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Spironolactone & Retin-A Micro Journey

spiro spironolactone hormonal retin a micro doxycycline clogged pores closed commedones personal log

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#21 michi31

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Posted 30 April 2013 - 04:30 PM

Hey there - I am so bad at knowing the different names of acne. I will tell you that I rarely had a painful deep cyst, but more painless red bumps. I used to get the kind that would have white puss come out but it became more commonly the red bumps with no head - I believe they are called pastules? I will definitely let you know how things go - especially when I stop the mino because that will be the real test. Can't wait to find out the results of your hormone test! I have had extensive testing over the past few months. My testosterone is super low, but so is my estrogen and I believe this is the problem. Everything else is normal. When do you get the results?



#22 lifeinfaith

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Posted 30 April 2013 - 09:47 PM

Michi -

I should get the results before the end of this week. I will deffinitely let you know the results. What other symptoms did you have besides acne that alerted you to your hormone issues? I am having my thyroid tested too because thyroid issues run in my family including my mom. When do you plan to go off the antibiotic? I am also taking Doxy twice daily but I'm not really sure if its helped at all except make my stomache weird. I plan to get off of it after a month of Spiro.

The closed commedones I mean are clogged pores, my main issue is tiny little clogs all under my skin that aren't really red but skin colored and slowly work their way up and either turn into an inflamed pimple or kind of fall out as a piece of sebum. They basically chill under my skin for months. Hoping the aestetician will be able to extract a bunch that the retin a brought out this week.

Hey there - I am so bad at knowing the different names of acne. I will tell you that I rarely had a painful deep cyst, but more painless red bumps. I used to get the kind that would have white puss come out but it became more commonly the red bumps with no head - I believe they are called pastules? I will definitely let you know how things go - especially when I stop the mino because that will be the real test. Can't wait to find out the results of your hormone test! I have had extensive testing over the past few months. My testosterone is super low, but so is my estrogen and I believe this is the problem. Everything else is normal. When do you get the results?


PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#23 michi31

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Posted 01 May 2013 - 10:51 AM

Ok I think I know what you are referring to. I don't believe those were ever the issue for me, but the Spiro should help just the same. I have also delt with excess facial hair issues since basically puberty - yet my testerone is below normal ranges so it must be something happening at the skin level. That and the fact that I only break out around my chin starting at 19 led me to believe it is a hormonal issue. You know I was on doxy once and I felt it did nothing. With the mino I saw improvement right away. Let me know how it goes - always here to talk!



#24 lifeinfaith

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Posted 01 May 2013 - 11:17 AM

Ok I think I know what you are referring to. I don't believe those were ever the issue for me, but the Spiro should help just the same. I have also delt with excess facial hair issues since basically puberty - yet my testerone is below normal ranges so it must be something happening at the skin level. That and the fact that I only break out around my chin starting at 19 led me to believe it is a hormonal issue. You know I was on doxy once and I felt it did nothing. With the mino I saw improvement right away. Let me know how it goes - always here to talk!

 

I have read that too little testosterone can cause estrogen dominance, which has facial hair as a side effect. I have still read that Spiro can help with this though. I am sure since you a see a doc he has discussed all this with you!


PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#25 lifeinfaith

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Posted 03 May 2013 - 03:02 PM

Week 2 Day 16

 

 

 

