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  1. Tazorac + Doxy Log

    Hi guys!! I'm an 18 year old trying to get rid of her acne once and for all I have suffered from acne since my freshman year of high school (mild to moderate). My acne was never really cystic - I had inflamed pimples and blackheads in my T-zone. Through trial and error over the years, I was finally able to clear my skin through using Retin A Micro 0.04% (RAM) at night, along with Aczone or Finacea in the morning (alternating each day). However, during the fall of last year, I began noticing closed comedones (whiteheads) on the sides of my chin. I began using the RAM in these areas. However, this did nothing, and my comedones worsened. They began to spread to the rest of my chin, on my upper lip, and in between my eyebrows. My nose, which has always had blackheads, became even more clogged. The worst part is that these comedones become inflamed zits and leave hyperpigmentation behind. I talked to my derm about this, and she upper my RAM to 0.1%. This did not help, even after 6+ months. She said that the next thing to try was Spiro, which I did not want to take. (I have, however, through my own research found that Paula's Choice AHA and BHA gels do help to reduce the clogs to some extent - see my routine below.) I recently switched derms. He is putting me on Doxycycline (75 mg) and Tazorac cream 0.05%. I am hoping that the Taz, being a stronger retinoid, will help to eradicate these comedones. I also think that my skin may be slightly resistant to the RAM, as I have used it for the past 5 years. Because retinoids have worked well in the past, I'm hoping that a different retinoid will shake things up and clear my pores. Here is a great link describing the differences between RAM and Taz: As of now, my skin consists of comedones on my chin, nose, between my eyebrows, and on my upper lip. My "problem area" is definitely my chin (esp the sides). I get the occasional random pimple, but for the most part, any inflammation comes from my comedones becoming infected. My current routine: AM Wash with Cera Ve hydrating cleanser Mix Paula's Choice BHA 2% gel with PC AHA 8% gel Cera Ve moisturizing lotion Aczone or Finacea (alternate) PM Cera Ve hydrating cleanser Taz 0.05% cream Cera Ve lotion *Take 75 mg Doxy with dinner I will be documenting my progress on both Taz and Doxy - partially for myself, partially because I have been lurking on other people's logs for a long time and find them extremely helpful. Please comment with questions, support, or advice Other Links: Facial Masks I Recommend:
  2. Warning: Long as Hell I'm going to include many things I've experienced in the past with my skin (not just the current issue) so that anyone reading this can hopefully take something away from it. And so that the history of my skin is not an unknown variable in what happened to me. Today: My entire face is wrecked right now. And I don't know what to do, I'm pacing around my house,losing sleep, sobbing constantly, I'm scared to death. ...What happened was...I had gotten a little acne from not washing my face or taking care of myself properly for about 6 months (Feb-July '16) because another issue that has been going on in my life. It was the type of acne you get from really neglecting your skin, NOT by actively attacking, but just basically leaving it out to dry. I was not worried and was sure as long as I got back into my routine, that it would go away. Besides the few blemishes, my skin itself was still great even though I was really strung out regarding other things. (Insomnia, gained 25 lbs, barely moving a muscle, fatigued) As before this happened I was being complimented on my skin everywhere I went, it was dewy and clear and honestly as close to perfect as most people are going to get, people still Thought I was 16 years old because of it (I am 23 now) and I had been taking Extra good care of it the last 3.5 years, with gentle products/no sun/nearly 2 gallons of water a day/great diet (no dairy or gluten especially, mostly whole foods and fish..ridiculous amounts of vegetables..I did eat Aton of 90% dark chocolate tho!, etc) I got the occasional few pimples but they disappeared overnight or in 2 days. Basically, 5 out of the 7 days of each week I had flawless skin. So I dealt with a day with a pimple or a day where my skin was acting a little off. I also don't wear makeup, because I do have sensitive skin, not sensitive to some things, but makeup and having to wash it off really does a number on my face, and WILL break me out, even things like mascara cause my eyelashes to fall out so I only wear lip gloss occasionally. So usually my skin has nothing bothering it whatsoever. So what I ended up doing recently (to try to get rid of the small amount of acne I got from the 6 months of neglecting my Health/skin) must have been a real shock to it. A little more backstory before I get to the climax of the actual disaster: My natural skin tone is very very pale, Transcluscent almost, no freckles except some temporary ones I had on my nose from the summer when I was a kid, I was so pale that I would get called "ghost" in elementary school when it was Fall/Winter. And when I would go on summer vacation with my family, strangers would show concern for me that I was in the sun, sometimes even insisting I used their towel to cover myself from the Rays! I tried tanning some in freshman year of high school, even spray tanning (ughhhhhhh) but I came to love my pale skin and I have avoided the sun now for 7 years. I take vitamin d3 5000 and such and have never had issues as far as that's concerned. As for my skin itself, I always had nice skin until about 11th grade, I got some normal teenage acne. That went away and then when I was about 18-19 I got some little pimples that were very persistent. I tried proactiv to no avail (that stuff really destroys the skin, only the toner and green tea moisturizer were good for me). So I went on birth control for it instead. BIG MISTAKE. a month or so later I broke out in cystic acne so deep and so painful, I could feel it throb through out the day. And it was all on my cheeks mostly, some on my chin, none on the nose, a couple on the forehead. And I never got acne on my cheeks, nor cysts, so I was so scared of scarring. And obviously my self esteem was shot. Nothing made it go away, even after stopping the BC, I had absolutely no other type of acne except for the cysts at this time. But it's amazing how even one cyst can inflame the whole surrounding area. I tried multiple topicals and oral antibiotics. I eventually had to go on Accutane. And boy did I have to push for it. (They say go to the derm before its severe but they brush you off until it IS severe) Not only with the derm but with myself. My bloodwork was god awful. But I had to get on accutane, I wasn't going to let this get out of hand. I had to completely change my entire lifestyle (it had been sedentary for a couple years). I was living off cod/salmon and about a million vegetables with a sweet potato everyday for almost half a year and bought a treadmill with my old holiday money. Finally my blood work changed drastically and I got to go on it and stay on it. I can't say I remember the dosage. 40 or 60. I want to say it was 40. 