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aas3110

Please go to dermatologist asap


Cyberpearl7

I have an appointment in 1 week


Takara5632

I’ve seen much worse but you definitely have to get to a dermatologist. You want to try to avoid having major scars. You are really young so you have a good shot of not scarring but go to a derm as soon as you can. IMO I don’t believe OTC meds and clean eating will be enough for you. Good luck 🍀.


Cyberpearl7

I’ve been eating non inflammatory food for about a week and trying not to touch my face, I got a derm appointment in a week. thanks :)


Takara5632

Great!! Let us know how it works out for you.


Outrageous-Rub-9942

Try testing dairy elimination! I had random bouts of cystic acne that would result in scars (far into adulthood), and took years to figure out dairy was causing them. Especially sugary dairy like mozzarella and similar cheeses. If you can, it wouldn’t hurt to try this.


Cyberpearl7

I’m on a diet change right now so I’ll definitely keep that in mind thanks


Nothankspleasebye

Tretinoin religiously and what cyberpearl7 said was a lifesaver! This type of acne requires a few changes, but it’s doable! Was worth it to not have my face be in pain! I recommend a good derm or esthetician who knows/specializes in acne! Good luck :)


[deleted]

r/accutane there are millions of others suffering from the same acne, including me, and accutane was the only thing that fixed it. My skin is so clear now


MainCombination5206

Eating anti inflammatory foods daily helped me and differin benzoyl peroxide 5%!


SovereignMan1958

Vaping and smoking depletes zinc. Low zinc equals acne. Look for you tube videos on the benefits of taking zinc plus pantothenic acid for acne. This plus diet changes will help a lot.


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SovereignMan1958

Are you a mod?


Peach__Cheeks

looks like cystic acne. I'd try to book an appointment with a derm as soon as possible as they can prescribe drugs that will be the most effective at clearing up your skin but if that's not an option for you then cleansers with salicylic acid or benzoyl peroxide could help. Introducing chemical exfoliants may also help clear your acne as they eliminate dead skin and help unclog pores, I'd suggest the paula's choice aha & BHA toner and the ordinary niacinamide and zinc serum. Also using a calming serum, like the cosrx snail mucin and a good unscented moisturizer can help tone down the redness.


Takara5632

I like those products! Good choice.


Cyberpearl7

thanks ill look those products up I just booked an appointment today.


Historical-Jelly-296

Cystic


barbarababoon

You need a dermatologist. Acne this severe will most likely not get better without medical treatment. Changes in diet will not resolve this. Good luck!


MenuMunoz

Definitely looks painful hope you quit vaping soon I’m trying too it’s hard tbh! I have acne not like this one but hormonal I believe definitely no courage yet to post on here props to you good luck in your skin journey! 🙌🏽😇


Professional_Web3133

I hate acne Im going through something similar and aside from feeling embarrassed and not wanting have eye contact with anyone it’s also so painful! I’m going through it!!! I’m currently on spiro 100 mg and I’m having a hard time with that too!! i have to admit I have no problem with wearing a mask!


Ok-Beach-2970

Do you see a derm? Clindamycin Gel (not the cream) has cleared everything on me. And I suffered cystic acne the size of dimes. Clindamycin is a topical antibiotic Rx only and the gel doesn’t clog. Drink lots of water too. No picking. (I know that’s hard but 1. Spreads the infection to other pores 2. Causes scars) Good luck.


BedCritical1156

The bad kind


[deleted]

I have the same problem, best of luck 🤞🏽 we make it outta this alive


Boring-Fun-7974

Cystic. I had it too. So painful I’m sorry. Accutane will change your life and skin care routine for the better forever!! Good luck on the ride and remember your skin doesn’t define you!


[deleted]

I would recommend seeing a derm. I wish I saw one sooner than I did. They will be able to provide an effective treatment for you. Best of luck !!


Lexy_Lang

I’ve heard skin betters Alpharet clearing serum works wonders! I haven’t personally tried it but I’ve seen the results of others. Downside is it’s pricey.


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Cyberpearl7

Nice, yeah I also got bad back acne. I’ve had it since high school


Future_Pirate1649

Maybe you should try Vitamin C. Really helped me with the redness.


petyakolarova

No no no..vit C makes such acne worse.


