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Pre-Accutane/ Dermatologist Appointment



I had acne in junior high/high school but nothing severe, i would get a pimple here or there and it was usually my fault; not washing my face, touching my face with dirty hands, etc. etc. But its when I got put on birth control shot Depo when i was in my late teens/early 20's that's when the cystic acne happened. It was awful. I got those big, ugly, painful ones that would practically ooze if I yawned. I'm embarrassed & ashamed just thinking about it...

Queue the doctor (regular doctor), got antibiotics, changed soap and any OTC "remedy" i could get my hands on. It took awhile but the acne settled down & I didn't have that deformed face (couldn't see my jaw line or cheekbones) anymore but I had cystic acne that just lingered. I have a few along my jaw line that NEVER went away, they are just there. I held it at bay but there were times it came back with a vengeance. Whiteheads, more cystic acne that would take weeks to go down or flatten. Just awful.... This went on for years. Quite literally tried everything from ProActive to the most potent OTC topicals i could find. Tried different birth control to no birth control. Nothing worked. Even tried tretinoin & was told if this doesn't cure your acne, nothing would.... didn't work after 5 months. 

My skin is super, super, super, super oily. To the point after applying my foundation, it would literally slide off my face within a couple of hours. Constantly blotting & redoing my makeup. No way in heck could i wear liquid foundation, had to use power foundation. To get the coverage i needed...even with BareMinerals...i was so shiny by 8am, 2 hours after i put it on. I like to do makeup, i enjoy experimenting but nothing would stop the shine. Primers didn't work. Tried mineral eye shadow by noon it was creased & looked horrid. SIGH.

Finally got tired of spending money & wasting time trying to do tackle my acne on my own, it was time to go to the dermatologist, a real dermatologist. Queue the dermatologist. 

Wonderful doctor with the most amazing skin i've ever seen on someone 40+! She asked questions on my history with acne, blahblahblah. I wasnt expecting her to recommend Accutane but i really wasnt sure what she would recommend. Totally reassured me, they (doctors) know so much more about side effects, the mood swings, so i felt at ease about it. She told me the dosage would be low & slow which studies have found to have a more lasting effect and the sideeffects arent BAM! AWFUL! So I had to take the pregnancy test that day and given slip to go get blood drawn, they dont go it there and was told to do the whole 30 day wait. She did give me some antibiotics to help clear up the acne i had, she said to help with purging...i had no idea what she was talking about hahaaa. Started the paperwork of the ipledge program.. wowza!
Also she wanted me to come back & do a mircodermabrasion treatment & extract the acne i had. OMG! the extracting was awful & wonderful. They "popped" all my acne, those big ones i had forever, hurt! The astethician said she popped over 40, i about cried. I didnt realize how bad my acne was. So of course my face looked HORRID afterwards. But i trusted the doctor and within a week or 2 my face really cleared up...then BAM! cystic acne came back. By this time i was chomping at the bit to start accutane. Longest 30 days of my life!

Finally the day of my appointment! Go in, do pregnancy test (negative). Do more of the ipledge stuff. Get my prescription for accutane called into pharmacy. Told not to use anything for acne treatment just Cetaphil & a moisturizer. Had to go online fill out more iplege stuff - pharmacy needed my ipledge card before they could fill prescription. Sheesh! 

I will say i watched about every YouTube video out there, the good, the bad, the horrific & terrifying just to get an idea of what was in store for me. There weren't any that were for someone over 30, hence i decided to document my journey. Also what products worked for me & what didn't and hopefully some tips.



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