are feeling and notice when an emotion may be irrational or out of character as well as SPEAKING to friends and family about how you are feeling, then I’m sure everything would work out! πŸ™‚

  3. Rachel 13th April 2015 / 11:29 am

    I have heard so many good things about the end results of Roaccutane. So good for bloggers to discuss it for those with skin struggles!

    Rachel |

    • lydia 13th April 2015 / 1:35 pm

      I just hate the thought of anyone suffering with their skin the way that I did. πŸ™

  4. Kathryn Williams 13th April 2015 / 11:34 am

    I’m glad you have achieved good skin from the tablets. Sadly for me a year later the acne returned, it’s not as bad as it was, but I’m still fighting a battle with spots πŸ™

    • lydia 13th April 2015 / 1:36 pm

      Hey Kathryn, did you not do a second course? my cousin had to. I know it’s not a flippant choice, I wouldnt want to do a second course but I would if I needed too xxx

  5. Holly Elizabeth 13th April 2015 / 1:29 pm

    What a great post – I just read this off the back of the photo you posted onto Instagram, and had to come and read your thoughts on Roacutane, as I took this when I was 17 after about 5 years of horrific acne. It’s a real life changer and I would highly recommend any acne sufferers to go down this route, but it’s so great that you have done such a thorough post on what to expect from the treatment – as with anything, one persons experience may not be the experience shared by all, so people should always know every angle of what they are getting in to. My doctor tried me on every topical treatment under the sun before he would prescribe Roacutane to me and it changed my life. Knowing how I felt to finally have clear skin makes me so happy for you to be in such a good place now with yours πŸ™‚

  6. Rachel 13th April 2015 / 1:38 pm

    Hi Lydia,

    Thank you for sharing this! I have suffered with acne for as long as I can remember! Have tried endless creams and lotions from the doctor, all sorts of tablets and pills and nothing worked, I am now nearly 26 and I still suffer, but not only that, I have the scars to show for it as well lol (serves me right for picking really)
    Its such a breath of fresh air reading something like this as its hidden so much in the media, sometimes making you feel isolated and like your the only one going through it, so thank you Lydia, so brave to post something like this πŸ™‚ xx

  7. Courtney 13th April 2015 / 1:45 pm

    I’m sorry but I feel compelled to post. I also suffered from acne to a point where I would not go out in public. After years of different drugs and treatments, I decided to go on Accutane. For those who don’t know roaccutane is like a sister drug of Accutane. I was on the pill for 3 months and sunk into a horrible depression. Unfortanuately the drug stays in your system months after which deepened my depression. I sank so low to tempting sucide. This drug is super power and if you suffer from depression do not take it. It has taken me 2 years to get out of this depression. Please please use this as a last resort and really think about your life. It may not be worth it.

    • lydia 13th April 2015 / 1:48 pm

      Hi Courtney,
      This is a really great comment to add to the mix. My dermotologist made it very clear that if I had suffered from depression or low moods before undertaking treatment, I wasnt allowed to take it. It is the responsibility of the person seeking treatment to ensure they are completely honest and rational before starting a course. xxx

  8. RaychEll 13th April 2015 / 2:01 pm

    Lydia, I cannot praise you highly enough for this post, and your transformation pictures on Instagram! I began suffering from acne when I was 11, I’m now 23 and it was only just cleared up! I spent all of my teenage years going back and forward to my GP, getting no advice or solution other than topical creams that dried my skin out and made me feel a million times worse!
    I am also over the moon that you mention here that acne is a virus, possibly the worst part during that time was people at school, and crazily enough fully grown adults, assuming you have spots because you don’t wash! (I can assume you I probably washed my face more than 99.9% of the people who said that to me)

    I wish more people would post so honestly about acne and its effect on sufferers as well as the effects of treatments available. Also that I had this kind of guidance 10 years ago!

    Keep up the amazing work girl xxx

    • lydia 13th April 2015 / 2:13 pm

      Ohhh thank you so much hun! Yes the whole hygiene thing really irritates me. When you have Acne you use things like Tea tree, TCP and other anti septics like friggin perfume. wash excessively because stupidly you think it will help and just because some fool claims its caused by bacteria we’re branded dirty! drives me potty!

  9. Lucy 13th April 2015 / 2:03 pm

    A few years ago I very nearly thought about going on Roaccutane. I’d seen my brother use it and although he really, really suffered with dreadful cracked dry skin, his skin after was totally clear.
    Instead I’ve learnt to take the ‘beauty diet’ approach as I discovered it was my hormones that were the culprit of my acne, whereby I just ensure I’m eating great foods that work wonders on my skin, avoiding sugar in all of its forms at all costs as much as possible.
    It’s fantastic how clear your skin is looking an no, I would never have guessed you had such a bad time with your skin before! You’ve offered some really great advice here, so you should feel proud of this post and sharing it with so many people!

