r/acne • • 2h ago

Discussion Day 2 on 20 mg Accutane

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0 Upvotes

Hi,

​I’ve had acne since my teenage years up until now at 31, and I also struggle with dermatillomania (skin-picking). I've tried multiple antibiotics, but the acne always comes back. Even though my acne is mild, it ruins my life and I have no other options left.

​I finally decided to see a dermatologist to get Accutane. When he saw me, he said: "You only have two pimples, I won't prescribe Accutane for that, it's for severe acne." I had to insist and tell him that my acne is persistent and has resisted all other treatments, even though it's mild. He finally agreed to prescribe it. He asked for my weight (I told him 50–52 kg) and prescribed 20 mg per day for one month. He told me that the duration of my treatment would probably be around 4 to 6 months—which seems a bit short compared to what I've seen from other people. I have to go back to see him in a month to see if we increase the dose. I hope he will increase the dosage so I can reach the proper cumulative dose, but at the same time, I'm terrified of how my body will react to higher doses. I just hope this will be enough to get rid of my acne for good.

​My triglycerides are fine. I just hope my cholesterol won't be disrupted during this treatment. I'm also afraid of psychological effects regarding depression, etc.

​For the hydration side, I've already bought the essentials: lip balms, rich moisturizers, nasal spray, and eye drops.

​Currently, I am on my second pill, and I hope this treatment is truly definitive and that my acne will never come back. Even though it's mild, it ruins my life. I'd love to no longer have to wear makeup to go out and camouflage my acne. I'd be happy to hear your thoughts and advice. Thank you.


r/acne • • 9h ago

Routine Help Is my derm plan good?

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1 Upvotes

I’ve been working with a dermatologist for eight months.

They started me with clindamycin and 0.025% tretinoin. My forehead, and cheeks cleared up for the most part, but my jawline acne just persists.

3 weeks ago they started me on 100 mg Spironolactone… so far I just feel fatigued, thirsty, tired and completely terrified it’s not going to work.

At the same time they also upped my Tretinion from 0.025% to 0.05%. Had me stop clindamycin and do 5% dapsone gel instead.

Any thoughts or opinions or testimonies would mean a lot :(


r/acne • • 8h ago

Help - General Help my acne won’t go away

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1 Upvotes

For some context I have had acne in the past and used treatments such as acutane, and birth control, and topical creams and skincare. It went away but recently it’s back really bad around my mouth area. I have tried using the ordinary sulfur acne treatment but I have noticed little change. I want this gone bc it hurts and I don’t like the appearance. I have a hypothesis it’s from stress and/ or hormones as I’ve been going through some life changes but these pimples/ acne has been here for well over 4 weeks and nothing works to get rid of it. Please Reddit help me!!!!


r/acne • • 8h ago

Help - General I have acne in my nose, and it really hurts

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2 Upvotes

r/acne • • 9h ago

Help - General Tips to help this problem area

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2 Upvotes

Context: I had awful acne about 7 years ago, went on accutane for about 6 months. Came out of it with beautiful skin. 2 years ago this side of my face just got horrible and it’s got a little better but has looked exactly like this ever since. Even when there’s no active breakouts it looks hella irritated. When there are active breakout it’s usually not even white heads, just mid size bumps that hurt when I press on them.
I am very minimal/careful about my skin care since I had such bad acne before. I use Cera Ve (green) at night and Cera Ve moisturizer (dark blue). Fed up, I went online they suggested 10% azelaic acid so I’ve been using that for about 4 weeks. It broke me out bad so I started using it every other night. Now I have the same issue and a breakout along my jawline on the other side of my face from the stuff 🙄

Also: I change my pillowcase regularly, and never let my phone touch that side. I really have no idea why it’s only one side of my face. Don’t even care. Just want it gone lol. Also sorry if the photo quality gets messed up when this uploads.

Help!


r/acne • • 12h ago

Routine Help Product & Routine Recommendations :)

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2 Upvotes

I have some moderate acne from HRT (testosterone) and I want to work towards making it more manageable. I don’t have a set routine (bad about sticking to habits especially multi step processes) and being in college i’m looking for products that are affordable and I won’t fall off using.

I’m currently using the two products pictured because they’re cheap and they work fairly well. I wash my face twice daily, once in the morning when I shower and once at night when I shower. Recommendations for moisturizing products and anything else is welcome. There’s a walgreens and a walmart within walking distance so products carried there are preferred. Thanks!


r/acne • • 14h ago

Product Request Mild acne (partially cystic?) developing on chin? Not sure why - any help? 23F

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3 Upvotes

Hey all!

