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Treatment plan

Designed by doctors, PhDs, and acne experts to help you get the best possible results.

What is your gender?
How old are you?
How severe is your acne?
Have acne on your back and/or chest?
Do red/dark marks (hyperpigmentation) from previous acne tend to linger on your skin?
Match your skin tone:
Do you have any acne scarring?


  • Start a blog to chronicle your journey through your acne treatment. Or just start one for fun
  1. 3 entries

    It has now been about 8 months since I have started taking spironolactone as well as acidophilus. A couple of weeks ago, I was starting to get spots again, so they decided to up the dose from 100mg to 150. Honestly, I didn't see much improvement. I then was prescribed amoxicillin to take for 8 weeks. It is supposed to help my body absorb more of the meds. It has only been a couple of weeks, but I don't think it has really kicked in yet. My skin is not bad right now, but I do have a couple spots on my jawline that are getting a little painful, and I have texture on my cheeks. It is really just little spots and bumps. What is really getting to me though is the PIH. I am thinking about getting a chemical peel this summer, maybe even micro needling, but that is my last resort. I doubt it was my diet, but I am trying to clean it up a little bit and I think I am going to switch from foundation to a cc cream to maybe free up my pores. I am also trying to drink more water and green tea to try and get rid of these spots. The face wash I used before was the Body Shop Tea Tree cleanser, and I think my skin really liked it. However, it wasn't exactly drugstore, so once I finished the bottle I switched to the Biore baking soda foaming wash. Maybe my skin is adjusting to it, and that is what is creating the texture. I just hope it goes away soon. Other than that, my skin hasn't changed much. I have been thinking if going on birth control and ditching spiro would be a good idea because on spiro people still get occasional spots and I'm wondering if birth control would work better? But at the same time, I cant go through another initial breakout again. It's not my best skin day, but it's definitely not my worst. I even started going out without makeup. (for hiking, I didn't want to risk breaking out from it) but its something i guess. It's not much of an update, so sorry if this entry is a little boring. But I guess boring is good in this case. :)

  2. 1 entry

    Yesterday, mum brought Aldactone but was really hesitant in letting me use it due to the side effects she read. Today, I just started using Aldactone some hours ago and so far there isn't any side effects which is guudd. I am starting at 100mg daily and maybe building up to 200mg after some time of getting used to it. lol this is probs a bit irrelevant but it kinda has that peppermint taste at the start. Anywaay I will be updating a few days later :))

  3. 2 entries

    SO, it has been 2 weeks since I started taking spiro at 25mg and my forehead has cleared up, which makes me happy as hell. However, I still do have acne and some cysts on my cheeks, it looks like its clearing up too but very slowly. I don't wanna jinx it tbh. Even though my doctor told me to up my dose every 2 weeks, I feel like 25 mg is okay for me as the side effects are barely noticeable and I have heard that you do breakout again once you up your dose.  Since its only been 2 weeks since I've started taking spiro, I'm going to wait till my 1-month mark on spiro to see if my acne has improved well enough for me to up my dose or just stay on 25mg. On the bright side, exams are over so I'm free and I have no clue what to do with my life right now. My 20th birthday is in 3 weeks though so that's something to look forward too I guess? The fact that I'm turning 20 still hasn't hit me so its weird as hell.

  4. 53 entries

    I thought I’d have picture perfect skin by now, but the acne continues.

    i am still getting spots around my lips and mouth. I’ve cut back on the snall amount of sugar I wad allowing myself, but it has made little difference. I’ve started using an antioxidant skin cream (yesterday) and I also got squalane as a moisturiser.

    The only big change to my skin is the rough, dry, flakiness has gone, almost completely since i stopped dairy.


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    I'm Scott Piercings. I probably should have signed up for this a long time ago: i've had acne since i was 12 or 13 and have tried, what feels like, pretty much everything.

