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  1. yo so the instructions say not to use tretinoin around eyes, nose, or mouth, but my acne is mostly on my chin/around my mouth ?? so what do I do?
  2. Hi Everyone, I am new to this forum on acne and am amazed about the support you all bring to each other. I have been struggling with acne for 6 years. Over the years I have tried prescription medication from my doctor like Duac once daily gel, zineryt, differin/adapalene, 20% vitamin C serum, every over the counter medication, face wash, cream you can think of but none have worked. I used to only get acne in my T zone, all over my back and chest but in the recent year/2years it has spread to all over my cheeks on my face aswell as still all over my back and chest, shoulders. I can feel lumps under my skin that I think is described as noduar acne although that could be wrong! Due to the fact I struggle acid reflux the doctors have been reluctant to give me oral antibiotics since they can make it worse/make me very ill. However, I have tried all of the topical forms of antibiotics. I now have another appointment with the doctor this coming Monday to discuss where to go from here. My acne has really started to bring me down to the point where I am feeling anxious about even going outside because people will see my skin. I have a few questions for anyone who would know... - how difficult is it to get a referral from your doctor to see a dermatologist? - how bad does acne need to be to ask for roaccutane? - do I need to have tried oral antibiotics before offered roaccutane given my situation? - is there anything else I can try? - how do i deal with doctors who don't care as it is not a 'life threatening condition'? I have looked into all the side effects of roacctuane and I am aware of them all. I just don't know what to do, I feel like nobody really understands or cares. I can attach pictures of my skin if necessary. Thank you,
  3. Question on Cystic Acne

    My skin is clear aside from the golf ball sized pimple I get on my forehead. At first it was only once a year, but now it's close to every week. I literally cannot get a break. I did start doxy, and after two weeks I had clear skin for two weeks. I was excited, but now I've had huge cysts back to back. They hurt so much and the current one has half my forehead swollen. I have the chlamydicin wipes, doxy, and a topical retinoid. I'm honestly so sad and don't know what to do. I never had acne in my life until now and I'm an adult
  4. Help Me!

    Hi Acne.Org Community, I live some advice from you guys. Here is my acne journey. Basic Info: Gender: Female Age: 23 Acne History: Occational pimple or two during college I started getting hundreds of tiny bumps on my forehead last January and they didn't go away with clindamycin phosphate gel or with calamine lotion and stayed on my face to 3 weeks, Someone asked me what happened to my face in the middle of an office meeting. I decided to pay a visit to the dermatologist. Derm 1: Since the acne was only on my forehead he said this was nothing serious, but I did indeed have closed comodones and that they would take a few weeks to go away. My cheeks were very clear at this point. He prescribed retin A (tretinoin) cream and erythromycin. I had a horrible breakout after week 3 and went back to him, he said that i how tretinon works and asked me to continue with the cream for another month. I continued and noticed no change. My face was getting worst, I went back to him. He put me on Doxy (100mg) for 20 days. At this point I decided to go to another derm. Derm 2: She diagnosed me with Acne Vulgaris Stage 2 with PIH. She asked me to continue the doxy dose and prescribed two topicals. Calomine lotion during the day nd clyndamycin during the night. I went back to her after 20 days and there was a slight improvement in my skin. For some reason my hair started to fall out like crazy, I'm slowly going bald She then put me on roxythromycin (150 mg day and night) for a 10 day dose along with two more topical: Differn (Adaphene Neno Gel) - Im supposed to apply this after coming home from work and wash it off after an hr Femcinol A Gel - Apply this overnight on acne After the anti-biotics my condition acne flared up again. I went back to her and she told me to continue using those topicals for 1.5 months. Those topicals started to work for 3 days but now my face is red and dry. I hurts to open my mouth and eat. I wont even go into the emotional scarring that this journey has been causing me. Is accutane the only option? My derm and I agree that we should try to avoid accutane as it causes hairfall even at a low dose of 10mg. Has anyone been through a journey like this? Did your hair grow back? Did your acne clear up? Does crying cause more acne??? Please help me P.S: Im very active and healthy and do not have PCOS.
