Day 1: First ever appointment with a Dermatologist
For the last three months I have been suffering with a bad outbreak of acne. What started as a huge hard lump which covered my entire chin has rapidly regrouped, spread and formed into the acne you see in the picture of me today. I suspected it to be hormonal due to the removal of the contraceptive implant Nexplanon.
I have tried several methods of clearing the acne including:
-Changing my skincare from medicated products (Quinoderm wash and cream, Nixoderm, Differin, Clinique anti-blemish Step 2) to organic natural products (organic tea tree wash, Dr Bronner's baby mild liquid soap, organic tea tree oil, organic lavender oil, Green People OY cover & clear spot it treatment concealer, natural/mineral makeup).
None of which improved my skin. I know that a skincare regimen can take months to show any improvement but anything I tried made matters worse not better.
-Changing my diet to an organic (where possible) non-dairy, meat-free, no alcohol, no refined sugar, low fat, no junk diet.
-Introducing herbal teas and remedies, vitamins and supplements (high strength Evening Primrose oil, Vitamin B complex, Omega 3)
On top of this my acne became infected.
Several visits to my GP has resulted in a one month course of Erythromicin and a two week course of Flucloxicillin which I finished today (to treat the infection). For the last few weeks on the advice of my GP, I have used NOTHING on my face except water. I was referred to a Dermatologist who I saw this morning.
After a lengthy chat with the Dermatologist she agreed the acne appears to be hormonal and that it was grade 5/6 severe. She mentioned I have seborrhoea of the face and scalp and took a swab of one of the pus filled lesions to test for a yeast infection. We talked about the effects of Roaccutane and Dianette, one of which I will be taking as treatment. We then discussed treatment and a new skincare regimen for the next 3 weeks which is:
A.m: cleanse with Cetaphil cleanser
take one Lymecycline 408 mg capsule
P.m: As above
introduce Epiduo 0.1%/2.5% gel starting with 4 hrs before washing off, then building up slowly from there.
3 times weekly: washing my hair with Nizoral Ketoconazole 2% shampoo - a medicated shampoo to treat the seborrhoea of the scalp.
All of the above was prescribed to me today to start immediately to avoid further lesions and scarring...I was told to expect scarring but the nodules and cysts should go in around 3 months+. I have another appointment on Thursday with the Dermatologist and another specialist who will advise me on whether Dianette or Roaccutane will be the best treatment for me but it's looking like Dianette will be the more appropriate option at this time.
I'd also like to mention that the dermatologist told me that the change in diet has NO effect at all on acne! A healthy, well-balanced Mediterranean style diet is the best way to go.
I am feeling very optimistic after seeing my Dermatologist for the first time today. I'm glad I can finally get the treatment I should have been given months ago before it got this bad.
I will keep this blog updated with how my treatment goes...who's with me?