Well I'm breaking out as per usual and I genuinely want to die right now. Why won't my dermatologist just give me Accutane like he would to anyone else?!
His theory: "Oh you have depression? Well then I'll just continue to withhold the only drug that's ever going to give you any hope of clear skin from you for over five months because that's obviously going to make you feel better and more like your life's actually worth living." Freaking genius. Gah!
I'm just SO FRUSTRATED grrr! I feel it'll just never get better, really messing me up emotionally
Believe me, I was the same and was thoroughly convinced that it was never going to work for me. But then it did start improving slowly, and then at a faster pace after that, and now it really is significantly better than it was. Hang in there and it might all be worth it in the end!
Definitely don't stop taking it unless you've had worrying side effects. You should always give a treatment at least 3 months before deciding whether or not it's working for you and birth control can sometimes take longer. I was still breaking out pretty regularly at that point on Dianette as well but my skin is much better now at month 5 so it was definitely worth sticking it out. Hope things improve for you soon!
you could use a lightening serum just make sure you use suncreen i go to sephora,com and look at skin care serums because there you can put you skin time is sensitive
Thanks for the suggestion, I already use sunscreen every day but I might look into lightening serums. I'll have a look at that website but if it's American then it will probably be too difficult to order in the UK. We might have something equivalent though so I will definitely be taking a look.
I know what you mean. I still break out semi-regularly but it's only a few tiny spots which is much easier to cope with, compared to the nearly full face of acne I used to deal with. But even though my skin has improved I have a tonne of hyperpigmentation too and it can make it look like I still have a load of acne. I have Dan's AHA to use but I haven't used it regularly enough to know how it works for me and I actually feel like it can be drying on my skin (even though I thought people used it as a moisturiser..)
I wish I could help out with some advice for treating the post-acne marks. The only thing I can suggest is to make sure you're wearing an SPF everyday to stop any marks from getting worse. I think 'protecting' the marks from the sun and time are some of the best things you can do for it.
Would lactic acid be too harsh for your skin? I remember someone mentioning they couldn't handle glycolic acid (like in Dan's AHA) but they quite liked the lactic acid type of AHA.
Yeh I've heard a lot of people have success with AHA but because my skin's so sensitive, still breaking out intermittently and there's a history of psoriasis in my family, I try to stay clear of any form of exfoliation. Having said that I know the adapalene in my Epiduo speeds up cell turnover but it has given me so much improvement in my acne that I feel that's worth the risk at the moment. Hopefully it might help the hyperpigmentation to fade in a similar way if I could only stop breaking out!
In the meantime I think you're right that the best policy is probably sunscreen (which I wear every day) and to just wait it out. It is such a frustratingly slow process though! Thanks for the advice and I hope you see improvements in your marks soon as well because having reminders of where you had acne even though it's not there anymore really isn't much fun!
I just feel too beat and embarrassed to fight or cope anymore. I feel dianette isn't working and epiduo has destroyed my face. I have just lost hope and the will to fight
Believe, I've been there, but I can assure you that it does get better if you stick it out. Birth control always takes a long time to work because it works by adjusting the levels of various different hormones which takes time to have a visible effect on your skin. I didn't start seeing any effect from it until near the end of month three but since then it has been steadily improving. Epiduo maybe wasn't suited to your skin, but from what you've said it sounds like you were seeing improvements from the Differin so I would advise going back to that. This breakout won't last forever and you do have a dermatology appointment coming up as well so there is still hope! Keep fighting. One day when you have beautifully clear and radiant skin you will look back on this period in your life and be really glad you did.
Okay so I really don't want to jinx myself, but my skin is still doing really well at the moment! I currently have no actives on my face whatsoever and the skin there is all nice and smooth without any bumps lurking under the skin. I really hope this continues because I'm going to be so heartbroken if I'm confronted with another bad breakout again. My main issue now is hyperpigmentation which is taking an absolute age to fade, especially on my forehead. I don't want to use anything irritating to try to treat it because I don't want to risk breaking out again and my skin only just stays moisturised enough on the Epiduo as it is. I guess it's just going to have to be a bit of a waiting game on that front. Still, I'm so pleased to have finally seen such positive improvements recently and to be currently (please say permanently!) free of all active acne!
