4 Months Minocycline + Tretinoin results. What to ask my dermatologist next?

[fixxxxxxxrtee]

4 months ago my dermatologist prescribed me with Minocycline (100mg daily), and 0.025 tretinoin gel

This was my skin before:
View attachment 4765523View attachment 4765524

I had a lot of inflammation, and PIE

This was my skin after 4 months
View attachment 4765525View attachment 4765526

I definitely experienced less inflammation, but i still have PIE and my skin is not fully clear

I have an appointment in a week, and I want to know what I should discuss with my derm. I know that Minocycline shouldn't be used long term, but hopping off might trigger my inflammation to come back. Should I ask to up my tret dose to 0.05? or ask for isotret?

 

[fixxxxxxxrtee]

4 months ago my dermatologist prescribed me with Minocycline (100mg daily), and 0.025 tretinoin gel

This was my skin before:
View attachment 4765523View attachment 4765524

I had a lot of inflammation, and PIE

This was my skin after 4 months
View attachment 4765525View attachment 4765526

I definitely experienced less inflammation, but i still have PIE and my skin is not fully clear

I have an appointment in a week, and I want to know what I should discuss with my derm. I know that Minocycline shouldn't be used long term, but hopping off might trigger my inflammation to come back. Should I ask to up my tret dose to 0.05? or ask for isotret?

Skin Before



Skin After

 

[avgsub5human]

mirin the results u no longer look aids, maybe get some azeliac acid 15-20% for that PIE I currently run 0,05% tret and 15% azeliac acid for it, if you get outbreak again U might just wanna debate accutane but if the skin is done giving u cancer then u could try tret and azeliac acid since its quite good for PIE

 

[fixxxxxxxrtee]

mirin the results u no longer look aids, maybe get some azeliac acid 15-20% for that PIE I currently run 0,05% tret and 15% azeliac acid for it, if you get outbreak again U might just wanna debate accutane but if the skin is done giving u cancer then u could try tret and azeliac acid since its quite good for PIE

how long have you been using azelaic acid and tret for?

im just worried that if i only use that my inflammation is gonna come back. not sure if isotret is worth. probably shouldve done that from the start

 

[avgsub5human]

how long have you been using azelaic acid and tret for?

im just worried that if i only use that my inflammation is gonna come back. not sure if isotret is worth. probably shouldve done that from the start

yea it wouldve been better but cant go back in time bro make ur best of it, ive been on tret for idk 1-2 months just moved up to 0,05 but u cant rly know if u will break out again or not, if you do then like I said u might just wanna go on accutane for a few months then work on the PIE itself afterwards

 

[gonialangle1]

microneedle
use tret on a higher %
isotret
diet
ghk
2-3l of water daily
good quality moisturiser
this should clear your skin in no time

note: i probably wouldn't use a high tret % and isotret at the same time