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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. 1 entry

    Day 4 of taking 40mg of accutane each day 

    Side effects: 

    Patches of dry skin- especially around nose/ itchy skin around nose 
    Tired but unsure if thats because I'm not sleeping enough and waking up early
    Slight muscle pain 
    Also felt a bit sick when I took the pills but again, unsure if that is because I had a coffee an hour before I took them. 

    Skin hasn't got any worse yet but has got slightly more oily (apart from the dry patches)  

  2. 1 entry

    Our skin weighs about 8 pounds, with a total surface area of about 22 square feet. It does not come as a surprise that it is the largest and arguably one of the most important organs of our body. Our skin is waterproof, shielding us from extreme weather conditions, and keeping out harmful chemicals and pollutants out of our body.

    Although the skin sounds like an invincible shield that protects us from harm, it is also very vulnerable. A minor injury can make a big difference in how it looks, leaving unsightly scars on your skin. 

    Throughout our lives, our skin is subject to injuries, trauma, and acne. Most people are emotionally affected by acne scarring because acne scars on the face can be unsightly.  

    When the scars are etched on the face, they are usually permanent, and they cannot completely go away. However, there are various treatment options that can help reduce its appearance. 

    To understand how to treat different scars, you need to understand how they look like and what caused them.

    Different types of scars


    There are several different types of scars including: 

    HYPERTROPHIC SCARS are raised scars that are characterized by excessive amount of collagen forming on the scar. They do not extend beyond the boundaries of the injury.

    KELOID SCARS are the result of an overly aggressive healing process that extends beyond the boundaries of the wound. These raised scars are often visible and unsightly. 

    ICE PICK SCARS are very deep holes in the skin that look like they have been punctured with an ice pick. Ice pick scars form because of the lack of collagen production in response to a deep acne infection.

    BOXCAR SCARS are also depressed scars but they are often broader with defined edges at the sides. Just like ice pick scars, boxcar scars form because of insufficient collagen production after healing from acne.

    ROLLING SCARS have ill-defined edges that look like tiny hills and valleys. They are also depressed scars formed after an acne outbreak. 

    Acne scar treatment options


    STEROID INJECTIONS Steroid jabs are effective for treating hypertrophic scars and keloids. Steroid jabs bring down the raised appearance of the scars by flattening and softening the raised scars.

    FILLERS If hypotrophic scars can sometimes be treated with dermal fillers. Dermal filler treatment is effective for smoothening out some depressed scars. However, using dermal fillers to fill depressed scars is often not a permanent solution.

    LASERS CO2 laser is a skin resurfacing treatment that doctors commonly use to ablate the superficial layer of the skin. The process allows the skin to stimulate more collagen. When the new skin grows, the scarring becomes less visible. However, several sessions may be required to see visible results. 

    One of the latest acne scar treatments is to use INFINI laser to induce collagen production at the dermis. Using micro-needles, radiofrequency energy is administered into the dermis at different depths controlled by the doctor. The treatment stimulates the production of collagen without harming the superficial layers of the skin. After the treatment, collagen remodelling and production take place in the deeper layer of the skin while the top layer of the skin remains unscathed.

    SPECIALITY SCAR TREATMENT Special scar treatments such as subcision acne scar treatment is a proven treatment that benefits people with rolling scars or boxcar scars. A special needle is used to break down the stubborn scar tissue under the skin, releasing the acne scars and allowing the depression to smoothen out to blend in with the surrounding skin.

  3. 6 entries

    A few days ago I started incorporating Neutrogena Hydro Boost Gel into my very simple routine of La Roche Posay gel cleanser and COSRX Ultra Birch Sap Lotion on my cheeks only. It seemed to be working pretty well, for sure helping my oiliness and redness because it's water-based and I am aware my skin is severely dehydrated. Today I stumbled across this blog post on fungal acne, and it sounded EXACTLY like what I had, so I just took a shower and put Nizoral on my forehead, chest, and back. My skin wasn't red at all after my (cold) shower which never happens, so it was already a good start, and after I put my neutrogena gel on, my skin looked pretty damn good. hoping i will see some miracle results and that the damned malassezia will finally, finally go away. Could it have been my fungal acne/seborrheic dermatitis all along and not true hormonal acne like I thought it was??? Or is it both and I've just managed to calm down both?? please pray for good results i will update later!

