brought tears to my eyes when u said “I HEAR U”. people keep saying i’m too obsessed with my skin, my appearance, etc. and i don’t blame them as they’ve never had to experience the suffering but it’s just nice to be heard once in a while
I’m so glad you made a video on this. I was on Accutane myself when I was about 18-19 for 9 months. I’ve always had bad acne since I started puberty and was always very conscious of how it looked. People around me couldn’t understand the impact it did to my self esteem. I went to a first dermatologist at 15 and got a yellow medication that did absolutely nothing but cause nausea and vomiting thrice a day everyday. I was actually very scared to start Accutane when I met my second dermatologist but she told me we could start slow, and it worked wonders for me. I’m years out of when I first started Accutane and I’ve had to top up a booster of Accutane for a month or so every couple of years.
THANK YOU for this video! I'm a 27 year old UA-camr with moderate hormonal acne and I totally felt bad about wanting to take accutane given that my skin is "not that bad". I was also terrified of the purge given that my (non personal-UA-cam) job includes being on camera. Even though it may be considered mild, the psychological weight of always worrying about breakouts and the time it takes to conceal has a major effect on my mental health. I relate so much to your experience and you've given me hope! You and your skin look amazing of course :) So well documented!
Ugh, it is so refreshing how well spoken and professional you are in your videos! I have only recently found your channel and I love it! I really enjoyed this video, and it's nice to see a well documented journey. I have a dermatology appointment in March to discuss accutane! a little terrified.
That was such good advice that you gave at the start of the video. The course of treatment a person takes is between them and their doctor- a stranger can’t possibly judge the right treatment for your body (acne or otherwise) 💕
You are by far the most interesting, informative and in a way less stressful accutane review I have ever watched. Some just talks toooo much and like repeats all what they have watched and seen from others. Yours is rather genuine for me. Thanks for sharing x
I am considering accutane, but I am on spirolactone right now and it’s doing wonders. Don’t let people make you feel guilty for caring about your acne because it seems like a trivial, vanity problem or offer unsolicited advice, making you feel like it’s your fault for lifestyle choices or not investing in expensive skincare. Acne is a painful skin disease that can have mental health implications that medical professionals take very seriously. Go see your doctor and get the best possible care you can!
Oops, I forgot to mention that I was on Spiro for a few years! 😊 It wasn't my long term solution but it definitely worked then. Totally agree with you regarding shaming/guilt, it's so bizarre considering that acne is a legitimate health concern. x
Only people who have battled it will understand the pain. I’ve had two courses of accutane, on and off the pill, diet changes, skin care and recently was on Spironolactone which cleared my skin so quickly! It’s a journey that’s for sure!
Hey Karima, another video with a 3 month update would be very beneficial. I love how thorough and detailed your videos are, I end up learning so much so very grateful for them. Could you also please do a accutane skincare video with the products you used on your face and body to keep they dryness at bay. Thank you : )
Thank you for sharing your journey on Accutane! As a dermatologist, it makes me happy to see patients discussing the pros and cons of this medication and what it's like to be on it!
Super interesting Karima - I'd definitely be keen on a continuation. I watched Arden Rose's experience, too. It's great info, so thank you for sharing it first-hand.
Karima, I've been following you for a decade, and I'm sorry you went through this breakout period. I remember how flawless your skin always was and could tell you were distressed in earlier weeks. So happy your treatment went well. 😘
"Everything is on a travel ban except for my neck acne". LOL. Only you could pull off gentle, self depreciating humor alongside wickedly informative and brainy content. I adore you. I imagine this will be incredibly helpful for people exploring Accutane for themselves. Also; how freakin brave and awesome of you to be bare-faced, with ouchey acne and smile about it.
In addition to uncontrollable weeping, coming off of BC was a nightmare for my skin as well. Thankfully it’s cleared up, but it’s so nice to see someone who talks so openly about her acne and is also unashamed to share it with the internet! Usually it’s an “I have acne, deal with it” or a “there’s acne on my face, but I’m gonna cover it so no one knows,” but it’s nice to see someone saying “hello, this is my face. It has acne. It’s okay to show it, and it’s also okay to be unhappy with it and find ways to get it reduced.” Also, the shoulder definition! Your gym sessions are giving great results!
Thank you for this comment ♥️ I watched many youtube videos about acne and the accutane journey and I was also inspired by how people just showed up! Breakouts and all, without apologies. xx
My dermatologist prescribed accutane for my severe cystic acne a few years ago and it was the best thing I've ever done. Being able to access a specialist can be literally life saving.
I quite enjoyed watching your journey battling those darn acne, but what I liked the most was the fact that you were smiling throughout the whole time. I mean I would've been a nervous mess as I myself suffer from acne but I never bit the bullet and tried a targeted treatment. I am on antidepressants and I have to be very careful with other medications and treatments lest there might be a reaction which could cause some troubles. I really hope that you will finally succeed and get rid of acne for good. I would love to see more of your journey with accutane.
