• Start a blog to chronicle your journey through your acne treatment. Or just start one for fun
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    I don't know if my skin is mild or moderate. It's mild compared to what my skin has been but I recognize that my perspective is not everybody's. Right now I'm using Cetaphil's gentle skin cleanser with Simple's replenishing rich moisturizer. At night/after I shower, I use Cetaphil gentle skin cleanser on my face (sometimes with the clarisonic), stridex max strength pads, and moisturizer. On my body (back, chest and arms), I use St. Ives sea salt scrub on those areas. Then, I wipe the stridex pad on those areas and moisturize my body with Aveeno 24 hours lotion. I started using the stridex 3 days ago and I haven't had a reaction. My body feels incredibly soft. If I start getting irritated, I'll rinse off the stridex after 30 min, then put on moisturizer. Before I add anything else, I'm going to keep using the stridex for at least 3 weeks just to see its effects. I will say that, even though I still have acne, my skin feels amazing!

    The next thing I will add will probably be Heritage's rosewater toner to combat dryness. If I still have acne, I'll add a leave on product with benzoyl peroxide. I do not react negatively to benzoyl peroxide (I mean... my skin does get dry and produce oil and peel). However, that goes away when I use the products consistently.

    I want to continue using the Clarisonic even though I don't think it does anything. I clean it every night though.

    It feels nice to unload my plans somewhere. I just graduated from college and still have acne. I honestly didn't care about it in middle or high school but now that  I am attempting to go to medical school, it's better if I try to find something that works.

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    Hi! Iveth here. I decided to make this blog about my accutane process in case there's people out there who need to see some experiences to help them make their decision to go on the medication. A little background information, I have cystic acne. I get big bumps that are underneath my skin that hurt A LOT and i also get whiteheads that are really red and hurt as well. I get them on my foreahead, cheeks, and chin. I've struggled with acne for about 5 years but I've always managed to handle it with topical creams. This year in february I ran out so i decided to try natural products. Big mistake. It got bad and I got tired to the point that it led me to visit a dermatologist. At first glance she recommended accutane which made me realize how bad it really was lol. This was in July 07, 2017 so I had to wait a month and I officially started on August 07, 2017. It's only been 11 days so i really haven't seen much improvement. I have gotten new whiteheads but not in an alarming rate. Plus, i've seen other blog posts that says it gets worse before it gets better. I'm really trying not to be so critical of my skin because I should be patient and not expect to see my skin clear up in a few days but it's so hard when the acne is terrible and my self esteem is so low :( the only side effects i have seen so far are dry lips and a bit of back pain. I will say this, I feel like the pimples i am getting are going away pretty fast. I'm going to post pics of how my acne looked the day i started the medication. My acne got waaaaay worse witht the treatments the doctor gave me for the month I had to wait to start accutane. The acne and redness in the pics are mostly from that medication. I used a face wash and a nightly gel. The face wash is called Plexion 9.8-4.8%, ad the gel is called onexton gel. Anyways i stopped using the medications when i started accutane.






  1. I’ve just completed my fourth week on 30mg of roaccutane. I have my dermatologist appointment tomorrow morning so I might do an extra post about that afterwards to share what was discussed. My symptoms are much of the same but because I haven’t reacted that badly to the 30mg (at least I don’t think I have) I have a feeling she’s going to up my dose. Things are about to get interesting. Not in this blog post though, sorry.


    Day 22

    Thursday10th August

    Overall my skin is good, I keep getting dry patches of skin in the same place: one above my eyebrow, one at the top of my nose inbetween my eyes, a few on my chin and the creases of my nose.

    I keep pulling the dry patches of skin off. I need to stop! When I pull the skin off it leaves a little cut and I’m conscious of them scarring if I keep doing it.

    Day 23

    Friday 11th August

    My face is the same. Still no major break outs, just the usual dryness. In the afternoons my face is getting really hot, one side of my face goes bright red. I’ve also started sleeping with lip balms in my bed because I keep waking up in the night with really tight lips.

    Day 24

    Saturday 12th August

    I had a day without make up today to give my face a break. It felt and looked really smooth, but appearance wise I still have quite a bit of scarring and my face is bright red without make up on. I’m not staying at home this week, and the lighting where I’m staying is shocking so I’m really struggling to capture the colour intensity on camera. But if you look at the colour of my neck in comparison you’ll get the idea!

    Day 25

    Sunday 13th August

    Woke up this morning with an insane thirst and downed two bottles of water! Had another make up free day, although my side effects at this stage are minimal the redness is bad and I know I’m not imagining this facial hair thing that I discovered last week – what the fuck is going on. I can't believe I'm even sharing it but is this normal?

    Day 26

    Monday 14th August

    The thirst continues. My face is so red that it’s showing through my make up. I don’t ever seem to realise how bad it is until I get to work. I put some more CC cream on and it sorted it out but the dryness always started to show up around midday.

    Day 27

    Tuesday 15th August

    Still thirsty. Still red. Now experiencing lower back ache and sore feet but I don’t know if it’s related to this because I was in accident last month (run over by a car) and when I do too much I tend to ache.

    On the bright side though, my dandruff seems to be calming down. I think the T-Gel is really helping!

    Day 28

    Wednesday 16th August

    Today was the driest my face has been so far. It looked fine when I left for work but by lunch time it literally looked like sandpaper and there was no coming back from it. I just had to accept that it wasn’t going to get any better no matter how much I tried to fix it. My lip also split again today. Fab. Here’s a photo of my face to show you the kind of dryness I'm talking about:


    Products that I’ve used this week

    Cleanser - Liz Earle Cleanse and Polish

    Cleanser – Avene Extremely Gentle Cleanser

    Spring Water - Avene Thermal Water Spray

    Moisturiser – Avene Hydrance Optimale Light

    Gentle exfoliator- BIODERMA Hydrabio Exfoliating Gel

    Moisturiser - La Roche Posay Effaclar H moisturiser

    Moisturising Face Mask - BIODERMA Hydrabio Masque Moisturising Mask

    Lips - Elizabeth Arden 8 hour cream and Nivea Essential Care lip balm

    Body – Aveeno Daily Moisturising After Shower Mist and Sanex Dermo Sensitive Skin Shower Cream


