I'm seriously at a breaking point with my frustration over my adult acne. I was never bothered by acne until I JUST began to scar within the past year. This has made me desperate to finally get my acne under control, but I've been reading so many contradicting arguments about retinoids that I'm seriously afraid to use the one my derm prescribed me, but also afraid to scar more.
My derm prescribed me Ziana, which is tretinoin (.025%) and clindamycin (1.2%).
I am afraid to scar more, so I've been so skeptical to try anything new on my skin. Seriously, even the smallest pimple now can lead to a pitted scar in my skin, and each one is so traumatizing.
My derm said that Ziana will help with the scarring, but I keep reading about people who use tretinoin will initially have good results but suddenly notice scarring monthes later, even when they never scarred before. This really scares me. Could it really be that the scarring existed below the skin, but the monthes of shedding the skin is making the scars more visible? Is the tretinoin really going to take care of these scars that appear if you just keep with it.
Please, if you've had months of experience with any retinoid, please let me know... does the pitting fill in if you just keep with the tretinoin? I know I've read that it strengthens the dermis, but I don't know if it'd be worth it if my epidermis never heals.
Also, I notice when skin starts to peel around the pimple I'm healing that's when I start to see a depression, why does this happen, and what should I put on a healing pimple? Am I scarring now just because I'm older? Am I lacking vitamins? Dehydrated?? Ugh I don't know what to do.
I know the internet can be a very scary place to try and obtain reputable advice, but I still researched nonetheless. There's so many opposing opinions, I'm so frustrated:
Support that tretinoin CAN cause scars:
http://healthyskin.i...52/m/2101020895 (the scariest one)
and other various people on acne.org...
Support that tretinoin does NOT cause scars (but rather, helps them):
Also, maybe it would be helpful to throw my routine in:
My current routine:
Morning: Neutrogena Extra Gentle Cleanser, Aczone (dapsone gel), Oil-free moisturizer
Night: Neutrogena Extra Gentle Cleanser, Ziana, Oil-free moisturizer
I also will dab some Vitamin E oil on spots that look like they're starting to scar.
Edited by He4vymetalqueen, 20 June 2012 - 10:59 PM.