    Treating my acne has been like trying to solve an unsolvable puzzle. I did, however, manage to get my skin to behave in a way I thought I could only dream of by sticking to what some might consider a torturous diet. Allow me to list everything I eat on practically a daily basis:

    Quaker One Minute Oats with water, Kretschmer wheat germ and an apple
    Dainty Brown Rice with frozen vegetables
    Stonemill Slow Crafted vegan bread with avocados
    Catelli Ancient Grains pasta
    Sunflower Seeds (raw)
    And other raw fruits and vegetables
    I list these items because I know how difficult it is to find foods that do not cause acne. Take note that the items listed above contain no animals products whatsoever. In addition, they are minimally processed. My skin is extremely sensitive. Some can't have dairy products; some can't have fish; some can't have unbleached wheat flour; unfortunately for me, it's all of the above.
    I always thought of acne as something that I was doing to my skin, not something that my skin was doing to me; hence my aversion to acne medication. And what is white rice and white bread but rice and bread with all of the nutrients washed out of them. The same goes for refined sugar: it's nothing but carbs and is inessential to anyone's diet.
    Unfortunately, for most of my life I didn't even realize what I was eating. I was raised on refined sugar and junk food and sought to correct that. I became a regular runner; I started drinking decaf tea and coffee; I started eating raw vegetables (celery especially)--all in order to purify myself.
    Eventually, I stopped eating meat because it felt like I didn't need to. I had replaced meat with whole grains and vegetables. And honestly, meat is not nearly as easy to digest as whole grains and vegetables.
    The last thing I cut out of my diet which gave me acne was parboiled rice. After 3-4 months, my acne was completely gone. I even got a tattoo--something which I thought I would never do because of how hideous my skin was; it wasn't exactly a blank canvas--just to celebrate finding the cure.
    This bliss was short lived: I soon began to feel weak and fatigued all the time; my palms were sweaty; and I developed a twitch in my face. I couldn't tell which symptoms were caused by low blood sugar and which were caused by a vitamin b12 deficiency. Out of desperation, I ate wild caught salmon--which is supposedly very good for the skin--and broke out almost instantly.
    I could just take b12 supplements. But, even those contain unwanted ingredients. Besides, i'm trying to do things as natural as possible. Thus, if I could stick to veganism as a cure, I would. It seems that this wasn't meant to be and that I need to find a healthy source of b12, which I will update you guys on.
    Time for further experimentation.
  12. 1 entry
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  13. 1 entry

    Most approaches to acne aim to treat the symptoms rather than address the fundamental root cause of the problem.
    Stinging nettle tea is a solution which is preventative in nature. Brewed from the leaves of the stinging nettle – urtica dioica in Latin – stinging nettles produce a mild irritant poison, which when treated correctly, can be extremely effective in the treatment of a range of conditions, not least of which is acne.
    Occurring naturally in the northern hemisphere amongst temperate climates, the stinging nettle is typically considered a weed by those who are not aware of the myriad of uses it can be put to for general health improvement.
    With a little knowledge though, you can turn this pest into one of your favourite weapons in the fight against acne.

    Make Your Own Nettle Tea

    Remove the Toxins in Your Blood
    Stinging nettle tea works to cleanse your skin by addressing the problems that may be occurring in your blood. The chemicals in stinging nettle tea work to remove excessive toxins in your blood stream, allowing your skin to more effectively cleanse itself, thus preventing acne in the early stages.
    Although stinging nettle tea is less effective after the fact – that is, it works best as a prevention, rather than a cure – it is still effective as part of a combined treatment regimen. If you already treat your acne with a carefully prepared diet, then stinging nettle tea will be a natural and easy step for you.
    Of course, the benefit of using stinging nettle tea to treat acne can spill over into other areas of your health. Many users report an increased sense of wellbeing as a result of incorporating stinging nettle tea into their diet.

