Hi Guys,
Ive browsed this forum a lot while struggling with my Acne. I never post and Ive just been lurking like Im sure of some you are whos reading this.
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First off, if you are considering suicide, please consider calling the National Suicide Prevention Lifeline at 1-800-273-8255. Acne is a difficult, painful, emotionally destabilizing, but you will get through it.
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I wanted to tell you my story over the last 10 years, and to warn you, it is quite long but it may help you if you were/are in my position. I will be going over what medications I took, and my final straw with doctors recommendations as the last one recommended that I stay on Accutane for the rest of my life.
I have before/after photos, but if enough people find value in a video, I will consider making one and may actually do it to spread awareness. I have a few since I was 16 the beginning and throughout my 20s. For now, I will share with you my most recent cystic acne outburst. The photo that you see with my severe acne was in Late August 2017 and the other one is a picture taken today, early December 2017 (approximately 3 months). This was actually the second worst acne breakout that I ever had. The first one occurred when I was 18 on Accutane.
As you can see, I still have a lot of scarring, but I dont break out anymore. The scars you see developed when I was figuring it all out after discontinuing the expensive products and topical + oral medications that I was put on. I cut those medications off in July 2017, and my face went bonkers. Why in July? Well, for one my health coverage was ending and I would be paying a much larger out of pocket expensive. To add to that, around April/May, the dermatologist I was seeing recommended that I start a new prescription of 40MG of Accutane infinitely. I was scared, nervous, and almost had a mental break down. I asked what are the side effects? Why forever? She said because weve tried everything else, but you dont have to go on Accutane if you are happy continuing to take your current medications. I was frustrated. So, I decided to learn everything I could about the science of Acne, diet, skin care, bacteria, etc.
Now before I jump into the story, to put actual figures behind my prescriptions + recommendations. At the time, spending close to ~400 a month just to keep my acne at bay WITH health insurance. Albeit, hindsight is 20/20 and some of the lotions recommended to me by my dermatologist were anti-aging creams that they encouraged. I was too foolish to question anything otherwise. It wasnt needed in solving the underlying issue. Why was I still breaking out after ALL of this? WHY? WHY ME? Questions Im sure you ask yourself too.
Ive been through many of the same stages as you guys. First lets start with all the medications/things Ive been on or tried personally and can attest to how you may be feeling.
Over the Counter Meds:
Benzoyl Peroxide Wash/Gel (All strengths)
Salicylic Acid Wash (All strengths)
ProActiv
Prescriptions:
Minocycline
Doxycycline
Clindamycin
Tetracycline
Retin-A
Isotretinoin (Accutane) (Up to 40mg)
Tazorac
Differin
Aczone
Benzaclin
Things Ive experimented with
Jojoba oil
Teatree oil
Maka Honey Mask (Regular raw honey also)
Rose pedal Toner
Aloe Vera Toner
Dieting
Sweating by workout/Sauna
Salt based cleansers
Korean skin exfoliates
Swimming frequently
Tanning
Niacin
Changing bed sheets/ bed covers often
Changing detergent
Different Hair products
Different Shampoo/ Conditioners
Clean & Clear Adv
TNS Essential Serum (Expensive)
Chinese Herbal Tea
Vietnamese Yoga
Vitamin C face lotion
As you can see, I have tried a lot of things. This list doesnt include the countless amount of expensive lotions/miracle creams to help with scarring that I was recommended by people and forgot the name. Ive been to a few cosmetic dermatologist to fix my issues, and although they are amazing, I needed to stop the root cause of my acne. Why am I getting acne? Why do I continue to breakout despite the oral pills, the over the counter drugs, and the gels that are supposedly stop breaking out.
My answer
Since my acne was the worst some of the dermatologist Ive met with have ever seen, they didnt know what to do but to throw the kitchen sink at it. So, I knew my answer to Acne when going on a treatment was to battle it in a multi-factor way.
Now lets break it down:
Diet
For me diet was HUGE. HUGE. The only thing that I was never coached on by any dermatologist. It was the PRIMARY thing that was breaking me out. After consuming whatever I wanted for over 20+ years, I realized some foods were terrible for me regarding my skin condition. I needed to stay away from Chocolate, Diary Products (cheese, ice cream, pizza, etc), and Coffee.
