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[quote=Anonymous][quote=Anonymous]Hi OP -- I'm glad you are working on it. I had horrible acne as a teen and into my 20s and it's so hard. Demoralizing at such a sensitive time in your life. Agree with others to see a derm. I totally get the concerns about accutane. I couldn't take it. I know it is what a lot of people do, but it's not for everyone.

Anyway, I won't tell you what meds to use -- a good derm will be able to figure that out and if something isn't working, or is working but overdrying, they can help you sort that out.

BUT I do want to recommend a product I often rec on these threads because it was a godsend during my years of addressing my own acne. It does not solve acne but it can really help improve the appearance and importantly FEEL of acne-afflicted skin. Acne, especially cystic, can be so painful. Sometimes when treating it, it becomes more painful and inflamed. This product will help a lot to ease inflammation, can help with redness and skin texture. I remember when I started using it, even though I still had acne, it actually helped me to sleep better because my acne hurt less. In addition to using it as intended, as a mask, I would sometimes use it as a spot treatment on a painful cyst or pimple and it would help ease the pain and also reduce it's appearance.

Anyway, here it is: https://www.origins.com/product/15346/62431/skincare/treat/mask/out-of-trouble/10-minute-mask-to-rescue-problem-skin#/sku/98644

The reason it's so soothing is the combo of zinc oxide, sulphur, and camphor. All of which can help separately, but something about the combo in this mask is magic. I know I sound like I work for Origins or something (I don't!) but really it's just that I have such sympathy for anyone dealing with persistent acne and I have been recommending this for over a decade because of how much it helped me![/quote]

This is interesting to me because zinc oxide always worked better for me than benzoyl peroxide for spot treatments.  My grandma recommended it.  The ingredients in this mask are what people used OTC before the commercial teen acne products took off with the Boomer generation.

A recommendation I have that is new is the hydrocolloid spot treatment bandages (little circles).  These can get expensive if overused but my teens like them for their particular type of problem pimples (big lumpy swollen ones with small whiteheads but not cystic acne).  These are a pretty easy thing to try that won't interfere with other things you are trying.[/quote]

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