6 months. I actually had no side effects beside slightly chapped lips and slightly dry eyes at the last month. I think my face was sensitive to heat as well, could not stand to be in a hot car for even a few seconds. I didn't even have to use moisturizer. I think it was because of the copious amounts of water and omega 3's I was ingesting, plus no sugar or high carb load. Anyway, I was a little weary, but it worked! After a month and a half post accutane, I was clear as crystal. And not a single scar. By 2.5 months post accutane, all my marks were gone as well. (It should be noted that I did treat the cysts while on accutane, I would put ichthammol ointment to draw them out and then I would put Neosporin on them once they came to a head and were washed off with gentle washing (cerave hydrating cleanser), occasionally I would ice them VERY lightly for a few minutes at a time, I also continued to used this Clyndamycin gel stuff sometimes as it seemed to slough off any small amount of dead skin when washed off, I also never picked, so I can't say what would have happened if I did, however I did graze a couple of the cysts with a finger nail or two when washing my face and even though they bled, I was still okay). But let's just put it this way, it was October of how ever many years ago when the course ended and by Feb, I was getting strangers walk up to me, staring at my face, telling me I had the most beautiful skin they've ever seen, even my dentist was asking about my skin!, I'm not even exaggerating, it was excessive, it actually made me very uncomfortable as I am terrible at taking compliments and I was extremely worried that the cysts would come back so the comments were bitter sweet. My skin was also better post accutane than it was even before I got acne because I had never been so healthy in all my life so I felt a bit of pressure to keep up the strict regimen for awhile. (Ofcourse All Worth it) Luckily I was able to ease up by the 2nd to 3rd year post accutane and my skin was still great. Last summer I was doing stuff like eating a dessert everyday and putting on heavy moisturizers that my skin usually wouldn't handle and it was all good. I incorporated coffee too which I fell in love with, and no issues there besides a reddish face for a few minutes if it's really hot. So that was that...until recently. The only thing that I had the last few years that's worried me about my skin was a tiny new mole on my cheek and a mark on my nose (which has gotten worse as I learned recently it is a pigmented, atrophic scar..and it's in the most difficult place a scar can be..the dip of the nose, smack in the middle) I had something happen to my nose almost 6 years ago so the cartilage is a bit warped especially at the tip, oil pools there and occasionally the teensy tiny little pimples that appear on the nose occasionally have never given that specific spot a break, so I'm guessing the consistent inflammation caused it. (Scar has been there for 2 years about) THIS is actually the reason I originally planned a dermatologist appointment a few months ago, nothing kills the look of beautiful overall skin than a scar right smack in the middle of everything. I was also concerned it was getting worse because oil continues to pool in the warped area. I thought that was bad in of itself, and then 3 weeks ago (1 week before my derm appointment was scheduled) I went and caused an even worse issue. The worst issue i have ever experienced with my skin. So to continue on from the beggining, after the 6 months of neglecting myself, At the start of August '16 I finally pulled myself together and got back into my normal diet and exercise routine and such ( back to washing my face and not falling asleep in my sweat from exhaustion anymore too). since I had some appointments coming up and places I needed to be this month, I lost patience with the lingering bumps from those 6 months prior and decided to speed things up by using a few drops of an old, unopened sample of Tazorac I found in the depths of my closet, followed by a million different products/moisturizers/Neosporin/ichthammol ointment and some light exfoliation using an old makeup brush which I washed 3 times in boiling water with 3 different cleansers and antibacterial soap. I truly was quite gentle as I did have a passing feeling that what I was doing (something I have never so much as attempted) was not a great idea. And turns out that was correct. My skin went mental from it and got ridiculous oily and blotchy with red bumps showing up over my entire face the next day. Went to the dermatologist a week later and he did not address them, he also told me my scar on my nose was something I'd have to deal with the rest of my life. Only when I began crying did he say to use..yet another Retin A..and he said it won't help the scar but will help with my oiliness and blackheads (even tho I told him it was not my normal skin thAt he was looking at). He just said "I've seen worse". I went from having near perfect porcelain skin to having a derm tell me "I've seen worse". Even my mom told him that just months ago I was being complimented on my skin...And I don't pick or go in the sun, ever, I know the nose scar was still there back then but I guess having great overall skin helped to diminish that. He just said to this, "Oh. Nice" I cried even more and he said he would refer me to a plastic surgeon for the scar in 3 months when I came back but he said it after first telling me multiple times that it was permanent. He also said "there's nothing you can do for scars". I was like, well what do all those poor people with pits all over their face do?? And he said, Nothing! My jaw was hanging open at that point. I pulled myself together to get to him that morning, with hopes he would ease my mind but he ended up just destroying any hope I had. The red bumps and sudden oiliness all over my face took a backseat to the scar that day. So I went home and sobbed and stupidly put some more of that tazorac on my face, because I assumed retin a is retin a, a pea sized amount only, and only on my nose and hair lines this time as he told me to. Well I slept in it and woke up, washed it off and my skin has never been the same since. The bright red bumps started to dry up but then my face felt awfully weird and slick so I exfoliated using Philosphy micro delivery gentle wash and all of the excessive oil disappeared. My skin was now completely dry. Tight, can't move my face. It turned a SICKLY REDDISH YELLOW all except my eye lids and a small area surrounding my lips. My PORES are now completely visible all over my entire face, almost looking like shallow ice picks scars, my once smooth and flat forehead is now MUSHY and littered in what look like LINES and SCARS appearing out of THIN AIR where acne has never even been. I've got PIN PRICKS all over my skin, and ORANGE PEEL texture. Not to mention my skin has literally turned just about the color of an orange! My face has been ON FIRE for the past two weeks to the point I could not sleep and past 3 days it has been itching like mad. Any thing I try to use stings except Neosporin. (Which I put all over my face a couple of times..probably not the best idea but I was scared to death of infection and scarring and the pain was so bad) I also suddenly developed all types of dark marks and tiny bumps over my ENTIRE FACE. Must be about a million. I am downright Broken over this. Destroyed. Especially after looking up what the hell was happening to me. (I feel like this can't even be real life right now, it feels like a cruel joke on top of a cruel joke.) And My god, from what I'm reading, it seems others have experienced the same thing and it is more hopeless than any other appearance related issues I've come across in my life. I never knew retin a could cause your skin to be so sensitive that anything you do afterward will damage your skin ten fold and age you overnight. It's supposedly akin to laser damage. I went to two more dermatologists! One yesterday. Went to a third derm today (Technically yesterday as I am writing this). The last derm was also a cosmetic derm. She was better than the last two. She was horrified when I said the word Tazorac. She said "my god, we call that paint thinner around here, it will peel the paint right off your car"!!! She saw my skin issues right away and told me it was obvious to