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Member Since 15 May 2007
Offline Last Active Yesterday, 09:40 AM

Posts I've Made

In Topic: Cystic Acne

Yesterday, 09:39 AM

That isn't acne but some type of boil.  Your dermatologist will apply a local anesthetic and lance it.  You will also most likely be given antibiotics.  Don't be afraid.  That is an area of the body that can get these kinds of things because it gets moist.

In Topic: What Is This On My Nose?! Help.

Yesterday, 09:35 AM

This is a form of acne...closed raised comedones.  They don't look red or infected but are pores that are extended with excess sebum.  You can get rid of these flesh colored bumps by using a BP cleanser or topical...or using a salicylic acid product.  You need something that will help peel your skin to open the pores, thus helping the accumulated sebum to dry up and be expelled.  Don't squeeze this type of acne because the pore walls may rupture resulting in cysts or at least infected pimples.  Getting rid of comedones takes patience and diligent use of the product you choose (BP or salicylic acid).  It would be best to see a dermatologist who can determine what product will work the best.

In Topic: How Does Do Your Acne Cysts Start?

29 October 2014 - 11:36 AM

Just to let you know...I have a very similar reaction if I apply BP topically - even at the lowest dose.  I'm not sure why using a BP cleanser doesn't cause this reaction but it is likely due to the fact that it doesn't remain on the skin very long (only 1 minute while cleansing).  Also the brand I use is specifically made for sensitive skin.  Bactrim may not be available in the UK but I know Spironolactone is.  It is a very common old drug that was originally used for treating congestive heart failure because it is a mild diuretic.  A "side effect" is it is also an anti-androgen.  If your derm is not aware of it I would check with another derm.  I had a derm here some years ago who also never heard of it...and she later turned out not to be very good.  She was the one who had me on 5 years of Bactrim which was insane since the cystic acne could be treated so much better with the gentler treatment regime my current derm has me on.


Here is the regime:


Status - 99.9% clear

Morning - Panoxyl 4 Cleanser (BP), Cleocin-T, DML Lotion, Physician's Formula SPF 30 Mineral Pressed Powder, Spiro 100 mg

Night - Cetaphil Antibacterial Bar, DML Lotion

Monthly - Professional microdermabrasion

Diet - Whole high nutrient unprocessed foods.  Avoid oils, dairy, sugars, bread, nuts, alcohol, caffeine, and fermented foods.

Supplements - Opti l-zinc, citrical + D3

Daily - Walk, breath deeply, meditate and do yoga daily, wear hats for sun protection 

In Topic: How Does Do Your Acne Cysts Start?

27 October 2014 - 12:32 PM

So sorry to hear you are suffering with cystic acne.  I know the agony you are going through.  I have totally clear skin now and hope what I have to share will be of help to you.  I became clear two weeks into following my derm's regime as listed below and have remained clear now for several years.  Nothing short of a miracle for me, especially after decades of suffering!

I suffered for most of my adult life with cystic acne like yours and was deeply scarred emotionally by having to constantly deal with it. The ongoing anxiety and depression that happens with knowing red spots would always develop into a painful, ugly mess caused me to limit much of what I did in life.  I had lots of surface acne and typically 1-2 deep cysts at all times.  It doesn't take many to disfigure the face!  It was near impossible to cover up with makeup without causing more attention being drawn to them.  Like you, I was often on antibiotics that worked somewhat but stopped being effective over time.  The most effective antibiotic for me was full strength Doxy or Bactrim.  I was on Bactrim for almost 5 years trying to get things under control.  I also did two rounds of accutane which helped make the cysts less deep but they were still there and infected.

I always thought I was too sensitive for BP.  It took my derm years to talk me into using the BP face wash listed below.  Much to my surprise my very sensitive skin did just fine with it.  BP is one of the few things that actually kills acne bacteria.  The right kind of cleanser (like Panoxyl 4%) is very mild and only on the skin for about a minute before being washed off.  I was very skeptical if it would work but I guess enough remains in the pores to effectively kill the bacteria.  

Salicylic acid does not kill acne bacteria.  You need to have something in your regime that kills the acne bacteria.  My derm also has me on a topical antibiotic which he says if used in combination with the BP face wash is more effective than oral antibiotics and can be used forever without the usual side effects of oral antibiotics.

Another thing which dramatically helped were monthly microdermabrasions to remove dead skin and tone the pores so meds get in better.  Cystic acne skin is usually filled with hard deep plugs (hence the cysts) which make it hard for topical meds to get in.  

I also take a very low dose of Spironolactone.  Spiro is a very gentle anti-androgen that blocks androgen receptors so results in less acne. Spiro is another thing that can be taken forever at the low doses used for acne. My derm is an expert in adult acne, especially cystic acne and the regime below was developed to attack cystic acne in the most gentle way possible and with a regime that can be basically done forever if needed.  I am in my early 60's and never in my wildest imagination would I have guessed that cystic acne would continue throughout my entire adult life...even past menopause!

Another key aspect of my staying clear was a change in diet to whole foods, wild fish/game and free range eggs, and especially avoiding all processed oils (vegetable, coconut, butter, olive, etc) and foods with lots of it (fried, mayo, dressings, etc), dairy and sugary foods.  Changing my diet was the final thing that resulted in totally clear skin.  I firmly believe that such a diet is essential if you want pores that aren't all clogged up and skin that is calm and not inflammed.  

To me having clear skin is nothing short of a miracle.  Yes, I am on some drugs and will probably continue to be for the rest of my life but I have no side-effects and my skin is clear --- BLISS.


Please read the regime below.  It cleared me up (finally).

In Topic: Help With Really Congested Skin?

27 October 2014 - 11:57 AM

Yes, microdermabrasion done by a professional is okay for sensitive skin.  I have sensitive skin and do just fine with it.  The key is finding someone who is a true professional and not some teenager at a salon.  I have mine done at a laser clinic where the technicians have certification.  There are two types of microdermabrasion.  The old method which was done with particles blown on the skin and is considered irritating for acne skin.  It is still offered but should be avoided.  The newer method is done with a fine diamond tip which can be modified in intensity according to skin type.  Both methods have suction which helps with removing dead skin and imbedded plugs. Microdermabrasion, especially the diamond tip method, it is considered a very mild procedure.  I can go right back to work after having one.  At first when my acne was more active it caused redness and some red spots, especially around areas where plugs had been sucked out but that went away in several hours --- not really bad at all. Microdermabrasion helps build up the dermis --- doing it over time results in really smooth skin with less surface discoloration.  I've been doing it monthly for several years now and my skin is totally smooth and pearly in color.  Ignore stuff said on the internet about it and see a technician or talk with your derm about it.  By itself it won't stop acne but what it does is clear off excess dead skin and open the pores which helps meds penetrate and the pores to function more normally.  My derm is an expert in adult acne and he swears by it as part of a total regime.