Hi. I am 27 years old and I have had moderate acne since grade school during puberty. Only I have never fully grown out of it. My derm says I have hormonal acne and she prescribed me 200 mg spironolactone and Tazorac .01% gel. My acne has changed since I was younger. For the past maybe 4 years maybe I have gone from mild pimples to extreme clogged pores. I have always had oily skin and mild clogged pores I guess. I stopped spiro for god knows what reason a year or two ago, was off it a while, acne and oiliness came back on face, chest and back/shoulders not long after. Now I have started it again and it doesn't seem to be working as well. Also, I have been using Tazorac for a good month and I know people have initial breakouts and it purges your skin, but it seems like every pore on my face is clogged with creamy white sebum, hard yellowish sebum, blackhead or some occasional whiteheads and regular small reddish looking zits. It doesn't seem like it is working, my face hasn't let up on oil production either. It seems the comedones are a little easier to extract since Tazorac but I am so frustrated and worried. Somedays i think my skin looks better, can't see as many clogged pores but then the next day they are there again. My skin looks horrible. The texture is what really gets me too. Rough and bumpy and oily. Eww. I have one of those faces that always feel "open". I have large pores, scarred pores, oiliness, clogged pores and my face sweats a lot when I get hot. Like some people don't have a lot of sweat glands on their face but I do I guess. I am sure that doesn't help my clogged pores and oiliness. I try to carry face wipes and I never wear any makeup.
So, my question is should I maybe try Accutane? Or maybe there is some other stronger medicine to block more androgens if this is hormonal. I have scars now from trying to squeeze this stuff out of my face for so many years because it is so gross and my face always feel dirty and clogged. I know! BAD ME! I am really trying to stop because it isn't helping anyway.
Clay masks, steaming, facials, scrubs, Tazorac, and spiro are all failing me. how can you have clogged pores all over your face???? Something is very wrong with my body.
And please, i don't want any diet suggestions or herbal suggestions. I eat pretty well, drink water, take multivitamin, exercise, have tried essential oils, carrier oils like grapeseed to "dissolve" the sebum, vinegar solution.
I need something extreme!
very depressed 27 year old that just wants to feel pretty