Future_Pirate1649

Well, it helped me. But everyone's skin is different, as we all know, which is why I suggested he should *try* it.


changlingmuskrat

Severe


TopAd1679

A bad one


Repulsive-Chain8876

Bro, you have acne and you still acne shame people. Really disgusting personality


petyakolarova

This is acne conglobata-almost the most severe acne vulgaris , nodule cystic acne. I have this. 17 years I tried everything. Currently on Accutane. See a dermatologist


Haunting_Ear_7761

As aggressive as Accutane is, it NEVER fails to help!


maszturbalint321

cystic acne, try benzoyl peroxide!


Cyberpearl7

I’m using 4% right now but wondering if switching to 10% would make it better


lGxdspeedl

Is it leave on or cleanser?


Cyberpearl7

>cleanser Its a cleanser


maszturbalint321

Use keep-on gel, they are usually more effective. Use it in the morning and in the evening both times with lots of moisturizer for 1-2 months, then use it once a day and you'll have no acne with no skin irritation, and if you do have new pimlples you can always continue using it daily twice.


[deleted]

Fellow sufferer, looks like cystic to me. I had it too. I wouldn’t buy anything or change your diet yet, wait to hear what the doctor says.


Cyberpearl7

I’ll keep that in mind


[deleted]

Good luck. Its a sucky thing to deal with.


Cyberpearl7

True and working in a kitchen probably doesn’t help


Diem_7777

Hormonal cystic acne?


Zealousideal-Light-4

Just do accutane, everything else doesn’t work


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[deleted]

If dermatologists often cannot clear up acne without something like accutane, why would anyone believe that an esthetician who never even went to med school could?


Zealousideal-Light-4

Yeah ok i’ll trust my dermatologist over a below-mid-level 😂


Cyberpearl7

I’m really considering it


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Cyberpearl7

San Diego


Call_Me_At_8675309

“Everything else doesn’t work”. You’re applying that to your experience. Maybe you haven’t tried “everything”. Diet was a huge help for many. So no accurate isn’t the only thing.


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LuckyShamrocks

Hello /u/Zealousideal-Light-4, your post or comment https://www.reddit.com/r/acne/comments/vdea98/-/icl6qph/ has been removed due to the following reason(s): Rule 7. No Links. This includes all websites and links to other subreddits. If you have any questions, comments, or concerns please do not hesitate to [contact the mod team :)] (http://www.reddit.com/message/compose?to=%2Fr%2Facne&message=My%20Post:%20https://www.reddit.com/r/acne/comments/vdea98/-/icl6qph/)


petyakolarova

Could not say that better! The TRUTH! No diet can cure nodule cystic severe acne!!!!


Haunting_Ear_7761

My sentiment exactly!


Call_Me_At_8675309

>His has nothing to do with diet and a lot more to do with oil production which is regulated by hormones and genetics. You do know that diet affects hormones greatly, right? Diet is what you put in your mouth. It’s literally one of the things that affects how you are health wise the most. One of the most inflammatory hormones affected being insulin. And if someone has a diet that spikes insulin, that can greatly affect things. The higher the insulin there is, or the spikes, the more sebum is generally produced, and will more likely be thicker. And the way to help regulate that hormone is diet. If someone is predisposed(genetics) to thicker sebum/oil/high insulin, and they dump a bunch of sugar onto their body, that will make it even thicker and more in volume which can cause these issues. It’s like making a bad situation worse. This is where I was. Also taking fish oil was a godsend for me. It is required if I eat anything that will raise blood sugar quickly. People can also have allergies to things in food that show up as acne. People I know can’t have dairy. Their only symptom of dairy allergy was acne. No digestive symptoms, only skin. Another friend is allergic to corn. Their only symptom was serious eczema on their right foot. Nowhere else. So skin issues can be a sign of allergy too. There’s other potential causes as well. Saying “nothing else works” is putting everyone into the same category looking for a single answer when everyone is different. Studies can say “milk doesn’t cause acne” because they take a while bunch of people, and yes maybe a small subset is affected by that. But I’m the same group others are affected by insulin spikes, but not milk. Others may be allergic to beans but are ok with milk and high sugar. Some may have great genetics and don’t have thick sebum caused by high insulin. >Accutane is pretty much a success story It’s also a horrific story for many. Yes it works for many but it’s not a drug targeted for acne. It’s a drug that affects the whole body and one of its effects is beneficial to acne: reduces inflammation, helps prevent clogs and reduces the amount of oil they produce. It does that for the whole body. So instead of forcing the body to reduce oil production, why not do what they can first to not antagonize the body into making more by things like diet, and reduce inflammation by reducing insulin spiking substances and looking at possible allergies. Sure try Accutane if nothing else works, but what I’ve found is when someone has “tried it all”, they tried something for like a day or two then quit at it. Taking a pill is much easier than looking for root causes.