I'm surprised they haven't put you back on BC during accutane? The two things I miss about being on it are not having to wash my hair as often 😂 and perfect skin (after being on it for a little while). I had really mild but persistent acne so I hate when people say it's not serious enough to go on it. It's serious if it really impacts on your self esteem and mental health, and if you've exhausted other avenues of treatment. Side effects for me were quite rough - the muscle and joint aches were the worst! But I have no regrets and would recommend it to anyone! I'm glad you're getting the help you wanted and thanks for documenting an important topic!
This was sooooo helpful! I'm about to start a low dose and I was so nervous about side effects. But this made me feel 100 times better and that it's all gonna be okay 🥰❤️
I stopped being able to take BC due to cluster migraines in my early twenties and have about 10 years of acne scars that I am now, in my 40s, microneedling and lasering away. My skin eventually went from oily and acne prone to dry and with very minor hormonal acne easily managed with topicals, including trentinoin, but I feel like that happened a few years before I turned 40. It was wretched in graduate school. I understand the distress and I'm glad you have a good dermatologist! I very much enjoy this kind of content.
This has been so helpful, thank you. About to start a course for the first time and your video has helped relieve some of the anxiety I had around it :)
Wishing you the best on your accutane journey! I’ve been on twice, and it did wonders for my skin..Yours already looks like it’s on the mend! Thank you for sharing your journey with us! 💕
This video made we feel oddly nostalgic for my accutane days!! I had a very similar experience (20 mg/day, eczema on hands, new breakouts going away super fast) and I would do it a hundred times over. My acne also really affected my confidence and my mental health so it was incredibly exciting to see it go away month by month, and I'm glad I documented it all. Sometimes I still look back on the pictures to see myself looking happier and happier as the acne disappeared. It's just so freeing to not have to constantly think about your skin! In short, I'm very happy you've had a good experience with accutane as well!! I hope you continue to document this journey.
@@karimamckimmie It ended up being about 6 months! but most of the change happened within the first 8 weeks. Even the side effects had mostly gone away, except the super chapped lips lol those persisted until the very end
I had the opposite problem- birth control totally ruined my skin, and getting off hasn’t made it better! I’m considering accutane and doing some research, and this is very helpful! ❤️
This video was so helpful, Karima! As someone who has struggled with cystic acne for 10+ years and have seen it worsen from my daily mask wearing (still 1000% pro-mask of course), I think it's time to stop putting off trying Accutane over fear of potential side effects. Thanks for sharing your journey and I would love to see more videos on this topic along with all of your regularly scheduled sparkly eye top coats videos too! Best of luck to you with the rest of your treatment!
Pleased you found it helpful 😊 Definitely read some of the journal articles and studies around low dose isotretinoin, the approach has changed in recent years. x
Thank you so much for documenting your journey! I just started my second month of accutane for mild-moderate persistent acne, and your video really helped prepare me for the process. My dermatologist unfortunately has been no help providing information or care, beyond the prescription itself, which is quite shocking considering the intensity of this drug!
This was super helpful! I’m just about to start this medication and I was super nervous but although I know every one responds differently to the medication I found this video super helpful to see what I’m getting into! Just subscribed you seem super cool! 😇
Please do continue! My daughter finished her second round of isotretinoin 3 months ago. I think we have to wait another three months to be sure the results are lasting. Your videos are always so high quality and I really appreciate that you are willing to document your journey. It's super interesting!
@@ernestomarquez4972 It’s now 14 months since my daughter finished her second round. The acne has returned, but it is not nearly as bad as it was before. She didn’t want to do a third round with all the side effects, but has chosen to do Curology instead
As always, since the first day I start following you, you came as an Angel to answer to my questions about my struggle ot that moment. It's incredible! Btw I'm going thru the same struggle PLUS a mild form of alopecia caused by dermatitis and I'm now under supplements prescribed by my dermatologist. Also he is a little worried to prescribe accutane to me. But I think on the next appointment I'll talk about it with him. Thank you for this, was really needed !
So glad you did what's right for you and started Accutane. I did an 8 month round of it a couple years ago and have not regretted it for a second. Also glad to hear your symptoms have been minor! I experienced all the horror story ones - constant bloody noses, repeatedly catching pink eye, terrible joint pain and stiffness, sensitive gums, post traumatic IBS after a stomach bug, and insane dryness that lasted at least a year after I finished my course. Still, worth it.
@@MissMichixo I have had a few nose bleeds sometimes multiple in a day but saline gel helps this. I also had pretty bad constipation the first few months but I just made a diet change that included more fiber and fruits/veggies.
Never underestimate the impact of acne scarring. Even being gentle with acne can result in scarring for LIFE. I know as I bear the legacy of never squeezing yet still scarred. A good reason to avoid acne whenever possible.