  5. Hi, I really need some advice on what alternatives to roaccutane/accutane are avaliable for moderate to servere cystic acne?? Ive had acne for about 8 years now and ive been on just about every perscription drug out there (benzoyl peroxide, lymecycline, erythromycin, clindamycin, birth control) and after a year or longer each of them have just became ineffective and my acne has came back again in some cases worse. I realise that roaccutane/accutane would be an option for long term effectiveness but as i am prone to depression i cant take this, ive also been told theres nothing more my doctor can give me antibitotics wise, im just wondering if anyone has had a similar expierence to me or if anyone knows any other options i have medication wise? Thanks
  6. So up until a few weeks ago I was religiously using the regimen for about 3 years. At first it did wonders for my skin but a nasty break out after a course of steroids finally pushed me to try something else. Before this horrible breakout I was about 90% clear. The steroids made my face explode, and it showed no signs of letting up. Since then I've been dealing with lots of clogged pores and closed comedones. My entire face was covered in them and the AHA and BP were doing me no good anymore. So somewhere in this hellish nightmare I found out that Differin was available OTC. I bought some and it took me about a month to finally get the courage to use it. The first 4 weeks I was using BP alongside it but decided to quit cold turkey. My skin is definitely improving in regards to the comedones but I have a lot more clogged pores, blackheads, and whiteheads. I know the whiteheads are pretty normal for this stage but are the clogged pores and blackheads normal as well? I'm sure quiting BP cold turkey isn't helping either but my skin feels much healthier without it. Also sorry for the long post. I'm horrible about being brief.
  7. If I'm currently using Tretinoin every morning with my moisturizer could I start using AHA (Glycolic Acid 10%) along with it.
  8. Hello, This is my first post on acne.org. Ive been on accutane 5mg perday for around 4 months and the next month, ive been off accutane as my medications got over. since 5 mg is a low dose, my skin cleared up pretty well but theres always that one acne which pops up every now and then. ive had only low risk sideeffects like dry skin,excessive sweating if i play ay sport that is and dry lips. since my doctor is in india, im in no way able to contact him, is it ok if i increase my dosage to 10 Mg per day?
  9. Hello. My primary reason for writing this is to obtain some feedback from people who have successfully ordered their Accutane, Claravis, or other brand isotretinoin from online Canadian pharmacies such as canadadrugsonline.com. If you'd like, you can stop reading now and share your experience, but I do have some other information to share: In my experience, it seems an online pharmacy is the only plausible way for me to get Accutane at a reasonable cost. My family's current health insurance is worthless, which means the cost of one of the generic brand of Accutane is around $800/month. Switching insurance providers is out of the question since our insurance is from my dad's work. My brother was on Accutane a couple years ago, and my mom said on our old insurance policy she only had a copay of $13 for Claravis. Timing is everything... I have called nearly every pharmacy in my area, and I've discovered that with my insurance I won't be able to get it for less than $800/month. While I would really like clear skin, the idea of paying that much is ridiculous, especially when you consider the added costs of blood work and doctor visits. After some research, I discovered canadadrugsonline.com has the dosage I would need for only $280, which is still ridiculous, but affordable. I called canadadrugsonline, and they explained to me that they could easily ship Claravis to the US, as long as I was a part of the same iPLEDGE program that exists in the US, and that I faxed my prescription to them. I have only seen a single post where somebody mentioned that they successfully got their Accutane from an online pharmacy, but the experience the person had seemed easy enough. I was cleared for Claravis back in December, and only then did I discover that it is basically gold, in pill form. After numerous calls to my derm, she finally got back to me and said that she didn't trust getting it from an online pharmacy, let alone an international online pharmacy. After calling canadadrugsonline and hearing that it sounded pretty safe, I again tried calling my derm, but after many calls and voicemails, I discovered that she had swtiched practices to one not covered by my insurance. Go figure. At this point, It had been a month after I got my presecription, so the iPLEDGE program said I had to start over. I am now seeing a new derm who has just started me on amoxicillin, because after reviewing my records she discovered my old derm had never prescribed it to me. She said if it does not show any major improvements, she will start me on Claravis at my next visit, which is in 6 weeks. Since nothing else has worked thus far, and the idea of taking yet another antibiotic long-term (which have been proven to have harmful effects on both your immune and digestive systems) seems daunting, I am leaning towards the possibility that I'll have another prescription for Claravis in 6 weeks. So basically, I have 6 weeks to find a reasonable source from which to purchase Claravis. It would be a shame to come this far, after waiting 3 years to finally get cleared for Accutane, to not get it because it isn't affordable. Couple other questions, just out of curiosity: 1. Why is Canada able to offer Accutane for nearly 1/3 the cost of the same product in the US? 2. Why the hell does my insurance have to suck so bad? I apologize for the length of this post, but I feel like I've exhausted any other options. Any help, feedback, or advice is greatly appreciated.