I had a dermasweep done by an aesthetician at my derm’s office yesterday. This is basically a microderm plus putting salicylic acid on my skin after. Then she steamed my face and did a few extractions. I think the microderm was fine, my face felt smoother (in the areas I don’t have clogged pores) after and there was no redness or down time like a chemical peel sometimes. However…I don’t really feel like it did a whole lot for the clogged pores. AND she kind of sucked at doing extractions. She only did like a handful of them, she would lance each and then use the comodo extractor…nothing really got swollen or irritated…but later that evening when I was looking at the spots she “extracted” they all seemed to still look like clogged pores and so I squeezed them all and got stuff out of each and every one, one she had especially worked on for a while, squeezed a ton of stuff out when I barely touched it….so I am like, what gives, I paid her a ton of money to do unsuccessful extractions that I had to come home and finish myself (which  I absolutely hate and it sends me into an anxiety attack most of the time L). The only real improvement I see on my clogged pores are that a few of them maybe look slightly slightly closer to the surface..and this morning I had a couple of tiny white heads that came off in the shower. Does anyone have experiences with microderm or know if there will be more delayed effects in a few days? Also, how do you guys find an aesthetician that does good extractions?? I feel like I can’t find any. I had one done 4 months ago when I had a sal peel done at a medical spa and basically the exact same thing happened...she failed to extract anything.  I feel like extractions are more successful without using the little extraction tool. She also made the comment when she was doing them that “all your clogged pores are under the skin instead of right at the surface that come off easily.” If they came off easily I think I would have taken care of them myself and not be going crazy over…also isn’t that one of the definitions of being a closed comodone, being under the skin?

 

Also...nothing new to report on the Spiro. Suppoed to get my lab results today!!I had one clogged pore on my left side get swollen yesterday and then I finished extracting it in the evening after the microderm. Now its red and healing but it looks like some other ones on that side are getting swollen as well. It seems these things won't come out without becoming pimples. Also I am noticing the formation of new tiny bumps in various places on my face...is this commonly what happens when in the initial weeks of Retin a? I have heard this is part of the IB.


PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#26 lifeinfaith

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Posted 04 May 2013 - 09:54 PM

Week 2 Day 17

 

 

I have definitely been purging a lot lately, and actually since the microderm on Thursday, Friday evening a whole ton of clogged pores (like 8-10) around my jaw area looked real near the surface, and so I gently squeezed and they all kinda just came out. Additionally, this morning 2 clogs on my left cheek bone were looking kinda red/swollen and came out with some squeezes. None of them really left red marks so....im thinking its a lot easier to squeeze stuff out when not on retin a and maybe the microderm helped loosen stuff. I still have so many other clogs on my cheeks bones though and on the back of my jaw, and its so weird cause they're in the exact same place and pattern on each side of my face. I am thinking of rotating SA and retin a every other night so that maybe the SA helped dry stuff up that Retin a is trying to bring up. If I attempt another extraction appt next month I'll take a break from the retin a again. I really feel like the extractions can help since my issue is mostly tiny bumps that love to hang out under the skin. It just sucks getting them to come to the surface.

 

In other news, my labs came in today. All my thyroid came in totally normal, estrogen  normal,  but my testosterone is really low. I didn't really expect that. If anything I would have though it to be high since all my life I have been thin with very little fat (low testosterone usually causes the opposite of this and make it hard for women to loose weight, especially fat) and have had oily skin. Unfortunately I don't have hormone tests from before I was on Spiro, so I am wondering if the Spiro is dropping my testosterone so low and if it could have even had that much of an effect in 2 weeks....my doc will be talking to me about it on Monday. 


PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#27 lifeinfaith

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Posted 05 May 2013 - 08:21 PM

Week 2 Day 18

 

Ok I am posting pics. Its so hard to know if you are really progressing when you see your face every single day. My husband tells me it is, but I usually don't believe him. 

 

I went all out and squeezed my pores today. I was controlled about it and my husband helped me...I steamed and prepped my face with out humidifer and then went about squeezing every clogged pore in sight.....I just couldn't stand having all that gunk right at the surface all over my cheeks anymore and my $100 estetician appt this past week was unhelpful. I will be paying for it over the next few days as swelling and red marks from squeezing go away...but I hope to God that this is one of the last major rounds of clogged pores that has come up. I squeezed a bunch of stuff out. There are still some of course, but just kind of a scattering of small ones not so densely populated is what I am hoping. We shall see over the next few days. 