Adapalene and benzoyl peroxide on their own had very little positive effect for me but I've been using Epiduo for 14 weeks now and I'm absolutely loving it. It's by far the best topical I've ever used (and believe me, I've tried a lot). I didn't get a significant initial breakout at all, it was just slow improvement right from the start for me, but that might have been because my acne was severe and cystic to begin with. I very rarely get any cysts these days though and if I do they go away in a few days. I'm also on antibiotics (Lymecycline) and birth control (Dianette) at the same time. I've been keeping a log which is in my signature if you're interested. I'd definitely recommend trying Epiduo before plunging into Accutane because, in combination, it has done wonders for me in the past few months.
I'm afraid I don't have much knowledge on scars but I'm sure a lot of people will be able to help you if you post a question on the Scar/Red Mark Treatments forum.
As for oily skin, I found Garnier's Long-Lasting Shine Control Moisturiser to be really helpful in reducing oil but you do have to wait a good three weeks to see the full effect from it. Out of all the oily skin treatments I've tried it's definitely the one I would recommend though!
Yeah I know what you mean - seems to happen to me whenever I post something positive about my skin too
And thank you Sorry you've been dealing with similar things but it's nice in a way to know I'm not the only one (even though I wish no one had to deal with feeling like this).
I really hope your appointment goes well and helps you in someway! Hopefully I do find that courage to go book the appointment. It's hard though because I can't talk about myself or how I'm feeling when it's bad like that / face to face with someone without getting really emotional or teary for some reason. I'd hate to walk in and end up in tears hah - and I don't talk to anyone in 'real life' about things like that (like I often do / have done here in the past) so I don't know how I'd be able to open up to a stranger face-to-face...
But you're right - nothing to lose, everything to gain. I'll remember that.
Good luck with the appointment!
I really don't do talking to people about my problems in real life either and I'm practically incapable of talking to strangers about even the most mundane things so how I'm going to open up to someone I've never met before about my innermost feelings I really don't know. Another thing I try to remind myself is that counsellors/therapists/psychologists etc. have a wealth of professional experience and will definitely have dealt with people with severe anxiety issues before and hopefully know the best way to coax us out of our shells. I know what you mean about getting emotional and teary though because that's what happened the last time I saw my doctor and it was really embarrassing. Generally I'm just more worried about getting in there and being in such a panicky state that I can't even articulate my sentences properly! Hopefully it won't be too traumatic but I'm glad I still have a couple of weeks to go. Thanks for the luck.
This is totally normal in the first few weeks of the regimen but it does improve as your skin becomes accustomed to the benzoyl peroxide. In the meantime be sure to use a good moisturiser (I like Cetaphil moisturising lotion the best) and if your skin's still dry you can always mix a few drops of jojoba oil into the moisturiser which should help as well.
I also have depression and unfortunately for that reason my dermatologist will not prescribe me Accutane until I can get my mood under control (which is obviously very difficult with such horrific skin!) However, if your depression is a direct result of your acne then they might still prescribe it to you if they think your skin is bad enough to warrant it. They're just extra jumpy about prescribing it to people with a history of depression because some people have committed suicide whilst taking the drug.
Other than that, the only extra thing my dermatologist could offer me was a short course of steroids, but again he was worried about that accentuating my anxiety issues so we didn't go down that route either. He said that the Epiduo and Lymecycline combination I'm on can be really effective for some people and negate the need for Accutane so he wanted me to stay on that for two more months before reconsidering Accutane.
Being on Dianette myself, I would say that although it's frustrating you may have to wait more than the 7 weeks to see any significant change in your skin. Mine only started noticeably improving at the end of month 3 and still breaks out even now at the start of month 5, but nowhere near as badly as before. I was also tested for PCOS but it came back negative even though I'm convinced my acne is hormonal. I take comfort in the fact that if it had come back positive Dianette would probably still have been the first thing they tried me on so hopefully I can still get some positive effects from it in the long term.