So, I saw my derm today (actually, her assistant, but whatever - I don't like her that much so it doesn't really matter) and told her about my comedone problem. She wasn't super helpful - she said that Tazorac was good for comedones and tried to sell me these salicylic/glycolic pad/wipe things but I told her I was already using a salicylic/glycolic treatment. She said the next step for my comedones would be to get a facial at her office called "Dermasweep." I guess it's a brush/vacuum combination and basically sucks all the gunk of of your pores. It's not covered by insurance and $125 per session, and you need about 6 sessions to really see results. I don't think I'll be doing this - (1) it's super expensive, it would be like $800 for the full thing and (2) I don't know how effective it actually is. So yeah.
She also did some extractions - got a few comedones out. Other ones I think she tried to get out but they didn't move, so she left in, but now are becoming inflamed pimples. Ugh. Will be having to deal with chin breakouts for the next few days but oh well.
I think I'm just going to wait out the winter, hopefully my comedones improve. I'll see the derm again in March when I'm on break.