  10. So I've been on 2 doses of accutane.. quite mild acne came back so I'm on a low dose of 20mg of accutane a day to keep skin clear (body weight being around 70kg.).. I honestly don't know wtf is going on..But random little scars are appearing on my skin and overall face just looks shit with hyperpigmentation,etc.. I'm thinking about using Retin-A 0.05% every night to even out redness,clear marks, etc while on the low dose accutane... good or bad idea? Thanks.
  11. 4 Months

    Almost 4 months of using Differin, cleansing with Cetaphil 2x a day, never using make up, and stopping my obsession of my skin.. here's what happened! My skin is renewed. I know I still have few blemishes but this is far better from where i started. I feel so thankful with the products i use. Especially, Galderma creator of differin and cetaphil products, for all their life changing innovations. This wasn't an easy journey, i had ups and downs but i powered through despite the recurring seemingly endless breakouts, with the help of people who share their own experiences on here. I am very thankful, i wasn't able to name each one of them but they all inspired me one way or another. In return, i am here to share my own experience. I am now a renewed person after my breakout experience. I learned to love my natural skin. Less is more. I no longer put any make ups except for one, lipstick! I just use the mildest cleanser, Cetaphil! I no longer obsess on my skin like I used to. I put moisturizer on which is also Cetaphil. I'm now a believer of the power of retinoids. Where as before it scares the hell out of me when reading all horror stories about it. But after I experience it myself, i can say that you have to be mentally and emotionally prepared for the roller coaster ride (redness, dryness, breakouts name it) should you use this. Because in the end, after 4 months for me, my skin became super smooth like a baby and the dark spots fade away fast. I will keep updating till i finally achieve my clear skin goal.
  12. I am currently a 19 year old male and have suffered from acne since 14 or so. Until about 18 my acne was not severe at all but relatively mild and didn't notice it much. At 18 my acne went way downhill as I began getting inflamed acne all over my cheeks and jawline. I was prescribed just about everything from minocycline, differen, Retin a, clindamycin, and bactrim. With little to no success, I completed a 6 month round of accutane which was pretty miserable. Being optimistic I figured my acne would be done. Low and behold both my acne and oil production returned around 3 months after. Now 6 months post accutane I am on bactrim, plexion (sulfur wash), and sulfacetamide topical and still receive breakouts. Obviously not as severe prior to tane, but enough to bother me. Looking for some encouraging comments as I hope to soon "grow out" of this. Truly do not understand how I could still have acne considering all my treatments and the lack of acne my parents have. As you all know acne is very diminishing to self image and only gets harder as you age. If you have any stories/experiences that would be awesome.
  13. Tazorac + Doxy Log

    Hi guys!! I'm an 18 year old trying to get rid of her acne once and for all I have suffered from acne since my freshman year of high school (mild to moderate). My acne was never really cystic - I had inflamed pimples and blackheads in my T-zone. Through trial and error over the years, I was finally able to clear my skin through using Retin A Micro 0.04% (RAM) at night, along with Aczone or Finacea in the morning (alternating each day). However, during the fall of last year, I began noticing closed comedones (whiteheads) on the sides of my chin. I began using the RAM in these areas. However, this did nothing, and my comedones worsened. They began to spread to the rest of my chin, on my upper lip, and in between my eyebrows. My nose, which has always had blackheads, became even more clogged. The worst part is that these comedones become inflamed zits and leave hyperpigmentation behind. I talked to my derm about this, and she upper my RAM to 0.1%. This did not help, even after 6+ months. She said that the next thing to try was Spiro, which I did not want to take. (I have, however, through my own research found that Paula's Choice AHA and BHA gels do help to reduce the clogs to some extent - see my routine below.) I recently switched derms. He is putting me on Doxycycline (75 mg) and Tazorac cream 0.05%. I am hoping that the Taz, being a stronger retinoid, will help to eradicate these comedones. I also think that my skin may be slightly resistant to the RAM, as I have used it for the past 5 years. Because retinoids have worked well in the past, I'm hoping that a different retinoid will shake things up and clear my pores. Here is a great link describing the differences between RAM and Taz: http://www.skinacea.com/retinoids/natural-vs-synthetic-retinoids.html#.UsjULODFXJw As of now, my skin consists of comedones on my chin, nose, between my eyebrows, and on my upper lip. My "problem area" is definitely my chin (esp the sides). I get the occasional random pimple, but for the most part, any inflammation comes from my comedones becoming infected. My current routine: AM Wash with Cera Ve hydrating cleanser Mix Paula's Choice BHA 2% gel with PC AHA 8% gel Cera Ve moisturizing lotion Aczone or Finacea (alternate) PM Cera Ve hydrating cleanser Taz 0.05% cream Cera Ve lotion *Take 75 mg Doxy with dinner I will be documenting my progress on both Taz and Doxy - partially for myself, partially because I have been lurking on other people's logs for a long time and find them extremely helpful. Please comment with questions, support, or advice Other Links: Facial Masks I Recommend:
