Background: When I was 17-19 I had severe cystic acne. I never had a lot of cysts, but I always had at least one nearly the size of a quarter. My dermatologist put me on Accutane for 4 months, and it completely cleared up. After Accutane I used tretinoin every night before bed and Aquaphor moisturizer every morning, and my skin has been perfect. I'm now 27.

Three months ago I moved to Spain from the US and something inexplicable has started happening to my skin. First I started getting small red bumps and pustules on my chin. I've begun getting more and more and they've started spreading to other parts of my face too. My skin has gotten incredibly oily too, perhaps even worse than when I was a teenager. A dermatologist here told me to stop the tretinoin and Aquaphor and that it was sun damage. She gave me a sunscreen as well. Well it's been a few weeks and it just keeps getting worse. Despite being oily my skin also feels dry and I even have a dry cracked area on my chin that won't heal.

It makes no sense, and I feel so frustrated and helpless. Does anyone have any insight or advice? Thank you!!