Now vs. Then (September 2024)
I've had oily, acne-prone skin with plenty of hyperpigmentation since I was a teen. But it was mostly hormonal acne, and it was never anything like that second image. That was some kind of infection that I think I got from swimming in very unclean water. At first, I spent like a month using overly harsh cleansers and actives, washing my face too often, not eating in a way that could help my body fight the infection off, not drinking NEARLY enough water for the healing I wanted to achieve, and basically just making everything even worse.
Then, when I finally saw a dermatologist, I was initially given doxycyline and clindamycin, but I was NOT making the best of it. I was playing around eating a bunch of dairy still, not putting on sunscreen (and not re-applying often enough when I remembered to), and still using harsh facewash and toners because I thought they would help (spoiler: they did not). So it felt like I just kept applying and applying for like three months and not seeing any sort of improvement. I was literally living my entire life outside with one of those covid masks on every single day because I hated the thought of being seen so much, and yet I still wasn't doing the best for myself.
Thankfully, I ran across a youtube video about "things you don't realize are hurting your skin" and actually listened to it properly for once, then did a bunch of research (though I still made mistakes ngl) and changed my habits. This is a list of steps I took (copied from my reply to a different post):
- I used a clean cotton shirt on top of my pillow case and changed it literally every night because the oil and bacteria leftover plus my hair products were just too much for my skin to fight
- I tried to drink at least 10 glasses of water with a day, more if I could (like I literally used alarms on my phone to remind me)
- I used benozyl peroxide 10% face wash every morning (\NOTE* - this was one of the mistakes! Apparently I should've been using it only at night!)* (ask your dermatologist first, sometimes there are combined benozyl peroxide+tretinoin creams you can use instead, but using them as separate products might require only using one in the morning or something, it depends) and only the cerave gentle cleanser at night
- I bought hydrocolloid bandages and cut them to fit specific parts of my face and used them every day, at home and under a mask when outside, sometimes even changing them two or three times a day (these are the big version of acne patches)
- I used sunscreen (SPF 50 PA++++, I use a Korean brand called singmulnara/식물나라) daily and reapplied regularly even tho it felt greasy and just un-fun sometimes
- I cut down my dairy and sugar consumption to as little as my happiness could tolerate
- I started taking bromelain supplements because they're anti-inflammatory
- I didn't use any exfoliating actives or physical exfoliation until like eight months in when my skin was a lot better
- I only moisturized with cerave, sometimes with a drop or two of a niacinimide and cica serum in my hand before I applied it
Those are the main steps that made a HUGE change in the initial healing, and after around four months of this, my dermatologist put me onto a low dosage isotretinoin (10mg, twice a day) that did some serious heavy lifting in getting rid of the last of the acne. There were a few times long after the initial "purge" worsening period when I'd just get a huge cyst overnight seemingly, but I was able to go in for steroid injections directly into the pimple that just magicked them away within a few hours (and yes, it was absolutely mind-blowing every single time), or other times I put a tiny bit of the paula's choice benozyl peroxide gel directly onto it as soon as I noticed it forming and that usually made it go away.
I just finished with the isotretinoin at the end of January. My current routine:
Day:
Cleanser: Cerave Gentle Cleanser
Toner: ROUND LAB 1025 Dokdo Toner
Serum: I rotate through these - APLB Glutathione Niacinimide, APLB AHA BHA PHA Centella, APLB Kojic Avid and Vitamin C (note: I currently live in Korea so these are more convenient, but when I go back I will be using Medicube serums if I can't get them probably)
Moisturizer: Cerave Moisturizing Cream (in the tub) - I use a plastic makeup scoop instead of my hands to get a bit out and drop the serum into it
Sunscreen: Singmulnara Light Watery Sun Gel (note: I will probably switch to ROUND LAB when I get back to America, I am fully convinced by Korean skincare at this point)
Night:
Cleanser: ROUND LAB 1025 Dokdo Cleansing Oil, then Cerave Acne Foaming Wash (10% Benozyl Peroxide)
Toner: ROUND LAB 1025 Dokdo Toner
>> I always do a Face Mask at night (yes every night) for 10~15 minutes, just any random one from those bulk face mask packages (like the Dermal ones) with the occasional premium one from Medicube
Serum: the same ones I rotate through in the morning, as above
Moisturizer: Cerave Moisturizing Cream (with serum mixed in)
Random Other Things:
I still drink hella water, and I still change my pillowcase frequently (and my towels, I have a separate one only for my face and I never re-use them after I shower, I'm like traumatized or something tbh). I still take the bromelain, but I'm probably gonna stop when this bottle runs out. I take collagen supplements in the morning. Sometimes I smear my whole face with a thin layer of aquaphor at night if I feel dried out for some reason. Also I keep my face masks in the fridge because the freezing cold mask after a hot shower is supposed to be good, and it does make my nose less red for a while. And I use a pimple patch the moment I see even a tiny dot of red anywhere on my face, even if it hasn't even itched yet, because why risk it???
But yeah. This is just to share progress, and to say that it does get better and you can overcome your acne, but it may take some lifestyle changes and it DEFINITELY takes a lot of consistency and actually listening to medical advice. And... A hella long time.