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superdupershexp

At end of my rope - 31 yrs old and acne out of control

I've had acne since I was 15 and for the most part, I've had it under control. It never went away for good, but this year has been terrible. I have hyperpigmentation on my cheeks and and getting a lot of acne on my chin, including cystic acne. I'm taking 100 mg. minocycline and using Differin, Clindamyacin and Plexion mask. Is my current breakout hormonal (I'm female, btw).

My cheeks and chin look rough as well; are there any treatments to smooth them out? I'm Asian and my derm told me that laser treatment would cause hyperpigmentation. How about chemical peels?

Thanks for any insight!

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I've had acne since I was 15 and for the most part, I've had it under control. It never went away for good, but this year has been terrible. I have hyperpigmentation on my cheeks and and getting a lot of acne on my chin, including cystic acne. I'm taking 100 mg. minocycline and using Differin, Clindamyacin and Plexion mask. Is my current breakout hormonal (I'm female, btw).

My cheeks and chin look rough as well; are there any treatments to smooth them out? I'm Asian and my derm told me that laser treatment would cause hyperpigmentation. How about chemical peels?

Thanks for any insight!

Hi there - I'm 31 too and had a REALLY rough year with my complexion. So sorry you're having trouble too! I am white so I have different pigmentation, but I've had great luck with chemical peels. I've had 2 so far. 20% salicylic. The red & brown marks from previous breakouts have faded dramatically.

Good luck!

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u might want to do some searches on candida cleanses- long term antibiotics and various medications can cause this problem- the only time i had my acne totally under control was when i did an anti candida diet and cleanse for four months- it is really strict though and i had a hard time sticking too it which is why i'm miserable now

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u might want to do some searches on candida cleanses- long term antibiotics and various medications can cause this problem- the only time i had my acne totally under control was when i did an anti candida diet and cleanse for four months- it is really strict though and i had a hard time sticking too it which is why i'm miserable now

To OP: I strongly recommend you go see a dermatologist and really aggressively seek a treatment that works. I my opinion not knowing you, my guess would be that you'll need to go with the big gun, accutane. I'm very skeptical about using antibiotics and topicals for this sort of condition, but many dermatologists will fiddle aroudn with this stuff for several months. If you do agree to try antibiotics, don't waste more than 8 weeks. It should have noticable effect after 4-6 weeks. If you're not happy after 8, you never will be. No changing of antibiotics, no shuffling of topicals will do it.

My condition worsened a lot around when I turned 30, and at 31, I went on Accutane, and it really worked well for a long, long time. The only thing I'd change is not messing with antibiotics for so long. My first dermatologist spent many months messing with topicals and antibiotics. I finally read about accutane and cortisone injections in the library (this was before the internet!). This derm. not only hadn't mentioned either to me, he wouln't prescribe it because he wanted to try some other treatments. I changed dermatologists and was prescribed accutane the first visit - and he injected all my active cysts and did the same for the next three or so weeks until the accutane completely cleared me. This was just a non-issue for the new doctor, he had no doubt it was a reasonable way to go. It was like a new lease on life.

In the mean time, specifically ask for cortisone injections for active lesions. this will knock them down very quickly.

As the above poster points out, there's another reason to go to a dermatologist. There are other conditions that can mimic acne, especially in adults. One is a yeast-like condition, another is rosacea (It's possible that my condition now involves or involved both - it's not cut and dried). Sometimes the treatments are similar so it doesn't matter. Other times, treatments are different, so it does take an expert to sort these things out some times.

Good luck.

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I've had acne since I was 15 and for the most part, I've had it under control. It never went away for good, but this year has been terrible. I have hyperpigmentation on my cheeks and and getting a lot of acne on my chin, including cystic acne. I'm taking 100 mg. minocycline and using Differin, Clindamyacin and Plexion mask. Is my current breakout hormonal (I'm female, btw).

My cheeks and chin look rough as well; are there any treatments to smooth them out? I'm Asian and my derm told me that laser treatment would cause hyperpigmentation. How about chemical peels?

Thanks for any insight!

I'm not a doctor, just a fellow adult acne suffer... but please stay away from the Differin. The hyperpigmentation on my face remains almost a year later.... I am clear from other means, and I am battling those pesky redmarks from the Differin (I never got them on Duac (bp + clindamycin), Retin A, or antibiotics).

Feel free to PM me if you ever want to hear about alternate treatments (I've tried light therapy, diet, vitamins, etc.)

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apparently early 30's is a really bad hormonal second type of puberty. I too had a bad breakut this year, it's been almost 4 months, all along my chin and jawline and some on my forehead and a bit on my neck (i never got acne on my neck as teenager though)

i'm just trying to go the natural route, changing my diet and see how that goes.

