Skin Update [#1] December 2018: Acne + Scars

It has been ~6 months since I stopped dermarolling and started using OTC Differin 0.1% Adapalene. I have done quite a few things for my skin since then, and I thought I’d do a Skin Update if you were curious about my progress and my current approach to achieving healthy skin! As seen in the title and main image, these will be the main focus of this update.

Before we continue, please be sure you’re caught up with the following, that way you have a better understanding about my skin and my approach to this post!
I’m Finally Sharing my Current Skincare Routines 2018
My Morning (AM) Skincare Routine 2018
My Nighttime (PM) Skincare Routine 2018
REVIEW: Banish Acne Scars Banish Starter Kit

RECAP:
– Did 4 at-home dermarolling sessions with the Banish Kit. Stopped microneedling in general because I had no control over my acne breakouts. (March – April 2018)
– After microneedling, used OTC Differin for ~6 months. (May 2018)
– Sun not as strong, reintroduced chemical exfoliators back into my routine. BHA in the AM only on days when I workout, and AHA every other night. (September 2018)
– Tried Banisher 2.0 and did another 2 microneedling sessions. (Novermber 2018)
– Saw a dermatologist after 10 years of not seeing any skin professional; Got prescribed Aczone Gel 5% Dapsone + Differin 0.3% Adapalene to heal acne lesions and prevent breakouts. She was okay with my at-home microneedling. (November 2018)
– Created a more focused skincare routine in consideration of the new prescriptions. (Decmber 2018)
– Spoke with a Medical Esthetician about a PRP (Vampire) Facial. (December 2018)


Acne

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Differin 0.1% Adapalene for 6 months
After using OTC Differin 0.1% Adapalene for 6 months, here’s what I have noticed:
– Skin is subtly smoother, but not by a lot
– Quickly reduced pain caused by active acne
– Helped acne to quickly heal
– Red acne marks fade faster

Overall, OTC Differin was a great introduction into my skincare routine. Any skin professional will tell you Vitamin A is the most superior ingredient for improving acne and anti-aging, and this one is easily available for Americans (*shakes fists of jealousy*). However, after half a year of use, my skin plateaued. By that I mean it was working okay, but not great – not significant. Quite frankly, I really disliked how I was still breaking out into large, painful cysts. Definitely a sign to me that 0.1% was only doing so much.

Dermatologist Visit
My family doctor booked me an appointment to see a dermatologist about a few spots I noticed on my body (FYI: no skin cancer, yay!), so when I went in for the visit I also expressed concern about my persisting acne breakouts after YEARS of trying to get it under control (antibiotics, birth control, previous prescriptions, cleaned up diet).

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The derm prescribed me Aczone Gel 5% Dapsone to help heal current inflamed acne lesions (painful AF cysts) and non-inflamed acne lesions (blackheads and whiteheads), and upped the Differin to 0.3% Adapalene to better prevent blocked pores as well as treat inflamed skin. I’ve currently been using Aczone in the day and Differin at night (since Nov. 27th), and I, as well as family members and BF, have already seen a difference. Current inflamed acne lesions subsided a lot, and I find my skin way more even tone and smoother than usual *no placebo effect, plz*.


Scarring

I’ve hoped for years topicals could help me with my acne. I’ve been trying this for 5 years. Half a decade. And only recently I decided to incorporate Vitamin A into my routine and speak to a professional. I feel like a dummy, but at least I’m still in my 20s and I got over my fear of prescriptions (due to my poor routines years prior) and understand my skin concerns enough to address them with a professional.

As I previously mentioned, Differin 0.1% Adapalene made my skin appear subtly smoother, but frankly, there was no significant change. In attempts to take a Before/After photo (the Before photo being my last picture in my dermarolling post) I found it not only difficult to remember the exact lighting angle I used, but also my atrophic scarring didn’t look THAT different. On top of that, I am still breaking out so you can see red marks despite previous ones healing fast, as well as active acne *le sigh*.

I’ve seen Chemist @kindofstephen post a study on 0.3% Adapalene helping with acne scarring just before I got prescribed Differin 0.3% Adapalene; After reading the study, I am more enthusiastic about my higher prescription and the potential results.

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Reintroduced Acids
Before I saw the derm, I began using chemical exfoliants in my routine once the sun became less strong and we started moving into the fall. I’m currently using Paula’s Choice Skin Perfecting 2% BHA Liquid in the morning only on days I workout. In the PM I was using Krave Beauty’s Kale-lalu-yAHA, a 5.25% Glycolic Acid toner *, but now rotate it 1-3x a week due to prescription use. PC’s BHA Liquid makes my face lovely and smooth every time I use it, but AHAs seem to always be my bestie when it comes to scarring. I’ve been using KB’S toner for just under 2 months now and I already notice my face looking smoother. I think I’ll keep using the AHA all year round just because it’s probably the only topicals easily available that I notice makes a difference in my skin. Also I don’t think I’ve ever talked about this, but I got 2 free BHA Peels done by George Brown College Students in downtown Toronto last year (2017) because it was free.