  14. Before I start: I used the search function of this forum but found mixed answers, so I ask this question again and hope the mods are fine with this Hello, I am a 19 year old young man. When I was 16 (just about to turn 17) my dermatologist prescribed me accutane (10mg daily). i took it for about 3 months and my acne cleared up. After that, I stopped taking accutane for a few months because I thought i was "healed". Not having taken the drug for several months, my acne started to come back worse than ever. Then I started to take accutane again for a few months until it cleared up and came back even worse... To sum it up, I took accutane on and off for about 2 years (Approximately 1 year of active accutane intake). I stopped taking accutane at the beginning of this year. During my accutane regimen, I didn't experience any side effects except dry skin/eyes/lips. However, after I stopped taking accutane, I experienced side effects like depression (combined with heavy mood swings), hair thinning on the sides, extreme back pain (especially in the shoulder blades) and bad vision. I know, you are supposed get blood tests done every month but my dermatologist didn't care a lot about this and told me (after having done one blood test in the beginning of the regimen) that I will be fine, because my blood levels were good and also because of the fairly low dose, I think. Sometimes, I drank alcohol while my accutane regimen but I felt like that hasn't had any impact at all. Today, I really regret having taken the drug for so long. Even though I don't know whether the post-regimen side effects come from accutane or not. The worst thing about all this stuff is, that I didn't know that accutane can cause pre-mature epiphysial closure. I talked with my dermatologist about this possible side effect and he told me that this side effect only occurred in patients that took extremely high doses of accutane, about 60-80 mg daily (can anyone even confirm this?), and that I shouldn't be worried at all. In fact, he told me that he has been actively prescribing accutane to even younger patients for more than 20 years now and nothing bad has happened. Maybe he is right... Well, I assume he is. I mean, this drug wouldn't be legal where I live (Germany) if it had such severe side effects like growth stunting right? I feel really desperate and hope that someone here reads this wall of text and can deliver a qualified answer... About my body: I am 5'8, my dad is 5'5 and my mom is 5'4. I know I reached a good height but still... I constantly ask myself whether I could have been a bit taller if I didn't start taking accutane or not... Thanks in advance for your answers
  15. Hi everyone, this is my second month on differin and I'm having a couple of cystic acne which doesn't come to a head, multiple pus-filled acne (which fortunately comes to a head) and lots of dark acne scars (a few which are still red and many others which are dark and grey). I get that there are initial breakouts with differin, but am I supposed to get cystic acne from this? Some of my cystic acne doesn't go away completely and stay as a bump on my face. Worse of all, there are the multiple dark grey scars which occur after every breakout! Right now I'm even afraid to meet my friends due to these scars. My dermatologist initially prescribed Differin for some small scars initially, but the application then eventually led to numerous whiteheads all over my chin and cheeks. When I consulted my dermatologist, she said that I have to continue applying it until all the whiteheads are cleared through breakouts. I was stunned to say the least, because my face used to be completely free of any acne except for a few occasional pimples before the topical application of Differin. To have numerous whiteheads and now all those cystic acne coupled with dark grey pigmentation is just baffling to me... and all these just happened within a few months of usage. If I would have known that differin causes breakouts, I wouldn't have used this for my scars at all. But the question is, should I continue applying Differin? I've been applying close to 2 months and 2 weeks now... and they say that I should give it 3 months for it to work. But right now, what I get are pretty much just adverse effects, and the initial acne scars (which was the initial purpose of applying Differin) have not really faded....