Literally! I never pop any of my pimples (I barley even touch my face) the only time I touch it is when I’m washing my face & applying moisturisers etc. But I have acne scars around my entire face. I have more acne scars then actual active acne. It sucks
That was such a helpful and informative video ❤️ one of my close family members was on accutane for a few months, and it helped with severe acne problems that nothing else worked on. I’m myself soooo scared to go off the pill, which I plan to do soon, as my skin was quite shitty before 🥲
Hey I loveeeeee this!! So informative and useful! I’ve had spots for 12 years and have been considering accurate now. Please keep us updated! You also mentioned antibiotics - which ones did you take and did you notice any difference at all when you were on those? Xxx thank you so much for this! Also you are an absolute delight :)
I was on 20mg Oratane for 8 months when I was 34. I would do it again in a heartbeat. Just waking up without pain every day was amazing! It’s 4 years later and it never returned. By the way, I cleansed with Lipikar Syndet throughout, you introduced me to that lifesaver ❤️
Hi I hope you don’t mind me messaging, but I’m about to go on it and am 33 and ideally want to start trying for babies 3 months after my treatment (as per my docs recommendation). I don’t suppose you tried for babies after your treatment? And was everything ok?
Hi Karima! I really appreciate your video. I am starting my isotretinoin treatment soon for mild acne as well and I was very doubtful of taking it because of all the negative experiences I read about on reddit lol (please don't scare yourself like this like I did as everyone's experience is different). I've also had a lot of people tell me not to use accutane because my skin is not "as bad as other people's", but I find this comment to be quite ignorant, and hearing you say that this is just a way to take care of yourself and your skin, it really gave me confidence to start my treatment being hopeful for a solid change in my skin while also being aware of the potential side effects. Even three years later, thank you for a very helpful video!
Please keep the isotretinoin update regularly. Not many UA-camrs that I subscribe have their isotretinoin journey. Btw, currently I'm almost finish my second months oral isotretinoin. My dermatologist also prescribing me topical retin A. Please do video skincare regime while on oral isotretinoin
I have the exact same acne!! Persistent and more near the jawline as I got older. Just started isotretinoin and you have inspired me to do video updates
Wow! what an informative video, thank you so much! I’m on week 3 of a 40mg/day dose for my post pill acne. I’m 45 years old and after trying so many other options this was what my derm recommended. Watching your video was literally me! Although I’ve been experiencing sabaceous filaments and excessive texture and bumps recently. The dryness is crazy and I’m moisturising now more than ever. But hey, the not having to wash your hair everyday is the best!
Thank you for your sharing. I’m very care of my skin as well and feel stress whenever it get bad. Am going to start accutane and hope it went well like you ...
I’ve been getting cystic acne since I was 11 or 12 and I’m in my 30s now and I can say that without a doubt there is NO PAIN alike neck acne. It’s just another level pain.
Never, ever thought of putting lip balm in my nose! Good tip! Now your skin is better, can you please please please come back to us on UA-cam??? 😭😭😭 we miss you. I loved your work make up, eyeliner and IG baddie videos - I remember them clearly!!
I've dealt with acne since my 30s and I'm 49. Luckily, Retin-A has mostly cleared it up. But yes, never let anyone make you feel like caring for this issue is vain. It's a medical condition. ❤️ I'm glad you're response is good, Karima!
Please continue the updates Karima! I’m on a very similar situation where I’m entertaining the idea of going on acutaine but i’m afraid of what happens when you finish the course. Do the spots come back? Do they not? I’d love to see your journey.
Your skin is looking 😙🤌 (good) lol! I started accutane in late October. I should be on it for a couple more months. But oh gosh it has helped tremendously with my acne. The minor side effects is worth it for me! I also watched video after video before I went on accutane too! So I appreciate you adding to the list of accutane videos!
I have had accutane twice in my life at different times. Once in high school & again in my mid twenties. I remember having a terrible time with side effects but looking back it was worth it. Twenty plus years later I like my skin. Thoroughly recommend Dermaveen Bath & Shower Oil as a facial & body cleanser.
as someone who got off of accutane 2-3 months ago. I shared the exact same side effects as karima, which is a veryyy small price to pay for beautiful skin afterward. great video xx,
I just want to second the gal who said she's happy to see you more regularly again! I've been with you for few years and it's been awesome to see you more recently. And neck pimples are *lé WORST* and I hope that they stop troubling you soon.
I’ve been on low dose accutane for over a year now, since october of 2019. I had pretty severe, cystic acne, it hurt so much and it affected me mentally a lot. I have never had any side effects besides dry lips and dry, sensitive skin. All of my acne is gone, except for the occasional pimple. Hopefully I’ll be able to get off it before the summer. For me it was definitely worth it though! Good luck on your journey❤️
I’m planning to start on mine soon for cystic acne and lumps on my scalp as well as acne on my face. The worst part is dealing with pain everyday even worst when try to sleep. I just wanna ask besides clean and clear skin, did it eliminate the pain and inflammation as well?
When you said „I hear you, I know why you are struggling“ I cried. I feel so bad and no one understands me really. Thank you for the video, I talk to my dermatologist next week :)
I'm about to start accutane and this video was super helpful. I also shared the exact experience where I had acne in my T zone as a teen and now its on my cheeks and the sides of my face. Thank you for the awesome vid!
