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Day 11 I woke up with 3 huge under the skin pimples on my chin and I could feel one under my skin on the right side of my cheek bone. I'm assuming this is the initial breakout? I never get pimples on my chin..these are the worst pimples I have ever had. The only good thing about them is that they are under the skin and not red at all.
Day 12: I woke up with another pimple on the right side of my face, however this one is a small whitehead. I put on makeup today and it looked horrible on my skin. It was a really weird texture and made my under the skin acne stand out more. I have decided to start doing the oil cleansing method with Jojoba Oil so I can really get all the dirt out of my pores and add moisture to my skin at the same time. I did put Epiduo on my pimples last night, and when I woke up this morning they seemed smaller but now my skin is very red/ irritated in the areas i put on the Epiduo... looks like I wont be spot treating anymore.
Day 13: When I woke up this morning my skin looked amazing! The hyper pigmentation was very faint and the pimples on my chin are down in size by about 60%. When I put on makeup today the texture was perfect. My skin looked very smooth and I didn't have any oil throughout the day( I don't think I have ever experienced a day without having to blot my skin every two hours)! My scalp Is very dry and itchy, its so hard to stop myself from scratching it, I am going to invest in a really good deep conditioning treatment for my hair because i'm really scared it'll start to fall out. The corners around my nose are starting to become very dry and my lips are still about the same. They are no longer uncomfortably dry and I'm gonna have to give all the credit to Aquaphor for that one.
Day 14: WOW! I woke up this morning with my skin looking the best that I have seen it in a while and I strongly believe this is due to the oil cleansing method and Accutane combined. I have been doing the oil cleansing method for the past three nights and let me tell you I should have started doing this a looooong time ago. I was just scared that if I tried it I would wake up with ten new pimples on my face. I couldn't take the dryness in my face anymore and I decided that since I am on accutane already I might as well just go for it. I remove my makeup at night with Jojoba Oil and then wipe that off with a warm paper towel, I then get more Jojoba oil and massage it into my skin for 2 minutes and remove it with a warm paper towel after, Finally I wash my face with a cleanser and apply CeraVe Moisturizer. My acne is down by about 90% and the hyper pigmentation is also down by about 50%. I'm so happy with the results so far and I do believe the OCM and Accutane combined have really helped my skin.
Now I am not to sure if this was my initial breakout? I was expecting it to be a lot worse, I'm still going to expect the worst just so I don't feel discouraged if I do get another Purge. But for now things are looking great and my skin has never looked so good! I am loving this Jojoba Oil!!!
i feel so bad for this but yes i know my acne is bad. don’t judge.
Go to a nutrientionst, be more like the Lamb
First 5 days:
Hey everyone so today is day 10 of being on 40mg everyday. The first 5 days I didn't notice any significant changes, however I did get a cluster of 4 big whiteheads around my chin/jawline. I was unsure if this was because of the Accutane or because I was about to start my period in a few days? I am going to assume the acne was a result of both the Accutane and my hormones because I usually never get such bad acne on my jawline.
On day 6 is when I started to notice the Accutane was working, I woke up with my lips feeling very uncomfortable. They did not feel dry, they felt more dehydrated (In my first post I talk about how I have very dry lips to begin with so I was concerned about that).I went out to buy some Aquaphor and that helped me so much! Now remember how I had the cluster of pimples on my jawline near my chin, well on day 7 I woke up with them completely dried over (almost like a scab) and my skin in that area looked like it was wanting to fall right off. I gave it a few hours before deciding to steam and exfoliate that area, right after I did that all the dried up pimples that I had were gone and the hyper-pigmentation in that area was very very light,it was like My sin had been healing that area for a month or two(usually right after I have a breakout that bad I get very bright dark red marks that do not fade for 1- 3 months.) Now for days 8-10 I have had extremely dehydrated lips, I have to apply the Aquaphor once every hour or more, I am going to have to start exfoliating my lips once a day because my skin is flaking off so easily. It doesn't hurt its more just a very uncomfortable feeling. One positive thing is that My hair isn't oily at all, Its been three days since I have washed it and it still looks fresh!!! I woke up with two very small whiteheads on my cheeks and a big pimple right below my lip, its not bothering me that much because it is not visible it just hurts whenever I touch it. Anyway that is my update for now, I'll be back in 5 days to update you all on how everything is going!