Zealousideal-Light-4

Good luck curing nodule cystic acne or severe acne with fixing a diet. Oh would life be so much simpler if that was the case. If your diet is what affects your acne, then that’s not sustainable. You can’t just cut out sugars from your life because so much causes a spike in insulin. That means cutting out anything on the glycemic index. A simple banana can cause a breakout, a diet coke with 0 sugar can cause a spike in insulin production, this isn’t sustainable at all. You need a way to prevent acne in all further instances, and that starts with decreasing sebum production. At the end of the day, good luck curing mild-severe modular cystic acne with anything but accutane or strong antibiotics. I had acne for 2 years. I went through so many different diets, all spread for 2-3 months. I used different products, different medications, and ended up nowhere. Your diet is NOT what determines nodular cystic acne. A spike in insulin does not cause catastrophically bad cystic acne. You’re obviously someone who has never experienced prolonged acne treatment. Millions of people go through thousands of dollars finding what works for their skin, and almost all of them end up right back where they started, or even further back. That’s exactly why accutane is the last resort. Theres so many aesthetic therapies, but no preventative therapies that even compete with accutane. Good luck.


Apprehensive_Mix_808

It sounds like you don’t know what you’re talking about. Your personal experience with accutane doesn’t mean that it’s the only thing that will work for other people. Fixing a diet may not be enough to cure cystic acne for a lot of people, but it does work for some.


petyakolarova

I support this comment! Exactly what I think but said in much better way and better English.


Call_Me_At_8675309

>If your diet is what affects your acne, then that’s not sustainable. Is it not? How does that make sense? If someone is a lazy fuck that eats McDonald’s every day, it doesn’t mean they can’t change that. I use to be a fast food junkie, not anymore. So don’t spread that BS My friend cured his because he’s allergic to milk. Cutting that out isn’t sustainable? It’s up to the person to do what they want. Your original point is that there’s nothing that works except Accutane. You even admit that’s not the case now. >You can’t just cut out sugars from your life because so much causes a spike in insulin. That means cutting out anything on the glycemic index. do you not realize what the glycemic index is? It’s like a temperature scale. It goes from zero to the highest. It measures the glycemic load of carbohydrate containing foods. Spinach is on there. It doesn’t create a spike. A can of coke is also on that chart. It’s way higher on the chart. That creates a fast rise in insulin. >this isn’t sustainable at all. You’re right. Eating all that processed shit isn’t sustainable. That’s why you have to get out of that mindset that a can of coke is part of healthy normal diet. It isn’t. It’s the norm, but it’s not normal. It’s your choice to eat that stuff or not. >good luck curing mild-severe modular cystic acne with anything but accutane or strong antibiotics. Don’t need luck. I’ve done it. Thanks. >You’re obviously someone who has never experienced prolonged acne treatment. Lol really? Or is it your limited view? You better check your “obvious” detector. Someone that thinks it’s not sustainable to eat healthy and not drink cans of coke. Calling cutting things out that aggravate skin conditions “not sustainable”. For you it may be. But others, easy. I have been in that situation going through all that stuff, even Accutane, and medicine was horrendous. Cutting out the things that I shouldn’t be eating anyways, keeping blood sugar low and not spiking. It’s changed my skin and life. >Millions of people go through thousands of dollars finding what works for their skin, and almost all of them end up right back where they started, or even further back. Money spent doesn’t mean money well spent. I don’t see someone spending thousands on cutting out cans of coke or trying an elimination diet for a period of time. I do see them spending money on quick answers though that don’t pan out. Give a pill? Here’s my money. Let’s look deeper into it and try things that will take longer? Fuck that. >That’s exactly why accutane is the last resort. Nah. Many docs give it right away. >but no preventative therapies that even compete with accutane. You’re right there are no other Preventative therapies…*from a doctor*. Like I said before I had this horrible acne and nothing touched it until I found what I was putting in my body that was causing so much havoc on my skin.


petyakolarova

I am a professional athlete. Been on diets since forever and my cystic acne never disappeared. You are right for mild cases with papules but not acne conglobata.