I've watched your channel for a long time and always enjoyed it. I really admire that you've come on here to share your journey. During all this mask wearing my skin has broken out. I decided to try Differin (which is over the counter in the States). I didn't know what I was getting into with topical vitamin A and it just destroyed my skin. I put moisturizer underneath (as I've heard can help to buffer it a bit) but I think I started too fast (I started every night...crazy me!). It was so embarrassing how bad my skin looked. I broke out far worse with it and my skin was so dry. I felt that my skin barrier was actually damaged. I ended up trying a product called La Roche Posay Cicaplast Baume (it's supposed to help with skin barrier damage). Thankfully it really healed the skin barrier and I've just now started back into a routine again. I have never tried accutane but I am cautiously venturing back into Vitamin A (this time something less intense...a regular retinol with a low percentage only twice a week). On the off nights I use either a BHA or an AHA and feel like I am finally, finally getting my skin back. I know the frustration! BTW, what you mentioned on your neck...there's a great Aussie product called Zitsticka. It's a clear patch that's medicated and it really might help (basically a spot treatment). Within a couple of nights it'll be significantly reduced and feel better.
I've been on 10mg accutane for almost 20 weeks. I have mild acne just like yours when I started. My skin used to be super oily, now I don't have to use blotting papers anymore and I can rock day4 hair pretty well. Keep update on your journey Karima, We love it :)
Hi have you had any side effects so far? What are the changes for you? My Dermatologist also advice me on 10mg accutane but I am wondering if it's worth it as I don't have major acne but it seems that no topical acne can improve my acne more...
@@HereDiianas I think i noticed some mild side effects, here and there. Like my stomach was hurt, I had back pain, i felt weak. But everything was fine after 1-2 months. In my opinion, i'm very happy with the result, i don't have to use heavy make up anymore😊
Incredible video! I am 32 (nearly 33) and have been on it for the past 6 months. I wish I had taken the leap and started it ten years ago! It's TOTALLY worth every bad side effect. Laniege lip sleeping mask saved my life!!! I have never had what you would call "acne" but it has been persistent for years. If anyone really this is contemplating it just do it!
Thank you for making this video! I'm seriously considering it. I've gone onto the pill to try manage mine. It does for about 2 weeks of the month and then i breakout for the other two. Albeit not as bad as when I'm not on the pill. My gp really wants me to go on accurate but I've always been nervous. I've definitely tried so much other stuff and it's not working :(
My skin looked very similar to yours (before accutane) before I had children. Thankfully my hormones seem to have sorted themselves out after 2 children! It was a long adult acne journey.
This is so helpful! Im 27 and went of BC pills after 8 years on them, and had the same thing only it was also on my back and shoulders and ive never had body acne prior to now. Going to be going to talking to my doc!
Thank you for this! My dermatologist also prescribed me Isotretenoin Oral however i have not yet agreed to it since it’s kinda pricey and i’m kinda scared to do it but after watching this it gave me courage to start it this sooner this week (after undergoing some lab test) because i’m overly depressed looking at my face every time when i look at the mirror 😔
I almost feel as though being heavily invested in the science of skin can make acne worse (you try everything, and the skin HATES IT). Nina is so fantastic; a great derm can make all the difference (from a fellow sufferer of post-pill hormonal acne misery).
I’ve not had problems with acne beyond monthly hormonal breakout. Our oldest suffered with acne and since neither my husband or I had ever really dealt with it, I took him to a dermatologist who said it was cystic. She prescribed an oral antibiotic along with topical ointment that changed all the color on our bath towels and some shirts. I wish accutane had been available then. Or it may have been and I just didn’t know about it. Your skin is looking amazing and I know acne is painful. That’s something that’s not widely talked about but I wish it was. Maybe then people wouldn’t judge when someone does or doesn’t choose accutane. Furthermore who cares? It’s your face and how you choose to treat your acne is best left to you and your dermatologist, no one else. Well maybe a significant other! 💜💜💜
I am starting accutane in a few days and literally cried when my doctor approved me for it. I suffer from painful cystic acne on my face, chest, shoulders, and all over my back. Your video is the best I have found. I know you posed this a while ago but I am hoping that you have/are going to post a three month update. Also can you post your skincare routine while on accutane and after you get off it? I haven't been able to find anyone who discussed their skincare routine after completing treatment!
Yeah definitely it's very helpful... Hey karima this is me from India... And first thing I want to tell you is that I love you ❤ you're such a sweet person. I have also started accutane this week.... Was so depressed because of acne since so many years. Hopefully it will help me as it helped you. I also want to tell you that I love your content... Absolute pleasure to watch you.