her. Said I had irritant dermatitis and that I had done a real number on my face. She even took the tazorac sample from me and threw it in the trash. She was even more horrified with me telling her everything else I had done immediately after putting it on my face and days later. She told me I did just about everything to cause my skin to 'turn' SO drastically. She said to absolutely never do that again and that she is sure I learned my lesson, that we 'all do stupid things'. She did say it should go back to how it was before all this happened but I had to give it time. She also said that my skin will peel (it hasn't yet, even after 3 weeks), I told her it hadn't and she said 'oh it's definitely coming'. I actually hope it peels, I feel like it needs to. I told her I was very distraught about the texture and pores especially and she said that while pores do get bigger with age, mine should go back to normal size once all the inflammation is gone. I brought all my products I used and she went through them and told me what was good and what should not be used during healing. No exfoliation ofcourse. She also said she was wondering if she would have to treat the underlying acne once this went away because she didn't know what was caused by the irritation and what wasn't. I told her how I had only had a small amount of normal acne coming up before hand and I showed her a pic from just 1.5 months ago, and she zoomed in on it and everything and told me "oh yea, you should be fine then" so I guess she saw that my skin was fine before hand (even with the months of neglect). My issue is that I have a real hard time believing my skin will go back to how it was, there is so much wrong with it and it has the appearance of strange scarring, etc etc etc and everything I've read concerning this issue is so fear inducing as nearly everyone can't get rid of their issues after retin a destroyed their skin (and tazorac is one of the strongest types!!). It's not like other things where reviews and results are mixed and things get better, this skin reaction thing is like some unanimous eternal dooms day in the online community. It's freaking me the hell out. Derm also prescribed me hydrocortisone cream 2.5% to use for 5 days. Twice a day. I already know that stuff is dicey. Thinning skin, steroid induced rosacea, etc. And I know that taking steroids, even on skin, when under extreme amounts of stress, is dangerous. I don't need to be developing Cushings or something. It's not prednisone or anything, but still. Obviously a derm gave me that tazorac a long time ago without a second thought so how am I to believe any derm. Most I have encountered don't give a damn about anyone's skin but their own. It seems all they can do is diagnose skin cancer as benign or malignant. My poor brother had very very severe cystic acne on face and body, granted he picked, but I remember our dermatologist just putting him through unnecessary and unhelpful treatments before finally letting him go on accutane. He drug him through the mud and unfortunately I don't think my brother was forthright enough in letting anyone know how it affected him. You know tho, I'm not so sure it would have mattered as I have made it clear to derms how much some things have affected me in the past and they literally say "so what" "who cares". If your skins not perfect "so what", If such and such doesn't work "who cares" , We will just try "x, x, and X" And have "patience patience patience" And I don't know why, but they don't BELIEVE most anything that comes out of our mouths. That's why I'm so glad the 3rd derm actually looked at my pics, (I was ready to show her as many as she wanted, I even put some in a folder on my iPhone which were the clearest most high definition ones I could find from previous months and so on ago). I would like to believe her but I'm still not sure she grasped the fact that my skin was near perfect beforehand. That's why it worried me when she mentioned "underlying acne" because months ago, there was no acne and what I'm seeing now is a whole skin issue and things that look like acne and scars which came in a matter of days. Things I've never experienced in my entire life, even during my time with cystic acne. So yea, I still don't know what to trust and what not to. I have to be cautious with everything I do to myself now. But I know that inflammation itself is also bad long term and my face has already been extremely inflamed for 3 weeks, I don't want prolonged inflammation to cause permanent tissue damage. So I'm stuck on whether I should use the cream or not. I should have asked whether it was necessary or just a comfort thing for the itching and burning. Idk..I'm just so far gone now that this has happened..who knows how long it will take to resolve..and if it doesn't I will surely be 6 feet under in no time. My skin was one of the only things I had going for me with these other things I have had to deal with in my life. And I already know how skin can cause more distress than a lot of other issues because I've already been there with the accutane thing 3.5-4.5 years ago. Many things took a backseat to that. Never thought I'd have to deal with skin issues again, esp to this degree. Not to mention its not even acne, but my actual skin itself. It's incredibly sad. I have the skin of an 80 year old working the fields in the hot sun for years right now. I want my poreless porcelain skin back, I can't see the light at the end of the tunnel when the damage looks so stomach churning and the online consensus is grim. I just can't believe this happened from only two uses and why it started off as red bumps and then suddenly turned my entire skin on its head. I know when I went to first doctor my skin was still white and texture was good, just oily and red bumps everywhere. The rest of this madness seems to have happened after the exfoliation (it was suds tho, not beads). I also used keto shampoo that I had previously because I thought this was a fungal infection at first. But the 3rd derm said that wouldnt have affected anything but that it woudnt have helped anything either. I just can't wrap my brain around it all. Other people have peeled their whole face off and scrub the life out of themselves every other week and are fine. My skin looks poisoned, ugly, and infested with no signs of improvement. This is a NIGHTMARE.
  3. So I've been on tazorac for 7 weeks now and still getting cystic acne. Should I just stop and ask the doctor for a different medication?? When I originally went it was just hormonal acne on my chin, but now it's on my cheeks and their big and cystic. I take bactrum and wash my face with cetaphil face wash. Any suggestions??
  4. Post #4: 2 months

    So today marks two months on Spiro. I recently went on Minocycline 100mg to combat the persistant breakouts I've been having since week 4, and my dermatologist prescribed me Tazorac and Aczone, which are really helping (much more than the Retin-A, which I think was just too rough for my sensitive skin). I'm feeling hopeful now that I'm taking minocycline and have been good about taking all the medications at the same time every day. I feel less self conscious about my active breakouts and the overall texture of my skin has definitely improved. My whole family tells me my complexion is worlds better but I still haven't seen enough improvement to be satisfied - but I'll hang in there. Hopefully by 3 1/2-4 months I can reassess and see some changes.
  5. Which one of these 3 prescription creams is best to use a spot treatment for one large pimple that is being stubborn! I alternate between finacea and tazorac at nights, my skin is pretty clear with a few hormonal pimples here and there. Right now I have 2 big ones. Is one of these better to leave on overnight to try to shrink/get rid of spots quickly?