  2. Hello, I am a 19 year old female. On July 21st 2017, I was put on Spiro, at 100 MG a day. I take Nuva Ring Birth Control with it. I have struggled with  moderate to severe acne since age twelve.  A very brief history on my acne, I tried every OTC product that exists and three step system. I tried Bactum antibiotic and a topical prescription in High School. I had persistent and moderate acne for four or five years. It really destroyed my social life, self esteem, and put me into a deep depression for a long time. I was bullied a lot for my acne as well. I was put on Accutane in my Sophmore year or Junior year, I don't remember. It cleared me of acne completely, something I didn't even remember the feeling of. I never saw myself with clear skin since I was a child. It only took 1-2 months for it to clear. I was on it for I think 4-5 months. I had side affects of IBS, back pain, super dry skin, and very chapped lips. The cons didn't bother me compared to the pros. It kept me clear for 3 years. I am now entering my second year of College in a week. I switched my Birth Control Method to the Nuva Ring about a year ago, with no acne problems. I was originally on Ortho Tri Cyclen. I was just sick of taking pills. I went a year or two feeling confident with zero makeup in public and strangers would tell me they would've never known I struggled with acne for years. I liked going natural. In May 2017,three months before today, I thought why not quit taking my Nuva Ring too. I thought I grew out of acne and was cured from Accutane. I got my first apartment in April with my boyfriend who never even saw me with acne for the three years we have been dating. Two months later, It was July and my face exploded in acne like I haven't seen for years. It was all over my forehead like Middle School. Looking back, since March of 2017, I was noticing more frequent acne, It just never got bad enough to bother me till Summer 2017. It spread badly on my cheeks as well. I also have tons of white heads. I was so devastated and thought my boyfriend would leave me and be disgusted by me. I usually wouldn't even wear makeup around him. Acne scars didn't bother me. I have been a hermit, crying, rarely leaving my apartment. I feel so insecure in public without makeup. I have come to hating applying foundation after years of  needing it. I feel depressed putting on makeup and seeing the acne still. I can't believe it came back so heavily. I started taking the Nuva Ring again in July when it got so bad. A few days later, I was prescribed what I stated at the beginning, 100 MG of Spiro a day. I was also prescribed Retin A Cream, 0.025. I was told to continue my Clindamyacin Gel as a spot treatment, which worked amazing after  Accutane with small breakouts. It has been a few days more than 3 weeks on Spiro. I haven't seen much progress. My forehead  acne is almost gone from the Clindamyacin gel. I still have bad acne on my cheeks, temples, and white heads  on my chin. I personally think it's almost gotten worse since I started, on my cheeks. The Retin A is awful and I don't want to use it, it is so drying and it worsened  my cheeks. I just wash with Cera Ve cleanser, Clindamyacin gel, and Burts Bees moisturizer. I feel pretty sad and anti social. I decided on taking all online classes for my first semester of  College in a week. I truly don't want to be seen in class this way. It's sucks struggling  for four years, being clear for about three, just for it  to explode nearly as badly again. I'm trying to stay positive  because it's not a quick  fix. It's so hard though. I'll be back  when I hit the one month  mark, and probably post weekly or bi weekly my journey from there. I hope this goes well and people will  support me or I can help someone else. 

  3. This Friday, I went to Sephora and picked the Ole Henriksen Nurture Me Creme because I loved it when my skin was clear. I put it on this morning after the gym and immediately my right cheek where the hormonal acne patch is became red and irritated. I'm so heartbroken because I now have to return when I remembered in the past my skin loved it so much.

    After ten minutes, I washed my face with lukewarm water and applied my Clinique Moisture Surge Extended Thirst Relief. The skin is now less red but still irritated. I pray that I don't breakout from this occurrence.  


    • Clinique Moisture Surge Extended Thirst Relief
    • La Roche Posay Cicaplast
    • Cerave AM 
    • Cerave PM
    • La Roche Posay Toleraine Fluide
    • Ole Henriksen Nurture Me Creme
    Latest Entry

    I had a pretty bad outbreak all over my face two weeks ago. I still wear foundation due to dark circles around my eyes but two weeks ago they weren't too bad so I went out in just No7 powder foundation. Safe to say that it 100% should be avoided at all costs. My skin was itchy and within two days I was covered in pimples. It was depressing. I took to the differin everyday for a week, my face went sore but it worked and I am happy to say it seemed to clear. I was sure it was a relapse but now I do put it down to the powder.

  5. Hey 

    This is an additional post before week 10. I just want to add more that with just a few days that I felt better, I am now feel a whole lot worse since 4 to 5 new acne appear on my left cheek. My skin feels bumpy. Another 3 to 4 in my right cheek. I feel bad and worried. It was a tragedy for me. I feel down, scared that it going to get bad. I want to get away from them. Ist't there a faster way to get rid of these things permanently? It is killing me right now. I think my mind is going back to the same situation in week 5 to week 8 which is hell for me. I just want to cry and sit in my room forever. It is painful for me to see me like this but I have no help but differin and benzac. I wish acne could just go away like a fever overnight. Sobbing...

  6. Sigh.. so my skin was doing pretty good for a whole week, zero pimples! And then it all started one night when I stayed up till 2, woke up at 5, and went back to bed at 7. That's when small pimples began to come... and each day more pimples came and now I'm in the midst of a full-on breakout with a mass of nasty whiteheads on my forehead. Feeling pretty down, because I'd forgotten what it felt like to be self-conscious of my acne.. BUT today I decided screw it and went back to Banila Co, this time using Purity. Lots of grits and stuff came out which is nasty but I feel much cleaner, and I also put on a lot of lapis oil. HOPEFULLY if all goes well, tomorrow the state of my acne will be improved. I'm going to keep drinking water. But what's REALLY frustrating is that I know a lot of the time my breakouts are due to hormones, which I can't control at all. Ugh. Will keep updating.. wish me luck

  7. Eurgh...the way my skin felt seriously worried me. Closest I could describe it as is if it had salt on it which doesn't come off when you rub over it. 
    The itching drives me seriously mad too. I haven't read anything about this in the other reviews, but for me..god... It's like that episode of Spongebob where Mr. Krabz is like THE DREADED SQUEAKING OF THE BOOTS except that my skin is the boots and the squeaking is the itching. I can't handle it. The only time I had it this bad before is when I was 11 or so and just started my bad acne. It itches where a spot is forming. 

    So, I washed my face again for the night and applied some magnaminty on the especially bad zits on my chin and a part which was super itchy on my jaw. I tend to leave this stuff on overnight usually, so I will today. If I can wean myself off of BP and move to purely washing/using this mask, I'll be damn happy. My issue is BP is that I have to get it from my doc. I use Duac. I haaaate relying on doctors. Prescriptions are bloody troublesome. Maybe if I could find an OTC one at least, I'd be happy with that. I might try Acnecide. Think I'll go look up reviews of it now.

