prince_
Iron
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Please High IQ people that are able to read i need your help with what i should do
My main questions are bolded but please read the whole thread
In March i went to a dermatologist and she put me on a routine and this is how it went:
LRP effaclar cleanser (PM/AM)
Azelaic acid cream 20% (AM)
Adapalene 0.1% (PM)
Doxycicline antibiotics (1 pill per day)
I saw great improvements with this and i almost had no active acne (probably bc of antibiotic)
In may she took me of the antibiotic bc i've been on it for 6 weeks and completely changed my routine
Benzoyl peroxide cleanser 4% (AM/PM)
Clindamycin 1% solution
Azelaic acid 20% PM one night
Tretinoin 0.1% PM the other night (and the just changing everyday between the 2 to get used to Tret)
In the first week i purged like crazy i got like 10 new inflamed active pimples but then it got better but i still continued to purge and i thought it was normal bc of the Tret purging stage that lasts 2-6 weeks but after 6 weeks i still continued to get acne every few days but not as bad
Yesterday i had an appointment and because my progress is not too good (it doesnt look good i have a ton of hyperpigmentation on my whole left cheek and few actives on my right side on skin where upper maxilla is)
She told me that i might have to use accutane before she touched my face and realised most of it was hyperpigmentation but my sebaceous glands are in overwork because of puberty and hormones and i still constantly get acne
I made peace with the fact that i might need to take accutane although i wouldn't like it
But here is the part thats bothering me
In a few weeks im going on vacation to Greece and i'll stay there for 3 weeks
She told me that under no circumstances i should use Tretinoin while im there bc UV rays are too strong and i could burn my skin which i understand
But wouldn't that reset the progress after i stop a retinoid and after i start again i would have to go trough a purging phase once again?
Here is the most important part: she told me until my vacation to use Tretinoin 0.1% AM and PM and i've never heard of such thing, its normal to use PM but AM before going out seems mad to me because it makes your skin sensitive to the sun (ofc i use SPF 50) but it still seems dangerous
I don't know if she is a good derm bc in this 4 months i haven't seen much progress as i think i should have, my main problem is that my skin constantly breaks out even tho i do everything i can to stop it
Before you say fix your diet stuff, my diet is great i eat a lot of meat, vegetables and i avoid diary maximally
Also i don't eat any sugary stuff no sweets no sweet drinks or stuff like that
My shit skin is stopping me from living a happy HTN life its so over.
My main questions are bolded but please read the whole thread
In March i went to a dermatologist and she put me on a routine and this is how it went:
LRP effaclar cleanser (PM/AM)
Azelaic acid cream 20% (AM)
Adapalene 0.1% (PM)
Doxycicline antibiotics (1 pill per day)
I saw great improvements with this and i almost had no active acne (probably bc of antibiotic)
In may she took me of the antibiotic bc i've been on it for 6 weeks and completely changed my routine
Benzoyl peroxide cleanser 4% (AM/PM)
Clindamycin 1% solution
Azelaic acid 20% PM one night
Tretinoin 0.1% PM the other night (and the just changing everyday between the 2 to get used to Tret)
In the first week i purged like crazy i got like 10 new inflamed active pimples but then it got better but i still continued to purge and i thought it was normal bc of the Tret purging stage that lasts 2-6 weeks but after 6 weeks i still continued to get acne every few days but not as bad
Yesterday i had an appointment and because my progress is not too good (it doesnt look good i have a ton of hyperpigmentation on my whole left cheek and few actives on my right side on skin where upper maxilla is)
She told me that i might have to use accutane before she touched my face and realised most of it was hyperpigmentation but my sebaceous glands are in overwork because of puberty and hormones and i still constantly get acne
I made peace with the fact that i might need to take accutane although i wouldn't like it
But here is the part thats bothering me
In a few weeks im going on vacation to Greece and i'll stay there for 3 weeks
She told me that under no circumstances i should use Tretinoin while im there bc UV rays are too strong and i could burn my skin which i understand
But wouldn't that reset the progress after i stop a retinoid and after i start again i would have to go trough a purging phase once again?
Here is the most important part: she told me until my vacation to use Tretinoin 0.1% AM and PM and i've never heard of such thing, its normal to use PM but AM before going out seems mad to me because it makes your skin sensitive to the sun (ofc i use SPF 50) but it still seems dangerous
I don't know if she is a good derm bc in this 4 months i haven't seen much progress as i think i should have, my main problem is that my skin constantly breaks out even tho i do everything i can to stop it
Before you say fix your diet stuff, my diet is great i eat a lot of meat, vegetables and i avoid diary maximally
Also i don't eat any sugary stuff no sweets no sweet drinks or stuff like that
My shit skin is stopping me from living a happy HTN life its so over.