    • lydia 13th April 2015 / 2:10 pm

      Hey Lucy,
      Yeah sometimes people have intollerances and their diet can make an amazing difference. My diet was so healthy and my PT had be gradually remove and reintroduce food groups to see if they effected my skin. As mentioned, sometimes Acne is just a virus and you have no control over it. πŸ™

  10. Tiff 13th April 2015 / 2:55 pm

    Thank you so much for posting this! I just finished up my 1st month of Accuante (US version) & I’ve already seen a HUGE improvement. Not only in my skin, but my self confidence also. I didn’t have severe acne but I was consistently staying broke out and nothing else was working, so at 27 I had had enough. Even though my acne wasn’t severe, it was still impacted my self confidence greatly. It feels great to wear makeup for me instead of wearing makeup to hide all my blemishes. Thank you for the product recommendations! I am definitely going to look into a couple of them! πŸ™‚

  11. Elisa 13th April 2015 / 3:28 pm

    Your skin is so flawless now, and I admire your braveness to share your experience with it all.

  12. JANE 13th April 2015 / 3:28 pm

    Hi Lydia,

    I only have 5 more days left of using Roaccutane and that will be my six months finished! Lips and skin are SO dry and itcby but I can ready see a difference in my skin. Make up stays on FOREVER and spots are totally cleared up, apart from the odd one or two which quickly disappears!! After your treatment finished, did your skin return to being spotty at all?? I’m a bit anxious about finishing and them coming back with a vengeance! My dermatologist said they keep an open appointment system for a year if I ever need to go back and have more prescribed! X

  13. Verity 13th April 2015 / 3:41 pm

    Hi Lydia,

    I am also a year on from Roaccutane, its so refreshing to hear someone being realistic about the treatment how its not easy to get hold of (I waited well over 2 years and spent god knows how much one products that will “clear up acne”) its also so nice to hear you mention in comments about how acne isn’t made any worse by eating “crap”, have you had any other side effects since coming off? were you left with any scarring and how did you get rid of this?

    Lydia well done for posting this blog I have often felt more needs to be done to help acne sufferers.

  14. KAyleigh breWard 13th April 2015 / 3:52 pm

    This is amazing! I’ve suffered with the same thing but it’s still not completely gone yet! What’s your skincare routine now? I’m struggling to find a face wash I like x

  15. Anouska smIth 13th April 2015 / 5:21 pm

    Dear Lydia , I just wanted to write a comment to you so I can thank you for your blog about roaccutane , I’m 24 years old and have suffered with acne since I was 18. I was very nervous about going on roaccutane after reading about all the bad press and side effects and then I came across your blog which helped me make my desicion to give it ago and I’m so pleased I did – I’ve followed your blog all the way along so far, I’m currently on my four month and I’m half way through , I can definitely see the improvement I’ve still got a long way to go but I’m very positive. Your blog has been very comforting because ive always felt bad for being upset about my skin but your right if you haven’t had bad skin before you don’t know how it feels and I feel exactly the way you did.

    So thank you again .

    Ps Your confidence is inspiring πŸ™‚

  16. Lauren 13th April 2015 / 7:07 pm

    Hi lydia..
    Thank you for posting this blog, ive tried all the other methods like you did..
    Im going to the doctors on wednesday & will request this.. How much was it to go private?


  17. Rebekka 13th April 2015 / 7:11 pm

    Hy Lydia ,

    I have two questions about your Treatment .
    First how long did you take it and Second do you take the pill?
    I recently stopped taking the pill and now got acne????

  18. adrienne. 13th April 2015 / 8:37 pm


    Thank you so much for posting. I’ve had to do several rounds of Roaccutane over the last 10 years, and it’s really inspiring to see other people talk about it. Thanks for me so brave, honest, and open!

  19. Hannah 13th April 2015 / 8:53 pm

    Your skin looks amazing! I have also been on roaccutane for more than a year and I finished my treatment last December. I have suffered with acne since I was 16 and I am now 25, it is an amazing treatment and I only had the dry lips and hands. I was wondering have you suffered with scaring now the acne has gone? I had cystic acne which caused scaring and I was wondering if you had any advise on scar removable but my skin is sensitive as I have eczema as well.

    Thanks x

  20. Julia 13th April 2015 / 9:25 pm

    Hi there! Your skin looks amazing! I go through phases where I have really bad acne (like now for example) and phases were I have maybe a couple small pimples. I never seem to have clear skin no matter what I do! I’ve tried everything from the dermatologist BUT roaccutane. It makes me nervous, because my brother broke out really bad when he first started taking it, but then it did clear up and he never has acne anymore. I’m just worried that will happen to me as well, because he still has pits in his skin from the scarring. I’m just curious, did that happen to you at all?