    I'll see how I am in the morning. The regimen I was using was fairly good for me to be honest, I just don't like relying on make-up so much. I hate wearing it. Though, I don't look as bad without moisturiser. Maybe if I could find one which is lightweight and leaves my skin looking matte, I could go without it. 

    One thing that came from this is my hair is producing less oil! It still looks oily, and I'll have to wash it tomorrow to prepare for Monday's guests, but, maybe I won't need to wash it as often anymore. Maybe this experiment would have gone better if I used pure water. I might consider getting some bottled stuff to rinse off with. 

  8. hotglue01
    Latest Entry

    Wow, it's been 7 full weeks!

    I have to say, my face is actually looking... really good. The dryness on my chin waxes and wanes, but it seems to be balancing out now that I've reduced BP and have been applying oil (jojoba and safflower) to it both directly and combined with my Cerave. My complexion is a lot clearer, and my beautiful milky skin tone is starting to shine through. The breakout from the dry skin/having to pick off flakes/sloppily applying lotions with (probably) dirty fingers multiple times a day has actually mostly subsided, too! No-man's-land is actually looking good on both sides, with a tiny dying zit on one side and maybe one pre-zit on the other. But again, I'm at the phase in DKR when pimples 1) only come if there's a direct cause like irritation or an existing blackhead, and 2) clear up within a few days and don't leave big marks.

    My forehead is actually looking really good. I changed my attitude a few days ago and am riding this wave of confidence for as long as it'll take me. I just realized that worrying about acne or whatever the fuck it is that I worry about (relationships! skin! health! my fucking dissertation!) sucks, and suddenly the worry dissolved... and suddenly, my skin looks really good! There's probably 3 tiny dying zits on the left side of my forehead/temple, with one tiny dying zit/blackhead on the right side. The rest of my face is pretty much entirely smooth, with maybe a few clogged pores on either side of my cheekbones.

    My back got two zits from irritation, and feels like it has some blackheads, but they feel like the crusty kind that flake off rather than turn into inflamed boils. Again, my red marks are really fading there, and in another few weeks they'll probably not even be perceptible. Even now they don't really stand out, especially because there's not really any more active acne there (save for those dying zits, a few big-ish clogged pores on my right shoulder, and those crusty blackheads that aren't visible anyway). I'm really proud of the progress I've made!

    And my chest? You know what, I had a similar revelation yesterday or the day before about not worrying about the red marks there. That big zit I got has mainly flattened out with ice packs, ibuprofen, zinc, fish oil, and differin/bp. One of the redmarks between my boobs VANISHED COMPLETELY!! It was miraculous. I've also been trying something kind of experimental on these marks that seems to be working (although I'm reminded to be gentle): using a heavy-duty steroid cream (clobetasol) that I have in case I get eczema on my hands (which happens in times of crazy stress... i.e. three weeks ago! Ha). I read that white people don't often get true PIH but rather PIE (check the redmark forum for more details), which responds to topical steroids. 7 (omg) years ago, the derm I went to in Japan actually gave me a much weaker steroid cream to use on redmarks and I remember it working fairly well at shrinking the marks, and I have to say, I think this is doing great things for my current marks! The skin was red and irritated this morning when I examined my MIRACULOUS HEALING (lol), so I'm being sure to be gentle by applying a little less, but still twice a day.

    Alright! Feeling good about my skin, and hoping you all do to. DKR really works, and I'm thankful for having made so much progress in just seven full weeks. Seriously... when I first started my acne was by no means terrible -- mild for sure -- but my complexion just looked... dingy and unstable. I had well over a dozen big blackheads on my forehead and probably close to a dozen small zits on my forehead and temples, plus a lot of inflamed pores, blackheads, whiteheads, and a few zits on my chin. My chest actually didn't break out until later on, lol, and I'm not really doing DKR on it... but my back -- on which I AM doing DKR -- had probably a dozen cysts, all of which were red/maroon, angry, and PAINFUL. And it seemed like they weren't stopping! But now? They're all flattened out, and I only get zits there if there's direct irritation (although, to be fair, I'd say my back is still kind of unstable, but 85% where I want it to be... well, it's 100% where I want it to be because it's making such beautiful progress).

    To close, acne for me is an important metaphor for self-care, and ultimately self-love. I remember when I had totally clear skin, like a baby's bottom, back in 2011... I felt so confident and radiant, and every day I was filled with gratitude about my situation. I let that gratitude slip away when I entered graduate school soon after and got distracted with the usual bullshit (school, boys, ugh), and now I feel myself returning to a place of gratitude for my healing.

    How about you guys? : D Clear skin for us all! Thanks for reading.

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    Problem ini mungkin sedang Anda miliki, yaitu kulit yang terlihat kucel, hilang cahayanya, lengket dan berminyak, serta memiliki jerawat. Kondisi kulit dengan banyak masalah seperti itu memang sangat mungkin terjadi. Bahkan menjadi sebuah keniscayaan apabila kita tidak rajin merawat kulit, sehingga membiarkan begitu saja minyak menempel sepanjang hari hingga terbawa tidur, kemudian ditumbuhi dengan jerawat.

    Penyederhanaan kasusnya adalah kelalaian dalam membiarkan kulit mati sehingga pori-pori tersumbat oleh kotoran dan minyak, menjadi tempat ideal untuk bakteri jerawat (propionibacterium acnes) untuk hidup dan berkembang biak. Bahkan masalah mungkin tidak hanya berhenti di sana, karena kurangnya pengetahuan dalam merawat kulit, sehingga tidak pernah melindungi dirinya dari terik matahari, maka kulit bisa menjadi belang dan terdapat hiperpigmentasi (atau flek hitam).

    Bagi seorang wanita, kondisi kulit seperti itu menjadi sangat mengerikan, dan menyiksa. 

    Ada juga penuturan seseorang yang pernah saya baca di internet, dengan masalah seperti ini :

    Kulitku sangat berantakan karena jerawat, kulit kusam, dan mempunyai bayangan gelap di bagian pipi serta noda hitam bekas jerawat. Walaupun usia belum 30 tahun, namun kerutan mulai muncul di sekitar bawah mata, dan sudut hidung serta mulut. Walaupun saya tidak merokok, namun pernah menjadi pecandu alkohol selama 6 bulan pada sekitar 2 tahun lalu. Kini penampilanku layaknya wanita 40 tahunan. Saya memang memiliki riwayat pernah terbakar sinar matahari hingga melepuh suatu hari. Harus diakui bahwa saya tidak pernah memakai tabir surya. Kini kebiasaan meminum alkohol sudah dihentikan. 

