Jump to content

Photo
Severe Acne

Do I Have Severe Acne?

acne severe skin

6 replies to this topic

#1 berserkaf

berserkaf

    Junior Member

  • Members
  • Posts & Likes
    Posts: 33
    Likes: 1
About Me
  • Gender:Female
  • Location:Washington
  • Interests:Music, science
  • Joined: 28-April 13

Achievements

     

Posted 01 May 2013 - 05:45 PM

I've been getting breakouts since I was about 13, they were never really bad until I started highschool. I'm going to a dermatologist in 14 days (I scheduled the appointment yesterday and I'm glad I could get in soon ok) but I'm kind of worried he'll just give me Retin-A and send me home, I've used Retin a before when I was 14 for my scars and whatever and it didn't really help so much.

 

I'd post a photo of my face but I'm wearing makeup so I'll attempt to describe it(?).

 

My face is extremely oily/shiny, I break out A LOT on my cheeks, temples, around my eyebrows and they're rather large and it takes ages to get them down, like smaller, then they scar horribly. I break out on my back, my chest, and neck. Some of them are like mountains and some are just whiteheads they're really painful.

 

Sorry if that's too vague. I'm 16, 120 pounds (50 kg), 5'4".



#2 AuguriesofInnocence

AuguriesofInnocence

    Member

  • Veteran Members
  • Posts & Likes
    Posts: 431
    Gallery Images: 3
    Likes: 84
About Me
  • Gender:Female
  • Location:United States
  • Interests:Being happy no matter what.
  • Joined: 03-April 12

Posted 01 May 2013 - 06:30 PM

its hard to say without a photo but "severe" is all in an opinion. Did you post one? We cant see it.

Good luck with the derm, dont let them talk you into accutane.



#3 whoartthou1

whoartthou1

    Veteran Member

  • Veteran Members
  • Posts & Likes
    Posts: 1,388
    Likes: 44
About Me
  • Joined: 06-July 12

Posted 02 May 2013 - 04:38 PM

auguries is right. Some people consider 3-4 big pimples as severe (not saying you do not). But if you do really have zits that are like mountains, it is probably moderately severe to severe. Photos would do justice



#4 Ryan Hambley

Ryan Hambley

    New Member

  • Members
  • Posts & Likes
    Posts: 2
    Likes: 0
About Me
  • Gender:Male
  • Location:California
  • Interests:Dermatology | Telemedicine | Website Development | Graphic Design
  • Joined: 02-May 13

Posted 02 May 2013 - 06:30 PM

Hey berserkaf, that's great that you're all set up for a dermatology appointment. If you are developing scars, then yes you're probably dealing with "severe acne". Fortunately, your dermatologist can give you access to much stronger medications that Retin-A. You said that Retin-A didn't work very well in the past; this is because tretinoin, the active ingredient in Retin-A, is really only effective in treating the comedones.

 

Since your acne has gotten a bit more severe, your dermatologist will probably give you another topical retinoid (like Retin-A or Differin) and then he will add an antimicrobial (like benzoyl peroxide, topical antibiotics, or oral antibiotics). A combination of topical retinoids and antibiotics is a really effective treatment. The topical retinoids will clear away those clogged pores, and then the antibiotics can get right into your pores to kill the acne-causing bacteria. Additionally, the antibiotics will help reduce the inflammation around your acne lesions. (Here is a great resource to learn more about these Acne Treatments)

 

Make sure you tell your dermatologist about the treatments you've used in the past and how effective or ineffective they were. I'm sure your derm will be able to set you up with a very effective treatment. Best of luck, and let us know how your appointment goes.



#5 berserkaf

berserkaf

    Junior Member

  • Members
  • Posts & Likes
    Posts: 33
    Likes: 1
About Me
  • Gender:Female
  • Location:Washington
  • Interests:Music, science
  • Joined: 28-April 13

Achievements

     

Posted 03 May 2013 - 05:44 PM

Hey berserkaf, that's great that you're all set up for a dermatology appointment. If you are developing scars, then yes you're probably dealing with "severe acne". Fortunately, your dermatologist can give you access to much stronger medications that Retin-A. You said that Retin-A didn't work very well in the past; this is because tretinoin, the active ingredient in Retin-A, is really only effective in treating the comedones.

 

Since your acne has gotten a bit more severe, your dermatologist will probably give you another topical retinoid (like Retin-A or Differin) and then he will add an antimicrobial (like benzoyl peroxide, topical antibiotics, or oral antibiotics). A combination of topical retinoids and antibiotics is a really effective treatment. The topical retinoids will clear away those clogged pores, and then the antibiotics can get right into your pores to kill the acne-causing bacteria. Additionally, the antibiotics will help reduce the inflammation around your acne lesions. (Here is a great resource to learn more about these Acne Treatments)

 

Make sure you tell your dermatologist about the treatments you've used in the past and how effective or ineffective they were. I'm sure your derm will be able to set you up with a very effective treatment. Best of luck, and let us know how your appointment goes.