Good for you! I did it at 28-29 and it changed my mental state! Wish I had done it even younger. However my purge stage was absolutely horrible I went through months of terrible worsening acne along with peeling and dryness and painful corners of lips nostrils and eyes. But outcome after 5 months was worth it ! My skin was flawless for 5 years afterwards and decent ever since ... I’m now 52 and don’t really break out . I have more of a mild rosacea sensitive skin . But no wrinkles ☺️
thank you so much! its like ur talking about me, i have the same persistent mild to moderate acne with oily skin, I also have the same lip tugging thing haha, i was prescribed 10mg od, super scared yet excited to start, I would definitely love to see a video about what makeup products worked well when u were on the pill, annd werent so drying and problematic!
Hi Karima, if you haven't tried Bepanthen Nappy Rash Ointment for your lips... you truly must, it's the only thing I've tried that keeps my lips from bleeding (i've tried laneige, nuxe reve de miel...). I'm glad to see isotret worked for you.
I would be very curious to know what skin care products you were using during this period, considering your skin was going through such a significant transition!
Karima, this is lovely. Your content always has incredible polish and is just so well edited and thoughtful. I have been watching you for years! From MakeupAlley days. I’m glad your skin is healing up! When my acne started in my early 20s, it crushed me. Resolving that changed my life. Also, you turned me on to Dr Sam skincare and my skin is ABSURDLY picky - like, has liked 3 moisturizers I’ve tried in 7 years (thanks autoimmune disease!). Bless you!
Just going to share my accutane story as well here. Overall glad I did it. But definitely glad it’s over. Some side effects: extremely dry lips. I moisturized with Vaseline, oils, lip masks, etc but it got so bad my lips cracked in the corners and I couldn’t open my mouth to eat without pain. Mornings were the worst. Flaky skin I actually got an anal fissure because my digestive tract was so dry I got a cut when I took a shit too big once. This lasted 4-5 months. Had to see a colorectal specialist. Irritability Extreme loss of appetite that turned into 15-20 lbs of weight loss, I was 90lbs at my lowest weight
wow we're more or less on the same timeline and same dosage and same age! I started 16th of December, first it looked like it got better, than I broke out, but it heals quicker, then I healed, then broke out again. I also get them on weird spots, in week 7 I thought wow great it's clearing all uphill and then week 8 some older ones got bigger again or looked more 'sore'. It stresses me because i also work as a model :( i was hoping i'd be one of them where it's all cleared up by end of month two. anyway started week 9 today! Your video calmed me down. I was thinking maybe I need to up the dosage or is this not working but yeah maybe patience is key here. Which obviously is hard, as it is such an emotional rollercoaster. I never really had issues up until September last year (i mean in the last two years here and there but nothing major), I went through everything under the sun, including birth control nothing helped. i was off for birth control prior to the break outs for 3 years so it can't be that. anyway, i am so glad to find someone who is on a similar timeline as me! I also have some dark spots all over my right cheek, hope they clear up! We can do this :) I love your enthusiasm. I recently talked to another girl our age who also did 20mg and her journey was similar to mine described and she stopped breaking out in month 4. Did your dermatologist say you might need to up the dosage at any point? I have mixed feelings on the one hand i wanna up it so i am done quicker and see results quicker on the other hand i don't wanna deal with more side effects. Mine said we'll have to see.. but usually they do try to stay with 20mg. My ex had severe acne and cleared up so quickly with 10mg and I am here going up and down, confusing.
brought tears to my eyes when u said “I HEAR U”. people keep saying i’m too obsessed with my skin, my appearance, etc. and i don’t blame them as they’ve never had to experience the suffering but it’s just nice to be heard once in a while
But when i see acne on others its nothing like it really doesnt bother me i find them beautiful but when its on me its so much different
I’m so glad you made a video on this.
I was on Accutane myself when I was about 18-19 for 9 months. I’ve always had bad acne since I started puberty and was always very conscious of how it looked. People around me couldn’t understand the impact it did to my self esteem. I went to a first dermatologist at 15 and got a yellow medication that did absolutely nothing but cause nausea and vomiting thrice a day everyday. I was actually very scared to start Accutane when I met my second dermatologist but she told me we could start slow, and it worked wonders for me.
I’m years out of when I first started Accutane and I’ve had to top up a booster of Accutane for a month or so every couple of years.
THANK YOU for this video! I'm a 27 year old UA-camr with moderate hormonal acne and I totally felt bad about wanting to take accutane given that my skin is "not that bad". I was also terrified of the purge given that my (non personal-UA-cam) job includes being on camera. Even though it may be considered mild, the psychological weight of always worrying about breakouts and the time it takes to conceal has a major effect on my mental health. I relate so much to your experience and you've given me hope! You and your skin look amazing of course :) So well documented!
Ugh, it is so refreshing how well spoken and professional you are in your videos! I have only recently found your channel and I love it! I really enjoyed this video, and it's nice to see a well documented journey. I have a dermatology appointment in March to discuss accutane! a little terrified.
Please more acne content! One of my goals for this year is to finally see a doctor about my skin and I’d love to see more about the process!