    Dan sekarang saya telah mulai memakai sunblok. Selain ini ada beberapa aktifitas perawatan lain yang saya lakukan, yaitu :
    - Mulai rajin mencuci muka dengan cetaphil serta air hangat.
    - Tidak memakai sabun yang keras, dan berbusa banyak karena khawatir mengandung detergen.
    - Memakai scrub 1-2 kali dalam seminggu.
    - Memakai asam salisilat 2% atau benzoil peroksida 2,5%. Namun kedua bahan tersebut tidak pernah dipakai secara bersamaan.
    - Memakai pelembab yang mengandung retinoid acid di pagi hari.
    - Meminum multivitamin, suplemen kalsium-magnesium-zinc, vitamin B, serta minyak ikan.
    - Melakukan olahraga lebih rutin dan teratur.
    - Meminum air putih sebanyak 2 liter sehari.
    - Tidur selama 7-8 jam setiap harinya.
    - Beberapa tahun lalu pernah memakai Retin-A, namun sekarang sudah tidak.

    Rasanya, apa yang sudah saya lakukan sejauh ini sudah cukup. Namun mengapa kondisi kulitku tidak kunjung membaik ? Malah kulit sepertinya semakin memburuk. Jerawat semakin banyak, dan kulit semakin kusam sehingga tidak enak dilihat. Sangat mengerikan. Apa saran terbaik agar semua masalah tersebut bisa diatasi ?

    Kondisi seperti di atas bisa jadi juga sedang menimpa Anda. Mencoba berbagai saran dan tips di internet, kemudian mencobanya sendiri. Namun prosesnya tidak terstruktur, sporadis,  atau hanya coba-coba.  Sehingga tidak fokus serta tidak menyeluruh.

    Jadi saran terbaik yang bisa saya berikan adalah untuk segera berkonsultasi dengan dokter kulit, bersabar dengan proses perawatan yang sedang dilakukan (tidak terburu-buru pindah ke metode lain). 
    Bila pertanyaan tersebut ditujukan kepada saya, ini lah jawaban yang saya berikan.
    Pertama adalah melakukan perobahan pola hidup secara total.
    Gaya hidup tersebut mencakup makanan yang harus dikonsumsi, dan harus dihindari.
    Jenis makanan yang harus dihindari adalah :

    • Minuman yang mengandung soda (carbonated), misalnya coke.
    • Makanan dan minuman yang mengandung indeks glikemik tinggi, serta yang manis bergula.
    • Susu sapi, karena akan meningkatkan jumlah insulin sehingga meningkatkan produksi sebum. 
    • Makanan cepat saji, karena akan merangsang fluktuasi hormon serta peradangan.
    • Gorengan, seperti ayam goreng, kentang goreng, onion ring. Makanan yang digoreng dengan minyak sawit tidak sehat. Sebaiknya minyak goreng diganti dengan minyak kelapa murni atau minyak zaitun. Minyak goreng sawit mengandung produk akhir glycation lanjutan tingkat lanjut.
    • Daging yang disuntik antibiotik.
    • Makanan dengan bahan pengawet.

    Lalu jenis makanan apa yang perlu dikonsumsi ?

    • Ikan yang kaya dengan omega-3. Manfaatnya adalah untuk anti peradangan.
    • Mengkonsumsi berbagai buah. Terutama pepaya, dan berry (strawberry, raspberry dan berry lainnya).
    • Sayuran berwarna hijau tua misalnya brokoli.
    • Telur.
    • Teh putih.

    Dan ini jenis perawatan kulit yang harus Anda pilih. Carilah produk yang bukan hanya membuat jerawat menjadi kering, tapi juga bisa efektif meluruhkan kulit mati. Kita harus memulainya dari perawatan jerawat, kemudian setelah itu bisa diatasi beralih ke mengobati bercak hitam hiperpigmentasi.
    Dari berbagai pengalaman saya dalam memberikan saran-saran perawatan kulit, maka ini produk-produk yang harus dipakai.

    1. Sabun khusus untuk jenis berminyak yang mengandung benzoil peroksida atau asam salisilat.
    2. Milk cleanser khusus perawatan kulit dari jenis non-comedogenic.
    3. Acne cream, atau acne lotion yang mengandung iso-tretinoin serta asam retinoid.
    4. Retinoid acid khusus yang dipakai pagi dan malam untuk meluruhkan kulit mati, serta untuk mempercepat penyerapan obat.
    5.  Pelembab khusus perawatan, yang berbahan dasar air, serta mengandung minimal spf15. Manfaat lain yang harus adalah memberi nutirisi lengkap bagi kulit untuk memperbaiki sel-sel kulit yang telah mati, serta untuk menjaga kelembaban. Karena perlu diingat bahwa kebanyakan acne cream/lotion akan membuat kulit menjadi lebih kering. Sehingga memakai pelembab yang lengkap nutrisinya adalah wajib.
    6. Sunblok dengan SPF 30, melengkapi produk pelembab yang sudah mengandung spf15.

    Pemakaian produk-produk tersebut harus dipakai pagi dan malam, serta kontinyu dan konsisten selama beberapa minggu.
    Bagaimana dengan hasilnya ?
    Perpaduan antara perubahan pola hidup sehat serta perawatan kulit di atas hasilnya rata-rata bisa dilihat di minggu ke 3 atau 4. Kulit akan lebih halus, cerah, dan jerawat sudah banyak yang kering.

    Apakah ada produk perawatan yang sudah dikemas dalam satu packag
    ed ? Ada, yaitu dengan obat penghilang jerawat Rich Amor.
    Bahkan bila memakai Rich Amor, hasilnya sudah dapat maksimal dalam periode minggu ke 3 atau 4, sehingga Anda bisa fokus kepada  mengatasi hiperpigmentasi .
    Sebagai aktivitas tambahan atau opsional, adalah melakukan facial di salon pada minggu ke 4.

    Untuk menghilangkan noda hitam, bayangan serta kulit yang masih belum sempurna kecerahannya (walaupun pada minggu ke 4 kondisi kulit sudah lebih cerah), dan untuk mengatasi kerutan, maka untuk melengkapi regiment di atas Anda perlu menambahkan krim malam, serta asam retinoid yang lebih kuat. Fungsinya adalah untuk merangsang regenerasi kulit sehingga mengganti kulit lama dengan yang lebih sehat, serta akan membuat kulit lebih elastis. 