    Cheapest Acne Solution Ever?
    Depending on where you live in the world, you can make your own stinging nettle tea. This makes stinging nettle tea one of the most cost-effective treatments for acne ever!
    If you don’t have access to stinging nettles though, not to worry. There are several stores that sell stinging nettle tea pre-prepared so all you have to do is brew it. See you local natural health food store or chemist.
    If you’re interested in preparing your own stinging nettle tea, I’ve prepared a guide.
    For information on how stinging nettle tea can help treat a range of conditions, including arthritis, anemia, hay fever, kidney problems, as an enhancement to prostate health, or as a tool to help with weight loss.

    About author: Sen Perfect is a PhD writer from best custom essay writing service, psychologist with over 8 years experience, I answer psychology-related questions about diagnoses, ADD/ADHD, Social Security Disability, Emotional Support Animals, & learning disabilities.
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    Hello! I’m a 18 (about to be 19) year old female. I have been struggling with acne since I was around 14 or 15. My acne has gotten super severe only once, and thankfully minocycline quickly took it all away. Well, since then, I have been on antibiotics on and off, ranging from minocycline to doxy, and tetracycline. I have also tried many facial topical creams. Nothing has worked in the long term to cure my acne. (However, I do know that nothing will “cure” it forever..)

    About 2 months ago my skin got horrible again, but this time, instead of the acne being on my forehead, I got it on my chin. Very bad. I went back to my dermatologist immediately, and she reccomended either Accutane (hell no) or Spironolactone. So, I decided the spiro was a good choice.
    I started out the first two weeks with 25 mg / day, then upped to 50 mg / day at the two week mark. I also went on a two week antibiotic, Keflex, that helped reduce inflammation and calmed things down a little. I am currently on a day 31 and I feel as if my acne is a lot better, but there is so much scarring, and still new ones popping up, but slower and tinier. I never had cystic acne, but big, pustular, nodular acne that either came to a head or remained red and inflamed. I will also be starting Tri-Linyah Birth Control (generic for Ortho-Tri-Cyclen) on my next period, main reason being contraceptive.... but hoping it will help with my skin. 
    I have experienced some side effects that I think are from the sprio, which are only dizziness & headaches. 

    Did this work for you? Let me know if you have a similar story... please feel free to comment and share and reach out to me. :) 


    till next time

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  17. 18 entries

    Making this post just because I was thinking about how much this account helped me when I was struggling so bad. I now get a pimple once in a while, I get less anxiety about them and don't freak out about pimples like I used to. I could not thank accutane or this blog enough for getting me through a tough time. I also and still using the moisturizer and I love it. I won't put anything else on my skin.Heres some updated pictures.IMG_0003.JPG.96a268c7f72ecc7ae163003f799d35ba.JPG

  18. 5 entries
    WEEK 4

    1) Skin follows the trend from week 3 by smoothening up and clearing up.
    2) I've switched cleansers because my last one run out. Hopefully this won't do anything?

    1) The skin did not clear up.
    2) In fact, it is much worse.
    3) After everything from the last breakout died down, every single other pore decided it was their turn to act up. I've got loads of cysts not coming to heads and my cheeks are very bumpy. My right cheek has always been worse and now the difference is pretty disproportionate. I've never been one to hide my acne even if I really hated it, but now I feel very embarrassed to walk around with how much I've got. I've even been getting some on my forehead and chin as well, which is very rare!
    4) The really bad cysts have died down after a few days (quicker than usual), but I have a lot of small whiteheads now as well.

    4) Differin does reduce redness and the irritation once I've put it on. When I wake up in the morning, my skin is really great but it's during the day that the irritation and cysts build up.
    5) I feel like it has been clearing up the blackheads on my nose though - an effect I did not know it had.
    6) I used the same Moisture Bomb mask from Garnier again this week in hopes to repeat last week's success but it has made very few improvements.