  21. Lauren 13th April 2015 / 9:34 pm


    It’s really nice to show how amazing this brig could be I lasted 4 months on it and saw no improvement however after j came of roaccataine because I didn’t feel myself my skin was a lot clearer, unfortunately it has gone back to how it was now so alway in the back of my head I think I shoudk complete a full corse and see what happens. In the mean time do you reccomend any skin care or make up that is suitable for acne ?

  22. Bianca 13th April 2015 / 10:53 pm

    I also didnt know you suffered from acne, i read both of your blog entries about this topic and i reliazed that i am using the same pills, but they are called differently. I am on my second week with the 20mg and the only thing that i noticed ist that my skin got worse :/ i hope it will heal because it doesnt look good atm and i have never had such a bad and irritaded skin! And i am also really scared of the side effects, i hope they wont be so bad when i will get a high dosis πŸ™

    • Anouska 14th April 2015 / 7:29 am

      Hi Bianca , I’m on my 4th month , in my 1st month it got worse before it got better its a good thing – I found it hard to but bare with it and you’ll see the results πŸ™‚

  23. Ella 14th April 2015 / 6:06 am

    I too went on Roaccutane last year and it’s the best decision I have ever made. It completely changed my skin forever and I can’t believe how bad it used to be in comparison to now. I didn’t get any nasty side effects which was lucky. I think it gets way too bad a reputation and more people should be informed about it if they struggle from confidence crushing skin issues. Thanks for the honest post!

  24. ellie 14th April 2015 / 5:44 pm

    I suffered from cystic acne before I went on roaccutane at the age of 15. Despite it clearing up my skin amazingly and now having clear skin I developed a horrible depression. I cannot emphasise enough how much of a big decision going on roaccutane is and how drastically it can change your life, two and a half years later I still suffer from depressive episodes and need to constantly monitor my emotions and how I feel. I never regretted my decision to go on roaccuatne but please please talk to your dermatologist if you feel any differently and do not let it progress because it has the power to completely change your personality, and can severely harm the relationships you have with friends/family as I found out.

  25. GeMma 14th April 2015 / 6:39 pm

    I am so happy to have finnaly found a blog with someone who is a real genuine person and has the confidence to come out and speak about things that have bothered them and they have found a resolution to, all to help others. You are an inspiration and your skin is so beautiful, I suffered with acne from 14-19/20 and I still get some pretty bad breakouts which can be very painful, visible and last for months, however I would no longer say I have acne. I stopped going to the doctor as they continued only giving me 2 products, which after years of using I felt we’re actually making my skin much, much worse. I went to a private dermatologist when I felt my current dermatologist on the NHS wasn’t helping and he suggested I consider roaccutane, however at only 18 and discussing it with my parents I realised it wasn’t a great idea as the tablets I previously used made me have noticibly worse mood swings and I was too frightened to risk the awful side effects. However at 21 I still find myself at times very frustrated by my skin, at the moment I have a couple of white heads on my skin as well as some little red spots on my four head, probably only around 7 in total (not that I counted) however, that’s from a comedown of a breakout which started around January. At the moment I am just managing it myself and I do feel I can clear it relatively well, but never completely. I feel at a bit of a loose end for what to try, I would really value your time ad opinion, do you think this is too little to try roaccutane at this stage with such small breakouts? Preferably I would rather not get roaccutane, do you have any other advice? I understand you are not a doctor or a beauty therapist or dermatologist but having gone through acne and roaccutane and having such lovely results I would really value your help! I appreciate you have so many messages like these but if you have a minute I would love you here any more advice you have.

    Keep up the fabulous posts, beyonce would be jealous of you ???? xxx

    • GeMma 14th April 2015 / 6:40 pm

      Those “????” Is an emoji lol!

  26. Molly 15th April 2015 / 12:34 pm

    Hi Lydia!