Oh yeah I forgot to mention something.My period came about 5 days late, I am on hormonal birth control and my period is very regular so I am guessing its a mixture of the HBC and 40mg that made it come late? If anyone else has had this problem while on Accutane let me know in the comments because this is kinda weird.
Here’s some background information about me: I have struggled with mild to moderate persistent acne since I was 22 (I’m now 29). It was always manageable until about 1.5 years ago when my skin went from being a little oily to VERY oily which to my dismay = way more breakouts. I finally got an appointment with the dermatologist (it took forever - I’m from Canada) and decided that Epirus was the way to go.
Im about to begin my 3rd week and I am definitely experiencing an initial breakout! My skin looks worse than before I started - it actually looks worse than I have ever seen it. I’m breaking out on my forehead and my jawline/chin and have a lot of closed comedones on my cheek which were there before starting my treatment.
I hope my IB starts to calm down soon, it’s really killing my confidence!
Low Dose Accutane (Day 45),10mg/day.
- Still in initial break period but the severity is getting better slowly
- 2~4 pimples every week
- Itchiness (especially around eyes and nose)
- Still getting extracted from spa bi-weekly
- Skin texture got softer
- Face with a lot of red/pinkish spots from breakouts and extractions. Some of them fade away within 2-4weeks but some of them are still very visible even after 3 months.
TCA Cross (Day 32)
- TCA test-treated spots (yellow circled in the picture)are basically not improved much.. in my opinion.They certainly got wider and became more noticeable. In depth-wise, they became around 10% better. However, so far, I still think the scars actually got worse. Hopefully, they get better in time.
Within 2 months when my face become more stable, I am planning to visit clinic to consult about TCA Treatments. Probably 5 treatments every 1-2 months.
hello! so yesterday i went to my dermatologist for a follow up and she asked me if im seeing any improvement, i told her the truth and said that i kind of do, because i do. i still get some pimples but also im seeing improvement on the pimples that i already had, i dont know, it is kind of confusing to understand but i am still breaking out but also clearing up on other parts at the same time? anyways, she said that she agrees with me so yeah. she made me do a facial and some IPL which i like because i truly support IPL for acne. if you never had IPL before, i hardly recommend it. i decided to take gluten out of my diet because supposedly it is bad for you, it is SUPER hard because i love bread but i found some gluten free bread so its kind of okay, it is not the same though... my lips are super dry, no amount of lip balm is helping. i asked my dermatologist if i could use moisturizer and she said not yet so im going to have to deal with the face dryness for now. it is really hard to go outside, especially because i am so scared of the horrible things people must be thinking when seeing my face but i am forcing myself to go out more, even if i end up having a panic attack while at it because staying at home all the time is very bad for me and my mental health. so thats my update for today, i hope you're okay and if you have any thing to say, feel free to say them!
-very dry skin, especially on chin
-blackheads sticking out, rough skin on the nose
-skin is very sensitive and burns sometimes
-initial breakout ( about 15 new pimples)
the first few days it was going pretty well but just recently my face has gotten so dry that it is so hard to even talk or move. im starting to break out too on the sides of my cheeks, hopefully it gets better, having acne is really hard and it just makes you isolate yourself which just worsens any type of depression you have. ill probably add pictures later on, when im more comfortable showing them because let me tell you, i really have it bad. but okay, thats it.
As you can see I have moderate acne, I will get maybe 5 cysts a year. I usually wake up to 2 new pimples every week which leave very bad hyper pigmentation that will last for more then 6 months. I am lucky in that I do not get bad acne on my forehead, back, and chest. I get all of my acne on my cheeks and recently it has been leaving ice pick scars, that is when I got serious about tackling my acne. Today is my first day taking 40mg, and the one thing I am nervous about is dry lips and eyes because I already have dry lips and eyelids to begin with. I'll be updating this once a week to let you know how each week has been and I will be uploading pictures of my journey once a month.
My skin is worse... I wake up with around 2 cysts every day and they are leaving behind brutal scarring that can't be covered with makeup. I have also noticed smaller closed comedones popping up everywhere. It doesn't help that I am so stressed about this. I am really unsure of what to do...
