r/AcneTreatments

26F dealing with hormonal/cystic acne concentrated on my jawline and chin, flares predictably around my period. I track my cycle and rotate my actives by phase — barrier-only during my period, alternating Differin 0.1% and Azelaic Acid 10% during follicular, one BHA night a week, and a stricter Differin-only push around ovulation with no BHA. AM routine is a gentle cleanser, vitamin C, niacinamide, spot treatment on active areas, moisturizer, and SPF every day, and I stay on top of hydration and drink plenty of water. I started Spironolactone 50mg daily this week for the hormonal component, so I know it’s still very early. Despite all of this I’m still getting new cystic breakouts along the jaw and chin most weeks and it’s not really trending down yet. I’m considering Accutane if things don’t improve. Also I am dealing with a huge one right now.
Would love to hear from anyone who’s dealt with this same hormonal jawline pattern — what actually worked for you, or if I’m missing something obvious in my routine.

Hi, I’m a 30-year-old man. I’ve never really had acne problems throughout my life, but this year I started noticing acne on my forehead. The pimples would appear, then go away, but after a while the same spots would become inflamed and come back again.

I started using Acnelyse 0.05% (tretinoin) in March and continued until the beginning of June. Since I didn’t feel like it was making much of a difference, I switched to Azelderm 20% (azelaic acid). I’ve been using it for about two months now, but I don’t think that’s making much of a difference either.

What kind of routine should I follow at this point? Should I go back to tretinoin, continue with azelaic acid, or use them together? I’d really appreciate some advice.
My current routine
Am - bioderma sunscreen
Pm - cerave cleanser , azelderm aa (%20) , cerave moisturizer
P.s : in second photo i was not using anything that was march first day

here is more foto

I usually get acne around my chin, jawline, and cheek area, my forehead usually just gets the tiny bumps and texture. I experience redness/ hyperpigmentation from old acne that has gone away but left the red marks. I don’t have any scarring. My current routine which has improved my skin since it’s been worse before is the Laroche posay tomefaine purifying foaming cleanser, their double repair matte moisturizer, and sometimes i use the ordinary salicylic acid for closed comedones on my cheeks. i also sometimes use the medicube oxen pink collagen cream when i feel my skin needs moisture. Also i do have eczema but usually it never affects my face

Ciao a tutti, è la prima volta che scrivo qui! La mia storia ha inizio 3 anni fa quando all’età di 30 anni ho iniziato a veder comparire papule rosse più o meno profonde. Inizialmente sbagliando mettevo (cortisone + antibiotico); poi ho iniziato a seguire una linea di vari detergenti e creme a base acido salicilico ma vedevo la situazione peggiorare.
La diagnosi dei vari dermatologi che mi hanno visitato è acne e per alcuni acne rosacea, per altri invece convivono entrambe le patologie.
Da lì vari dermatologi e varie cure: 6 mesi con epiduo forte, 6 mesi con ivermectina e doxiciclina, 3 mesi solo crema lenitiva ossido di zinco, poi creme lenitive con azelaico, poi solo azelaico al 20% e metronidazolo, insomma ho cambiato tante cure ma apparte brevi periodi non passa una settimana che io non abbia lesioni nuove. Queste papule a volte si formano subito in pochi minuti e a volte impiegano giorni e le sento crescere, e di solito son quelle più profonde, cistiche direi.
La peculiarità è che la maggior parte delle volte mi escono solo sulla fronte!
Attualmente la mia routine consiste nella detersione mattina e sera con ceramol actiseb mousse e poi la mattina solo solare svr sensifine ar spf50 e la sera svr sebiaclear active gel. Per un periodo ho usato come idratante ceramol gel viso 311 ma dopo qualche giorno notavo la pelle più unta e mi uscivano lesioni nuove, non so se può essere l’acido ialuronico o altro perché so che in realtà come prodotto è molto minimal.
Tornerò a visita a breve ma praticamente le ho provate tutte, non saprei cosa possa essere visto che principalmente sulla fronte mi escono lesioni molto profonde.
Vi allego questa foto di questi giorni e altre vecchie.
Vi sarei grato se mi diceste la vostra opinione! Grazie mille a tutti

I have recently been battling with these red bumps. Before this i would get red like patches that would itch and come and go and i would get red and hot easily. Than i started getting little clear dumps that turn red and would grow and still itch which now this is the result of all of that. Most of this is on my left cheek. Im not sure what it is. As of now all i use is vanicream cleanser and vanicream moisturizer. I tried using anti dandruff shampoo because i was sure its fungal folliculitis but i noticed the bumps are more red and i got new ones. I dont use makeup anymore and i wash my face anytime i sweat. If anyone has experienced this or has any advice for me, anything would be helpful.