  6. I am getting ready to start my second round of Accutane at the beginning of August 2017. Am I terrified? Oh, yes. Even after swearing by Accutane after my first treatment ended, I still have so much trepidation going into this second treatment... around 11 years after my first treatment ( age 15/16). Let me state.... Accutane works. But it's so damn slow. Your body has to adjust, your skin has to change, you have to go through the side effects. Basically, you have to walk through hell in order to enter into heaven. But, according to 16-year old me, "I'd do it again". Little did I know... I would have to do just that. Since my first treatment, I was clear for probably a good 5-6 years before the acne started to work its way back to my face. I never thought my acne was bad enough for another course of Accutane, so my derm would prescribe me antibiotics. Specifically, Solodyn which for a long time, effectively worked to keep the large, red and inflamed bumps at bay. That is until my newest derm told me that I couldn't keep resorting to antibiotics to clear my skin. 1.) My body was already building an immunity to it, thus the mgs had to keep getting increased, 2.) antibiotics are not safe for long-term use. So, when I started having my yearly acne flare-up (which had been occurring like clockwork around 8-9 months post-Solodyn), my derm decided to switch me to Tazorac and Spironolactone. The combo that initiated my downhill spiral into the worst acne I've had since high school. I tried to stick it out, but after having intense cystic places on my cheek, I scheduled a follow-up appointment. I burst into tears right there in the office. My face hurt, my makeup looked wrecked, I was fatigued from getting such little sleep due to my acne anxiety.... so, she put me back on Solodyn without hesitation. Solodyn began to slow the occurrence of new breakouts, but I still... kept... breaking.... out. I tried to be patient. I tried to let it get into my system. Three weeks in, I saw little improvement and my stomach began to hurt, something it had never done before when taking Solodyn. During that "crying-spell" appointment, my derm stated that after this, if there was no improvement, she recommended that I take Accutane again. To reiterate, three weeks in, I saw little improvement using Solodyn, Ziana & Aczone. My chin, a place I'd never had issues with before, had (and still has) deep, cystic places that would just spread and spread and spread. They were painful. I attributed these breakouts to the Spiro which targets certain hormones. It really messed me up hormonally , and I'm still waiting to have my period after 2 months being off of the medication. Anyway, during those three weeks I really started reconsidering Accutane again. I had already tried changing my diet, taking supplements, exercising, sleeping more, being more gentle with my skin, not picking, etc. But my skin would not make any postiive changes. It would not slow its breaking out. It was irritated. I was irritated even more. So, I stepped out of my office at work and made the call to my dermatologist. I said that I wanted to take the plunge... I wanted a second course of Accutane. Things happened so fast. The next morning I was filling out the paperwork and within two days I was all set. First pregnancy test cleared (as you have to take two negative tests before getting your first prescription). My second pregnancy test will be taken through my bloodwork on the 31st of July. After that clears and I answer my iPledge questionare, I will be prescribed 40 mg (20 mgs more than my initial Accutane course). So, what am I doing the month before my treatment begins? I am prepping. Mentally, emotionally, spiritually because I know that this process is... well, a process. I am getting by body ready for the dryness by "pre-moisturizing". I am making sure that I have all of the essentials: CeraVe lotions, Aquaphor, gentle hair shampoo (I opted for baby shampoo/wash), Eczema bath oats (as I got eczema the first time), eye drops (as I got an infection in both eyes), and the best of the best lip moisturizers. I am mentally preparing for another initial breakout (I had a pretty severe one my first time), and I am being selective on the information I choose to read/watch as to not spark any negative thinking before my treatment begins. I am being self-loving and gentle on my skin before I start the meds. I have no plans to share my "before photos" until I start seeing an improvement. This is a skin journey for me, and I don't want to display my skin right now until I am comfortable with my process. However, I would like to communicate with any other users who are currently in the "waiting" period before their treatment. Let's stay in touch!
  7. I've been using tazorac for about a week now, and I've noticed my skin becoming slightly bumpy, mainly around the forehead area, and then a tiny bit on my nose and my chin. the bumps aren't red, or irritated, they're not normal pimples and I wouldn't even consider it acne. Just bumpy skin. I'm worried this will become the permanent texture of my skin after I stop using it. My skin was never like this before, and was rather soft. Now its bumpy and starting to become noticeable. Has anyone experienced this before as well? Any advice? I have also been taking doxy, then minocycline for about a year now, as well as retin-a for the same period of time. this regimen was perfectly fine and didn't give me any issues similar to this. The only thing my dermatologist wanted to change was the retina a, to tazorac, to help counteract the possible acne flareups as i taper off my oral antibiotics.
  8. So for the past two years I have been using tazorac 0.1%. My skin is lots of scarring all over my cheeks with some active break outs and lots of redness. I don't breakout around my jawline or forehead typically and this area is spot and scar free. I was tired of not seeing any results so I started the regimen. I use ultra repair cream as a moisturizer with jojoba oil with cetaphil face wash. Right away I noticed improvement especially with my redness decreasing along with active large breakouts. I noticed my face became textured so I bought jojoba oil to improve the dryness however I realized my skin wasn't dry, it was full of tiny pimples. (It's difficult to notice because of my scarring). All over my cheeks and the places where I don't usually breakout (forehead and outer cheeks) are full of tiny bumps. I don't want to stop the regimen because of the progress I already made but the bumps are so unsightly and really bothersome. Is this my way of purging? I'm really concerned the bumps will not go away because my sister used the regimen which cleared her skin but she's left with tiny bumps as sure what to do or what these bumps are. I started the regimen two weeks ago and my sister suggested juice beauty green apple tea peel for the bumps, but I Am scared to try something new. If anyone has any idea why my skin is now breaking out with tiny bumps like crazy please help! The first week this isn't happen!
  9. After one month of Accutane I was forced to quit due to high liver enzyme levels. Luckily, my acne wasn't/isn't too bad. I'd say it was at sometimes moderate, but now is mild...enough. The month on Accutane really did wonders on my oil production. It went down significantly. All I'm doing now is using a 10% BP wash morning and night as well as using a honey mask at night, most nights, and using a Tanda Blue and Red light thingy that I got off of Amazon recently. I had 3-4 cystic-like pimples pop up on my forehead and left temple the other day. One on my chin several days ago...Besides that, I just have fairly noticeable red/brownish scar/marks on my forehead and temple. Cheeks and chin aren't too bad. Today, I went in for a Blue Light treatment. 16 mins 40 secs. Also got a script for Tazorac .05% from my derm, which I purchased off of a Canadian online pharmacy for $110 sans insurance. I was going to do it with the Levulan, but decided against it due to work and the down time required...mostly. $200 for just the Blue light or $700 with Levulan. Seems REALLY STEEP!? I guess that's South Florida for ya? Nothing to report or say about the light as of now, nor do/did I expect anything crazy for the first treatment. I AM debating on getting it with Levulan next time, though. I like this derm, but damn is that expensive. I might want to shop around a bit. So, with that said, does anyone have any experience with this treatment and care to share? I've read numerous reviews already on here and Real Self, but am still looking for maybe a little more reassurance before I take the (expensive) plunge! As far as downtime goes, did anyone have relatively short DT or excessively long DT? Experiences and opinions are welcome!