I am scared that my hormones have been permanently fucked from stopping mid pack and taking a break. I see my dermatologist in 6 weeks...which is a lot of time for things to either improve or worsen. I feel like it might head for the latter though.
I have no self confidence. Anyone gone through something similar?
Starting this a bit late, but decided to record my progress. Currently ten days into treatment on 40mg of Amnesteem twice a day.
During the first week I noticed a total change in how my acne behaved, while I still had breakouts (all whiteheads and one cystic on my right cheek) the pimples seemed to cluster together with smaller heads than usual, and they would heal and be gone by the next day.
Up until the 8th day, I didn't experience any dryness other than slightly dry lips, but, oh boy did it hit like a truck. Woke up with a killer back ache (which may, or may not actually be from the tane seeing as it was gone the next day) and really dry skin and lips despite liberal moisturizing and aquaphore. Skin felt tight and hot, pretty uncomefortablefortable, but I guess its better than being extremely oily like usual.
Tenth day, skin is even more dry, actually flaking around the corners of my nose and my chin area, lips might as well be a desert. And I'm noticeably redder in the cheeks area. So far feeling pretty confident in the decision to start taking it. Any tips on how to really fight redness and dryness despite good moisturizing?
It took 7 months to get where i am now. The exciting part is that this is my "that time of the month" skin. Normally i would be so broken out right now. THATS how excited i am to finally see it fully working. I cant believe its been 7 months of ups and downs but here we are today so stick with it!
I just finished the first week...
OMG it's been horrendous! I woke up every day with 2-3 new spots, some were really quite nasty while others weren't. I've been getting a lot of whiteheads on my forehead and a few cysts around my cheek. I feel like they come to a head farely quickly, but they leave behind raised scars. This is super confusing to me because it seems like I am breaking out more than I was originally on the pill. It's really difficult for me to think that I'm going to have to be on this for 3 whole months. I'm getting extremely discouraged as my skin has never been this bad.
I start week 2 today; I'm not expecting to see much improvement as these breakouts show no sign of clearing.
Basically the same, more dryness. All pimples from last update still on my face with new pimples but I noticed they are being dried a bit faster. They still take forever to get dried up though. Going to go get extracted AGAIN tomorrow. I got extracted last Friday.. yet there so much more to extract tomorrow yoohoo!
Few days ago, I woke up with extreme itchiness on both my hands (it literally woke me up at 12:30pm) and I could not sleep for a long time because of this extreme itchiness.
This side effect is quite harsh.. so I decided to even lower my dose to 20mg/week. I am going to take 20mg/week for at least a year and going to start treating my pitted scar with TCA Cross treatment within few months when my face become completely stable with low dose Accutane.Hopefully, the side effects and initial breakout are less severe for 20mg/week..
- Not much difference on spots treated with TCA Cross. They still look pink/worse.
I will probably update weekly/monthly from now.
Just thought I'd let you know what my skin looks like right now before I start documenting my progress:
Day 25 Low Dose Accutane:
Taking 10mg/every day this week,
- More noticeable dryness on face
- Body getting itcy for no reason
- Planning to get extracted/managed by Spa bi-weekly
- Usually.. more like most of the time, 6-8 active acne on face, one very huge cystic acne on my left cheek beside the nose.. it will be huge.. I can feel it
- Going to start managing my diet too.. not very strictkly though..
Day 12 for TCA Cross (Test Spot Treated); indicated by yellow circles:
- Scrab from 40% TCA fell off more quickly (could be because the scrab for 40% was a bit smaller)
- All scrabs fell off by the 7-8 days.