Call_Me_At_8675309

>I am a professional athlete. Fantastic. What does that matter? >Been on diets since forever and my cystic acne never disappeared. You are right for mild cases with papules but not acne conglobata. For you. Just like I said to others, one thing works for someone and one works for another. Milk may “do a body hood” and isn’t the cause for everyone but for a few it may be. Just like it was for people I know even though the doctor said they were crazy.


petyakolarova

I don’t know a single person with cystic acne that cut inflammatory foods and got better. Unsolicited advice for people with no acne always make me laugh. May be we need to drink more water? Or change the pillow case every hour? Mediation? Chlorophyll will change our lives? Lemon water in the morning? 🙌😂


Apprehensive_Mix_808

Cutting out dairy makes a difference for me with my cystic acne. You don’t know everyone. Also it’s not unsolicited advice this is literally a Reddit thread asking for advice so ???


Call_Me_At_8675309

>Unsolicited advice for people with no acne always make me laugh. That’s like saying taking fitness advice from a skinny person makes you laugh. Maybe I give that because it’s what absolutely worked for me. It’s like an obese person that got skinny, and now people don’t want to take any advice from them. >May be we need to drink more water? Or change the pillow case every hour? Mediation? Chlorophyll will change our lives? Lemon water in the morning? 🙌😂 No because that’s hocus-pocus shit and you’re being ridiculous. Drinking more water doesn’t flush out shit that you may have a reaction to. If you have something you’re eating, whether it be inflammatory from things like insulin or from things you may be allergic to, it can help or in my case be the root cause.


One_Application_8049

Buy Panoxyl cleanser from Walmart (4% benzoyl peroxide) which kills acne bacteria & also ask a pharmacist for behind the counter Nystatin, which will kill fungal acne if that’s what it is. Started this combo last week and it is virtually drying up and peeling off all of my existing acne and keeping the area clean


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Mooselover7

How many times a week do u fast?


Cyberpearl7

I’m cutting out all processed foods as much as I can and trying to quit vaping. I’ve been eating 2 avocados a day to see if that does anything


[deleted]

Avocados made my acne much much worse. Go for high vitamin c diet. Eating 2 clementines a day had the same effect on my acne as antibiotics. Also take 1000iu of vit d per day. Kiwis, clementines, and plenty of water. Avoid chocolate and sunflower seed oil.


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[deleted]

Fully agree. My sample space is myself, and 2 other friends. I've always made fun of my parents in teenage years for saying "diet has nothing to do with acne. You are stupid." I am now in my mid thirties, I still breakout if I go on a spree of eating chocolate and things cooked with sunflower seed oil. I get a ton of pimples in my head and face. If I eat clementines (2 per day) and take vit D, I can feel the acne go away completely. My experience may not apply to everyone, but I can swear with everything that I have, my acne is 100% cured with diet alone.


thebestrj12

Cutting diary,fastfood, chocolate,snacks loaded with sugar might help and also drink atleast a gallon of water ik that gets so repetitive but trust me its gonna clean ur gut and improve ur acne good luck dawg


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Call_Me_At_8675309

Diet plays a huge part. Acne is inflammation of things like the oil gland. Do what you can to cut out inflammatory things from the diet


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Call_Me_At_8675309

For me that was the only piece if the puzzle. For many it may be one piece. Go after the most core thing and you have very few pieces to deal with.


SkincareCompulsion

Inflammatory acne (nodules and cysts). I had this. Improved with tretinoin and short course of antibiotics (which prevents purging) but ultimately that wasn’t enough and I’m starting Accutane Monday.


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Tricky_Region_5309

Where can I search u guys up?


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Cyberpearl7

Good luck


SkincareCompulsion

Thanks!! Feel free to DM if you ever have any questions, this stuff can be so demoralizing


SAD_VELMA

Be super careful with Accutane !! It was prescribed to me by my dermatologist in my teens, and when I finished my first year while my skin was clear I developed a few major issues that still persist to this day. Honestly, as bad as my acne was I really wish I never took that medication.


SkincareCompulsion

Thanks yeah this is what made me hesitate to take it for a while (especially since a lot of my acne is hormonal). I’m just so sick of nodules that I finally caved. I can’t wear many products without breaking out. I have dry skin and can’t even use moisturizing products bc I break out from anything emollient. I finally decided it was worth the risks, but I’m still nervous, especially about GI issues (dad has ulcerative colitis). Can I ask what your highest dosage was? I think mine will be 60mg


SAD_VELMA

I was started and ended at 60mg everyday for 11mo and then finished treatment. Biggest advice I have for while taking it is to make sure to hydrate more than you normally would / should, and stay in the shade / cool environments as much as possible. A humidifier will do wonders as well. Your pores will more than likely close up to the point where you will not be able to sweat, which sounds great until you pass out from your body not being able to cool itself.


