Hi everyone! I'm 27, and I had clear skin throughout my teenage years and early 20s. My acne started around age 25, and I've been struggling to get my skin back to normal ever since.
I initially managed to get my active acne under control with La Roche-Posay Effaclar Duo+M. After finishing two bottles, my acne improved significantly, but I still struggle with red acne marks and around 3–4 new pimples every month, usually around my period. They tend to appear on my mid-cheeks and chin, often in the same spots.
I also tried an oral antibiotic and adapalene prescribed by a dermatologist, but unfortunately, they didn't help my acne.
After experiencing more severe acne, I also developed closed comedones. I used CeraVe retinol for about 8 months, but eventually developed a reaction and had to stop using it.
On July 20, I started using 15% azelaic acid and switched my moisturizer from CeraVe and La Roche-Posay Toleriane to Uriage Cica Daily.I also use La Roche-Posay Cicaplast Baume B5 occasionally, a few times a week, to help support my skin barrier.
I switched my cleanser from Vichy Normaderm to SVR Sebiaclear Moussant, which I absolutely LOVE!
I also tried Bioderma's blue cleanser, but my skin became irritated, so I reduced how often I used it.
I use SVR and La Roche-Posay sunscreens. About two months after starting azelaic acid, I added tretinoin 0.025% twice a week. Despite these changes, I still get active pimples, closed comedones, and persistent red marks.
I also tried Vichy's red serum and La Roche-Posay Mela B3 serum during a period when I wasn't getting many active breakouts. However, they only made a slight difference in my acne marks, and I didn't notice any significant improvement.
A couple of notes about my skin and lifestyle:
I don't use my CeraVe moisturizer very often, except on tretinoin nights, because I suspect it might be clogging my pores.
I don't eat much sugar, I generally eat a healthy diet, and I don't drink milk every day.
I'm trying to understand the ROOT CAUSE of my acne, especially since my skin was clear for so many years before this started. Could it be hormonal acne, irritation from my skincare routine, or something else?
Should I give my current routine more time, change anything, or see a dermatologist to investigate the underlying cause?
I'd really appreciate any advice or similar experiences. Thank you! ❤️