That was such good advice that you gave at the start of the video. The course of treatment a person takes is between them and their doctor- a stranger can’t possibly judge the right treatment for your body (acne or otherwise) 💕
You are by far the most interesting, informative and in a way less stressful accutane review I have ever watched. Some just talks toooo much and like repeats all what they have watched and seen from others. Yours is rather genuine for me. Thanks for sharing x
I am considering accutane, but I am on spirolactone right now and it’s doing wonders. Don’t let people make you feel guilty for caring about your acne because it seems like a trivial, vanity problem or offer unsolicited advice, making you feel like it’s your fault for lifestyle choices or not investing in expensive skincare. Acne is a painful skin disease that can have mental health implications that medical professionals take very seriously. Go see your doctor and get the best possible care you can!
Oops, I forgot to mention that I was on Spiro for a few years! 😊 It wasn't my long term solution but it definitely worked then. Totally agree with you regarding shaming/guilt, it's so bizarre considering that acne is a legitimate health concern. x
Spirnolactalone is amazing :)
Spiro is great. Started taking it for hair loss and it helped both with hair and skin.
Only people who have battled it will understand the pain. I’ve had two courses of accutane, on and off the pill, diet changes, skin care and recently was on Spironolactone which cleared my skin so quickly! It’s a journey that’s for sure!
In germany my doctor said he never heard of using spirolactone for the skin :( its not allowed sadly..
Very happy for you and your skin progress! I love your channel and your honest, authentic style
Hey Karima, another video with a 3 month update would be very beneficial. I love how thorough and detailed your videos are, I end up learning so much so very grateful for them. Could you also please do a accutane skincare video with the products you used on your face and body to keep they dryness at bay. Thank you : )
Thank you for sharing your journey on Accutane! As a dermatologist, it makes me happy to see patients discussing the pros and cons of this medication and what it's like to be on it!
Your content is always SO thorough. You answer every question I didn’t even know to ask! Thank you for for all of the hard work.
Oh yay! Haha every video is a thesis 😂
Super interesting Karima - I'd definitely be keen on a continuation. I watched Arden Rose's experience, too. It's great info, so thank you for sharing it first-hand.
Karima, I've been following you for a decade, and I'm sorry you went through this breakout period. I remember how flawless your skin always was and could tell you were distressed in earlier weeks. So happy your treatment went well. 😘
"Everything is on a travel ban except for my neck acne". LOL. Only you could pull off gentle, self depreciating humor alongside wickedly informative and brainy content. I adore you. I imagine this will be incredibly helpful for people exploring Accutane for themselves. Also; how freakin brave and awesome of you to be bare-faced, with ouchey acne and smile about it.
❤️❤️❤️
I have watched you for years now and it’s so good to see you upload regularly again! You’ve been missed!! 💓
♥️
Love all of your videos! They're always so genuine, thoughtful and funny.
In addition to uncontrollable weeping, coming off of BC was a nightmare for my skin as well. Thankfully it’s cleared up, but it’s so nice to see someone who talks so openly about her acne and is also unashamed to share it with the internet!
Usually it’s an “I have acne, deal with it” or a “there’s acne on my face, but I’m gonna cover it so no one knows,” but it’s nice to see someone saying “hello, this is my face. It has acne. It’s okay to show it, and it’s also okay to be unhappy with it and find ways to get it reduced.”
Also, the shoulder definition! Your gym sessions are giving great results!
Thank you for this comment ♥️ I watched many youtube videos about acne and the accutane journey and I was also inspired by how people just showed up! Breakouts and all, without apologies. xx
Thank you for sharing your journey. I'm getting ready to start in a few days and your video provides a lot of comfort. Thank you again!
This is the most helpful video I've seen on the subject as someone who is also considering Roaccutane but doesn't have severe or cystic acne
I absolutely love love your personality so cheerful, polite, classy!
My dermatologist prescribed accutane for my severe cystic acne a few years ago and it was the best thing I've ever done. Being able to access a specialist can be literally life saving.
I quite enjoyed watching your journey battling those darn acne, but what I liked the most was the fact that you were smiling throughout the whole time. I mean I would've been a nervous mess as I myself suffer from acne but I never bit the bullet and tried a targeted treatment. I am on antidepressants and I have to be very careful with other medications and treatments lest there might be a reaction which could cause some troubles. I really hope that you will finally succeed and get rid of acne for good. I would love to see more of your journey with accutane.
I'm surprised they haven't put you back on BC during accutane? The two things I miss about being on it are not having to wash my hair as often 😂 and perfect skin (after being on it for a little while). I had really mild but persistent acne so I hate when people say it's not serious enough to go on it. It's serious if it really impacts on your self esteem and mental health, and if you've exhausted other avenues of treatment. Side effects for me were quite rough - the muscle and joint aches were the worst! But I have no regrets and would recommend it to anyone! I'm glad you're getting the help you wanted and thanks for documenting an important topic!
This was sooooo helpful! I'm about to start a low dose and I was so nervous about side effects. But this made me feel 100 times better and that it's all gonna be okay 🥰❤️
Did you get new acne i start from last week and still get new acne 🥺😔
Please keep the updates coming! This is really interesting and it’s great to see your skin improve and you get happier as a result.
