I went and got a facial and totally forgot until the morning that I also had a follow up doctors appointment (opps!).
The aesthetician gave me some good advice. She said that I am getting some blackheads because, from her perspective (and close up mirror), that my skin is too dry and the skin is flaking off and getting stuck in my tiny pores (because they are so dry, their openings are smaller than usual). She recommended I use tazorac every other day or take a break after every two days to relieve my skin. She also recommended not washing my face with water in the morning - but using a micellular solution and then spritzing with a mineral water (like avene, vichy, evian, etc.), patting dry and then putting on a heavy cream which will keep the moisture at a good level. She also pointed out that moisturized and oily are different things - that if even people with oily skin treated there skin like this they would probably have better results as well as when properly moisturized, ones skin is a "self cleaning machine" and needs a proper PH balance which is messed up by cleanser. Anyway, I thought that was interesting. I think I will certainly give it a try
Definitely recommend getting a facial at this stage too - my skin today looks fantastic. And it hasn't felt this smooth since I started taz.
From the doctors perspective things are going well. I was threatened with Diane 35 bc if tazorac doesn't completely clear me up by the end of month four. I am a little freaked out about that potential, so I think I will keep plugging along and hope for the best!
What is a micellular solution? Did she recommend not using a cleanser at all or just not in the morning?