  10. Hi all! I started using Tazorac a couple of months ago when I got samples from my derm- I fell in love with it so decided to get a prescription. After finding out the cost of Tazorac I asked for the generic prescription which is the Tazarotene .1% cream. I've been using the cream for about 4 weeks using the short contact method (anywhere from 10-15 min each night) and I'm waking up in the morning with extremely irritated skin. It doesn't feel extra dry, but it also doesn't feel like it's healing the acne breakouts, only irritating them more and leaving the rest of my skin that isn't broken out, red. I'm just curious if anyone else has had any experience using the generic cream. I know that it is fairly new to the market, but any insight or feedback is helpful! I'm just not sure if I should just suck it up and pay for the brand name Tazorac. For the record, i'm 30 years old with mainly hormonal acne- I started using Tazorac to help control breakouts and to help with acne scars/discoloration and prevent fine lines/wrinkles.
  11. Hi, My dermatologist prescribed me Tazorac and wants me to use the "short contact therapy" where i put it on my face for 5 minutes and rinse off.. Then work the amount of time I keep it on my skin up. She also told me to put it on my skin (dirty skin) which sounds sooooooooo weird to me. What is the proper way to do this? i dont really feel comfortable putting it on my dirty skin, (i.e - makeup, sweaty from gym etc) it just sounds so wrong... So can i wash my face regularly in the shower, than put the tazorac on for say 5 minutes.. then wash it off with just water? or wash it off again with cleanser? Then apply night moisturizer? I'm a little confused of the order to do this in. What do you guys think?
  12. Tazorac: Week 14

    Hey guys, I'm on week 14 of Tazorac and I am starting to lose hope. At this point, I thought my skin would have improved. However, I am still getting breakouts. I went to see a new dermatologist over last summer 2016 because I was getting cysts on my neck (rest of my face was clear). She prescribed me a retinoid, however, I now looked worse than before I started. Background: 18, male and suffered from severe acne since aged 10. Took Accutane twice (8th grade and 10th) and both times have worked; however, mild acne returned 8-12 months later. Since the beginning of October of 2016, I was prescribed Tazorac 0.05% cream and dermo later increased dosage to 0.1% gel at week 6. I also was prescribed doxycycline along with the Taz 0.05% but she took me out at week 6 as she said that it would be harmful to me (even thought she recommended me for a third round of Accutane?) I have an appointment with another dermo in March so I was wondering if I should stop using Taz now or continue using it and wait for what he says? Regimen: Morning: Clean and Clear Daily Wash Cerave moisturiser Night: Clean and Clear Exfoliator Cerave moisturiser Taz (small pea sized amount)
  13. After having my acne under control for a few months, I have been quite disappointed these past few days. Two days ago I took Plan B, and since then I have gotten many, many new pimples. Not just any normal pimples, no... they are large and inflamed. Could plan b be the cause of this? Also, could this be a sign that my acne is hormonal?
  14. For the past year + I have been using Aczone (dapsone 5%) in the morning and also as a spot treatment, along with tazorac (0.1% dosage) at night. I wash my face twice a day with Cetaphil bad use Ponds as my moisturizer. Recently my doctor has prescribed me with Epiduo, which he said would be a less aggressive treatment than the one I am currently on. My new regimen was to use clindamycin phosphate (1%) twice a day (morning and after school) be then epiduo at night. After school yesterday i applied clindamycin and then at night I washed my face with cetaphil, used my ponds moisturizer, and applied Epiduo all over my face. Tazorac always burned my face after application even after using it for a year and i always suffered from dry patches, however, using Epiduo for the first time Friday was like any other pain I have ever experienced before. I can usually tolerate the burning from tazorac but it wasn't even ten minutes before had to run to the bathroom to wash off the Epiduo treatment. It continued to burn my face for a good half hour even after I washed It off. Applying moisturizer also made my skin worse. After leaving cool wet cloths on my face for 30 minutes I finally went to bed with only moisturizer on my Face (have not gone to bed hour anything on my Face in years). Now i have read reviews on EPiduo read other people's stories but am still scared to try it again because of how painful my first application was. Was it so painful because i was switching from retnoid to retnoid? My questions: 1) If i were to continue treatment of Epiduo should I cease using clindamycin until becoming accustomed to it? 2) Should I start EPiduo by using it every other day? Could i use tazorac on the fays i dont use epiduo? I am concered about going to bed every other night with nomedication on my face. 3) Should i start out using Epiduo as a spot treatment and then work my way up? overall im just not too sure how to go about using this new medication my doctor reccommended Epiduo for me because it was supposed to be less aggresive and more calming for my redness and breakouts, however, im concerend Epdiuo will only worsen my skin. Should i just stick with my tazorac which has kept my skin under somewhat control but has been losing its effectiveness. I did notice slight improvement Saturday morning, possibly from epiduo. after reading so many posts over the years i decided to make my own, really need your advice!
  15. my hairs a mess sry. how do i cget rid of this nasty sh*t?!! im so sick of it! i used to use tazorac but it made my face so itchy that i couldnt even fall asleep.
  16. IMG-3120.JPG

    From the album hyperpigmentation log

  17. acne

    From the album hyperpigmentation log

  18. I just picked up my acne medication and feel pretty overwhelmed. Despite always having clear skin (with the exception of lots of blackheads), I developed painful, persistent whiteheads and inflamed blackheads even in my dry patches. I was prescribed Clindamycin and Benzoyl Peroxide Topical Gel (1%,5%) and Tazorac with essentially NO instructions. I scoured the internet for what I could and still have some holes I was hoping you could help me with. To start out with, I'm assuming that the Clindamycin and Benzoyl Peroxide Topical Gel is for day and Tazorac for night and that the Tazorac should be used every other day. I started out with the Clindamycin/Benzoyl first and felt some irritation around my nose and chin, and while I know that is normal, I still want to make sure I did it right. I showered, waited a bit, used my Cetaphil and Clarisonic, and patted dry. As I applied the Clindamycin/Benzoyl, it felt like little pieces of dead skin were coming off, which was weird since I exfoliated yesterday, and if I rub my cheek, more dead skin comes off. It was really dry, so after 10 minutes, I applied my Neutrogena Oil Free Moisturizer for Combination skin and started to feel irritation around my chin (where the majority of the acne is) and my nose. Did I mess it up? As for Tazorac, all I can tell is that you apply your moisturizer first and use it every other day, and I know not to use any other acids that might cause further irritation. Now to my questions. I have no idea what I'm doing, so they may seem pretty stupid. Can I apply makeup using this medication, and honestly, should I be on this? I'm such a wimp because the burning right now is making me question everything. Has anyone else worked with this combination and had success with moderate/mild acne?