I've given up PB, it just makes stuff eventually worse.

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If I was you I would try accutane maybe on a low dose if you feel cautious because it doesn't seem anything else is working. From personal experience Differin made my skin very flakey and red and tablets like doxycycline, minocycline etc didn't work but did serve to discolour areas of my skin. Hmm nice.

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Possibly accutane. Although, if you are an adult female with a hormonal disorder, the accutane will only help your skin temporarily (probably) but the clearing would be worth it.

Any woman with adult acne should see an endocrinologist ASAP. They deal with hormonal disorders and can test and diagnose you if your acne is due to a hormonal imbalance (derms can't do this). Your acne may be to a condition you are not aware of like PCOS. You can also try a PCOS diet (for insulin resistance) that seems to work very well (Google it) and can help even when meds failed.

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I'm not a doctor, just a fellow adult acne suffer... but please stay away from the Differin. The hyperpigmentation on my face remains almost a year later.... I am clear from other means, and I am battling those pesky redmarks from the Differin (I never got them on Duac (bp + clindamycin), Retin A, or antibiotics).

Feel free to PM me if you ever want to hear about alternate treatments (I've tried light therapy, diet, vitamins, etc.)

I used differin for at least two years without any of this hyperpigmentation. I don't think it's a common problem and you shouldn't avoid it just because of this. It's an excellent medication (second best in my personal experience - RetinA worked a bit better for me).

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Superdupershexp, your story sounds so much like mine (I'm new here BTW, this is my first post, but I've lurked :D for about 4 months). I too, am female, 31, have battled acne problems since I was about 15, and suddenly at 31 I started having the worst breakouts ever. It is definitely hormonal, IMO. I had read to expect breakout problems in your 30's since your hormones start acting up or something. Mine is finally starting to get better, it seems, after 4 months of raging breakouts. I had tried tons and tons of products, spent tons and tons of money, but I finally got better after I started using Basis cleaner clean face wash, 50/50 apple cider vinegar / water toner, and Agera oil free moisturizer. I highly recommend Suki's Naturals Transformative Facial Clay - this stuff WORKS wonders, and is the absolute BEST spot treatment I've ever used - it dries things up quickly without any irritation (but it is a bit pricey). I stopped using foundation because I felt like it was irritating my skin and causing more breakouts. I only use a bit of salicylic acid concealer on my trouble spots and blend it in well. It was hard to give up, but I did it and it has made a positive difference with my skin.

For the pigmentation, I recommend microdermabrasion - it's a slow process but works (you need at least 6 sessions to see a big difference). My skin is caucasian and I scar badly (keloids, hyperpigmentation) and the microderms work great.

I read another post about an anti-candida diet, and it reminded me: My brother has Candida problems, and he always had horrible skin on his face and back. He started following an anti-candida diet and taking probiotic vitamins and now he has perfect skin - no more redness, or breakouts, or pigmentation. I want to try that but I love my sugar and carbs!!

It will get better, hang in there!!! ;)

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I've had acne since I was 15 and for the most part, I've had it under control. It never went away for good, but this year has been terrible. I have hyperpigmentation on my cheeks and and getting a lot of acne on my chin, including cystic acne. I'm taking 100 mg. minocycline and using Differin, Clindamyacin and Plexion mask. Is my current breakout hormonal (I'm female, btw).

My cheeks and chin look rough as well; are there any treatments to smooth them out? I'm Asian and my derm told me that laser treatment would cause hyperpigmentation. How about chemical peels?

Thanks for any insight!

The common view is that acne n the jaw line is related to hormones. Personally I got tested and was told that most of my hormone levels were normal (save for cortisol which was elevated, but I think this is stress related). My doc told me that often times acne is not due to abnormal levels of hormones, but rather an abnormal reaction to normal levels of hormones.

Personally I think two routes are worth exploring. (1) The holistic route. Many people claim this works for them but it can require alot of hard work and dedication and results can be slow to realise, if you realise them ever. Also, there isn't a one diet fits all so you may take a while to discuss what if anything works for you. Personally I wouldn't stick with it for longer than 6 months to see results, especially if your acne is scarring. The other route is Accutane. Its hard on the system but it works for the vast majority of people, at least for a while. Good luck.

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I am 43 and finally realized that I am one of those people that have a hard time tolerating any testosterone in my system and the result was always skin problems. I found a derm who finally mentioned Spironolactone to control hormonal breakouts. This is a tiny pill that supresses the testosterone from reaching the surface level of the skin. I saw results quickly and only 2 months to see great skin. I am so happy to finally get off the acne merry-go-round. My 14 year old daughter has been on it since late Sept and she is finally clear too. We love it! Accutane is not the only answer, especially if this is hormonal.