I started a new topic with photos http://www.acne.org/...s/#entry3345486

 

I used Proactiv for the past 2 years without it doing anything, so I don't think benzoyl peroxide will work well? since it's like the main ingredient in proactiv it seems.

I stopped proactiv in December and I've just been using baby shampoo because someone told me that it would help the sensitivity I inherited from proactiv, which it did but it doesn't help with acne but at least it's a sort of cleaner, right?

 

I've used neutrogena, clearasil, proactiv and oxy. none worked.



#6 Ryan Hambley

Ryan Hambley

    New Member

  • Members
  • Posts & Likes
    Posts: 2
    Likes: 0
About Me
  • Gender:Male
  • Location:California
  • Interests:Dermatology | Telemedicine | Website Development | Graphic Design
  • Joined: 02-May 13

Posted 04 May 2013 - 01:31 PM

 

Hey berserkaf, that's great that you're all set up for a dermatology appointment. If you are developing scars, then yes you're probably dealing with "severe acne". Fortunately, your dermatologist can give you access to much stronger medications that Retin-A. You said that Retin-A didn't work very well in the past; this is because tretinoin, the active ingredient in Retin-A, is really only effective in treating the comedones.

 

Since your acne has gotten a bit more severe, your dermatologist will probably give you another topical retinoid (like Retin-A or Differin) and then he will add an antimicrobial (like benzoyl peroxide, topical antibiotics, or oral antibiotics). A combination of topical retinoids and antibiotics is a really effective treatment. The topical retinoids will clear away those clogged pores, and then the antibiotics can get right into your pores to kill the acne-causing bacteria. Additionally, the antibiotics will help reduce the inflammation around your acne lesions. (Here is a great resource to learn more about these Acne Treatments)

 

Make sure you tell your dermatologist about the treatments you've used in the past and how effective or ineffective they were. I'm sure your derm will be able to set you up with a very effective treatment. Best of luck, and let us know how your appointment goes.

I started a new topic with photos http://www.acne.org/...s/#entry3345486

 

I used Proactiv for the past 2 years without it doing anything, so I don't think benzoyl peroxide will work well? since it's like the main ingredient in proactiv it seems.

I stopped proactiv in December and I've just been using baby shampoo because someone told me that it would help the sensitivity I inherited from proactiv, which it did but it doesn't help with acne but at least it's a sort of cleaner, right?

 

I've used neutrogena, clearasil, proactiv and oxy. none worked.

 

Hey, thanks for adding the photos and including more of the medications that you have used.

 

I started a new topic with photos http://www.acne.org/...s/#entry3345486

 

As far as I could tell from the photo's, you have some comedones (blocked pores), papules (red inflammation around your acne lesions), and some pustules (the inflamed pimples that also have some pus inside). At a minimum, this is moderate acne but it is starting to look pretty severe. Do you have any deep and painful pimples or do they feel like they are just sitting on the top of your skin? The deep and painful ones are called nodules or cysts, and they are indicative of severe acne. Don't worry though; virtually all acne can be treated and I'm sure your dermatologist will get you set up with the right treatment plan.

 

I used Proactiv for the past 2 years without it doing anything, so I don't think benzoyl peroxide will work well? since it's like the main ingredient in proactiv it seems.

 

You're correct that benzoyl peroxide (BP) is the main ingredient in Proactiv, and alone, it makes sense that it wouldnt work very well for your acne. Alone, BP isn't very effective, but if you combine it with a topical retinoid then it becomes an extremely more effective treatment. Benzoyl peroxide has similar effects as an antibiotic. Both BP and antibiotics work by killing acne-causing bacteria (P. acnes), but without using a topical retinoid at the same time, the BP can't get into your pores where the bacteria is building up. You might be correct in assuming that BP isn't the right medication for you though. Antibiotics are a bit stronger and they are also more effective in getting rid of the inflammation. But weather you use BP or an antibiotic, it is really important that you use a topical retinoid at the same time.

 

I stopped proactiv in December and I've just been using baby shampoo because someone told me that it would help the sensitivity I inherited from proactiv, which it did but it doesn't help with acne but at least it's a sort of cleaner, right?

 

Moisturizer, moisturizer, moisturizer! If your skin get's irritated by your acne medications, make sure you use a bunch of moisturizer right after applying your acne meds. If it's still getting irritated, try mixing your acne meds into a moisturizer and then apply that to your skin. You may just have a bad reaction to Proactiv, but I have had really red, flakey, painful reactions to my prescription benzoyl peroxide and topical retinoids before -- it completely went away when I began mixing my meds with a bunch of moisturizer.

 

I've used neutrogena, clearasil, proactiv and oxy. none worked.