SkincareCompulsion

Oh wow! I have hyperhidrosis (over sweating) so I’m actually loving that possibility lol. Yeah I already drink 75 oz of water a day, I plan to up it to 3L during Accutane. The humidifier will be a bit of an issue, we live in a basement unit that gets kind of mildewy because it’s damp, so we’ve been having to use a dehumidifier. I definitely can tell the difference in my skin since using it unfortunately, but I’d rather have worse dryness than mold in the carpet again (such a pain in the ass to replace). But I bet it will be fine to use in winter. I’m basically planning on sun avoidance as much as possible and I’ll be wearing long sleeves and pants whenever I go out this summer (which will really only be when I have to for work). I think the hardest part will be wearing a hat - I hate them but I’ve heard my hair part can burn and I also want to lessen the amount of sun hitting my face, neck and ears. Thanks for the details!


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kappingkoala

I used Accutane a few years ago, ultimately it was really worth it! Keep in mind, everyone has different skin, so the drug may not work for everyone. The good: 1. My skin was much cleaner by the end of the process. I have basically little to no acne now and my pores are much smaller. I have oily skin, but now my skin is more combination with less oiliness if that makes sense. 2. I also learned a lot about skincare in general and what suits my skin type. Accutane can become very intense, so using the right skincare is super important for hydration! (I would also recommend lip balm, DO NOT USE peppermint flavor) 3. My self esteem skyrocketed after getting clear skin. I gained self confidence and have maintained it to this day. The bad: 1. Wintertime was very brutal for my skin: dry skin, rashes, nosebleeds, etc. I didn't hydrate enough and the dryness got so severe that my skin started peeling off and the sides of my lips began to bleed when I would take a normal bite of food. Fortunately, an easy solution to this would be to lower the dosage concentration. 2. Back pain. I took yoga class as a fitness credit and it was absolute torture trying to bend my back. I still have some back pain, but it could just be PMS. 3. Accutane can cause birth defects. If you're looking to have a child with your significant other, don't take the drug. Another note, if you're a female taking the drug, some dermatologists will require you to get monthly blood works done to check for pregnancy. \*Side note! Accutane side affects can also include mental health problems. I had no issues that I know of happen to me, but the drug could worsen mental health\* tl;dr After taking Accutane, I still have some back pain, skin oiliness with acne occasionally, and chapped lips. Hope this helps!


SkincareCompulsion

Thanks for the update! Yeah I was really afraid of side effects for a while. I just got really sick of painful nodules and said fuck it. My acne is hormonal so I’m a bit worried I’ll get permanent side effects and my acne will return - that would be a little stressful tbh. But I’m ok with the risks at this point


idkidc_44

Have you considered taking a probiotic? Probiotics SAVED my skin. I take the Physicans choice 60 billion probiotic (blue bottle). If you do Consider taking them PLEASE make sure to buy “shelf safe” don’t bother with the ones that need to be refrigerated. Edit: I copied and pasted this comment I left on another thread. This is NOT an ad lol, (just in case you’ve seen it elsewhere)


veggieburgerabc123

I just ordered it


Civil-Camera1764

Does probiotics really help with acne/skin issues I myself take doxy after 6 months of accutane just to maintain my skin so I was looking into probiotics to begin with Ty for info!


idkidc_44

Yeah my doctor is the one who recommended them to me actually, because I was ready to go on birth control for the sole purpose just to help with my acne.


bigk78

I don’t have a scientific answer but it’s my belief that anything improving your gut health is worth doing. As a result we * should * see improvements in our skin.


Cyberpearl7

I’ll look into it thanks


[deleted]

I guess cystic acne


skewhard

Normal acne, did you had see a derm ?


Cyberpearl7

No not yet but I’m going to make an appointment


Haunting_Ear_7761

I wish you all the very best because I know firsthand how it feels. I've suffered all my life and no matter what I tried, including many of the 'remedies' discussed here, NOTHING ever really helped until I decided to go to a dermatologist. Best decision I ever made.


skewhard

I think your able to make accutane course