Awesome! 🙌🏻 Thanks for watching Madelyn! x
I stopped being able to take BC due to cluster migraines in my early twenties and have about 10 years of acne scars that I am now, in my 40s, microneedling and lasering away. My skin eventually went from oily and acne prone to dry and with very minor hormonal acne easily managed with topicals, including trentinoin, but I feel like that happened a few years before I turned 40. It was wretched in graduate school. I understand the distress and I'm glad you have a good dermatologist! I very much enjoy this kind of content.
Best oratane review I’ve watched. It’s really helpful. Thank you!
This has been so helpful, thank you. About to start a course for the first time and your video has helped relieve some of the anxiety I had around it :)
Wishing you the best on your accutane journey! I’ve been on twice, and it did wonders for my skin..Yours already looks like it’s on the mend! Thank you for sharing your journey with us! 💕
Thank you for watching! Pleased to hear it worked for you 😊 x
This video made we feel oddly nostalgic for my accutane days!! I had a very similar experience (20 mg/day, eczema on hands, new breakouts going away super fast) and I would do it a hundred times over. My acne also really affected my confidence and my mental health so it was incredibly exciting to see it go away month by month, and I'm glad I documented it all. Sometimes I still look back on the pictures to see myself looking happier and happier as the acne disappeared. It's just so freeing to not have to constantly think about your skin!
In short, I'm very happy you've had a good experience with accutane as well!! I hope you continue to document this journey.
Great to hear you had a positive experience Brenda! ♥️ How long was your course? x
@@karimamckimmie It ended up being about 6 months! but most of the change happened within the first 8 weeks. Even the side effects had mostly gone away, except the super chapped lips lol those persisted until the very end
I had the opposite problem- birth control totally ruined my skin, and getting off hasn’t made it better! I’m considering accutane and doing some research, and this is very helpful! ❤️
This video was so helpful, Karima! As someone who has struggled with cystic acne for 10+ years and have seen it worsen from my daily mask wearing (still 1000% pro-mask of course), I think it's time to stop putting off trying Accutane over fear of potential side effects. Thanks for sharing your journey and I would love to see more videos on this topic along with all of your regularly scheduled sparkly eye top coats videos too! Best of luck to you with the rest of your treatment!
Pleased you found it helpful 😊 Definitely read some of the journal articles and studies around low dose isotretinoin, the approach has changed in recent years. x
Thank you so much for documenting your journey! I just started my second month of accutane for mild-moderate persistent acne, and your video really helped prepare me for the process. My dermatologist unfortunately has been no help providing information or care, beyond the prescription itself, which is quite shocking considering the intensity of this drug!
Definitely found this useful as I'll be starting Isotretinoin next month! Thank you for making this video, it put some of my concerns to ease.
WOW tysm for his video! I’m starting my accutane journey on Feb 19th and I’m so optimistic
This was super helpful! I’m just about to start this medication and I was super nervous but although I know every one responds differently to the medication I found this video super helpful to see what I’m getting into! Just subscribed you seem super cool! 😇
Please do continue! My daughter finished her second round of isotretinoin 3 months ago. I think we have to wait another three months to be sure the results are lasting. Your videos are always so high quality and I really appreciate that you are willing to document your journey. It's super interesting!
Update if you don't mind
@@ernestomarquez4972 It’s now 14 months since my daughter finished her second round. The acne has returned, but it is not nearly as bad as it was before. She didn’t want to do a third round with all the side effects, but has chosen to do Curology instead
pleaseee do another video! This is one of the best videos I've seen in terms of documenting the skin. Would love to know how you got on.
next video is now live! ua-cam.com/video/bSraZFoZlHs/v-deo.html x
I really appreciate your video! So thorough and straight to the point.
As always, since the first day I start following you, you came as an Angel to answer to my questions about my struggle ot that moment. It's incredible! Btw I'm going thru the same struggle PLUS a mild form of alopecia caused by dermatitis and I'm now under supplements prescribed by my dermatologist. Also he is a little worried to prescribe accutane to me. But I think on the next appointment I'll talk about it with him.
Thank you for this, was really needed !
Thank you for this video!! I'm about to start my own journey on accutane and this gave me a peace of mind to just start it now 💞
Super helpful video. Please do continue with the updates.
So glad you did what's right for you and started Accutane. I did an 8 month round of it a couple years ago and have not regretted it for a second. Also glad to hear your symptoms have been minor! I experienced all the horror story ones - constant bloody noses, repeatedly catching pink eye, terrible joint pain and stiffness, sensitive gums, post traumatic IBS after a stomach bug, and insane dryness that lasted at least a year after I finished my course. Still, worth it.
I just started accutane yesterday and this comment has me horrified 🥲
@@mirtharangel2523hey how’s it going ?
@@MissMichixo it hasn't gone terrible for me my main complaint is the joint aches. My joints just hurt super bad, it makes it hard to be active.