I want my skin to look eventone the redness is not so prominent on camera. For the deep pitted acne scars I plan to get peels/microneedling later on but I am getting married in 2 months and I want clear skin first before smoother skin.

I’m at my wits end! There is so much happening on my skin, active breakouts, under the skin cystic acne, closed comedones. I have no idea where to start.

At the moment I use simple face wash, sometimes use Avene cicalfate in the night for skin barrier and use beauty of joseon SPF 50 (blue one) in the day. I use the red Medicube pore pads 2x a week also. I struggle with complex skincare routines.

Have been prescribed benzoyl peroxide and doxycycline in the past and didn’t work. I was on Dianette a few years ago (managed to get away with it for a year by asking for refills) and it cleared my skin up so much, it was perfect ! But got taken off about two years ago, as it’s not safe to be taken long-term. Since I got taken off my skin has gone downhill again.

For reference I am 23F, on no birth control and recently got diagnosed with coeliac disease but have been gluten free for 3 months now.

If you have any recommendations please help! I don’t really want to go on medication 🫶🏽

I have this type of pigmentation & post acne marks any suggestions on how to remove this .... Plss

So hey, Im 18m i have had acne for about 1 year no with some noticeable improvement tbh, but I’ve reached my limit and I just want it gone also with my senior year coming up. And I am also using curacne 20mg as a treatment (second month) and for my skincare I am using avene repairing protective cream and revuel eye contour for my dark eye bags

Hi everyone, I really need some advice because I’m honestly getting very stressed about my skin.
My skin has always been quite clear. I normally only get 1–2 small pimples before my periods, but around two months ago, I suddenly started getting lots of tiny bumps/acne all over my face. It started around my period and initially they were very small.
I used one of those acne/whitehead remover sticks at home and they improved temporarily, but the bumps kept coming back. I then consulted a homeopathic doctor, who said it could be due to hormonal issues and eating too much oily/fried food.
But it’s been almost two months now and the problem is still not resolving. The acne comes and goes — sometimes my skin looks almost normal, and then suddenly I get another breakout. Some of the pimples are also leaving dark/black marks behind. Now I can actually feel lots of tiny bumps/acne all over my face.
My periods are due around now, and for the last two days I’ve suddenly developed some bigger, more inflamed pimples as well.
I started using Clinsol (Clindamycin) cream yesterday and Aziderm 10% (azelaic acid). Is this combination okay, or could it make things worse?
I know the obvious advice will be “see a dermatologist,” and I completely understand that. I actually have tried looking into private dermatologists, but consultations here are around ₹1,000–₹1,200, and honestly, if I spend that much just on the consultation, I’m worried I won’t be able to afford the actual treatment/medicines afterwards.
I’ve already tried a lot of things and nothing seems to be stopping these breakouts. I also have my engagement in about two months, so I’m really hoping to get this under control by then.
Has anyone experienced something similar — sudden tiny acne/closed comedones that started around periods and then kept recurring? What actually helped you?
Please be kind 😭 I’m genuinely looking for practical advice, especially from people who have dealt with something similar.

hello everyone, i got back from 4 days of vacation on saturday and woke up sunday to my back looking like this. i tanned a lot and was exposed to the sun longer than i’ve been in two years. i’ve never had to deal with breakouts this big and it’s affecting my confidence a lot. how bad does it look? and how long do you think it’ll take to get better?
i’d be super grateful if anyone would share tips on skincare and knowledge on what kind of pimples these are. thank you

This middle bump was much smaller in the beginning and had a white dry tip. The tip came off when I washed my face with water and it’s been inflamed since Monday. Is it worth getting a cortisone shot on it or should I be patient? I hear stories of indentations on the forehead from the shots and this bump is on my t zone right between my brows.

My birthday is on the 25th and I’d like for it to be gone lol.

hey so I experienced some issues with my skin for the past 2 years now and I was thinking back and forth if it has something to do with fungal acne.

i am female 26 now and never had issues with acne in my teen years. 2 years ago i kind of destroyed my skin barrier with different things, mostly due to salicylic acid or differin gel a year ago (Because i was staring to get skin-colored bumps on my cheek).

There were ups and downs after simplifying my skin care routine and introducing azelaic acid a few months ago. However i still struggle with PIE/redness and these weird bimps that are surrounded by redness, so not really normal pimples. could also be irritation but idk anymore.. they are sometimes itchy but not very much.

Sometimes it seems worse in terms of texture and redness after laying out in the sun but only when there is already some texture/bumps there, but i also had phases this summer where it was still calm after being in the sun a lot (yes i wear SPF 50).

interesting to know it is almost only on this side of the cheek