Feb 8th 2011. this is after quitting birth control 5 weeks ago. spiro 50mg 2x.day and differin 0.3% every night since Dec 23-24th so about 7 weeks. my derm thinks that this is from the differin because these pimples are so red red red. i can't believe this is my skin from the previous pics. i am so upset and don't know what to do. i wish i just changed one thing at a time because now i dont' know what caused this terrible terrible breakout, the derm thinks its differin but i just don't know. this is the worse my skin has looked like since my acne started. uggghhhhhh. i'm scared to change anything but something needs to happen, so i stopped differin on feb 5th and started back on tretinoin.