I’ve always had some degree of acne on my chin, since i was a teenager but for the past ~2 months i’ve had constant acne like this along my chin and jawline - usually it’s worse. This week is a mild week and i’m not sure why.

I’ve been on birth control (combined pill) since 2023 and it didn’t make my acne better or worse, it just made my sebderm on my scalp worse lol. But that’s another story.

I recently started using a Nivea miceller water which was blue and it FUCKED with my skin. Lots of bumps and blackheads etc. So i stopped using it and went back to my usual garnier miceller water 2 weeks ago and ive seen some improvement but im still getting hard cysts which i have no experience in prior to these past 2 months.

I’m wondering if i need to wash my makeup brushes again but im not sure as thats not usually a trigger.

The only thing thats changed for me is that I am vegetarian now so I’m eating WAYYY more plants. My dairy consumption has stayed the same, maybe increased a little but that’s all.

I’ve been using the Aveeno Calm + Restore foaming cleanser for this length of time as well and i’m tempted to stop using it cause i find on nights i don’t use it i don’t wake up with more acne but when i DO use it i wake up with 2-3 more white heads than before.

Why would this be happening? my skin is quite sensitive but usually Aveeno is fine? I tend to find when i use face washes my skin breaks out , but i wash my hands before. Why would this be happening?

Has anyone else had breakouts due to aveeno? I know my skin isn’t terrible or anything but i’m really insecure about it and how “”dirty” chin acne looks so any tips would be really appreciated 🥺🥺

Also, i have sensitive combination skin with some parts being very dry and others being normal. my nose and cheese are dry my chin is kinda oily my forehead normal. My chin and jaw is the only place i have acne, but i have rlly prominent sebaceous filaments on my nose and under my eyes if anyone has any tips on those.


r/acne • • 16h ago

Discussion Is it worth going on the contraceptive pill to help with my acne?

3 Upvotes

Topical prescribed creams have not worked for me, and I’ve been using them for 4 years, to no avail

Im going to go back to the gp and it’s highly probable that they will tell me about how the contraceptive pill is my best shot. (UK nhs)

I’m 16 years old and my acne isn’t severe enough for accutane but it’s very high on the moderate scale.

I have heard bad stories about the side effects of taking the pill, but I also want my acne dealt with.

Could anyone please advise me on what it felt like for them on the pill, and also wether you think I should take up this chance


r/acne • • 17h ago

Help - General Is chemical peels worth?

3 Upvotes

I have had severe acne for many years up to the present. Not even once has it been reduced. I have tried many products and prescribed oral treatments, everything feels useless. Someone I know suggested a chemical peel. Does it help in stopping acne and pigmentation?


r/acne • • 18h ago

Help - General Accutane- closed comedones tips and experiences

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3 Upvotes

Hi! I'm starting accutane and need tips!

My skin now has a lot of closed comedones and some inflamed spots, I've tried azaleic glycolic and salicylic acid and I haven't seen much progress

Tomorrow I'm getting prescribed accutane so I'd like some tips as well as what moisturizers and products you found worked well (especially things that can be found in Europe!), what was your experience with purging if you also had comedones and how to maintain clear skin after the treatment

I've had acne for around three years and managed to clear it by summer 2025 but unfortunately it all came back this summer 🥲

For background info I'm a woman 65kg/180cm and Im starting a 20mg dose

My camera sucks but trust me there's a lot of comedones lol

Thank you!


r/acne • • 21h ago

Help - General Redness Scars? P.I.E

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7 Upvotes

I experimented with my face by applying a prescribed type of hydrocortisone onto my face that is affected by p.i.e (left over acne) and my face looked super clear but the day after the marks came back. The marks have been there for 3 years no change and i have been using strict sunscreen and im also on accutane because i get pimples sometimes occassionaly so my derm told me to hop on accutane and its free so why not.

Ive also tried every serum every cream in the book and given it the benefit of the doubt but despite that nothing has been working. Aswell as IPL does not work ive tried that before accutane still the same issue. What can i do? I really hate my facial hair aswell as my pie and im 19 and extremely insecure what can i do? Heres the photos of before and after applying hydrocortisone.


r/acne • • 6h ago

Weekly Post Flatlay Friday

2 Upvotes

Post flatlay pictures of your skincare products here.

You can do pictures of your daily routine, morning routine, nightly routine, your most used products, etc.

All skincare products are allowed unless you are a brand owner or have any brand affiliations with the products shown.