 

Currently 0 active pimples...unless ones come up after this squeeze fest. I did stupidly mess with a tiny mila under my left eye and so now it looks like I got punched in the eye....go me. 

 

Pics! http://www.acne.org/...ession-of-face/

 

Really concerned about my low T...I am hoping the doc doesn't want me to come off Spiro....I have always been lean and gained muscle easily and have super oily skin.....not characteristics of low T! Maybe it has just recently gone low since my stress levels have been so high, I read that cortisol kills Testosterone in your body. 


PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#28 lifeinfaith

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Posted 06 May 2013 - 09:18 PM

Well so far the next day after having a squeeze fest is good....nothing coming up and my face looks quite a bit less bumpy. I messed with a stupid milia in the tender part under my eye and it is swollen and really red...hopefully just from irritation and not infection. It looks like i got socked in the eye. 

 

Talked to my doc about my low Testosterone today. He said its not significantly low to where we would do anything about it. So....guess I shouldn't worry?

 

Day 1 of Lexipro, hoping for some anxiety relief.


PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#29 kelseylee

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Posted 06 May 2013 - 09:51 PM

hey omg, I just looked at ur pics. you lookin freakin GREAT. I mean, i can see the bumps and I know how it feels, even just when you're touch your face...you're like wtf! but seriously you are beautiful and your acne looks very manageable. I uploaded the pics onto my profile as well...ugh it looks worse enlargened esp on the cheek.


Edited by kelseylee, 06 May 2013 - 09:51 PM.


#30 lifeinfaith

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Posted 07 May 2013 - 09:17 PM

Thanks so much for your kind words! I looked at your pics and your acne looks just like mine! Especially your cheeks...somehow my forehead managed to avoid breakong out and is pretty much clear but our cheeks are very similar. I wonder if clogged pores are typical of stress acne which I kind of think both of us have.

The Lexapro did not agree with me... I got so sick that I had to come home from work and go to sleep. I'm scared to take it again so the doc called in Buspar for me. We shall see how tomorrow goes. I swear the Lexapro made my anxiety worse and I felt like I was gonna throw up and pass out the whole morning. It kept me up half the night shaking too. Apparently my system does not like antidepressants.

hey omg, I just looked at ur pics. you lookin freakin GREAT. I mean, i can see the bumps and I know how it feels, even just when you're touch your face...you're like wtf! but seriously you are beautiful and your acne looks very manageable. I uploaded the pics onto my profile as well...ugh it looks worse enlargened esp on the cheek.


PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#31 kelseylee

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Posted 07 May 2013 - 10:09 PM

ahh shit yeah this is interesting cuz i actually take anti depressants. I take prozac, but I have taken lexapro before. The thing I will say about ssri's---for some ppl they work great, others they don't work at all and can even make you feel worse. Ppl say that "in the beginning they can make you feel more anxious before you start to feel better"...but the first time I started taking them this wasn't true at all. I was such an intense, high achieving teen that they just made me feel super relaxed and good about life. like literally, I felt like I was on happy pills. soooo happy. but, they took away some of my intense motivation. howevs i became more social and made more close friends.

 

NE way, i really wanted to go off them a year ago but I was already in a bad place and just got more depressed and anxious and developed ocd. so I went back on them after 10 months of feeling absolutely miserable. my second time going back on, I actually did feel more anxious b4 I felt better, so that gave some weight to that argument that u get worse b4 u get better, but you really have to follow your gut on this one. The first pill of prozac i took a few months ago made me feel a little funny in the stomach, but I did feel calmer (prolly just placebo). If you continue to feel bad and stop taking them, there are many other things u can do to help anxiety. And, it is tough to get off antidepressants. that's the only thing I don't like about them. It's good to view them as a helper and a buffer but not a cure all. like, i still focus really hard on therapy, my attitude, being healthy, being optimistic in addition to being on ssri's cuz them alone won't achieve optimum results, which i'm sure ur aware. I just know in the past I got a little too into the mindsight of "well i'm on antidepressants, how can I really be feeling like shit?" when I was cause i wasn't taking care of myself in real life. 

