[Skin] Post-Accutane — redness, PIE, oily rebound, texture, advices

[Никола Тесла]

Hey,

I just finished my Accutane course 2 weeks ago. Here's my full situation :

Acne was severe before treatment — Accutane genuinely saved my skin. My absolute priority is making sure it doesn't come back.

Treatment history :

• First course : 5 months at 30mg — but sebum came back full force after 2 months off, skin was extremely oily and shiny again
• Saw a derm, did a second course after 3 months off : 1 month at 40mg then 2 months at 50mg
• Skin seemed to be perfectly balanced and non-oily throughout treatment

Current issues (2 weeks post-treatment) :

• Heavy redness on cheeks, significantly worse in the sun
• Post-acne marks (PIE)
• Remaining subcutaneous cysts (not surfaced yet)
• Uneven skin tone and texture
• Mediterranean skin tone baseline — would look great if not for these issues

What I'm looking for :

• Long term : actual skin health, mannequin-level skin
• Short term : fraud options welcome
• I want advice from people who actually know their stuff

Current routine : The Ordinary : Niacinamide 10%, Vitamin C, Retinol, Azelaic Acid, Caffeine serum. (don't hesitate to correct it)


Main questions :

1. How long before the oily rebound hits this time and what can I do to slow it down ?
2. Best approach for PIE and redness on Mediterranean skin specifically ?
3. Are the subcutaneous cysts going to surface or just disappear ?
4. Retinol this early post-Accutane — yes or no ?

Open to fraudmaxxing while the skin heals. Appreciate real answers only.

Open to anything, even oral products or whatever.

Many thanks in advance.

 

[avgsub5human]

man do we need to use gpt for this

tret/taz microneedling spf50+++ maybe some azeliac acid for marks

fraud with bb cream

 

[appealisLAW]

basically get rid of vit c, caffeine serum and niacinamide and switch to taz/tret and azelaic acid, spf 50 obviously when going out in the sun

 

[.𝐏𝐍𝐄𝐔𝐌𝐀𝐓.]

man do we need to use gpt for this

tret/taz microneedling spf50+++ maybe some azeliac acid for marks

fraud with bb cream

My ChatGPT told me exactly this too

 

[liolgaser]

tret helps with marks aswell tho?

man do we need to use gpt for this

tret/taz microneedling spf50+++ maybe some azeliac acid for marks

fraud with bb cream

 

[Никола Тесла]

basically get rid of vit c, caffeine serum and niacinamide and switch to taz/tret and azelaic acid, spf 50 obviously when going out in the sun

why getting rid of this ? some people recommended me a lot this products...
just trying to understand, thanks for your reply btw

 

[avgsub5human]

tret helps with marks aswell tho?

yes it does but azeliac acid is more specifically targeted to PIE, I run both

 

[liolgaser]

why getting rid of this ? some people recommended me a lot this products...
just trying to understand, thanks for your reply btw

niacinamide was a saviour for me, i had very open pores.otherwise not needed

 

[Никола Тесла]

yes it does but azeliac acid is more specifically targeted to PIE, I run both

do i need a prescription for buying tret ? could i just talk to my doctor for a prescription ? easy to get ?
thanks for your advices btw

 

[liolgaser]

yes it does but azeliac acid is more specifically targeted to PIE, I run both

how many times a week azelaic acid?

 

[Никола Тесла]

niacinamide was a saviour for me, i had very open pores.otherwise not needed

that's why i hate skincare... people just says the opposite thing everytime
anyway, thanks for your reply

 

[avgsub5human]

how many times a week azelaic acid?

AA in the morning tret at night, daily both sometimes I do a day break from tret if my skinbarrier is mad

 

[avgsub5human]

do i need a prescription for buying tret ? could i just talk to my doctor for a prescription ? easy to get ?
thanks for your advices btw

yes, or just import it, idk how easy it is id assume it depends where you at you could at least try and if they say no just import it

 

[mxdern]

do i need a prescription for buying tret ?

no you can literally get it on Amazon

 

[liolgaser]

AA in the morning tret at night, daily both sometimes I do a day break from tret if my skinbarrier is mad

azelaic acid just for marks?

 

[avgsub5human]

azelaic acid just for marks?

I use it for PIE

 

[Никола Тесла]

yes, or just import it, idk how easy it is id assume it depends where you at you could at least try and if they say no just import it

thx

do you know why the other guy told me to get rid of vitamin C, cafeine serum and niacinamide ?