  19. Hey guys. So this marks the middle of week 5 on nightly Tazorac cream .05%. I've had some increased breakouts, but in terms of irritation, dryness, and redness, things haven't ever gotten that bad. I feel discouraged because my closed comedones, which are fairly visible, haven't shown signs of even beginning to surface. I don't understand this...if my skin has been rapidly turning over for 5 weeks, wouldn't there be ANY change? Enlarged, forming into zits, falling out, anything? Here are two pictures of my chin. Image 30 (where my lips are bigger) was when I started, image 29 is now.
  20. This marks the end of week 2 on nightly Tazorac .05% cream for my moderate acne, and so far...nothing. Had a little bit of what looked like a typical hormonal breakout. Otherwise, no peeling, redness, dryness, or purging. I have a lot of stubborn closed comedones on my chin that have been there for over a year, and those show no signs of surfacing. I was on Tretinoin cream for a week before starting Taz, and although I experienced peeling and dryness, I also saw that comedones starting to surface with that. I switched to Tazorac because a derm told me she sees better results with it than tret, but now I'm wondering if I made a mistake. Any encouragement or advice would help me.
  21. I'm a 24 year old female with acne on the lower end of moderate; about 5-8 cysts at any given time and TONS of clogged pores. My skin tends to be dry. I started Tretinoin 0.05% cream one week ago, and I'm starting to purge and flake, but irritation is not too bad. Recently, I've been reading up about the dreaded comedogenic isopropyl myristate in the cream. I panicked and went to another derm who prescribed Tazorac 0.05% cream short contact therapy. But now I see that tazorac contains mineral oil, which is ALSO pore clogging! I realize that this may be insanity on my part, but I just want to feel like I'm not going to undergo a traumatic purge just to find that I'm clogging and need to re-do the entire process with another retinoid. Should I switch to the Tazorac, stick with the Tret, or try to get another script entirely?? My skin is dry, so I'm worried the alcohol in the gels would be overkill. So discouraged. Any wisdom would be helpful! Please help!!
  22. I made another post about this, with my pictures, but has anyone had this happen from something they've done or used, and MOST IMPORTANTLY...has it gone away?!?!IM SCARED TO DEATH that my skin won't return to how it was 3 weeks rather have my cysts back from 4.5 years ago and just go on accutane again than have my whole facial skin uglified in a matter of days just from using a retinoid twice and GENTLE as hell exfoliation. I literally sucked Google dry for search results on this exact situation and all the threads and posts I come across are incredibly hopeless with people supposedly dealing with this YEARS after stopping all products. Ive went through probably 500 posts from various sites by now. im losing my mind here, I've got enough to deal with. After Accutane (and before I got cysts from trying birth control), people would come up to me and tell me I had beautiful porcelain skin and often think I was still 16, now I'm being mistaken for my mother's sister and my skin looks like that of a field worker who never applied sunscreen a day in HIS life (yes my skin now looks like a man's...which I ain't)(no offense guys...actually I found threads where men are experiencing the same thing, so this stuff must roughen up everybody's complexion) and my face hasn't so much as touched the sun in over seven years!! (Besides walking to the car and walking into someplace..I even block the sun when I'm in the car and the windows of my house as well.. I eat healthy as all hell, no dairy or gluten or sugar or even coffee now! Fish and vegetables galore. i'm afraid to even eat half a Piece of dark chocolate right now, even tho what I have going on isn't even really acne per say, but I dont want anything more to come up that can scar with whatever the hell this texture is that's going on, i also drink two gallons of water a day and take my vitamins and now I'm not doing anything to my face other than the only constant that I was doing before which was just Cerave Hydrating cleanser morning and night (now only once because OW), any once a month exfoliation or moisturizers from before are not even being touched as my skin won't take them in anyhow, I'm afraid to even exercise as the sweat and urea might burn me further, I've got one foot in the grave until somebody comes along with a Happy ending to this similar madness.HELP ME
  23. Hi everyone! I made it a thing on my list of to-do to write about my Tazorac cream experience. When I first started using Tazorac, the only thing I would search for on the internet constantly was people's experiences and actual progress pictures. I wanted to feel motivated and not feel so alone. So here is some history of my skin. I am currently 19 years old. I started suffering with skin issues when I was about 12. It started on my forehead where I would just get a bunch of bumps and I would hide my forehead with bangs. Then, my 12 year old self did research and discovered that hair on skin is a no-no. I stopped letting my mom cut bangs on me. My skin was overall fine during those 12-15 age years. I think the worst area was my forehead. I, however, thought I had the worse pimples ever. Looking back now, I would love to have that baby porcelain skin. I had really great skin during the summer when I played tennis, probably because of the sun. I noticed my skin started to get worse AFTER the sunny season. Senior year in high school, I had decent skin. I had pimples here and there on my cheeks and forehead/temples. The summer after, I would just get whiteheads on my cheeks that were not pleasant to look at. It was not until November of 2015 I started to use Tazorac. The derm prescribed me Doxycycline - which helps reduce inflammation so the cream can target the skin. However, I was using it completely wrong. I used it as a spot treatment and I was not taking the pills consistently. At first, the spot treatment worked. Then, by December my cheeks just began to bring out clusters of pimples that were itchy, red, and bumpy. I was itchy and I just wanted to SCRATCH my face. I did not realize how bad it was getting until I got home from winter break, took off my splotchy makeup, and realized my skin was about to go through something. I was horrified and nervous. I was thankful to have a month off of school and it is amazing what skin does in a month. It went through so many phases for me. SO, for about a month, I was not using Tazorac .25 cream correcty. It wasnt until the week of December 21st I started to get my act together if I wanted my skin to improve. The thing is, my skin was not that bad before Tazorac made it worse (it is a part of the process with Taz to make your skin worse before it gets better) - but obviously my skin just needed a major detox. So, I began to take the pills holistically every morning as well as use the cream correctly. AKA, a pea sized amount spread on my cheeks. I cleansed with Cetaphil and used Mario Badescu Vitamin C moisturizer (seriously, so nice! It's light and Vitamin c is good for your skin). As well as CeraVe cream for the face because Tazorac can really dry your skin out and cause flakiness. I went to the dermatologist and he then upped me to Tazorac cream .1 and told me to mix it with a