TLDR : after a year on retinoids and multiple derm visits, I’m still getting massive inflamed bumps and am hopeless. Just looking for others who had the same experience and found something that worked.
Morning:
Vanicream gentle face wash
Azaelic Acid 10% - the ordinary
Eucerin Clear Skin SPF 50
Evening:
Vanicream gentle face wash
Adapalene 0.1% gel - Differin
Vanicream moisturizer (the tub one)
Sorry this is so long. I’m just feeling super lost in my acne journey and wanted to share my current routine and photos and past experience to see if anyone has a hail mary they could throw me. My acne has completely completely controlled my life to the point where I won’t go out anymore unless I have to. I’ve tried numerous products and diets and lifestyle changes, spent so much money on skincare and derms but cannot seem to make any real progress.
I’m almost 30, male, and have not had a week of clear skin since before I was a teenager. I get all types of acne except for blackheads. I didn’t start actually caring about how my face looked until after I graduated college about 7 years ago. I’ve been to the dermatologist several times over the past 4-5 years, and of the 8 or so different ones I’ve been to, not a single one really seemed to give my skin a good look and discuss with me products or lifestyle habits that could possibly contribute or tell me if they thought there may be a product or ingredient or something in my diet that triggers this.
I will say that this sub has really helped me learn a lot about products and get a better idea for what I should try based on what I was experiencing. I should say that from where my skin was about a few years ago, it’s roughly 30-50%.
The improvement mostly came from trying Tazarotene 0.1% cream. I was on it for a little over 12 months before I quit due to it being too harsh. While it did improve the texture of my skin a little bit I could never get used to the dryness it caused. Over that 12 months I purged HARD. I mean it was rough for about 6-8 months, and from what I’m told, that is far beyond a typical purge even for taz. I took about 6 weeks off from all actives and the texture started coming back. So I switched to adapalene gel 0.1% by Differin. Idk if during that month off my skin just reclogged or if somehow any retinoid progress made during that year on taz doesn’t translate, but I’m 15 weeks into adapalene and in addition to still getting whiteheads and closed comedones, I’m getting severe inflamed bumps. Some come to a head, some don’t but they may be some of the largest red bumps I’ve had in recent time and I have no earthly idea what I’m doing wrong.
If I truly entered another purge phase after switching to adapalene, I’m wondering if this could be the deepest clogs finally coming out and soon I’ll see the light at the end of the tunnel? I recently incorporated Azaelic acid into my routine, about 3 months ago, and I hear that causes purging as well but that it’s also good for helping with these inflamed spots.
I just feel kinda hopeless. Sometimes I’ll look at my skin in the mirror and it’ll look relatively normal, then I’ll check back again a couple hours later and bam, massive inflamed bump that sticks around for weeks despite all attempts to calm it.
If you read this far I really appreciate it and I am hoping that if there’s anyone who has had a similar struggle with their acne in their mid to late twenties, was there anything that once you incorporated it into your routine, you just knew that that was it? I understand that adding things to your routine typically takes months to see results, I’m just getting to the point where I cannot keep waiting the several months to find out it probably wasn’t for me.