 

Yea, these are only going to work for mild acne. They can be helpful to keep using along with your prescription medications but they won't do a whole lot if this is the only thing you are using.

 

I hope this was helpful and please update me after you see the dermatologist, I am really curious to find out what he thinks is best for you. Good luck berserkaf, your definately going to beat this one.



#7 berserkaf

berserkaf

    Junior Member

  • Members
  • Posts & Likes
    Posts: 33
    Likes: 1
About Me
  • Gender:Female
  • Location:Washington
  • Interests:Music, science
  • Joined: 28-April 13

Achievements

     

Posted 04 May 2013 - 02:33 PM

 

 

Hey berserkaf, that's great that you're all set up for a dermatology appointment. If you are developing scars, then yes you're probably dealing with "severe acne". Fortunately, your dermatologist can give you access to much stronger medications that Retin-A. You said that Retin-A didn't work very well in the past; this is because tretinoin, the active ingredient in Retin-A, is really only effective in treating the comedones.

 

Since your acne has gotten a bit more severe, your dermatologist will probably give you another topical retinoid (like Retin-A or Differin) and then he will add an antimicrobial (like benzoyl peroxide, topical antibiotics, or oral antibiotics). A combination of topical retinoids and antibiotics is a really effective treatment. The topical retinoids will clear away those clogged pores, and then the antibiotics can get right into your pores to kill the acne-causing bacteria. Additionally, the antibiotics will help reduce the inflammation around your acne lesions. (Here is a great resource to learn more about these Acne Treatments)

 

Make sure you tell your dermatologist about the treatments you've used in the past and how effective or ineffective they were. I'm sure your derm will be able to set you up with a very effective treatment. Best of luck, and let us know how your appointment goes.

I started a new topic with photos http://www.acne.org/...s/#entry3345486

 

I used Proactiv for the past 2 years without it doing anything, so I don't think benzoyl peroxide will work well? since it's like the main ingredient in proactiv it seems.

I stopped proactiv in December and I've just been using baby shampoo because someone told me that it would help the sensitivity I inherited from proactiv, which it did but it doesn't help with acne but at least it's a sort of cleaner, right?

 

I've used neutrogena, clearasil, proactiv and oxy. none worked.

 

Hey, thanks for adding the photos and including more of the medications that you have used.

 

I started a new topic with photos http://www.acne.org/...s/#entry3345486

 

As far as I could tell from the photo's, you have some comedones (blocked pores), papules (red inflammation around your acne lesions), and some pustules (the inflamed pimples that also have some pus inside). At a minimum, this is moderate acne but it is starting to look pretty severe. Do you have any deep and painful pimples or do they feel like they are just sitting on the top of your skin? The deep and painful ones are called nodules or cysts, and they are indicative of severe acne. Don't worry though; virtually all acne can be treated and I'm sure your dermatologist will get you set up with the right treatment plan.

 

I used Proactiv for the past 2 years without it doing anything, so I don't think benzoyl peroxide will work well? since it's like the main ingredient in proactiv it seems.

 

You're correct that benzoyl peroxide (BP) is the main ingredient in Proactiv, and alone, it makes sense that it wouldnt work very well for your acne. Alone, BP isn't very effective, but if you combine it with a topical retinoid then it becomes an extremely more effective treatment. Benzoyl peroxide has similar effects as an antibiotic. Both BP and antibiotics work by killing acne-causing bacteria (P. acnes), but without using a topical retinoid at the same time, the BP can't get into your pores where the bacteria is building up. You might be correct in assuming that BP isn't the right medication for you though. Antibiotics are a bit stronger and they are also more effective in getting rid of the inflammation. But weather you use BP or an antibiotic, it is really important that you use a topical retinoid at the same time.

 

I stopped proactiv in December and I've just been using baby shampoo because someone told me that it would help the sensitivity I inherited from proactiv, which it did but it doesn't help with acne but at least it's a sort of cleaner, right?

 

Moisturizer, moisturizer, moisturizer! If your skin get's irritated by your acne medications, make sure you use a bunch of moisturizer right after applying your acne meds. If it's still getting irritated, try mixing your acne meds into a moisturizer and then apply that to your skin. You may just have a bad reaction to Proactiv, but I have had really red, flakey, painful reactions to my prescription benzoyl peroxide and topical retinoids before -- it completely went away when I began mixing my meds with a bunch of moisturizer.

 

I've used neutrogena, clearasil, proactiv and oxy. none worked.

 

Yea, these are only going to work for mild acne. They can be helpful to keep using along with your prescription medications but they won't do a whole lot if this is the only thing you are using.

 

I hope this was helpful and please update me after you see the dermatologist, I am really curious to find out what he thinks is best for you. Good luck berserkaf, your definately going to beat this one.

 

Ok, I think I do have nodules

I think I might just ask for epiduo and try it out over the summer

 

Thanks, Ryan 






0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users