moisturizer like CeraVe so it wont be as intense for my skin. Anyways, back to progress. The first four weeks were just... gross. I was so sad. I hated looking into a mirror because I would just focus on my cheeks. I avoided all mirrors and I did not go outside much. I did not want to wake up everymorning to a new cluster of whiteheads. I would force myself to go to the grocery stores because I did not want this to stop me from living life. Inside I knew that other people have it way worse and not just acne-wise. I would go to the stores and realize that... Nobody really cares. And if they do, they're probably not going to matter in your life. And theyre complete strangers I would never see again. And your real friends won't judge you. My sister had gone through this experience and she now has great skin, Thank you God. So she knows exactly what I was going through. I just prayed to God that I would get over this hard phase and asked for some strength. I focused on other things. I started to crochet and I crocheted a bunch of scarves that winter break. Scarves and headwraps 4 everyoneeeee. Yep. I changed my hair - I added highlights for the first time ever because I wanted to feel in control of something. I cut out drinking my coffee with sugar and processed foods - as much as I could. I ate salads and sweet potatoes (good for inflammation and naturally sweet). By Week 5, I felt my skin was finally improving. My sister said that once you see it improving, that is when it gets better. She was right. It wasnt the best, but I could put on makeup and finally feel a little better about looking at my self in the mirror or in glass windows. I was so thankful for my sisters to support me and to God. I started to feel a little more confident. I saw a girls video on youtube about her journey and was so inspired. I commented on her video, she replied and she told me to hang in there. And I am so glad I did. This is why I am writing this. To give that support to someone that is going through this "journey". I say it is a journey at least. I think everything in life is a journey of its own. Anyway, I am in Week 20 now. I see major improvement. I have some n or dark spots where I had pimples. my skin is not perfect, but it is so much better and for that I am thankful. I make sure to remember how bad it was before and to be thankful for the place I am now. Ive started to go out not wearing makeup (foundation, blush). I will insert some images to show where I first started to break out and then when it really got bad, and how it is now. The photo on the left was in December. The picture on the right is from this May of 2016. This is my left cheek now. The scarring is gradually going away. This is scarring I had and as you can see, its slowly going away. I drink a bunch of water a day, I've started to cut out sugar and dairy- but it is so hard I know! But Ive cut down on sugar and I have not seen a new active major brekaout that I feel I need to pop. I just deal with them. Overall, my skin is STILL in the process of getting better. I use Taz at night and try to be gentle with my skin! I hope this serves as hope for anyone that is going thorugh the first few weeks of Tazorac or just in general. You are not alone! I know how you feel. Hang in there! Stay positive. Your skin is precious and it takes time for it to see improvements. I burned my wrist awhile back around the same time I started breaking out. It IS STILL HEALING and is darker than the rest of my skin. It was a small reminder that my skin is going to take time to heal itself. Help your skin by drinking plenty of fluids, being gentle, seeking help from others if youre feeling down, and dont let your skin stop you from doing things that make you happy!
  24. My skin journey has been for a lack of better words...a journey. Throughout my teen years, I never had acne on my face. I did struggle with a bit of back acne when I was 16-17 however, I live in a pretty cold climate so it was easily covered up for about 75% of the year. Once I hit 18, I went on tricyclen-lo (BC) to keep it under control and it cleared up immediately. About a year later, I decided to get off BC but luckily there was no flare-ups with the acne. My doctor prescribed Retin-A to get rid of the scarring which worked great. I was able to wear the sundresses and tanktops (for the 2 weeks of summer we get) that I never got to wear when I was younger. Fast forward to about 24, I noticed that I started getting more and more pimples around my time of month. They were these large huge cysts all over my cheeks that were painful and throbbed for days and days. Slowly, these pimples then started popping up everyday, in addition to these small black head like bumps all over my chin and forehead. I visited my dermatologist and she prescribed tactuo, a really strong benzoyl peroxide cream. This worked for drying out the large cysts, but I still had the bumps all a long my chin. The tactuo worked for a week or two, even though I felt my skin was literally peeling off. After the second week, my skin went NUTS. Overnight I had about 10 new cysts, and the rest of my skin was raw and red. Needless to say, I didn't go to school for about 3 days until I could get it under control. Turns out, I somehow managed to develop an allergy to Benzoyl Peroxide. So that wasn't going to be a suitable treatment. Back to the dermatologist. She did a bunch of labs, ultrasounds, even x-rays. To check all my hormones, thyroid, liver, kidney, ovaries etc. Everything came back okay and the dermatologist was having difficulties determining the reason for my random on-set adult acne. She put me on tazorac cream for the time-being to keep my flare-ups down. I also went on a pretty extreme diet, no wheat products, no gluten, no dairy, no sugar, no caffeine. I literally just ate fruits and vegetables and chicken/steak for every meal. The tazorac was also making my face peel like none other. I went to a wedding, and I remember going to the bathroom and looking in the mirror and my entire cheeks and chin had white flakey skin hanging off. It was disgusting. My skin wasn't getting any better and it was just this red flakey mess. The diet was clearly not helping either. I stayed on this regime for 12 weeks, since it takes a while for the tazorac to start working. While it stopped most of my large cysts, I was still getting blackheads that felt like they were burrowed under my skin (See Photo). The tazorac was sort of helping but not entirely. So we changed it up a bit, I started taking apple cider vinegar mixed with water daily to see if that would help at all. I also started taking vitamin A and vitamin D daily (10,000 IUD's of each). Another 12 weeks of this + tazorac + the diet, and absolutely no change. My confidence was so down, I rarely went to class or out on the weekends with my friends. I hated how every morning was such a struggle because the state of my skin would ultimately determine how my day was going to go, or if I was even going to get out of bed. When I did go out, I had to pile on foundation, concealer, powder etc. and have to consistently check my face to make sure I wasn't peeling or my makeup had melted off. It became exhausting. I even had a few girlfriends from childhood say to me: "Poor you, you always had such amazing skin in highschool, we were all so jealous. I guess you got hit by the acne train late" Much against my wishes after the new year, I decided to go on a low-dose regime of