- They are quite red, and look worse, deep.. hopefully they get better over time
- 40% treated spot does not really have significant difference
ight so i doubt anyone is gonna read this but imma post it anyways. I have always had mild to moderate. I honestly can't remember when i started to get acne, all I remember was my older sister who also has acne telling me to start washing my face because im gonna get it soon lol. . So then when it started to get worse I would use my older sisters old prescription creams and I don't remember what they were. My acne started to get worse, and at some point I went to the dermatologist and got doxycycline I think, probably like 2 years ago. That cleared my skin well, I think i was on it for like 3 months or so. Then when I got off that I started to use the regimen on here. Followed it strictly and had clear skin with about 2 to 3 white heads a week and sometimes deep ones that don't come to the surface. My acne is mostly around mouth and sometimes nose and between eye brows. This regimen worked well for my pimples but not for my overall skin. I gained super sensitive skin, but i thought it was a worth it trade, red skin and no acne rather than acne and normal color. Also, I surf every day that I can, so its getting tough to use bp as my skin is becoming more and more sensitive, basically I always look sunburnt and people always comment on it. One day I was looking at the posts on here and I came across the caveman regimen. I thought this would be super sick because I hated how much time the regime takes to apply and I felt weird doing it sometimes because no other guy seemed to have to put in so much work and worry. So I tried it and the first 2 weeks were super good. I basically did the surf version of this in that the only time my face came in contact with anything was salt water for about 2 hours. When I would first jump into the water I could feel all the oil come off my skin and it felt acidic, which I thought meant it was working. I only would have like 1 white head and I could see normal skin color coming back into my face and i was super excited and honestly started to have a different outlook on how my life would be without having to worry about a regimen. (I went throught a whole thought process for 2 weeks deciding if I was going to do it or not and one reason i thought it would work was because i've never had acne on my back or chest or neck so I thought maybe it was caused When the purge stage came, I couldn't bare it. It was the worst It had ever been in my life and I was breaking out in places that I never had acne before. Felt pretty depressed and didn't want to hang out with anybody. Then I went back onto the acne.org regimen except I was dumb and went straight for the full bp instead of easing into it cuz I thought my skin would still be used to it. So I basically came close to chemical burns and my face was straight red all over. 3 Months later of the regimen and depression, My skin came close to back to how it was before the breakout. Except now I had acne that I had to control next to my nose and on my temple and some on forehead. So over It went from a 3 to a 5 on my personal scale(the breakout was a 9) So after a while of the full regimen I decided that there were other things that could help with acne and redness, so I stopped dairy (my favorite food is cereal and ice cream), starting drinking green tea, take zinc supplements, drink table spoon of acv, ate healthier (less sugar no more drinks besides water, etc). I also started to only do the regime once a day, which was working at home but then went to college were it is humid and isn't working as well. That brings us to where I am now, mild to moderate acne that acts differently than any acne i've had so far. I have small bumps and white heads on the area next to my nose mostly on left side, around mouth, in between eyebrows, and little bit on temples. I am writing here because I can tell that It is getting worse as time moves on, maybe because humidity? It seems that using the regimen once a day isn't even reducing the redness that much. So I wanted to write on here and see if any of you guys have had similar stories and maybe could think of a regimen that is similar to bp but not so harmful and can balance with surfing and sunburnt life style.
This week, I took 10mg/every other day:
- Most of extracted ones left me red scars (got extracted last week from clinic); my doctor said they won't be scars.. but.. meh... most of them left me scars..
- 1-2, 5-6 new active acne on right, left side respectively
- Little dry lip
- Acnes taking forever to get dried up..
I certainly experienced more severe hair loss when I was taking normal dose (1st course) than low dose and I can definitely tell the side effects are reduced. Maybe its because its only been 21 days (I took 13 pills so far)
I’m going to do some monthly posts instead because weekly posts are becoming more and more monotonous and I don’t have time to post weekly. The past month was kinda rough, with lots of rounds of breaking out, calming down, and then breaking out again. The closed comedones are still being stubborn, though they have noticeably decreased. The few that come to heads are somewhat painful and contain a yellowy-white hard grain, like ¼ of a uncooked grain of rice. Switching into college was complicated for my dermatillomania and I’m still trying to get back on track with that, since the second I walk out of my room I’m looking into a huge vanity mirror. And I’m stressed. It’s great haha. I’m breaking out along the sides of my chin and a little on the middle of my cheeks, and the spots are usually the deeper (but not cystic or papule-like) breakouts that are probably from old closed comedones.
-Aveeno Sheer Daily Moisturizer: morning and night
-Neutrogeena Oil-Free Moisture with Sunscreen (SPF 15): mornings when I plan to go outside.
