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DAY 124: Frustrated but looking good

adalyn

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Current Regimen

AM

1. Benprox 5.25% Benzoyl Peroxide Wash (and maybe Neutrogena Oil-Free Acne Stress Control, Power-Clear Scrub, if skin is peeling)

2. La Roche Posay Anthelios SPF 60 Sunscreen

3. Doryx 150mg doxycycline

PM

1. Benprox 5.25% Benzoyl Peroxide Wash (and maybe Neutrogena Oil-Free Acne Stress Control, Power-Clear Scrub, if skin is peeling)

2. Retin A Micro

3. CeraVe Moisturizing Cream

Current Skin:

The bumpiness on my skin has gone down a lot; my skin feels a lot smoother now, and texture wise it feels soft and moisturized. Appearance wise, my skin has evened out a lot; the redness and pigmentation has been reduced to the point where I feel comfortable not wearing any makeup nowadays. While I do still have quite a lot of blackheads and bumps mostly along my jaw and towards the cheeks, the bumps are skin colored and aren't very noticeable. It still bothers me though that my acne is not 100% gone; more like 80%. It's that last 20% that never seems to go away and frustrates me to no end. Then again, my skin has been peeling off in thin layers these past few days, and I know that means my skin is finally exfoliating and getting rid of acne. Maybe I'll see if my skin gets any better the next few days.

Why the Frustration?

The dermatologist who prescribed me this regimen three months ago is no longer covered by my insurance, so I had to meet with a new derm three days ago. This new derm, who I will call Derm number 3, prescribed me a whole new regimen that involved new prescriptions and skincare products. At this point I'm pretty frustrated because (1) she didn't even listen to my previous skincare routine and (2) asserted that every dermatologist has a different way of treating acne, and insisted that I go with this new regimen that derm 3 prescribed. I think most of all, I'm frustrated, sick, and tired of trying so many new regimens - I just need ONE that will work, but I feel like right now I'm still experimenting and trying to figure out what that one regimen is.

New Regimen

Derm 3 decided to create a regimen focused on getting rid of the pigmentation as well as treating for acne rosacea. Here's the new regimen, prescribed by Derm 3:

AM

1. Neutrogena Oil Free Pink Grapefruit Acne Wash (2% Salicylic Acid)

2. Glycolic acid toner - suggested Peter Thomas Roth's AHA toner

3. SPF - suggested Neutrogena's Healthy Skin Face Lotion

4. Doryx (doxycycline 150mg) (she initially wanted to take me off of this, but only prescribed it after I told her my acne flared up after not taking it for a month.)

PM

1. Sumaxin wash (sodium sulfacetamide 9% and sulfur 4%)

2. Ziana gel (clindamycin phosphate 1.2% and tretinoin 0.025% OR Finacea gel (15% azelaic acid)

Here's the breakdown on these meds (I'm generalizing here, but it's a good idea of how they work):

AM

Salicylic Acid (BHA) - exfoliant

Glycolic Acid (AHA) - exfoliant (& helps reduce pigmentation)

Doxycycline - antibiotic

PM

Sodium sulfacetamide - antibacterial

Sulfur - antibacterial

Clindamycin Phosphate - antibacterial

Tretinoin - exfoliant

Azelaic Acid - antibacterial & exfoliant (& helps reduce pigmentation)

So the point here? She's putting me on a pretty complex system of bacteria fighting meds (antibacterial and antibiotics) and several different kinds of exfoliants.

Derm3 did have some good suggestions to make and I might incorporate some of this new regimen into my previous one, which looks like (I'm only pointing out the acne treatments):

AM

Clindamycin Phosphate (antibacterial)

Doxycycline (antibiotic)

PM

Benzoyl Peroxide (antibacterial)

Tretinoin (exfoliant)

Ever since I added the Neutrogena Stress Free scrub, which is salicylic acid (exfoliant), my skin's been clearing up faster these past few days. The verdict? Add more exfoliants.

I'll update when I decide which exfoliants to get from my new regimen.



4 Comments


hey there, my derm also prescribed sumaxin and ziana for me.i didn't use the sumaxin because it seems like it would be too harsh on my sensitive skin, but idk if i shouldve. as far as the ziana, im on week 3 and let me tell you.. there is an initial breakout. i'm not sure if mine is over yet, but there definitely is one. i'm gonna give it time though, hopefully we both have success.are you going to use the sumaxin wash?i feel like i should have :-

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Hey madelineee!Wow! You still had an initial breakout from Ziana after using Retin-A Micro? Oh dear... maybe it works better? I am already using a Clindamycin 1% lotion that's really watery and absorbs into the skin (I forgot to list it in this post). I might use it with Retin-A Micro to mimic Ziana (but of course, it doesn't mean it'll work like Ziana).As for the Sumaxin... I'm a bit scared to open my sample to try it since my grandmother had a severe allergy to sulfa. I might do a patch test later in the day when I have time. Also, I've heard that sodium sulfacetamide and sulfur (active ingredients in Sumaxin) are pretty gentle on the skin, so I may try it if I have no allergic reaction. I hope Ziana's working out for you! I've read a bit of your blog and it seems to be working out. Good luck! I'll let you know if I will decide to do Sumaxin.

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hey, just letting you know i used retin a micro years ago, so thats probably why i still got an initial breakout from ziana. prior to ziana i was just using really harsh BP products that weren't doing me any good. just clearing that up! let me know if you use the sumaxin!

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Looks like I'm not allergic to sulfa. I'm going to start using my samples of Sumaxin, which will probably last about a week. I'll update :-

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