  4. 2 entries

    The last few days I havnt really been getting side effects except slightly light headed at times. Right now im not sure if its because of Aldactone but im starting to get really bad cramps and feelings of extreme hunger altho ive already aten a lot. I also feel suuper tired and kinda nauseous.. i have an essay tomoz i havnt finished planning yet aarghh but im gonna jus go to sleep i don feel well enough to do anything. 

  5. 1 entry

    I am 40 and have been on Doxy, mino, and lastly Spirno over the past 20 plus years to treat my cystic acne.   About a month ago I had two huge cystic acne bumps.   That then caused my whole chin to become a disaster area.   So I went to dermatologist and she took a culture of the infection.   My test results came back and found out the infection is of the worst kind.  It is resistant to all the antibiotics except for Levofloxacin.  So now I am takin 750mg to get this under control.  Now Im wondering was taking all the antibiotics all those years worth it to get to this point where now I am resistant.   Has anyone been down this path?  

  6. 6 entries

    WEEK 5

    1) The cysts will die down in a cycle as before.

    1) They haven't. There are at least 5 very deep skin cysts developing on my right cheek, as well as a few whiteheads (including on my nose crease) and one on my usually clear left cheek.
    2) Once again, disproportionately on my right cheek! It's so hard to hide!
    3) All my usual tricks to bring them down - exfoliate, rehydrate, blackhead remover serum, etc. haven't worked!

    1) Why aren't they clearing up? Why??
    2) Again, trying to count my blessings - at least the Differin doesn't itch or sting any more!

  7. 1 entry
    1 comment
    Hello, lovely people of this website!

    My name is Marissa and I'm 17. I just made this account today. I thought it would be hella cool to start a blog so I can keep track of my progress (or lack thereof), spread information/be a reference for people new to Accutane, and hopefully make some friends on here. So here I am. Nice to meet you.

    Some background:
    So I actually started Accutane last month (4/27/18) - I'm on my 25th day today (5/21/18). I've never had great skin, but around age 15-16 it started getting worse and worse, especially after I got a Mirena IUD in April of last year. I finally went to see a dermatologist and I tried a million different creams and antibiotics but nothing worked. I was desperate to get on Accutane because I figured it's my last hope. I would literally cry almost every other day after seeing myself in the mirror. I felt hopeless and I got hella depressed over it.

    The Process
    Getting on Accutane was an entire struggle and a half for me.
    If you're a guy, obtaining Accutane is fine and dandy, but if you're female it's a tremendous pain in the ass. If you're reading this, you probably know all the excessive steps you have to take before you can get on it; waiting 30 days, giving 2 negative prego tests, blah blah blah. In my case, on top of all that, because I have a history of depression, my doctor wouldn't allow me to go on it until I had the written consent of another doctor saying that I'm stable enough to take it. There's been found to be a slight risk of depression, but other studies contradict this finding, saying there's no risk.
    Regardless, my dermatologist didn't want a teenage suicide on his hands so I had to do it. It was a long, incredibly discouraging process because I didn't have a psychologist or a psychiatrist at the time. Eventually, though, I got my Primary doctor to write it. 
    Then, the problem was the price. it was $450. $450. When I heard that price I immediately knew i wasn't getting on it. It was a sad day. HOWEVER, I was able to talk to my dermatologist office and they ended up sending it through a smaller, family-owned pharmacy that cut the price down to $130. Still a lot to pay every month, but it's possible. 

    FINALLY, finally, I popped the first pill. I can not explain the excitement, relief, and hope I felt the day I took the prescription home. Things finally seemed to be working out. This post is getting pretty long so I'm going to start a new one that goes into more detail about my experience so far along with some pictures.:) 

    Thanks for reading!

  8. 7 entries

    it's been about 2 months since i last updated my progress. it has been hard to use this cream in a consistant manner. there were a few weeks i completely forgot to use it. Now, i'm trying to get into the habit of using it every day instead of every other day like when i first started. my skin has gotten so much better. i'm not red like i use to be with accutane and my scar redness has gone down. i still have scars but they're not so prominent now. very pleased with my results!



  9. 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. :)

  10. 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.

  11. 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.
  19. 1 entry
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  20. 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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    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

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