-Burt’s Bees chapstick: use in morning and throughout the day
-Aquaphor tube: apply at night before bed
-Dove micellar water body wash
-Dr. Bronner’s Peppermint Castile Soap: Distilled 1:2 of soap to water in a separate glass bottle. Used in morning and in evening.
-Heliocare oral supplement: on days where I plan to go outside a lot (still wear sunscreen, though!)
-Kirkman’s Multivitamin without vitamin A or D
-NAC supplement: for OCD, anxiety, depression (many sites suggest also taking a vitamin C supplement with NAC; I take the daily multivitamin below and a little bit of an “Immune+” Emergen-C packet [the type w/vitamin D, since my multivitamin doesn’t include it] every other day)
-Dry face: Not considerably; getting some dry patches on arms
-Dry lips: Yes, a little worse than in the past but not tragic
-Dry nose/eyes: Not really, maybe a little with my eyes.
-Depression: Same as usual
-Thirsty: I definitely have to drink more water, especially when I wake up in the morning, but it’s a good habit to get into
-Hair loss: Much less than past few months
So I've been off Accutane for 2 months now and it's been interesting to see how some things have changed. The first thing I noticed was about 3 weeks after stopping Accutane my hair started getting oiler and oiler. I now can barely go without washing it every other day whereas on Accutane it was over 3 days. I was hoping it wouldn't go back to this but at least it's not as bad as before Accutane....yet. About a month after stopping Accutane, my face got oiler (though that could have been the extreme summer heat also). Now there are days where i don't even moisturize and I've had to change my products again. I have also gotten a couple small pimples since stopping but nothing to really worry about at all. The best part is that I still have not gotten any cysts and that is really all that matters to me. I know it's still early but i'm hopeful that 6 month or a year from now I will still be cyst free. When I went off of Sipro, I began getting cysts worse than ever about 4 or 5 months after stopping so we shall see.
Hi everyone, I am just finishing up my first week of Accutane and I am noticing many improvements. I know many people say you cannot notice any changes until usually a month in but mine are substantial. As you can notice all of my acne has completely stopped forming and my old pimples/scars are now healing.
Current Accutane Skin Care Routine
I have been using argan oil and cer-ve as a moisturizer for my face, Aquaphor for my lips, and Cetaphil as my cleanser. So far I have noticed my skin is a little drier than normal, but with my intensive moisturizing routine, I have not noticed any peeling. I apply the argan oil first then add a layer of cer-ve on top to lock in the moisture morning and night. I wash my face once a day at night before I get in the shower. I apply Aquaphor at least once every hour to combat the imminent lip dryness. This has kept my skin moisturized and healing the scars very quickly. I also drink 4 bottles of water every day which helps keep your skin moisturized as well as combat some side effects such as headaches and muscle cramps.
The only side effect I have noticed is 2 days after I started taking the medicine I had pretty intense muscle cramps in the upper part of my leg. I had not had any physical activity the day before just a normal day at work, so I'm almost positive that was caused by the Accutane starting to affect my body. I also had a mild headache my 2nd and 3rd day but drinking a lot of water helped that subside. Since then my side effects have passed and I pray they stay away.
So I finally met Dr. Ngai. It was actually very satisfying visit.
I got every active acnes extracted by this device that makes some weird sound. I think over 30 acnes got extracted...
Dr. Ngai recommended me to continue take 10mg / everyday telling me initial break out happens regardless and it will be settled within 1-2 months. So I guess I will taking 10mg/ every other day and maybe increase it to everyday later on.
Dr. Ngai also spot treated me with 40% and 80% of TCA. I was expecting that the white scrab from TCA would at least stay on my face for few days but actually they were gone within one hour. They are rather dark brownish or grey now.
Dr. Ngai said that subcision won't do much for my scars, so I am planning to do 3-5 sessions of TCA Cross and then 1-3 sessions of INTRAcel RF + TCA Cross later on. When acnes are under control I plan to start treating my scars right away.
I guess all can do now is to just wait at least one month to see how I react / heal to TCA Cross and low dose Accutane ..
Yellow Circled = 80% TCA
Red Circled = 40% TCA