
Originally Posted by
Epical
Disclaimer: as I'm typing this, it has gotten to be pretty wall-o-texty, but it's worth it, so bring your own weapons.
From about grade 9 all the way until the end of high school, I used to have pretty bad skin. I totally know what you mean about a confidence destroyer, and it was probably the thing that bugged me the most out of anything I can think of at the time. What made matters worse was that all my friends and people I hung out with didn't have visible acne... at all. D: So I was like some mutant being which probably got a lot of side-looks and comments behind my back.
In my first year of university, after about 4 years of constantly worrying about my face, I finally decided that I needed to fix this once and for all. Now, by that time I had tried EVERYTHING on the market. Everything. Pills, tablets, creams, scrubs, cloths, sun, dieting, water, everything. I'm pretty positive I funded that market for those years and made some companies some good coin. But despite all of that, nothing worked long term. As Isla said earlier, your skin is a reflection of what's going on inside you, so anything topical is a temporary fix to the symptoms, and not the solution to the problem. So Proactiv, while good for spot treatment on people who don't fully break out, isn't the solution to your dilemma. The same goes for other things that are similar in nature.
So, I finally went to a good dermatologist and told him my story, basically saying that I'm at wit's end... if there's anything out there, some sort of heavy last resort that's proven to work, I'm down. He mentioned blue light therapy and skin grafting, but I said I don't want to deal with how I look quite yet, I want the problem gone. So then he told me about Accutane, and signed me up on 6 months worth of perscription. I'll skip to it and just let you know the shit works. The medication is a CURE to acne. I don't exactly know what it does, but whatever it is, it's what needs to be done.
Now, having said that, it's some pretty intense stuff. It will dry you out worse than a grape in 150 degree weather. You'll learn to never be anywhere without a stick of lip balm/moisturizer on you, and liberal amounts applied. Also, you'll have headaches and stomach aches... not too often, but more than if you weren't taking it. The worst thing was the bleeding noses. You'll have them... really bad ones... lots. I have some funny stories I'll save for another time where I'll be walking with some friends/randomly sitting and talking/laying down/running and all of a sudden I'll just start pouring blood. =\ There were times when someone looked elsewhere, and when they looked back at me it was as if I had been hit in the face with a brick. But I digress, you'll get a sheet with all the side-effects listed and how to prevent and/or deal with them.
Despite saying all that, it was so worth, and I'd do it again in an instant. It has been three years since I stopped taking Accutane and I'm 100% clear. Always. Some friends who I hadn't seen in a while commented on my skin the second they saw me, one female friend actually landed a bit wet one on my cheek lol. My confidence levels have gone through the roof/sky, and it is such a different ball game now I can't even stress it. So, I'm a huge advocate of it and 5000% recommend it to you or anyone else reading this with the same problem.
Your daily routine will have to change a bit, though. Since it is so drying, you'll have to put on face lotion (Glaxal Base worked perfect for me) once a day to balance it out, as well as a couple shots of nasal spray a couple times a day, and the aformentioned lip moisturizer (I've used Nivea's Labello and it's awesome). You'll also learn not to sit up too fast when you're on it, nor yawn with your mouth and nose fully extended, etc etc... you'll be extremely sensitive to pretty much everything. You'll probably cut pretty easily too. Oh, and winter will suck if you don't live in Arizona/California/Florida/Nevada/any hot place. A personal tip from me is to WASH YOUR HANDS LIKE THREE TIMES A DAY AT LEAST. You wouldn't believe how gross they get, and how they unconciously make their way up to your face during the day. I used to rest my hands on my chin/check/jaw line/temple/forehead/brow line and then would be baffled as to how I would have zits and pimples arise in those areas. Well, it's pretty obvious now, so avoid touching your face at random unless you need to scratch/move hair/whatever. As far as washing your face goes, don't use something as simple as bar-soap or on the other end of the spectrum, any fancy stuff that has a billion chemicals in it. All you need to do is start off by washing your face when you wake up and when you go to bed (or whenever you shower, do it then and take either the morning/night one out depending on which is closer). I forget the exact product I use for my face, but it's a simple cleanser that's great for your skin... I'll get the name when I get home. Once your skin starts improving, you can get away with washing it once a day before you go to bed or when you shower. It's some pretty delicate stuff, so you don't want to keep working it too much. Oils are natural for your skin, but copious amounts (which will be fixed by Accutane) is bad, and causes acne.
Anyways, now that I've typed way more than I planned on, here's a quick cliff's notes: go to a derm, tell him you want Accutane. He/she will calculate how much you need depending on your body weight, and you'll be assigned increasing amounts (one pill every other day -> one pill every day -> one pill and then two pills alternating -> two pills every day -> reverse back down until you're at one every other day -> stop... it'll take a few months). You'll need to prepare for it, but it's totally worth it. It is a CURE to acne, not a temporary fix so you can go out and look good for a party on the weekend... I'm talking rest of your life type thing.
If only I put this much effort into school lol...