At-Home Microneedling
If you read and watched my brand review on Dear, Klairs, I did mention that I started microneedling again. I had the opportunity to review Banish’s new Banisher 2.0 * and have done 2 microneedling sessions since receiving it. These were done before my derm visit, so now that I have new prescriptions to get used to I won’t be using the Banisher 2.0 for another month or so until I get a better understanding on what’s happening with my skin.

original vs. 2.0

Considering a Professional for Microneedling
I told the derm I’ve done 6 microneedling sessions total with 0.5mm titanium needles and she was okay with that. Actually, she said microneedling or Fraxal laser were my best options for getting rid of my scars completely since topicals can’t do it themselves *le sigh*. My boyfriend’s mom (Medical Esthetician) discussed the Vampire Facial (PRP) with me and suggested to have the facial done through her friend who is an RN. I’m planning to meet her soon for a consultation. I also asked my sister (who’s now in Seoul working) to scope out the prices for PRP. In the meantime, at least the at-home 0.5mm dermastamp will assist in the appearance!


My Current Skin Goals & Routine

After all I have just said and done, my skin goals have not changed much. Acne Control, Hydration, and Barrier Protection are still my top priorities for maintaining and achieving healthier skin! Instead of using so many products like my previous routines, I want to achieve these goals by attempting a more minimal approach *key word: attempting*.

I’ve also been watching way more skin professionals online, including dermatologists, so I have a better idea (and patience in general) on how to incorporate the prescriptions in a routine with products I like to use. I’m going to try my hardest to keep an efficient daily routine, and leave the fun stuff for bath time or lazy times. I’d say my approach is inspired Dr. Davin Lim’s Vitamin ABC’s, but it seems like my routines always had them!
Vitamin A – Differin 0.1% Adapalene to 0.3%.
Vitamin B – Niacinamide (B3) is da besttttt.
Vitamin C – Using a derivative at the moment, but will try to focus more on L-Ascorbic Acid with future products.

TBH, I’m having a hard time with the C. I currently am using Dermalogica’s Biolumin-C Serum * and in November I received the Banish Oil * when testing out the Banisher 2.0 *. I just find the effects I usually get from Vitamin C (even skin tone, brightening, glowing, reduced hyperpigmentation), are also coming from/being assisted by the other Vitamins, and I don’t know if there’s really a purpose for the C. Or maybe, they all just work best together, which is why I haven’t noticed anything individual! I’ve heard great things about Melano CC Essence and have ordered it from DokoDemo along with a couple of other items. I’ve also been curious about Drunk Elephant’s C-Firma, but we all know that shiz is esspenssive. Skincare peeps, what do you think?

Now that topical prescriptions have been introduced to my routine, I want to make sure what I use with it has effective ingredients and helps offset any dryness or irritation I may expect.  I will share my updated skincare routine once I have comfortable used all the products.


And that’s that for my skin update! I hope you found it informative, especially if we’re on the same healthy skin journey! Stay tuned for an updated skincare routine with Aczone and Differin!

xo, M

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2 thoughts on “Skin Update [#1] December 2018: Acne + Scars

  1. I’m happy that your acne seems to be getting better! I suffered with cystic and regular acne too, and it’s rough. Ugh! Good on you trying being so diligent. And sharing your journey! Keep your head up. Acne is only skin deep. It doesn’t make you who you are.
    I’m working on the scars now (late 30’s, acne has calmed, though I still use topicals for it. Right now I use Melazepam). And actually I’ve had great luck with topicals for scarring and hyperpigmentation. Mostly Vitamin C and retinol has shown results. But I have some stubborn scarring on my neck that I may consider going to a derm or laser for.

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    • Thanks for reading and taking the time to comment! I used to be super obsessive about my acne in my early 20s when it was at its worst. The moment I just decided to not care anymore and take it for what it was, I swear it helped my face clear because I just stopped stressing. And thus, I obtained the virtue of patience lol! I have quite a few refills for Differin and the 0.3% seems to have a really good track record, hoping it’ll help with preventative aging aspects! I ordered the Melano CC anti-spot essence, so hopefully it’ll be a vitamin c product I can stick with. Have you tried using a Retinol on your neck mixed with moisturizer?

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