 

Yes I think my acne is 100% stress acne related to stress induced hormonal imbalances. wow i just realized i'm typing like 100 words per minute haha. but my ezcema has gotten a lot better as of late and i can see this correlating with my skin purging excessively. I'm a ways off from 100% perfect skin but at least i've finally figured out the freaking direction to go in. xxxxxxxx keep us posted!!!


Edited by kelseylee, 07 May 2013 - 10:12 PM.


#32 lifeinfaith

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Posted 09 May 2013 - 07:28 AM

Week 3 Day 22

Kelsey - that's crazy about the SSRIs....I called my doc and he changed my prescrip to buspar which is a really mild anti anxiety. I took one yesterday and haven't felt anything good or bad yet. I think it takes a week or so, hoping it can at least take the edge off.

So I finally think I am improving... After weeks of purging hell from the retin a and my home extractions this weekend. Maybe I am seeing the light? I hope I haven't spoken too soon. I think my right side is almost done purging...it went from being the bad side now to the almost clear side while now my left has changed to the bad side. Also for the past 4 days my face has felt unusually drier and smoother....spiro? I suppose it could also be that time of my cycle, however I am really late on my period. Has anyone else has their period delayed by Spiro? Maybe the hormones are getting worked out. So...here it is:

Right side: 4ish clogged pores, 0 active pimples.
Left side: 10ish clogged pores, 3 healing pimples
Forehead: 1 clogged pore
Chin: clear
Red marks: many but starting to fade, a few new ones on left side.

PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#33 Aaniella

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Posted 10 May 2013 - 05:51 PM

@lifeinfaith

 

 

I think Spiro is messing up my periods too. It has been only 2 weeks since I've had my last periods and I'm having them right now. I'm not too fond of this!! On the bright side, my face has been so smooth lately. I still have some clogged pores but I barely get pimples now ( used to have at least 6 pimples a day). My face is also less oily which is a huge improvement . I don't know whether it is the spiro working or the differin.

 

Speaking of differin, my samples are almost gone neutral.gif  and my next follow-up appointment is in 4 weeks. Do you think i can just call my derm and ask her for the prescription over the phone or do I have to take an appointment. i don't see myself paying a 150 dollars consultation just to get a prescription.



#34 lifeinfaith

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Posted 11 May 2013 - 10:12 AM

Oh yes if you call in and tell them you'de like differin prescribed cause uour sample ran out they should just call it in. I do that all the time with my docs and even have them switch stuff as long as it hasn't been forever since you've seen them. Do you feel like the differin is helping with your clogged pores ? I am toying with the idea of going bavk to differin because I feel like the retin a leaves a lot more long lasting red marks than the differin did. I think the diff is just a little slower working but I only have like 20 or so left now instead of the 100 I had before.

I think I was a bit slacking on my count the other day because upon closer inspection today I really have like 8 clogs still on my right side and like 8 on the left (I squeezed 2 out that were starting to get red/swollen) I also squeezed one that prob wasnt reason on me right cheek do now it's swollen but I think I cleared it so hopefully it goes down. I still have that ugly red mark healing below my eye. I'm paranoid about new ones... I still feel like I get occasional new ones but maybe they were already there and the retin a just made them more noticeable? I'm so obsessive :( I need to stop messing with my face and leave it up to the pros or only once a month steaming!!

My doc moved me down to 100 mg doxy cause apparently he thinks it looks better. Said to stay on that until I am consistently not getting inflamed ones.

quote name="Aaniella" post="3347545" timestamp="1368229892"]
@lifeinfaith
 
 
I think Spiro is messing up my periods too. It has been only 2 weeks since I've had my last periods and I'm having them right now. I'm not too fond of this!! On the bright side, my face has been so smooth lately. I still have some clogged pores but I barely get pimples now ( used to have at least 6 pimples a day). My face is also less oily which is a huge improvement . I don't know whether it is the spiro working or the differin.
 