    Proses menghilangkan flek hitam membutuhkan kesabaran lebih banyak dibandingkan dengan proses mengatasi kulit kusam serta jerawat. Namun biasanya dengan 6 regiment sebelumnya maka penampakan flek dan bintik hitam akan mulai memudar seiring waktu. Sehingga proses paska minggu ke 4 ini adalah sebagai kelanjutan untuk mempercepat penyembuhan bintik noda dan flek hitam.

    Dengan mengikuti prosedur di atas, rata-rata dalam bulan ke 2 dan ke 3 semua masalah kulit bisa diatasi dengan baik. Memang tidak bisa berjalan instan, tapi itu lah perawatan kulit yang paling cepat memberikan hasil terbaik.

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    My name is Carly and I am a 21 year old female and I am about to begin my first course of Accutane. I will begin by giving a brief description of my acne journey up until this point. I have struggled with cystic acne since the age of 12. From the ages of 12-15 I tried EVERY over the counter acne medication that I could get my hands on but nothing seemed to help. In fact my acne progressively became worse as I approached my later teen years. At the age of 15, my acne ( It was only on my face at this point) became so severe that my mom decided to make me an appointment with a dermatologist. I was prescribed Tazorac, Aczone, and doxy. That combination cleared my face up beautifully and I eventually went off of the Aczone and doxy but stayed on the Tazorac.

    At the age of 18, my skin was pretty clear until one day when my back and chest broke out like crazy. It had never done this before so I made an appointment to go back the the dermatologist to have it looked at. I was offered Accutane at that time, but I declined because I wanted to try alternative treatments before I jumped right in. I was prescribed more antibiotics and creams and nothing has worked to clear up my back. My face also began to get more breakouts even though I continued using my Tazorac. 

    Last month, I had a follow up appointment at my dermatologist and he suggested Accutane for my case. Since I have exhausted almost every option, I decided to just go for it and that is when I started "the process." I got my educational materials and was instructed to have contraception counseling before I could have my first pregnancy test and be registered into Ipledge. I went to contraception counseling and selected my two forms of birth control then I went back to the dermatologist for my pregnancy test and to sign all of the paperwork to be registered into the Ipledge system. After that, I waited the 30 day wait period required for Ipledge and then got my blood work done and had my second appointment. Right now, I am just waiting for my blood results to be reviewed so they can send the prescription in (which should be tomorrow)! I am excited and a little nervous to start! If you have any questions or suggestions leave them in the comments!  

  9. Painful Face… My face has never been so painful and ITCHY! No matter what I use, I feel like something is crawling all over my face. Our course itching does not help the redness and can irritate my skin even further.

    Picking update… I wish I could tell you that I completely stopped picking but unfortunately it is an ongoing thing. My thought process on picking is very simple. When I look in the mirror and I see a massive whitehead (and I’m talking one that is ready to be popped) I take my pin and the extractor and pop it, done. When it comes to cysts, I have had them where they THROB and ITCH and are just so painful that I can’t stand to leave it. Again, I use my needle and apply little pressure and normally they burst but leaves a huge red mark that I am stuck with until it heals.

    Cluster Pimples… I find that I get a lot of pimples in one area in which they all form whiteheads around the same time. When extracted I’m always left with the damage of redness.

    Forehead Update… I am still breaking out on my forehead but not as bad as last week. You can see from the pictures that it has started to clear.

    New Moisturizer… I have switch to a new moisturizer after running out of my La Roche Pose one. I am now using Cerave Moisturizing Lotion and chose this product based on review from online. Since I just started, I can’t really provide my feedback, so stay tuned! 

  10. So I am a month and a half through my course of Accutane/isotretinoin and I feel GREAT! my skin has cleared completely!!! Since my last update i have had 2 small spots which have had heads that I could just leave to go naturally rather than pop them which I am a terror for doing normally! My family and friends can't believe the change in my skin and how healthy it's becoming! I still have all the same side effects as I had in my first post and nothing more. My mood hasn't altered a bit! I haven't suffered with low mood, anxiety, depression. (That's what I was most afraid of) Tbh I have had a really positive journey with Accutane so far and i am over the moon with it. The only thing I'm trying to tackle now is the remaining redness on my face because using Bareminerals makeup I don't dose my face , It gives a natural look to it so it's hard to cover the redness. That's my next step! To say I'm a very happy girl is an understatement. I get emotional when Im all done up ready to go out because of the difference and how i used to feel with acne. Accutane has been a lifesaver for me. I can now eat junk food more often than I used to without feeling bad about it after. (That's not everyday though) I used to be very harsh on myself with my acne and now I am a lot calmer :)! I'm excited for the next two and a half months ahead on my journey! One photo with makeup and one without :) 



  11. Well, yesterday was the end of my week3.My lips were chapped right from the beginning of the dosage(week1).My face felt tight which often restricted me from giving any expression(I felt difficult to even smile)From week3 my dosage of Isotroin was increased from 20mg twice a day to 30mg twice a day.I started feeling better.But, there were some symptoms of new zits developing on my face and old bumps which had developed last week were still the same size(they were just stable :( )My cheek area and corners of forehead looked like a pizza with red spots everywhere...:'(...I see redness around my face when observed.But, I felt a bit calm that I can atleast cover this with a makeup unlike my previous week's face condition which I was unable to cover with makeup.However, during these 3 weeks, I never kept anything to my face apart from benzoyl peroxide and cetaphil cleanser to wash my face.I am trying to keep my face away from makeup products because this time I wanted to destroy this acne permanently.






  12. Tomorrow will be the end of week 4. The time has flown by.

    Mentally I still feel fine. Physically, my skin has barely broken out since that awful initial breakout in the first 2 weeks (pictures coming). I've had the odd small spot but no lumps. The lumps have mostly scabbed/peeled/flaked off, but I still have active parts on my side neck line (a problem area for me), and I still have a lot of redness all over.

    By no means am I anywhere near clear yet, but now that my actual acne is starting to go (I've not been this "clear" for quite a long time, so this is huge for me), I can now see how much redness I have leftover. I hope, if my skin doesn't breakout anymore, then the redness will have the chance to fade over the next few months.

