I'm an 18 year old trying to get rid of her acne once and for all
I have suffered from acne since my freshman year of high school (mild to moderate). My acne was never really cystic - I had inflamed pimples and blackheads in my T-zone. Through trial and error over the years, I was finally able to clear my skin through using Retin A Micro 0.04% (RAM) at night, along with Aczone or Finacea in the morning (alternating each day).
However, during the fall of last year, I began noticing closed comedones (whiteheads) on the sides of my chin. I began using the RAM in these areas. However, this did nothing, and my comedones worsened. They began to spread to the rest of my chin, on my upper lip, and in between my eyebrows. My nose, which has always had blackheads, became even more clogged. The worst part is that these comedones become inflamed zits and leave hyperpigmentation behind.
I talked to my derm about this, and she upper my RAM to 0.1%. This did not help, even after 6+ months. She said that the next thing to try was Spiro, which I did not want to take.
(I have, however, through my own research found that Paula's Choice AHA and BHA gels do help to reduce the clogs to some extent - see my routine below.)
I recently switched derms. He is putting me on Doxycycline (75 mg) and Tazorac cream 0.05%. I am hoping that the Taz, being a stronger retinoid, will help to eradicate these comedones. I also think that my skin may be slightly resistant to the RAM, as I have used it for the past 5 years. Because retinoids have worked well in the past, I'm hoping that a different retinoid will shake things up and clear my pores. Here is a great link describing the differences between RAM and Taz:
As of now, my skin consists of comedones on my chin, nose, between my eyebrows, and on my upper lip. My "problem area" is definitely my chin (esp the sides). I get the occasional random pimple, but for the most part, any inflammation comes from my comedones becoming infected.
My current routine:
Wash with Cera Ve hydrating cleanser
Mix Paula's Choice BHA 2% gel with PC AHA 8% gel
Cera Ve moisturizing lotion
Aczone or Finacea (alternate)
Cera Ve hydrating cleanser
Taz 0.05% cream
Cera Ve lotion
*Take 75 mg Doxy with dinner
I will be documenting my progress on both Taz and Doxy - partially for myself, partially because I have been lurking on other people's logs for a long time and find them extremely helpful. Please comment with questions, support, or advice
Facial Masks I Recommend: http://www.acne.org/...ks-i-recommend/
Edited by katie789, 10 January 2014 - 10:01 PM.