I converted to a cleaner diet consisting of mainly fruits + veggies + cleaner meat dishes (staying away from fried foods, heavily sauced foods, and dishes with an abundant amount of sodium).
Changing my diet helped with the rise of new acne. I wasnt forming these nasty cystic that pops up.
- What can you do? Look at what you eat and keep a journey or new acne to foods you consume.
Skin Care Routine
This was important but it was something I was doing my whole life. This was just continuing this same process but now in a systematic way.
I clean, tone, and moisturize. Sunscreen in the day. Benzo to kill P. Acne. I also use natural exfoliates to clean dead skin cells a couple times a week. If you arent doing this in your daily routine, DO IT.
- What can you do? Buy a gentle cleanser that works for you, toner, and moisturizer. It is critical to put sunscreen on. Get the non-oily versions of the sun screen. If you arent a big fan of benzo peroxide, you can everything else first and use benzo as a last resort, even a 2.5% may help.
Overall wellness/ cleanliness
I practice these a lot throughout my years but I will bring some awareness to a few that I do.
Dont touch your face. It may seem obvious that you want to avoid putting dirt on your face, but its so natural to touch your face if you are stressed or embarrassed etc etc. If you really need to touch your face to scratch an itch, use your shirt or a tissue. Do remember that your phone has more bacteria on there than almost any appliance you use on a day to day basis. Wipe it down. Save your health by killing that bacteria.
Pillow covers. Change them frequently. If you are extra oily like me, do it more often than others. I change mine every night if not every other night. Yes. It is a lot of work, but until you are for sure that you can go without it, you should incorporate this habit.
These are some examples of overall wellness that I committed to and will continue to commit to.
- What can you do? The above.
Acne scars
This is the next stage of my acne journey. I am in the Acne scar revision phase. I have ice pick scars, rolling scars, keloid scars, atrophic scars, and the list goes on. I will take you guys on this journey with me and hopefully in a year, there will be some great results that I can help you guys with who may be in the acne scar phase or will be in the acne scar phase.
I feel like there are so many parts to my story that I didnt include, but over the span of 10 years is a long time to cover everything. I would be happy to answer ANY question regarding the different mediation, gels, creams, lotions, and etc that you may have. I have been on Accutane and faced severe depression. I, like some of you, have considered suicide. Dont do it. Remember, you are beautiful. I put the list of things Ive tried so we can have an open general conversation about it. I can tell you my experience in what I liked/didnt like. If I wrote each experience up, it would be a novel.
It took me nearly a week to do this write up (partially due to work), and also I wasnt sure if I wanted to be in the public eye with my acne and my problems. Im rather to myself with these things. But I want to be a resource to people. Ive dealt with this for 10 years. I know the pain you may be in. Im here for you. I wish I had someone do the same for me, so Im reaching out. Comment or message me. Share your story. I will try to help as I can and will get back to your messages!
Hey man
Thanks for taking the extensive time to write up your experience. Sorry to see what pain acne has caused you. I actually wrote up a long thread in the body acne forum similar to yours, including the diet modifications, OTCs, and Rxs that I tried and the efficacy of each.
The pattern of your acne breakout makes me think of demodex. Since your breakouts are largely confined to your face you may be able to treat it with topicals alone (ZZ cream, 5% permethrin, oral metronidazole oral ivermectin, or some combination of the 4).
What ultimately cured me is treating demodex mites. Please see my thread for more details. It looks like your lifestyle modifications have really brought it under control, and I hope you are fully cured but I suspect that it might take some treatment against the mites to fully heal your skin once and for all.
Regards
9 minutes ago, huynhingskin said:Hey 99f,
I appreciate the response. I believe I have my acne under control now. It is a matter of continuing on with these habits without the need for oral anti-biotics or accutane. I'll be going into the scar revision phase next year. Thanks for the suggestion though.
Excellent. Mederma and biooil have been immensely effective for fading and flattening my back acne scars. Regards
7 minutes ago, pimple pimp said:congrats bro
and lol @ 40 mg indefinitely! jesus christ
i google and quickly find 10 mg just as effective long term like afew users have found so thats my plan + clean diet
Thanks. It would have been my second round of Accutane. I would not have felt comfortable knowing that I would be an experiment for the doctor to see if it works out.
Good luck on your 10mg indefinite plan. I'll be sure to check up to see how you're doing with that.