John Barbieri, MD, MBA, FAAD, from Brigham and Women’s Hospital, engages in a discussion about acne and rosacea alongside Dermcast.live host Rob Casquejo, PA-C. Their conversation encompasses a wide array of acne treatment options, including topical retinoids, antiandrogens, and isotretinoin. Dr. Barbieri emphasizes the remarkable effectiveness of isotretinoin while highlighting its associated side effects. He underscores the role of hormones in the underlying causes of acne, noting that hormonal influences are present to some extent in individuals, whether they are 14-year-old boys or 35-year-old women. Furthermore, Dr. Barbieri serves as a member of the American Academy of Dermatology work group focused on developing new guidelines for acne treatment.

Shifting the discussion to rosacea, Dr. Barbieri delves into the collaborative process of identifying the most distressing aspects of rosacea for individual patients, which can range from redness and bumps to flushing. He also addresses topics such as insurance coverage and the use of lasers, among other aspects of rosacea management.

0:00 - Intro
0:18 - Welcoming Dr. John Barbieri
1:15 - Approach to Acne Treatment
4:40 - Discussion of Systemic Acne Treatments
6:58 - All About Rosacea
7:33 - Rosacea Treatments
8:09 - Opinion on Lasers
9:58 - Acne Treatment Guidelines
10:48 - Q&A with Dr. John Barbieri
10:59 - Low Dose Antibiotic Treatment
13:56 - How to Avoid Development of Antibiotic Resistance
14:56 - Multiple Isotretinoin courses
16:50 - T/F of Retinoids
18:05 - Cumulative dose of Tetracyclines
19:27 - True/False Questions
20:26 - Are Antibiotics Problematic with Birth Control?

Keywords: Dr. John Barbieri, acne, rosacea, antibiotics, isotretinoin, lasers, doxycycline, retinoids, SDPA, dermcast, dermatology