    In terms of dryness, my skin stopped producing any noticeable oil after 2 weeks, but my skin hasn't actually been that dry. I think the initial flaking/peeling in the first 2 weeks made it seem worse than it actually was. Now that that's over, my lips feel dry after a few hours of not moisturising, but they don't look dry or cracked/split, and it's not like it's an emergency to find the Vaseline. And my face looks/feels normal (I moisturise it once a day and feel ok). I guess that shows how oily my skin used to be, if it has taken/required 40mg daily Accutane just to bring it down to normal levels, whereas people with normal skin at the start would get intense dryness. Then again, maybe I'll get that if/once they increase my dosage.

    Overall I'm feeling really positive. I no longer have any doubts that my skin will get fully clear with Accutane in a few months time, but what i do have concerns with is relapsing. For instance, I hope having naturally oilier skin doesn't become a problem in terms of relapsing once I finish my course. I've read conflicting information on this. One source said that oil levels return in most people but acne doesn't (the oil changes and becomes less susceptible to blocking pores, or something), and other sources saying oil levels permanently reduced (by 40%?) / pores shrunk. I read that people with seborrhea are more prone to relapses. I don't have seborrhea but I'm naturally in the oilier side of things.

    I'll ask my dermatologist these things next time. My next appointment is next Thursday (17th August). I'm roughly 75kg and on 40mg/day. I think they said they'll increase this if my body is tolerating it well. I'd prefer this as well, as lots of studies link dosage to relapse rates. Some don't link them, but I'd rather not take that risk. I definitely don't want to put up with acne ever again! 8 years sucks badly enough thankyou!

    Brainfog moment: I can't remember if they want me to have the blood test a week before the next appointment. Last time I did everything on the same day and got the prescription ordered early as well, so perhaps not.

    From May. That was a good week during long-term doxycycline use. Usually it was worse (and far far worse without it). Excuse my death stare.Screenshot_20170730-141545.png

    Next up is my initial breakout (prepare yourself for horror):



    About 4 weeks later:



  13. Soooooooo I’ve been MIA for a bit. My last blog post was on September 18, 2014. My skin was dandy.


    Until I got into grad school and moved to Chicago.


    Let me cut to the chase and tell you guys that the regimen did NOT work for me in the Midwest. I have oily af skin. Astronauts can see me from space because of how intensely I shine. That paints a pretty clear picture right? Anyway, I always understood the definition of humidity but never experienced it until I moved to Chicago. Holy. Freaking. ****. I was like a fish out of water…and when it rained (which was a lot) it was a hot rain. You know when you drain a pot of pasta? Yeah it was like hot pasta water coming down.


    Turns out oily skin and humidity = clogged pores. In my case it was ANGRY, PAINFUL, AND MASSIVE clogged pores. The breakouts I got were like welts and most didn’t come to a head for weeks at a time. They would appear in extremely fun places like right between my eyebrows, front and center on my chin or awkwardly on my cheeks. At first I was in denial about my skin breaking out because being on the regimen had truly cleared me up. I figured eh, it’s the stress from moving across the country or stress from school…or…or…. the list of reasons went on and on until I came to terms that weather/location affected my skin to a huge degree.


    I remember after a month into living in Chicago I was feeling stumped (and pissed). I looked up this issue on the site wondering if Dan ever addressed it. Turns out you’re still supposed to use it as normal in a humid climate more or less. Didn’t work for me. Nothing in my skincare changed (was only using the line) and nothing makeup wised changed. So what gives?


    My two years in Chicago had me resorting to trying new skincare items. I went through a lot of new skincare items to no avail. I used drugstore treatments, cleansers, higher end items…it was getting damn expensive and my student budget wasn’t liking it at all either. Nothing really worked. It was a weird and, frankly, crappy feeling when I realized my skin was back to being extremely problematic. I’m not being dramatic either. It wasn’t just one little dot. It was those dime sized, under-the-skin kind of parties happening all over my face. If I’m not such a lazy potato maybe I’ll get another blog post up about what items I used but then again, do you guys really want to read about things that kindaaaaa-worked-but-not-really? Probably not.


    Anyway, when I would fly home during holidays/breaks I noticed my skin cleared up drastically. It was frustrating to realize that it was the environment affecting my skin rather than something I could really control. Fast forward through my academic career, I finally graduated and moved the back to SoCal.

    image 2.jpg

    My mom is my biggest skin critic and I don’t mind. I prefer honesty. She was confused at why my skin resorted to being difficult. I explained to her that Chicago was literally to blame. The moment I set up shop back at home, I resumed using the regimen and lo and behold – skin calmed down and, dare I say, back to “normal”

    I no longer wake up with massive painful breakouts like I did in the Midwest. I’m now dealing with leftover hyperpigmentation from my past breakouts. I’ve been back in SoCal since May and I’ve seen a huge improvement with my skin. It’s a relief that the regimen still works for me in Cali. Now if only the stupid store would let my order go through I could restock on my cleanser, treatment and moisturizer.

    My skin is progressing in the right direction. Again, mainly just dealing with hyperpigmentation and time will help clear it up. I’d rather deal with scars than active breakouts. At least at this stage of my skin I can fake flawless skin with makeup…here's a picture to make a case in point.

    image 1.jpg


    A few fun facts about me since, y’know, it’s easy to forget that this blog was typed up by a normal human being. I got my Master’s in Nursing. I studied like a mad man and was barely holding onto my sanity. The amount of information they shoved at my face was insane. It was like trying to sip from a fire hydrant – you can’t. But you did it anyway…because…school…career…never gonna give you up, never gonna let you down…don’t dishonor the family….

    Dry comments aside, I hope everyone has been doing well. Take care of yourselves guys. Any questions? Ask them, don’t be shy.



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    I wish I was able to find my ancient profile. 
    My problems then, at 14 years old, paled in comparison to what I'm currently dealing with at only 25. Random, ugly scarring on one side of my face only. It all started about a year ago but I brushed it off as one bad zit but to be quite honest I was in denial. Acne had not been a problem for years and I honestly could not recall having a zit where this new scar was forming...but I digress...and at that point in time, I let it go. 
    This past year, the indentations came. First one, then two, and by then I went to a derm.
    Without looking at my skin, she decided it was acne and gave me retin-a. 
    3 weeks later, I am convinced this medication made my skin worse because my scars seem to have grown. I am going to a new dermatologists tomorrow.


  14. I am a week behind with my entries so this is last weeks result. My face is healing and breakouts are going down quicker. The aloe vera that i'm using on my face in the morning seems to be taking my scarring down.

