Three weeks in, and this cystic acne purge is the worst my skin has been since I was like 14.
Hey guys, fellow tret user here. I want to start off by saying I have had the most stressful year of my entire life and it led to my skin breaking out initially due to stress hormones (losing a loved one) while also rationing my spironolactone (lost my insurance for five months, yay!). I have always had cystic acne since puberty, but spironolactone was keeping me 95% clear since I was probably 17-18 until now.
I have been back on my 200mg spironolactone dose along with topical clindamycin and 0.025% tretinoin for exactly three weeks. I went straight into using tret every third night, and have been taking to it really well in terms of irritation and dryness. I have four active cysts right now, but the skin around them is kind of glowing, and the redness from my breakouts earlier this year are already fading. I am surprised by how quickly I am breaking out, but also how fast they are surfacing and healing. I typically have cysts that never seem to surface and just swell and hurt like a mf until one day they decide to disappear and leave me with the aftermath for months afterward.
I see a lot of progress photos of people with relatively mild surface level acne, but has anyone here had success with severe nodular or cystic acne? When did you really begin to clear? I just need to talk to people who know what I am going through. I know I am at the beginning of my treatment but my god is it hard. I have a giant cyst under my goddamn nose. I feel like an ugly goblin.
My routine is simple. I use neutrogena oil free face wash followed by clindamycin lotion in the morning and dermasil acne prone sunscreen. At night I use my face wash and Neutrogena sensitive skin moisturizer. I have been using the sandwich method while applying my tretinoin. I have also been using hydrocolloid patches which have been helping with healing. I have started icing my face/breakouts earlier this week and have noticed a reduction in my inflammation.