i get the same type of acne pretty much, but I also get on my body (its getting better though thank god), assuming the white bumps we see on your last pic are clogged pores. I used to get it much worse than today and had those types of bumps all over PLUS I had a moderate amount of inflammatory acne (mainly from picking and making things worse and turning some of them into cyst type bumps).
The worse thing you can do is attempt to pick at these things before they're ready to be easily extracted (as in very near the surface). I've always been a bad picker and I'd probably have much less tiny icepick scars today if I'd have focused more on being GENTLE while picking rather than pressing as hard as I could in hopes of eradicating them from under my skin.
if you were not on the retin A at the moment, I would have suggested to try stuff like the paulas choice BHA or sulfur ointment but I wouldn't mess with anything else if you're using the retin A.
I will however direct you to these two threads in case you have not seen them.http://www.acne.org/...6-years-try-it/http://www.acne.org/...after-10-years/
As well as these articles:http://elqalatawy.hu...-Cure-Guaranteehttp://elqalatawy.hu...ented-For-Yearshttp://jeffreydach.c...ey-dach-md.aspx
I am doing a combination of what is being done in both of those threads. I take the b5, l carnitine and the l cysteine. At first I was only doing the first thread's advice (b5+carnitine), and noticed some slight change but I was still overproducing oil (forehead getting greasy mid day , etc). Then I added the L cysteine to the combo and I am seeing/feeling some change and I have high hopes for this. I am still experimenting with dosages and intend on taking the smallest amounts possible of each to achieve desired effects.
I am also attacking it topically with 2% salicylic acid and acnomel cream (8% sulfur + 2% resorcinol) as well as light but frequent homemade "peels". One is by using citric acid (an AHA) powder from the store and dissolving it in water to make fairly strong solutions, then applying it to the skin for only a few minutes until I cannot take the burn/itch. I do this every few nights. The other is what would be called an enzyme peel, I guess. I scrub my face with ginger powder and let it sit for a few minutes (this also burns). Ginger contains a digestive enzyme called zingibain which is supposed to be much stronger than papain and bromelain. This zingibain is a proteolytic (breaks down proteins) and keratin is a type of protein and is what blackheads/clogged pores are mainly composed of. I would not do any of this stuff (aside from the supplements) while using retin-a though, that stuff is harsh enough on it's own.
also, start taking 50mg of zinc (citrate or gluconate are both fine, cheap and easily found) per day with food if you are not already. Zinc has really helped calm down the amount of inflammatory type acne I get, especially on my back/body.
Edited by enjoy, 30 August 2012 - 09:23 AM.