    Week16 (1).jpgWeek16.jpg

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    My sister has acne. Like really bad acne on her face and while trying different remedies for her I started to learn a few things about this "condition".

    One of the most difficult and challenging periods
    of a person's life is represented by the teenage period. This is the time when you build and contour your personality and make the choices that will define your life in the future. In the same time, you want to be liked and to belong to a group of friends. In addition to that, you will have to face the changes that your body passes to transform you from a child to an adult. Unfortunately, this transformation also involves some negative aspects such as the growth of new unwanted hair in many places and the apparition of the nasty pimples. Everyone has faced this problem at least once in his other life. Pimples are that ugly swelling that appears on our face and make our life worse.


    In fact, this is a condition known as acne or in a medical term acne vulgaris. The word acne comes from the Greek "acme" meaning the highest point. This skin disease represents the swelling of the base of the hair follicles where the sebaceous glands are situated. Acne is particularly common among teenagers, but there are some cases in which acne can last into adulthood. The human parts affected by this condition are face, chest, back neck and shoulders.


    The sebaceous glands secrete an oily substance known as sebum. This substance is used to carry the dead skin cells through the hair follicles to reach the surface of the skin. In each follicle grows a small piece of hair. In people with acne these glands secrete more sebum and in combination with dead skin cells, dirt or bacteria can clump together into a plug and block the follicles, forming an accumulation of oil under the skin known as a pimple. For example, a bacteria known to thrive in these conditions is P. acnes, which can cause inflammation of the skin if it is present in great numbers.

    Acne is believed to affect people during puberty when the sebaceous glands start to release sebum, being stimulated by androgen hormone produced by adrenal glands.


    Rising the androgen levels may cause the growth of the sebaceous glands which leads to a higher production of sebum and the development of a form of acne. There are studies showing that approximately three-quarters of 11 to 30 year-olds are affected by acne at some time. Although is most common among teenagers, there are cases when people in their fifties still have this condition. It affects both men and women, but it may last longer in men due to the fact that men have higher quantities of testosterone, a hormone that can make acne worse.


    This condition can have a mild form, which everyone can develop at some time and a more aggressive form which requires a medicinal treatment. There are many types of acne pimples including whiteheads, blackheads, papules, and pustules which are common and can be treated without treatment and nodules and cysts which are clearly visible on the surface of the skin and deep embedded in the skin. If they are not treated properly they can produce damage in the long term causing scars in the skin.


    Although there is a lot of interest concerning the development of this condition, the exact cause for getting acne is not known yet. To get the diagnosis and the required treatment you should see a dermatologist or other health care provider who will examine your affected skin.


    Scientists believe that acne is triggered both by genetic and environmental factors. The main cause is considered to be the high levels of the hormone androgen which is responsible for the growth of the sebaceous glands and thus of the production of sebum. This triggers a sort of domino effect because the more sebum our skin produces the more likely we develop the nasty pimples. Another cause in women is considered to be the hormone changes during the menstrual period and during pregnancy and breastfeeding. There are some studies showing that acne can be hereditary which means that there is a high probability to get acne if someone in your family has it.


    In addition to that, there are some factors considered responsible to increase the risk of acne such as certain medications that contain lithium and androgen. This includes some steroid medications such as corticosteroids and anabolic steroids which cause the development of pimples. Another factor which may trigger acne is the usage of greasy cosmetics. Some people have sensitive skin and may get acne of they use cosmetics and skin care products which contain comedogenic agents. In other words, these cosmetics may block pores and cause blackheads. Sweating and humid environments may be considered a risk factor for acne because excess humidity can block pores and develop pimples.


    Although it is not painful and affects us only on a superficial level, it can cause serious problems on an emotional level. Due to the fact that it affects our physical appearance, especially our face, we can get a negative self-image lose our confidence and become more stressed. In a long term, this may lead to a low self-esteem and depression

    which may interact with our ability to socialize and to get a job. There are also some ungrounded myths concerning acne which can worsen the emotional effects of it. All in all, we should know that acne is not infectious and can be treated. Poor hygiene is not the main cause of developing this condition and we should not judge a person only by his or her physical appearance.

  15. MissSac17
    Latest Entry

    Honestly just hate hindsight. I'm looking at my last update haha and my skin was half decent there, infact no it WAS decent. It's actually worse now and in getting cysts popping up under my neck and I can feel one brewing on my forehead. What the hell?? 

    My skin isn't in a good way at all. I'll post some pics of what I have now. I'm not comfortable showing my full face right now but this thing on my neck is painful :(
    I have paid to see a private derm next week to enquire about starting another roaccutane course. I just pray I can, I thought that because I'm going to pay for it Id have a much higher chance of getting it again since I feel the NHS derm will want me to do the rounds again you know? 

    Why is this so bloody hard. I recently got a new boyfriend  (nearly 3 months together) and he met me when my skin was pretty damn great. Now.. ugh. I wouldn't date me. He loves me he says but.. I just can't love myself when my face is a mess.



  16. so the AHA last night did not burn i was so happy. recently i did every other day, half moisturizer half AHA.  Last night i didn't know HOW MUCH aha to use, so i put pea sizes on my fingers and only covered my face with an even, thin, layer of AHA. slowly i will work it up and see how much i can handle. Im going to do this every other day. I also started using only a thin, even layer of BP in the MORNING. and full amount at night. I can see my scars fading!!! Im SO HAPPY i stuck with this regime. I actually think that i can wear makeup today and my skin won't look gross!!! i don't want to wear makeup though, at least until i know for a fact my skin is FULLY CLEAR. Idont want to mess up this regime on a good streak. I haven't had a breakout in like a week?? again, only TINY TINY whiteheads but those honestly don't bother me. 

    Side note, my forehead has been 100% clear since the first week i started this regime. I used to have bumps all over my forehead and i could see it in pictures and i hated it. My face still gets red. i think thats just because I'm really white lol. YAYAY IM HAPPY SO FAR FINGERS CROSSED IT ONLY GETS BETTER!!!

  17. Hey guys - 
    I am just beginning week 7 of Spironolactone / week 2 of Retin-A, and my goodness have things improved!!!! I wish every woman struggling with the initial breakout on Spiro could see how their skin will improve in just 3-4 weeks. I am still not 100% happy with my complexion, nor have I necessarily seen improvements (a lot of the current resurfacing is because of Retin-A), but I no longer dread waking up to massive zits. And that is a relief! 