    1) After reading and seeing that it may be up to week 10 that I may see some results, I guess I must just be patient. But this breakout is awful.
    2) HELP.
  19. 11 entries
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    I end every day thinking, well hey now, at least it can't get worse than today. It's all up from here, man.
    And every new day I am proved wrong.
    Fourth May '18,
    New levels of low.
    Gigantic, inflamed, infected cysts showing zero signs of healing after months.They are just kind of there and persistently painful/unsightly/anxiety-fuelling. Sleeping hurts, smiling hurts, talking hurts, eating hurts. Every day in work customers ask me what's wrong with my face, what's on my face, (or my personal fave), what have you done to your face. Self worth non existent, anxiety levels perpetually through the roof.
    My skin is doing weird and gross things and I don't know how best to help it heal. My last appointment with a doctor was a major let down. I am working towards being able to pay (a lot) for a private dermatologist. I miss who I was. I don't remember the last morning I woke up when my face didn't THROB. I don't go out unless I have to. I'm trying v hard to be more hopeful.

  21. 12 entries

    So it's been exactly 7 months since I first started Accutane. My doctor FINALLY realized the dose and length of time needed and so I have 2 more months to go. I have been clear (no cysts) since January and it is the best feeling ever. I actually have had the occasional nightmare about getting a cyst, shows how scared I am to go back to that life. My red marks have faded and the only place I use concealer now is under my eyes. It truly has transformed my life physically, emotionally and socially. Maybe it's sad to say but I am a better spouse, mother, worker and person when my skin is long-term clear. I am not scared for people to see me without make-up and I even let my partner take pictures of me without it, which is huge for me. My side lip cracks (both sides now) are annoying but not as bad as the last time I wrote. I am willing to put up with them like this for 2 more months. Eyes are still dry but managing. I love how my hair is not greasy all the time, I really hope it doesn't go back to that. 
    I went off birth control a few months ago and thankfully I have not broken out due to it. I know it could still happen as my body is returning to it's normal after them but so far the skin is good. Like I said last time, I am more sweaty and my skin a touch more oilier as I haven't had to use as much lotion. 

  22. 2 entries

    SECOND MONTHHHH ON ACCUTANE , what happened :


    1st week :

    -        White heads on my nose are much much less, they pop up just washing my face

    -        Had a inflated red pimple on my cheek that stayed there for some time

    -        A flare of under skin pimples on my chin ( annoying but not painful )

    -        THIRST ( reached to 3ltrs a day of water )

    -        Lips aquaforinggg all the time, but am just being cautious to avoid in split corners or bloody lips. Cuz they weren’t that dry at this stage

    -        My face is more dry this month, but nothing I can’t handle

    2nd week:

    -        PURGINGGGG

    -        White pimples all over my jaw line, one big painful pimple on my check & 3 on my forhead

    -        By the end of the 2nd week the flare was calming down, pimples come and go reallll quick


    3rd week :

    -        Nothing new to add

    4th week :

    -        Earlier the end of month 1 I started using Adepelene bcuz my dr said so, I noticed it’s helping with the purging, but at this point I stopped using it bcuz I noticed something weird , MY SKIN IS GETTING DARKER, like a brownish grayish color that made me very sad , so I stopped using it without even going back to my derm :/

    -        New pimples are coming and drying out in like 1 or 1.5 day, so I don’t mind it at all…bring all the junk out Accutane ..let’s detox :D



    Cerave as a cleanser ,

    Cetaphil as a moisturiser,

     witch hazel thayers 

    hyaluronic acid serum ( erbolario ) 

      Added this month :

     Eucerin UreaRepair PLUS as a body lotion

    Sudocrem Antiseptic Healing Cream ( over night mask twice a week )

