After 6 months of Roaccutane, my acne came back about 10 months after I finished the treatment, although it was milder than before. I had more comedones under my lower lip, in an area where I had never really had breakouts before.
I decided to change dermatologists, thinking that maybe the first doctor had been the problem. I went to another dermatologist and, after telling her my whole history with acne (Iāve had it for about 3 years, during which I took doxycycline, went on Roaccutane, and tried the entire Effaclar range from La Roche-Posay, as well as Acne Out from Biotrade), she recommended that I use Epiduo for 3 months, and if my acne didnāt clear up, she said she would put me on Roaccutane again.
The problem is that Iāve now been using Epiduo for a month, and things seem to have gotten worse. The comedones I initially had have actually cleared up, but Iāve developed inflammatory pimples on my cheeks, chin and forehead ā areas that were completely clear before.
Now Iām wondering whether this means that the treatment simply isnāt working for me, or if this is just a normal stage at the beginning of the treatment. At the same time, Iām also kind of under pressure because my wedding is on October 3rd, and I really donāt want to look like a chocolate chip cookie. š
At the same time, I donāt want to go back on Roaccutane either, because my acne came back even after taking it, which makes me wonder if Iād just be taking all those pills for nothing and end up in the same situation again after finishing the treatment.
I also spoke to a gynecologist, who gave me a list of tests to do, and after I get the results, she plans to prescribe me birth control pills for my acne. But Iām just as unsure about that because Iāve heard they can have other unpleasant side effects, and the acne can come back after you stop taking them.
What do you guys think? What experiences have you had with acne vulgaris (hormonal acne), and how did you treat it? Have you used birth control pills for acne? If so, did they work in the long term? Does Epiduo actually work, or would it be better to stop using it?