  16. I've been on Cephalexin and Aczone for 3 years and started Tretinoin a year ago. Before starting Tretinoin my acne was mild to moderate and I experienced a bad IB for close to 6 months when I started using .025% Tretinoin. After 6 months my skin basically went back to what it was before Tretinoin but now (1 year later) I'm breaking out again. I'm thinking to ask my derm for .05% Tretinoin, but I'm a bit scared because my IB was so bad with .025% and I don't want all the pain to be for nothing. Has anyone had good experience switching from .025% to .05%? Both in terms of IB and final results?
  17. I'm currently using retin-a gel 0.05% after retin-a cream 0.025% and micro retin-a 0.04% did nothing for me. I'm desperately, and I mean DESPERATELY hoping this is going to work as it's nearly my last resort after having been through 4 spells of Accutane (had to stop because of awful side effects) and after having exhausted pretty much every other option. I was wondering: is 0.1% that much more effective than 0.05%? For those who've been on both, which worked better, and how big was the difference? Should I have started with the 0.1% first before trying the 0.05%?
  18. I will being using Retin A gel 0.025% (the lowest) in about two weeks time and will go up to the 0.05% after a month. I know that my skin will be extremely dry, irritated and flaky. I just want to know how long does the dryness and peeling last for? As I want to wear makeup in the summer without it looking awful. I'm scared I won't be able to wear makeup after using retin A. Does the acne get worse before better with this treatmen? Also how long after will I start seeing results? Thanks for all your help!
  19. Hey guys, so I think I'm nearing week 4 on Differin, and I knew to expect an initial breakout as I'd used this product last year (and stupidly went off of it because I'm impatient). But i can't remember what happened last year - I think it definitely helped, but I can't remember my side effects while on it. I'm getting pimples in the areas where I have heaps of closed comedones (sides of face, cheeks near nose) as well as a few on my forehead. However since I've started using differin my face has been incredibly oily, and I've noticed my pores look HUGE. It's summer where I live at the moment but I'm wondering if this is normal? I have always had large pores and somewhat oily skin however I can't remember my forehead pores ever looking this obvious or my skin feeling like such an oil slick. In fact, for the past couple of years, my forehead was pretty much clear with no clogged pores. My skin feels rough and sensitive over the areas of acne, and even though I just wash with cetaphil, it feels a bit tight. It also looks quite dull and I've noticed heaps of closed comedones on my chin now. I steamed my face, exfoliated about 3 times a week and used a clay mask once in the last couple of weeks, so could I have put my skin under too much stress? I had been getting chemical peels late last year which made my acne 100x worse but I made sure not to start differin until a few weeks after my last peel. The first time I was prescribed differin last year was by a dermatologist, however this time I simply went to my local GP and asked for it, so should I be seeing a derm? just wondering if anyone has experienced this oiliness/large pores/dull or rough skin whilst on Differin?
  20. When I eat certain foods, particularly sugar and dairy, I breakout, and so when I totally avoid these foods my skin is 90% clear. I've been eating like this for 6 months now but it's really difficult. So i was wondering if using a retinoid would stop me from breaking out as much even if my acne is caused by food?? Does it work that way or will the only thing that keep me clear just be not eating those foods? Also, I know that most people experience an initial breakout from retinoids but if I don't currently have any spots, will I get an initial breakout? thanks
  21. Hi, I really need some insight about Retin-A (Micro .04%) as I’m just beginning my treatment. For some background information: I never had acne. I went for a chemical peel for minor discoloration and it completely changed my skin texture. My skin is very bumpy and the texture is so bad. It has now been six months since the peel, and my skin texture is still not restored. I have tried to baby my skin but it is not working. I also tried Differin (.03%) for three months but it just peeled my skin and none of the bumps purged or responded to the treatment. These bumps all over my face (small and large ones) are just there, don’t change sizes, get inflamed or anything. There are tons and tons of them. I just began Retin-A Micro. 04% four days ago. So far, all i’ve gotten is minor peeling and stinging. So my question is, has anyone with similar skin texture tried Retin-A? And what were the results? I’ve attached some photos so people can get better understanding. Any advice will help. Thanks!