 

[avgsub5human]

thx

do you know why the other guy told me to get rid of vitamin C, cafeine serum and niacinamide ?

caffiene serum is for puffy eyebags its all it does, if it works for you then I dont see why you would stop

ninacinamide is insanely good when you use strong actives so keep it, though 10% is not needed usually, I run 5% in the mornings and it has helped me do strong actives daily

vitamin C wont do much, depends what you use it for

 

[Никола Тесла]

caffiene serum is for puffy eyebags its all it does, if it works for you then I dont see why you would stop

ninacinamide is insanely good when you use strong actives so keep it, though 10% is not needed usually, I run 5% in the mornings and it has helped me do strong actives daily

vitamin C wont do much, depends what you use it for

many thanks bro

so... if i understood :
morning : caffeine solution under my eyes + niacinamide + azelaic acid + bb cream (which one ?) + SPF
night : tret

No retinol, hydrating cream and vitamin C

I use the ordinary : is it a good choice ?

 

[avgsub5human]

many thanks bro

so... if i understood :
morning : caffeine solution under my eyes + niacinamide + azelaic acid + bb cream (which one ?) + SPF
night : tret

No retinol, hydrating cream and vitamin C

I use the ordinary : is it a good choice ?

you absolutely need a moisturizer and maybe a skinbarrier repair when needed (cisaplast baume b5) since tret can be very strong

and a gentle cleanser at night before tret to wash off sweat sunscreen etc, cerave green one is good

and idk bout bb cream brands and retinol is just a way weaker version of tret (dogshit) so yes no retionol

 

[Никола Тесла]

you absolutely need a moisturizer and maybe a skinbarrier repair when needed (cisaplast baume b5) since tret can be very strong

will cicaplast not give me an oily skin ?

 

[Никола Тесла]

you absolutely need a moisturizer and maybe a skinbarrier repair when needed (cisaplast baume b5) since tret can be very strong

and a gentle cleanser at night before tret to wash off sweat sunscreen etc, cerave green one is good

and idk bout bb cream brands and retinol is just a way weaker version of tret (dogshit) so yes no retionol

no paula's choice scrub ? maybe too agressive for my skin

 

[appealisLAW]

why getting rid of this ? some people recommended me a lot this products...
just trying to understand, thanks for your reply btw

its commercial cope, basically they sell that to women who believe everything they read on labels. The only product that actually does something is retinol but it's 10x less potent than taz or tret 0,05%.
Also i forgot to mention you should only wash your face at night with something light, and add a plain ceramide based moisturizer that is not aggressive or thick

 

[Никола Тесла]

its commercial cope, basically they sell that to women who believe everything they read on labels. The only product that actually does something is retinol but it's 10x less potent than taz or tret 0,05%.
Also i forgot to mention you should only wash your face at night with something light, and add a plain ceramide based moisturizer that is not aggressive or thick

I understand. does cerave moisturizer actually do stuff ? or do i need another moisturizer ?
I heard starting retinol just after accutane was too agressive for my skin, is this true ?

 

[appealisLAW]

I understand. does cerave moisturizer actually do stuff ? or do i need another moisturizer ?
I heard starting retinol just after accutane was too agressive for my skin, is this true ?

it's good for summer months, does what moisturizer needs to do. You should probably wait for your skin barrier to be repair before starting tretinoin tbh, in the begging months of using tret use a sandwich method (moisturizer + tret + moisturizer) cerave moisturizing lotion is perfect for that. Also you will peel if you never used it before so just buy la roche possay cicaplast baume b5 and it's all good.
don't use drugstore retinols, it wont do shit, just use tret/taz

 

[yamizks]

When accutane course is finished, using a topical retinoid indefinitely to maintain effects and get long term benefits like scar healing and aging prevention is good. Try

 

[Никола Тесла]

When accutane course is finished, using a topical retinoid indefinitely to maintain effects and get long term benefits like scar healing and aging prevention is good. Try

so waiting 2-3 months post accutane treatment is cope ? Do I need to use retinoid serum just after having finished the treatment ? I will go on retinoid serum before having my prescription for tretinoin...

 

[dincelma]

do i need a prescription for buying tret ? could i just talk to my doctor for a prescription ? easy to get ?
thanks for your advices btw

indiamart lol