As for the hyperpimentation, I have had good luck fighting red marks and melasma with an azaelic acid product called Finacea. As your derm about Spiro and Finacea. Good luck.

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Hi Luvsun! Do you know if the Spiro interferes with birth control? Another friend recommended Spiro for me and I might inquire about it.

Thanks!

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Yikes, I saw this on Mediline: Spironolactone has caused tumors in laboratory animals. Talk to your doctor about the risks and benefits of using this medication for your condition.

Too scary for me!

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I've had acne since I was 15 and for the most part, I've had it under control. It never went away for good, but this year has been terrible. I have hyperpigmentation on my cheeks and and getting a lot of acne on my chin, including cystic acne. I'm taking 100 mg. minocycline and using Differin, Clindamyacin and Plexion mask. Is my current breakout hormonal (I'm female, btw).

My cheeks and chin look rough as well; are there any treatments to smooth them out? I'm Asian and my derm told me that laser treatment would cause hyperpigmentation. How about chemical peels?

Thanks for any insight!

ok. Trust me. I just posted a treatment that is not full of empty promises. and is great for your skin. If you are Asian. Am i right? Go to either, Blackheads, or Whiteheads..... and it it the one that sais... CLEAR UP ACNE NOW. Check it out. I think you should give it a go. Sounds just like what i went through.

And Minocyclin is awesome. If you have not tried that. Good luck!!! :pray:

I am 43 and finally realized that I am one of those people that have a hard time tolerating any testosterone in my system and the result was always skin problems. I found a derm who finally mentioned Spironolactone to control hormonal breakouts. This is a tiny pill that supresses the testosterone from reaching the surface level of the skin. I saw results quickly and only 2 months to see great skin. I am so happy to finally get off the acne merry-go-round. My 14 year old daughter has been on it since late Sept and she is finally clear too. We love it! Accutane is not the only answer, especially if this is hormonal.

As for the hyperpimentation, I have had good luck fighting red marks and melasma with an azaelic acid product called Finacea. As your derm about Spiro and Finacea. Good luck.

I also agree with you! ;)

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Also 31, also had acne since a teen, also worsened at 30. And it seems to worsen hormonally. I tried differen and antibiotics, but they didn't work.

What worked for me to manage my acne was using retinA, salcyclic acid 2% wash, BP 10% and microdermabrasion. After 1 year of this my derm put me on accutane. I'm on a very low dose so there isn't many side effects except red lips.

I don't know if you can get microdermabrasion with your skin type. But listen to all this good advice. It seems most people here have tried the products you are using and ended up doing accutane.

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for the lady on spiro have you been on bc with or prior to spiro cause ive been on othrotricyclin 5 mnts no improvment thinking of going on spiro

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I've had acne since I was 15 and for the most part, I've had it under control. It never went away for good, but this year has been terrible. I have hyperpigmentation on my cheeks and and getting a lot of acne on my chin, including cystic acne. I'm taking 100 mg. minocycline and using Differin, Clindamyacin and Plexion mask. Is my current breakout hormonal (I'm female, btw).

My cheeks and chin look rough as well; are there any treatments to smooth them out? I'm Asian and my derm told me that laser treatment would cause hyperpigmentation. How about chemical peels?

Thanks for any insight!

same here. except I'm male, and I don't use antibiotics.

asians seem to have it rough with acne, and we get the nasty red kind that leave red marks that seemingly never go away.

all i can do is stick needles in the zits and drain them by squeezing. then i slop on a shitload of benzoylp.

if i don't drain them quickly, they get bigger and deeper, and leave disfiguring scars.

pimples are abscesses, and the only way to treat abscesses is to drain them.

i just keep wishing there were a topical cream that would just dry the shit out of my sebacous glands.... something like a topical accutane or something that doesn't damage the liver.

where the fuck are the pharmaceutical companies. they need to make this shit.

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I've had acne since I was 15 and for the most part, I've had it under control. It never went away for good, but this year has been terrible. I have hyperpigmentation on my cheeks and and getting a lot of acne on my chin, including cystic acne. I'm taking 100 mg. minocycline and using Differin, Clindamyacin and Plexion mask. Is my current breakout hormonal (I'm female, btw).

My cheeks and chin look rough as well; are there any treatments to smooth them out? I'm Asian and my derm told me that laser treatment would cause hyperpigmentation. How about chemical peels?