  22. Hey everyone! My biggest skin struggle lately has been what I'm self-diagnosing as closed comedonal acne. Strangely enough, I seem to wake up with non-comedonal skin. By the end of the day (whether makeup or oil), it's like my skin has flared up, and the clogged pores are SO visible in the light. Does that happen to anyone else?! Honestly, I've done some damage to my skin in the past few months by thinking I could squeeze these suckers out of existence. I realize that it does more harm than good, but it is so hard to convince myself that they'll just go away. I also recently tried Rodan + Fields Unblemish, and STOPPED. My skin has more scars and pigmentation than it used to, and I honestly think it's a result of those products. I've been researched WAY too much the past week, and I have an established appointment with my dermatologist set up for Friday. However, I'm legit so scared of being prescribed a topical retinoid because of what I hear of the purge. My mild acne has sort of broken my spirit (ha) this past month, and I seriously don't think I can handle a "purge." Is that the ONLY way to cure these things? I have read that some have had help with using AHA products, but I'm so overwhelmed. As soon as I'm feeling confident about a product, I find some terrible outcome that someone has had. Help help- should I just deal with my INSANE fear of a purge? PS- Sorry, kinda look like Prison Mike from the Office in these photos with my towel Maybe it's not as bad as I'm thinking, but I feel like it's a crazy struggle not to be fed up with my skin.
  23. Hello all. This is my 2nd post on acne.org. My first was when my acne was at its worse.I developed moderate to severe acne mostly on my cheeks. I had at least 3-4 cysts per cheek and 8+ regular zits along my jaw and forehead. About a year and a half ago I started Dan's Regimen. This helped me reduce my acne to about one new pimple a week. Which for me is amazing. Yet about 5 months ago I noticed that the BP isn't working as well as it used to to keep my acne at bay. I'm no where near what I used to be but I get 2 or 3 new pimples a week.("Regular" pimples not cysts and luckily they go away within a day or two). My issue now is that these new pimples are leaving very dark hyperpigmentation. So I still don't feel my face is completely clear because the hyperpygmentation makes my skin look pretty bad. Today I went to the dermatologist for the first time ever. He prescribed me a Retin A called tretinoin (generic) and a topical antibiotic called Clindamycin. My issue is that I'm scared to stop Dan's Regimen because my acne will come back full force. But I don't know how to incorporate the Retin A in my Regimen. Has anyone tried doing the BP in the morning and Retin A at night? Do you think the BP would help combat the initial breakout of the Retin A. Should I even start the topical antibiotic as I've heard that it's pretty useless since your body becomes resistant. I'm not sure what to do, but my main focus is to try to keep my active acne as minimal as possible and try to reduce my hyperpygmentation.
  24. Hi guys! I'm new to this site, but I'm so frustrated at this point. I'm older and I never really dealt with acne very much until I was 18.. which seems to be the opposite of most people's experience. My acne is mostly cystic. It started on my chin and now I get them on my cheeks and forehead. They're miserably sore and take weeks to heal. Anyway, so I went to my PCP at 18 or 19 for this and she put me on clindamycin topical gel and Retin-A topical gel. At first they worked pretty good. I always had at least mild acne, but it was an improvement so I was happy. Fast forward a year and I go back to her for severe cystic pimples that were causing my lymph nodes to swell and generally just made me feel yucky. So this time she gives me oral doxycycline. When she prescribes me this, she tells me that if it doesn't work, she will have to refer me to a dermatologist for Accutane. My problem is that I know I will never be prescribed Accutane. I'm a woman of childbearing age and I have an immediate family history of mental illness. (not to mention I'm in nursing school and probably couldn't keep up with the appointments for lab work and everything). With all the drugs out there I highly doubt there is nothing else but Accutane. That's why I'm so frustrated.. the oral antibiotics initially cleared up my cysts but they were back within a month or two full force. I have tried so many OTC products as well and my doctor is making me feel like I'm running out of options if I don't go on Accutane. I still use both of my topical meds and I am religious about washing my face morning and night, but nothing seems to touch my acne. Thank you guys so much for any responses. I don't really know anyone else my age that has acne as bad as I do, so I know it will be refreshing to get advice from people who have been there.
  25. Hello everyone. I just started Retin A 0.01% gel every night. I am following what is recommened when using the product but I am breaking out with a lot of little pimples all over my cheeks and forehead. Is this what it's suppose to look like?