Speaking of differin, my samples are almost gone neutral.gif  and my next follow-up appointment is in 4 weeks. Do you think i can just call my derm and ask her for the prescription over the phone or do I have to take an appointment. i don't see myself paying a 150 dollars consultation just to get a prescription.[/quote]

Oh yes if you call in and tell them you'de like differin prescribed cause uour sample ran out they should just call it in. I do that all the time with my docs and even have them switch stuff as long as it hasn't been forever since you've seen them. Do you feel like the differin is helping with your clogged pores ? I am toying with the idea of going bavk to differin because I feel like the retin a leaves a lot more long lasting red marks than the differin did. I think the diff is just a little slower working but I only have like 20 or so left now instead of the 100 I had before.

I think I was a bit slacking on my count the other day because upon closer inspection today I really have like 8 clogs still on my right side and like 8 on the left (I squeezed 2 out that were starting to get red/swollen) I also squeezed one that prob wasnt reason on me right cheek do now it's swollen but I think I cleared it so hopefully it goes down. I still have that ugly red mark healing below my eye. I'm paranoid about new ones... I still feel like I get occasional new ones but maybe they were already there and the retin a just made them more noticeable? I'm so obsessive :( I need to stop messing with my face and leave it up to the pros or only once a month steaming!!

My doc moved me down to 100 mg doxy cause apparently he thinks it looks better. Said to stay on that until I am consistently not getting inflamed ones.

quote name="Aaniella" post="3347545" timestamp="1368229892"]
@lifeinfaith
 
 
I think Spiro is messing up my periods too. It has been only 2 weeks since I've had my last periods and I'm having them right now. I'm not too fond of this!! On the bright side, my face has been so smooth lately. I still have some clogged pores but I barely get pimples now ( used to have at least 6 pimples a day). My face is also less oily which is a huge improvement . I don't know whether it is the spiro working or the differin.
 
Speaking of differin, my samples are almost gone neutral.gif  and my next follow-up appointment is in 4 weeks. Do you think i can just call my derm and ask her for the prescription over the phone or do I have to take an appointment. i don't see myself paying a 150 dollars consultation just to get a prescription.[/quote]

PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#35 lifeinfaith

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Posted 12 May 2013 - 10:40 PM

Week 3 Day 25

So I am starting to feel like I am possibly in the last month of this until being pretty clear...I hope I am not getting ahead of myself. I had a pretty good day today hanging out with friends and feeling less concerned about my face than i have in a while. I got a lot of sun and am hoping itll camo my red marks some. I have decided to pull the big guns back out and use Tazorac the next 2 weeks. The last time I used Tazorac it was for a little over a week and while it left my face burning and itchy, it purged a bunch of deep clogs I had had for months in a weeks time. It wasnt pretty, but it seems to work fast. I scheduled an appt with a new aestetician 3 weeks from now so I am thinking the Taz with purge purge the remaining bumps for next 2 weeks and then I'll take a week off and have the aestetician extract what's left and maybe do a light peel for my marks. We shall see if the plan works. I just want this over with!!! At that point ill have been on Spiro for a bit over 6 weeks which is when it's supposed to be becoming noticeable. So far I think maybe it's lessoned oil slightly and is messing with my period. I have a check up for it this week. Ill post new pics tomorrow. Wish me luck!

PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#36 Aaniella

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Posted 14 May 2013 - 12:32 AM

@Lifeinfaith

 

I feel you on the spiro ! It has been a little over 3 weeks that I'm on it and I've yet to see some improvements from it. I really hope it'll start kicking in in the next few weeks besides messing with my periods and making my face less oily. Don't get me wrong I love the fact that my face is not as oily as before but I just want more than that. I really think that right now Differin is doing all the work by itself and it's about time its little friend spiro starts giving it a hand lol. I want my clogged pores gone already.