    attached pictures after month 2 , 





  23. 1 entry

    When beginning ones conscious choice to make a big life change, there are many things you need to consider. A big factor in me making the decision to change my skin for the better, and seeing results, required a few big changes. A very overlooked side to the causes of acne would, hands down, have to be diet. Growing up, my mom had always warned me against certain skin destructive foods. At one point I actively began to rebel against what she was telling me mainly because I think I was embarrassed that others were seeing negative changes in my skin. A lot of foods she was telling me to avoid were simple cuts and could have spared me 1. A lot of money, 2. A lot of embarrassment. The first thing that is super important when trying to maintain clear or less bacterial breakout prone skin would be a regular consumption of water throughout the day and especially after working out. Something else to look out for as far as diet goes would be things that you know cause inflammation or redness on your own complexion. For me those foods were: dairy & lactose, milk chocolate, super sugary foods, and really high fat or highly caffeinated fruits and veggies. After swapping out my yummy iced white mochas for a simple almond milk latte, a milk chocolate lava cake for a small piece of dark chocolate, and being more mindful about consuming larger portions of both fruits and veggies, within a few weeks I was able to see wonderful results in both my skin and overall energy level. Another simple beverage swap would be cutting out soda and sugary drinks completely. If you are really craving something other than water when out at a restaurant try something like iced tea which contains less dye, sugars, and potential negative health effects. If are someone who more enjoys the carbonated aspect of soda try something such as La Croix, San Pellegrino, or a generic club soda. Being a super huge coffee fan, I found it hard to cut out caffeine completely so instead opted to drink just one 16 oz. homemade iced almond milk latte on weekdays before school. This helped me get through the day while also saving money on sugary and expensive Dutch Bros. drinks (I still really miss those). Once you really get over that bad caffeine difficiency headache, the cut of all those toxins will really start to clear up your skin. Remember, aspirin is your friend. Completely depriving yourself of the foods and beverages you love is never good, instead use these cravings as a reward to your body and make sure to remember that moderation is key.

  24. 2 entries

    As of today I will have been on Roaccutane for two weeks. I'm fairly sure the breakout I'm currently having is indeed my IB because I woke up this morning with four or five new whiteheads on my cheeks and jaw, but I'd rather have those rather than painful cysts any day. They look small and like they'll pass soon. The biggest and most painful cyst from yesterday has gone down heaps too, leaving an angry red mark. I also have a hella painful bigass bump on my right cheekbone next to my hairline but it was coming to a head this morning so hopefully it'll be better soon. My forehead got two huge whiteheads too but I have bangs so that covers them right up. Oh I also have a weird whiteheaded kinda irregular-shaped lesion on my right upper back, trying my best not to touch it. I didn't pick at my skin yesterday at all either, which I'm very happy about. I guess it worked wonders because despite the new breakouts the redness had gone down considerably this morning. The jaw/neck cysts were smaller too. Still feeling positive, hoping and praying the IB doesn't get any worse than this (I know it probably will but one can always hope right?)

    As for side effects, not much has changed. My skin is not awfully dry thanks to a good moisturizer and the Vaseline keeps my lips under control. I'm really thirsty all the time though. Fatigue is hitting me hard too, I literally fell asleep sitting on the couch with my phone in hand yesterday. This morning blowing my nose I saw some blood as well. Not concerned though, if my nose gets really dry I'll just get one of those moisturizing spray things.

    Talk to you tomorrow! 

  25. 1 entry

    Today is the day I've made the decision to go on Roaccutane. I'm incredibly apprehensive about what I'm about to embark on over the next however many months. It probably doesn't help that I have uni exams in 2 weeks that are already stressing me out.

    I've included an incredibly long, detailed account of my acne in the About section above, if anyone wants to know what I have used up to this point to tackle my acne. But as I said it is very long, just as a disclaimer.

    I should probably add that I am going privately for treatment (in the UK), and I will detail costs etc. involved as I haven't really been able to find this anywhere and my dermatologist alone was very ambiguous when I asked how much treatment would cost in total. I'm extremely grateful that my parents are funding this for me, because without them I'd be waiting for referral on the NHS for roughly 16 weeks and I've got to the point where I'm really struggling to even leave my bedroom.

    Tomorrow I'm going for my blood test and should hopefully be getting the medication by the end of next week before I go back to university.

    Right now I don't feel confident enough to share pictures of my acne, but hopefully once the ball is rolling and treatment has started I'll be confident enough to upload them.