Epuris (Canadian version of accutane). I was given 10 mg/day and was told to keep using the tazorac as a spot treatment. In addition to the Epuris, I am taking: -A Iron Supplement -Vitamin B12 -Vitamin D (10,000 IUDs) -Probiotics Week 1: The first week of the Epuris was alright, I did find that my lips were a bit more dry than usual. I live in Alberta, Canada in quite a dry city, so I am used to Carmex everyday. I also found that I had no appetite anymore. I felt full after small meals and would actually feel sick if I ate more. I was extremely lethargic, I usually bounce out of bed. However after the first few days I just felt absolutely exhausted even though I had slept 8+ hours. However, the worst side effect, was the bloating. I am so unbelievably bloated all the time. To a point where I would look as if I am 6 months pregnant. It's terrible, none of my jeans seem to fit. I felt like a huge cow, even with leggings on, it still looked like I was pregnant. I went to see my derm after the first week, and she recommended an Iron supplement, Vitamin B12 and Probitiocs to offset some of these side effects. I didn't notice any peeling or dryness of my skin. However, I've been using tazorac regularly for about 8 months now, which dries out the skin. So I think my skin may have just been used to it. Week 2: The probiotics and the iron seemed to help with some of the symptoms. However, I do find myself tired still. I definitely have to drink coffee every morning just to wake me up. I also have been suffering from headaches. I found drinking a lot of water has helped to keep the under control. But I do find myself reaching for advil a lot more than I am used too. I am still very bloated, the probiotics have helped. I am not constipated, and I am going to the bathroom quite regularly. However, I am still very bloated. Which is starting to get extremely frustrating, seeing as I have a closet full of clothes that I barely fit into now. My lips are somewhat dry, but nothing to be concerned about. My skin however has cleared up, it's insane how fast this stuff seems to work. My blackheads have mostly come to the surface, and are easily extracted just by using my fingernails to scrape them. I also have this glow to my skin, that I haven't had in a year. It's also finally baby soft (where there are no bumps). I can get by with a tinted moisturizer and concealer, something that I haven't been able to do in over a year. I have found that my skin is drier than usual. When I get out of the shower it is so tight that the first thing I have to do is load up on lotion. It isn't peeling, however it is definitely "tight". It doesn't seem like I have purged at all, however I think this is due to the tazorac. There has been no change to my scarring yet. I still have very dark purple scarring all over my cheeks. Hopefully this will fade over time. Besides the excessive bloating, all the side effects are bearable. Week 3: I think I may be purging. It is nothing excessive, but I do have a bunch of new blackheads that seem to appear each night. They do however come to the surface and are easily extracted 1-2 days later. The one other side effect is redness. My skin is very very red now. Which has gotten hard to cover. I have olive skin, so the red really seems to be showing through. I am still so bloated all the time, I almost think it is getting worse. It's getting really frustrating to deal with. I feel like I've gained 200 pounds in the span of 3 weeks. I'm going to try taking my probiotics on an empty stomach and see if that helps at all. I am experiencing pretty dry eyes too now, I wear contact lenses and have never really had to use eye drops. But I find myself relying on them a lot more to keep the burning feeling away. It's insane to think that such a low dose has so many side effects! I can't imagine what a 70 mg/day dose would do to me! Product Used: 1. Cetaphil Moisturizer - HOLY GRAIL - This stuff will save your skin. If you find you have flaky bits on your face, don't use an exfoliating brush. Put a little bit of this on a cotton pad and rub it over the parts that are dry. It will get rid of the "flake" and also provide extra moisture. This is a MUST HAVE. 2. La Roche Posay Effaclar Face Wash - For Sensitive Acne Skin, not scented and works really well. I find that the cetaphil cleanser doesn't really cleanse my skin and I need something that will help get my makeup off. 3. Clarisonic with Acne Brush - I know that it's suggested that you don't use a clarisonic. I think my skin was used to the tazorac already so I've found the clarisonic doesn't irritate my skin at all. It also helps get out all the makeup from my pores. 4. Apple Cider Vinegar Toner - I mix 1 part vinegar with 2 parts filtered water, it cleanses the skin without overly drying it out 5. Clinique All About Eyes Rich - My undereyes have been drying out a bit more since using Epuris. This stuff works really well at keeping them moisturized all day 6. Clinique City Block SPF 40 Sunscreen - The Cetaphil moisturizer doesn't have an SPF, so this is vital! I find the clinique is oil free, it doesn't make you break out and is also gives you added moisture. I have the SPF 40 however it only comes in a "cream" color which leaves a bit of a cast on my skin if I don't fully blend it in. For darker skin people I would suggest the SPF 25 as it comes in a "clear" color. 7. Carmex Lip Balm - Pretty self explanatory, you can't find Aquaphor where I live. But I find this does the trick. I usually try to stick with the kind that comes in the tube. Im not a huge fan of using "dirty" fingers in the pan version. 8. Laura Mercier Tinted Moisturizer (Oil Free) - This stuff is nice and "greasy" but in a good way. They say its the oil free version for oily skin, however I find it works best with dry skin. It won't stick to the dry patches and it gives you the extra moisture you need. It has medium coverage, so you still need some concealer. Keep in mind it has SPF in it already. So you don't need to put any sunscreen on. You should never layer your SPF's! 9. Smashbox Oil Free Concealer - This stuff is also nice and greasy and won't crease and settle into dry patches. It work's great at covering my scaring. I do need to layer it a bit for the dark purple scars, however it still looks completely natural. 10. Smashbox 15 Hour Wear - Oil Free Foundation - This is amazing stuff, it makes your skin look so natural and it won't set into your dry patches. It has buildable coverage and works well over cetaphil and the city block. So thats my journey so far, I haven't seen much online about people on low dosages. So I thought I would share. I'll keep posting and hopefully get some photos up as well.

    About 3 weeks ago, my dermatologist switched me from Retin-A to Tazorac 0.01%. I had small bumps all over my forehead, chin, and nose area. It wasn't too bad but we were hoping Tazorac would knock the rest of it out. Boy was I wrong. It's week 3 and my skin is even worse than when I started. It's a lot more red, flaky, and I have bigger pimples that now hurt. Another annoying part is when I wear makeup, my skin flakes no matter how much moisturizer I apply. tips? Is this just a phase of Tazorac where it gets worse before it gets better? I am considering switching back to the Retin-A I was using beforehand but don't want to do that if I know my skin will eventually get better. This breakout is really annoying and makes me want to hide under my bed. Help!!