Thanks for any insight!

same here. except I'm male, and I don't use antibiotics.

asians seem to have it rough with acne, and we get the nasty red kind that leave red marks that seemingly never go away.

all i can do is stick needles in the zits and drain them by squeezing. then i slop on a shitload of benzoylp.

if i don't drain them quickly, they get bigger and deeper, and leave disfiguring scars.

pimples are abscesses, and the only way to treat abscesses is to drain them.

i just keep wishing there were a topical cream that would just dry the shit out of my sebacous glands.... something like a topical accutane or something that doesn't damage the liver.

where the fuck are the pharmaceutical companies. they need to make this shit.

If used properly accutane does not damage the improtant part of the liver.

I saw a liver specialist years ago and the damage is minor, I admit I abused the drug but only to get clear, and I did it. But now am clear, but have a few flare ups here and again which go away within a few days with bp.

So have acne and a perfect liver, which in fact is not bad damage.

Your choice. Make it cause there is no miracle cure. It's like a trade for a trade, and is not that bad.

So make your own choice. Depends on how much you like your apperience.

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something like a topical accutane

isn't that isotetinoin? sp?

yeah, same shit. isotretinoin is the main ingredient of accutane.

i googled for a topical derivative. i found that there is a topical version called Isotrex. but it's very weak, and often doesn't do shit against overproductive seb glands. unfortunately, you don't get the same effect from cutting open an accutane pill and rubbing the oil on your skin as you would by swallowing it.

so for now, there is no effective topical seb gland shrinker.

however, it seems there are more invasive cures, like freeze killing the seb glands. that must cost a fortune.

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I am almost 31 and have had acne again for the last year when I came off Dianette. I can't take Accutane as I am trying for a baby. It is soooo depressing and I totally feel for you :wub:

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I'm 26 and took accutane 4 years ago and now all of a sudden I have pustule or cystic acne again but I may have some good news!

For the past few years when I had a break out (however minimal)I liked to use clinique foaming facial cleanser when my face "feels oily but not clogged" and an exfoliating wash when I "feel clogged". I also purchased an inexpensive over the counter dermabrasion kit to help exfoliate and it makes the skin feel FANTASTIC.

I just moved; which may explain the sudden cystic break out- I do not have my dermabrasion kit and have switched to a new exfoliating wash as I could not find a familiar brand in my new location. I have found that STRAIGHT TEA TREE OIL (not diluted though it may still help and not dry the skin if diluted) applied right onto the larger more painful and sightly acne marks has a DRAMATIC effect- it shrinks them down very quickly and has not left any marks/scars when they have fully healed.

WARNING: this makes my skin (on that specific spot) very dry and seems to almost dry them right out of my face layer by layer; I usually find myself flaking off small layers for two or three days but then it's no longer a large painful red swollen hard or soft mountain on my face. After 1 to 3 days I have just a (much less) red/pinkish area that is no longer swollen that I have to deal with and clear up. (much better than it was 2 days prior) All of this happens quicker than it has ever taken me to pop one, not pop one and let it heal or apply any medicated anything to them and also does not hurt me at all. I know it is not a complete overnight cure but is the only thing I have been able to do on my own that is remotely close to the steroid injections I have recieved at the doctors office. Since I do not have a bump after 2 or 3 days I may just let it heal the rest of the way on its own and for important events or pictures wear a thin layer of a dusting powder/brozer or make-up of some sort- I do not normally wear make-up.

I also have not seen any discussions about increased water intake; including warm water with fresh lemon squeezed in it- water can help so much; I have also taken vitamin E (ask your doc if you don't know how much to take, I think there are amounts that might be bad at some point)- this helps not only my acne but my skin feel more hydrated, smooth and my joints not hurt as well as my carpal tunnel syndrome not hurt or bother me. Another thing I have grown fond of is rice paper blotters or oil blotters- the rice paper are an older and effective version of the newer oil blotters like clean and clears little blue oil blotting sheets. These help with the sebum on an outward level and won't mess up your make up if you use it gently to blot instead of wiping around on your skin. Exercising and sweating has helped at other points in time as well as eating a lot of fruits and veggies (which I NEED to be doing all the time anyway but don't always do). I have also grown fond of using fruit packs/mud packs as I desire- usually once every few weeks because I don't take the time to do them more often but would like to.

As for dealing with accutane side effects. For the dry, chapped lips I stopped using regular chapstick which is more addicting b/c of the larger amount of chemicals and started using burt's beeswax and other more natural options from the natural food market. I can no longer stand to used regular chapsticks b/c I can actually taste the chemicals now and they do not seem to help for more than a few minutes. I would recommend using as little as possible and if you choose to use one try the beeswax out, it made a world of difference for me. I also switched to aveeno lotions as they are more natural and leave less chemicals in your skin and feel better as a result. Try and see for yourself if you ever get the chance; it may not be a huge change but I feel that every little bit helps.

Good luck, I hope I have been able to help some, especially if anyone is wanting to get pregnant and does not want the chemicals so much.

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