Not that bad, your acne is definitely more in the mild range, although I do see a little PIH from old acne. Doxy and tretinoin sounds like a good treatment plan. But if this isn't working, consider trying the Acne.Org Regimen. Since your acne isn't too bad, it shouldn't take too long to clear. And the treatment will help prevent future breakouts. Antibiotics are great for leveling the p.acnes playing field when topicals aren't keeping up with it, but won't kill future bacteria once the course is finished. BP treatment will keep killing bacteria deep within the pores when used as directed. So something to consider!

Good luck with whatever you decide! 

5 minutes ago, DeLovely said:

Not that bad, your acne is definitely more in the mild range, although I do see a little PIH from old acne. Doxy and tretinoin sounds like a good treatment plan. But if this isn't working, consider trying the Acne.Org Regimen. Since your acne isn't too bad, it shouldn't take too long to clear. And the treatment will help prevent future breakouts. Antibiotics are great for clearing the p.acnes slate when topicals aren't keeping up with it, but won't kill future bacteria once the course is finished. BP treatment will keep killing bacteria deep within the pores when used as directed. So something to consider!

Good luck with whatever you decide! 

Ok thanks. THose white heads that are in the top photo are kind of new. They went away and then came back out of now where. Also what would you say about taking supplements like zinc gluconate and/or omega 3. 

Zinc gluconate and Omega 3 are better options for calming inflammation from the inside than antibiotics, IMO, and work well with a topicals regimen. Only because antibiotics can only be used short-term, where adding some zinc and omega 3 provides a ton of long-term benefits and are just good for you in general. Plus many people with acne are often deficient in zinc and omega 3, and this can trigger an inflammatory response, which can explain why some are prone to acne and others always have great skin. I myself have boosted my zinc and omega 3, and my 15-year-old takes them as well. 

Zinc gluconate is the best kind to take so good call! It's better absorbed than some other zinc supplements. You can have your vitamin levels checked by your doctor (even if just to get a baseline) or just start taking zinc and see if this improves your acne. 30-50 mgs are good and safe amounts to take but I wouldn't go over this without a doctor's supervision. 50 mgs would be good if your skin is on the oily side, it can help dry things up.

Omega 3...you'll want at least 1000 mgs of EPA omega 3 to be therapeutic for skin inflammation. Look at the label...if there isn't enough EPA omega 3, put it back. You may need to take 2-3 caps per day to meet this amount. My son takes 2 per day of Barlean's Ideal Omega 3, which gives him 1400 mgs of EPA Omega 3. Solgar Triple Strength Omega 3 fish oil is another good one. 

Keep taking the antibiotics if they are helping and agreeing with you, since your doctor feels they are in your best interest. But you can add the supplements now for added skin support, and it'll take a good month to build your levels. This will prepare you for coming off the antibiotics. With some luck, maybe they will be enough to keep things in check. But if you start seeing acne creeping back in, then the Acne.Org Regimen would be my next go-to line of defense. 

Didn't mean to write a novel haha!  But can't recommend zinc and omega 3 enough, and there's a lot of sound research out there backing their use. They're a boon to any skin-treatment plan!!