how to treat severe acne - #16552
I am struggling with this really bad severe acne that's been like totally ruining my life. It all started about a year ago when I switched my skincare routine, and since then, it’s gone downhill. I mean, I tried everything! Over-the-counter stuff, home remedies, you name it. Just last month, I went to a dermatologist who prescribed me some topical cream, but it feels like it made my skin worse! Like, why does it seem like everything I use just irritates my skin more? Not to mention, it hurts sometimes, and I can’t stand looking at myself in the mirror. I've heard people talk about things like isotretinoin and other meds but I'm worried about side effects, you know? My friend says she had great results with it, but I’m also super anxious about how to treat severe acne if it gets worse or if I become reliant on meds. Also, will I ever find the right treatment? What are the best options out there for managing this? Do other people struggle with how to treat severe acne like I do? It’s really frustrating and, honestly, I just want to feel normal again. Any thoughts?
100% Anonymously
No sign-up needed.

Doctors’ responses
When dealing with severe acne, a multifaceted approach is often necessary. You’ve already seen a dermatologist, which is a great first step. It’s not uncommon for topical treatments to initially cause irritation before showing improvement, so it might be worth communicating any side effects you’re experiencing with your dermatologist to adjust your treatment plan. Isotretinoin, as you mentioned, is one of the most effective treatments for severe acne, particularly when other treatments have not been effective. It’s known to significantly reduce and even eliminate acne, but it does come with potential side effects that range from dry skin to more serious risks, so it requires close monitoring by a healthcare provider. Given your concerns, ensuring a comprehensive discussion about the benefits and risks would help you make an informed decision.
Meanwhile, other medications like oral antibiotics might be considered to reduce inflammation and bacterial populations in the skin, often used alongside topicals for added effect. Hormonal treatments such as oral contraceptives can also be an option for some individuals, as they address the hormonal component of acne.
Lifestyle changes can also support your treatment plan. Try maintaining a gentle skincare routine, avoid scrubbing your face too harshly, and use non-comedogenic products. Keep in mind that diet, stress, and lack of sleep might contribute, so pay attention to these factors too.
If your acne is painful, that may indicate cystic lesions, which are deeper and require specific treatments; thus, reporting these symptoms is important. Severe acne indeed affects many people, and while finding a solution can be frustrating, working closely with your healthcare provider can help tailor a regimen specific to your skin type and needs. Finding the right treatment might take some trial and error, and sometimes, patience is part of the process.
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.