 

I think I will be  looking into seeing an aesthetician too now that school is over and I have a lot more free time on my hands. It might be a good idea to have some extractions done. I'll start looking for a good one in my area.


Edited by Aaniella, 14 May 2013 - 03:11 AM.


#37 lifeinfaith

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Posted 16 May 2013 - 07:34 AM

Week 4!!

Have my 1 month Derm checkup today. We shall see what they say. Still no period. I still need to upload new pics. I used 15% SA peel on my forehead and jaw this week because they were getting some bumps and my forehead is usually clear. It might be the 2% SA I use every other night bringing stuff up but I wanted to hurry it along. Nothing peeled but it brought up some little whiteheads of which I squeeze at so now I have red marks on my forehead. Makeup! The Taz is bringing the remaining clogs on my cheeks up....slowlyyyy.

Right side: 12 clogged pores, zero active
Left side: 6-7 clogged pores, zero active
Forehead: 4-5 red marks from squeezing, zero active
Chin: clear
Red marks: plenty but fading, wish theyde fade faster

PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#38 lifeinfaith

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Posted 16 May 2013 - 07:19 PM



Ok guys, I went to my one month on Spiro dermatologist checkup today and she wants me to go back to 50 mg since I am seeing improvement (she noticed the improvement) and I havent had my period in going on 2 months. Maybe if I drop down it will come back, but hopefully 50 mg is enough to keep my face clear. I didnt really have cystic acne issues, mainly lots of closed comedones that sometimes turned into pustules, so hopefully this will be ok!!

Also, while I was in there she closely examined the areas I told her I still had comedones that I was waiting to surface. She asked me if I wanted her to zap them with this electro-heat gun thingy. She said it would leave tiny scabs but it would dissolve the comedones. Normally they charge for the procedure but she did it for free. It stung a bit everywhere she zapped.but its been a few hours later and now they all look kind of redder and prominent like they might want to come out..so not sure what's going to happen now. Anyone have any experience with this or know what the treatment is called? (I forgot the exact name she said)

PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#39 lifeinfaith

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Posted 17 May 2013 - 10:30 AM

Well...after coming home from life group last night all the comedones she zapped were like noticeably pushing their way up and "looser" looking so I went ahead and steamed my face and extracted a whole bunch of them - probably the most ive ever extracted on my right side. I think the heat might have caused them to try and come out.

This morning there are some swollen areas from the extractions and tiny scabs all over from the heat gun like she said. It looks worse right now but I'm hoping as the redness and swelling goes away and scabs come off it'll be smoother. I'm so tired of this...just want it to be over. I feel like I am still getting some new clogged pores but at a slower rate. It has only been 1 month on Spiro so hopefully after another month or so they'll stop completely. First day going back to 50 mg.

Also I went to a psych nurse at my therapists request this week and she told me to stop taking the Ativan (alas, it was really working for my anxiety) and take Neurontin which so far has only made me feel sluggish. Still taking Buspar but not really noticing anything.

PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months


#40 lifeinfaith

lifeinfaith

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  • Joined: 01-March 13

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Posted 19 May 2013 - 10:09 PM

This weekend was really great, I felt like my face looked better than it had in a long time...almost all the cheekbone comedones gone from the heat gun thing and then extracting them all, just some tiny scabs left....but then Sunday after lunch it's like a bunch of tiny clogged pores near both sides of my mouth area/lower cheeks apeared overnight. I had kind of been noticing something happening there over the past week but now I feel like they are more apparent...just when I thought I wasn't getting new ones and just had the current old ones to purge!!!

I need some hope guys, I am on Spiro and have been on retinoids for over 3 months. Is getting new ones at this point normal?? :/ Maybe I am just being overly perfectionist...

PM - Clean face with water and cotton rounds. Spot treat with Finacea.
AM- Wash face with Aveeno Gentle Foaming Cleanser and apply Sanitas Oil Free moisturizer
30mg Absorbica for 8 months