    I absolutely love how you have been so open about your suffering with acne and the talking about Roaccutane.
    I suffered with acne from the age of about 13 and tried absolutely everything before eventually being given roaccutane when I was 19. My bad skin made me extremely self concious, I literally hated going out in day light and used to constantly hide behind my hair and avoid eye contact with everyone! (Sounds ridiculous now but when you’re so young as well it is just a self esteem killer)
    Needless to say I was on Roaccutane for 6 months two and a half years ago and it completely changed my life within 6 weeks. I went travelling last year and was bare faced for 4 months and I just wouldn’t have been able to do that 2 years which seems crazy. Fortunately whilst taking Roaccutane, I too only suffered with the dry skin and didn’t experience any other side effects however, unfortunately my acne has started to now return on my back and chest and I’m now starting my second treatment today. As soon as I notied it coming back, I went straight back to my GP and requested to go back on the treatment as I know it is the only thing that worked for me so hopefully it’ll be all cleared up by Summer! Anyway, I never comment on things but I’ve been stalking your instagram for a while now and this is something I feel so strongly about and am so pleased that you’re talking so publicy about your experience as a lot of my family and friends never seemed to quite get how much it can affect your life! Keep up the good work hun and Happy Birthday for yesterday! X

    • lydia 15th April 2015 / 1:11 pm

      Hey Molly,
      Thanks so much for commenting, especially when you don’t normally πŸ™‚ I really appreciate it. I’m excited to hear how your second course goes because if mine came back I would go on it again no questions asked.
      I wish you the best of luck

      πŸ™‚ xx

  27. Jill @ Champagne for Everyday 15th April 2015 / 3:06 pm

    Great post Lydia! I did this about 5 years ago, and I am SO grateful that I did. I definitely still get spots sometimes, but they are always much smaller and less inflamed. I did two courses, and was very careful not to drink while I was on it to protect my liver. The dryness in my skin has definitely improved since I did it – I no longer peel. I also use Retin-A on a daily basis to help keep my skin wrinkle and pimple free, and it’s amazing.

    xx Jill
    Latest Post – 3 Basic Pieces to Nail Casual Chic + A Little Sparkle

  28. hydramatrix md skincare 15th July 2015 / 11:44 pm

    Hello there! This post couldn’t be written much better!
    Looking through this post reminds me of my previous roommate!

    He constantly kept preaching about this. I’ll
    send this article to him. Pretty sure he’s
    going to have a good read. Thanks for sharing!

  29. Frank 31st July 2015 / 10:16 pm

    Hie. I get ms afther yousing roaccutan, afther 11 years iwe got ms.

  30. Ellie 19th November 2015 / 7:30 pm

    Hi Lydia,
    First of all, I want to say how amazing your blog is and that I wish I would’ve found it sooner! Your also absolutely gorgeous and so is your skin!
    I’ve just came across your website when googling Roaccutane as I literally feel it is the only thing left for me and I am finally deciding to go to my GP to be referred to a Dermatologist for it. I am almost 19 and have tried everything under the sun for my acne since I have been 15 and now it is worse than its ever been. Your story of how your acne had so many negative affects on your life, confidence and how you couldn’t leave the house without a full face of foundation sounds exactly like my life right now! I can’t even go to the gym anymore which is something used to love doing and thats just the beginning of the long list.
    Anyways, just reading this has definitely given me the confidence to go ahead with the treatment and all your tips are amzing and I will definitely be following them! If you have any other tips please let me know and I’ll be following you on instagram and twitter shortly!

  31. Libby-may Jasmine 12th May 2016 / 10:18 pm

    WOW – loved reading this as I finish the last day of my auction treatment. I remember begging my doctor to refer me to the dermatologist and after years of waiting (1 dermatologist for 60,000 people – I live on a little island) and ended up paying private. I second every piece of advice you’ve given, especially being assertive. Often the dermatologist can palm people off with a cheaper (for the NHS) and less effective treatment.
    Love seeing the transition from just a year ago in your skin – the glow is there (and not the red accutane glow i’m currently sporting). I’d love to see a video on your experience with accutane and how you helped your skin recover from the harsh treatment. πŸ™‚


  32. Emma Roach 11th November 2016 / 12:24 pm

    Hi Lydia,
    After reading your story it makes a refreshing change from all the horror stories. I am due to start my course of isotretinoin (roaccutane) I have extensively discussed it with my partner and mum! I done research and read up and after 15 years of acne (I’m now 28) I have decided enough is enough! tinme to take the plunge.
    I was wondering, I know I have to have monthly pregnancy tests, do I have to have monthly bloods? I have just had my first one this morning, to check everything before starting.
    Also whats the best but not too expensive eye drops you have come across??
    Thanks πŸ™‚
    btw you look amazing!! absolutely beautiful!

  33. Devon Lampard 13th February 2017 / 2:48 pm

    Hi Lydia, I have suffered with acne for nearly three years now and like you have tried everything under the sun. I was finally refereed to a dermatologist, and will soon start on roaccutane. I first read your acne journey posts which feels like forever ago, and reading them again now just before starting my treatment has really really helped me to become prepared for it. I hope I will have amazing results like you did!
    Thank you again with this post, you’ve been a fantastic help Lydia.
    D x

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