    Some major tips I've learned with Retin/A:

    - Going on a Retin-A cream when you begin Spiro can prevent the 'initial breakout' from ever really terrorizing your face as it did with mine

    - NEVER use Retin-A more than once in a short period of time ... I quite literally burned my face off when I applied it at 7pm, showered at 12am, and reapplied. MAJOR PEELING AND PAIN.
    *also never use Retin-A as a spot treatment or even more than once over the same area - also major pain.

    - start extra slow!!! you want this product to GENTLY exfoliate away dead skin cells... if you try to use too much product all at once you WILL cause more irritation, redness, dryness and peeling, which can all lead to way more acne.

    - You may have to adjust your current skincare regimen - Retin-A can make a gel cleanser or acid serum suddenly way too intense, stripping and drying for your normally oily skin. I have found success with a mild, non-foaming milky cleanser, a rebalancing toner (no alcohol), thermal water spray, and a high-quality purifying moisturizer with natural ingredients. 

    - I now successfully use Retin-A nightly, which I apply to my face and neck 30 minutes after my normal nightly skincare routine (as listed above). I then wait 10-15 minutes to apply Cerave Moisturizing Cream to my face, especially my lips, corners of my lips, corners of my nose, around my eyes, eyelids and my neck. I like to apply this moisturizer after Retin-A and 45 minutes after my normal skincare routine so that the CeraVe acts as a barrier over my skin to protect it from drying out throughout the night. 

    I'll keep updating as best I can and will hopefully have some progress photos ready for you soon. Feel free to ask me any questions related to Spiro, Tri Cyclen Lo, Retin- A, PCOS... I know I felt lost at first, and I'd be more than glad to help out anyone in a similar position. :)

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    One fateful morning, I woke up to small bumps all over my cheeks and chin. At that time, I was in the second grade, and was too young to even know what acne was. After freaking out to my mom that I had developed some sort of horrible rash on my face, I was subjected to my first ever dermatologist visit. I say subjected because I, like most acne sufferers, have come to associate the dermatologist’s office with embarrassment, shame and the ever constant complaint that yet another new product “just didn’t work for me.”

    Now in my mid twenties, I am just coming to the realization that acne prevention is not about some “miracle cure.” It is also not about perfection. Acne is genetic and hormonal and quite frankly a pain in the ass. Unfortunately, there are just certain things that lay outside of our control. Like my ever constantly monthly breakouts, or naturally oily skin. I can’t do anything about the fact that I was born with large pores, or fair and sensitive skin. Coming to terms with the fact that I will never have Barbie doll poreless skin has been a rough road, but owning up to the things that I can’t change has saved myself a lot of grief.

    However, I have also come to the realization that skin care is a daily choice, a routine, and is not to be taken lightly. While there are plenty of things regarding my skin that I can’t do anything about, there are also things that I can control. Realizing what those factors are has been life changing. Thus, without further ado, my list of routines and life changes that have reduced my chronic acne to a mild (mostly) easy to deal with minor annoyance.

    ·      Change your pillow cases regularly. I’m not kidding-this tops the list because each and every night you lay your face down on a pillow covered in heavens knows what, and all that dirt, oil and makeup can and will plug up your pores

    ·      When it comes to washing your face-easy does it. I use cetaphil for sensitive skin and it has done wonders for me. After years of using harsh face washes that only succeeded in causing irritated and dryed out skin, gentle easy cleansers twice daily really is enough.

    ·      Benzoyl in limited amounts in your friend. As far as spot treatments go, Benzoyl Peroxide is top notch, however too much can dry out your skin and can cause pimple rashes and irritation. I use it sparingly and it really helps to clear up those obnoxious spots that insist on hunkering down for the long haul.

    ·      Your diet does matter. I can’t believe some dermatologist are still sticking to the notion that what you eat doesn’t cause acne, it’s flat out wrong. I have noticed a direct correlation between dairy, sugar, lack of water and acne flare-ups. Do your self a favor and see for yourself.

    ·      Skin picking is a problem. As a chronic picker I realize that I come across sounding a tad bit hypocritical, however the number of times that I have picked at a seemingly small blocked pore or bump and ended up with a giant sized lump has to be in the hundreds by now. If you can’t ignore those small blocked pores, invest in some pore strips (I like the Biore charcoal ones) or a good face mask that you can spot treat while you are hanging out around the house (I like Yes to Tomatoes Detoxifying Mud Mask).

    ·      Careful what household items you use on your face. There are a lot of blogs and articles out there championing the use of lemons, vinegar, baking soda, ect as DIY masks. While Im sure some of these skin care recipes do actually work, do your research first. No one wants to end up with a bad rash or burns from a badly begotten facial science fair experiment. That being said, I do often use a mixture of milk and nutmeg as a spot treatment as well as to lighten discolored marks. It is gentle enough not to cause any damage and does help with redness and inflammation.

    ·      The dreaded cyst conversation. While my acne has mostly been on the moderate side of the spectrum, I am no stranger to those hard, painful under the skin lumps that just wont go away not matter what you do. I’ve jabbed them with needles (please don’t do this, it has NEVER worked for me), I’ve doused them with rubbing alcohol (again-stupid, stupid, stupid), I’ve cried over them, complained about them and even gotten cortisone shots (probably could work but I was left with an indentation that hasn’t gone away in 7 years). What has worked is when I catch them early and ice the living daylights out of them. This method has reduced cysts that could last weeks down to about a week life span when I ice them twice daily. Unfortunately jury is still out about best topicals but I have heard good things about Renee Rouleau Cyst treatment.



    Most importantly, remember that at the end the day, your worst critic is you and more than likely the damage that you see in the mirror most people wont even notice. Your skin does not define you, how many pimples you have at any given time won’t make or break your life. Take it from someone who has spent enough time counting them to know. You are beautiful no matter how many blocked pores you have and it is time to realize that. I hope some of these tips have been helpful and if not, at least breath easy with the realization that there you are not alone in your struggles, not by a long shot.

    -If you are having problems with severe acne, don't let my post dissuade you from visiting a dermatologist. Whilst my own personal experiences have not been positive and I have personally sought after solutions that do not require taking medication for my acne, there is still plenty that a doctor can do to help. 
    -While I am aware that there is no scientific studies to date that correlate diet with acne, my own experiences have shown otherwise. If you are skeptical try out a mini experiment on your diet and see if you notice specific foods contributing to acne flare-ups. 

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    So last night i decided to not take the Lymecycline. I still put epiduo on my angry spots but its still getting worse. Anyway I ordered some tea tree oil to see if that helps at all...