@@mirtharangel2523 how bad does it hurt ?
@@MissMichixo I have had a few nose bleeds sometimes multiple in a day but saline gel helps this. I also had pretty bad constipation the first few months but I just made a diet change that included more fiber and fruits/veggies.
I love your humor and great information. Thank you!
Never underestimate the impact of acne scarring. Even being gentle with acne can result in scarring for LIFE. I know as I bear the legacy of never squeezing yet still scarred. A good reason to avoid acne whenever possible.
Great insight 👏🏻
Feel u ........
Perfectly said ✨
Literally! I never pop any of my pimples (I barley even touch my face) the only time I touch it is when I’m washing my face & applying moisturisers etc. But I have acne scars around my entire face. I have more acne scars then actual active acne. It sucks
True. The ones that pop themselves by flexing the muscles in the face. I didnt try touching it and it still scars.
That was such a helpful and informative video ❤️ one of my close family members was on accutane for a few months, and it helped with severe acne problems that nothing else worked on. I’m myself soooo scared to go off the pill, which I plan to do soon, as my skin was quite shitty before 🥲
Hey I loveeeeee this!! So informative and useful! I’ve had spots for 12 years and have been considering accurate now. Please keep us updated! You also mentioned antibiotics - which ones did you take and did you notice any difference at all when you were on those? Xxx thank you so much for this! Also you are an absolute delight :)
I was on 20mg Oratane for 8 months when I was 34. I would do it again in a heartbeat. Just waking up without pain every day was amazing! It’s 4 years later and it never returned. By the way, I cleansed with Lipikar Syndet throughout, you introduced me to that lifesaver ❤️
Hi I hope you don’t mind me messaging, but I’m about to go on it and am 33 and ideally want to start trying for babies 3 months after my treatment (as per my docs recommendation). I don’t suppose you tried for babies after your treatment? And was everything ok?
hey hon maybe wait till 5 months@@zulaica1
You’re lovely, as always. Thank you for sharing!!! ❤️. Keep updating!
Will do, thank you for watching! 😘
Hi Karima! I really appreciate your video. I am starting my isotretinoin treatment soon for mild acne as well and I was very doubtful of taking it because of all the negative experiences I read about on reddit lol (please don't scare yourself like this like I did as everyone's experience is different). I've also had a lot of people tell me not to use accutane because my skin is not "as bad as other people's", but I find this comment to be quite ignorant, and hearing you say that this is just a way to take care of yourself and your skin, it really gave me confidence to start my treatment being hopeful for a solid change in my skin while also being aware of the potential side effects. Even three years later, thank you for a very helpful video!
Please keep the isotretinoin update regularly. Not many UA-camrs that I subscribe have their isotretinoin journey. Btw, currently I'm almost finish my second months oral isotretinoin. My dermatologist also prescribing me topical retin A. Please do video skincare regime while on oral isotretinoin
I have the exact same acne!! Persistent and more near the jawline as I got older. Just started isotretinoin and you have inspired me to do video updates
LOL on no travel ban for your acne! 🤣 I never have been on Accutane but Karima, you are the most meticulous beauty creator. So helpful and thorough!
Wow! what an informative video, thank you so much! I’m on week 3 of a 40mg/day dose for my post pill acne. I’m 45 years old and after trying so many other options this was what my derm recommended. Watching your video was literally me! Although I’ve been experiencing sabaceous filaments and excessive texture and bumps recently. The dryness is crazy and I’m moisturising now more than ever. But hey, the not having to wash your hair everyday is the best!
how are you now? did u face any long terms side effects or hairfall?
I JUST LOVED YOUR WAY OF SPEAKING ❤️
Thanks for sharing! I’m wondering if you can share your base/foundation routine, would love to see how you cover up acne/marks 🙏🏻
Thank you for your sharing. I’m very care of my skin as well and feel stress whenever it get bad. Am going to start accutane and hope it went well like you ...
I’ve been getting cystic acne since I was 11 or 12 and I’m in my 30s now and I can say that without a doubt there is NO PAIN alike neck acne. It’s just another level pain.
I would argue cystic acne on the scalp, especially on the back of the head, might be worse.
I agree neck acne is THE WORST
Never, ever thought of putting lip balm in my nose! Good tip! Now your skin is better, can you please please please come back to us on UA-cam??? 😭😭😭 we miss you. I loved your work make up, eyeliner and IG baddie videos - I remember them clearly!!
Thank you so much, your making me less stressed❤ I am starting on it next week
I've dealt with acne since my 30s and I'm 49. Luckily, Retin-A has mostly cleared it up. But yes, never let anyone make you feel like caring for this issue is vain. It's a medical condition. ❤️ I'm glad you're response is good, Karima!
I had high hopes for retin-a! 😅 I tried it every few years. I know it works wonders for many, maybe I'll return to it in another few years 😂
@@karimamckimmie well, it's good for anti-aging, so you could get on a low dose topical later for maintenance, maybe!
Please continue the updates Karima! I’m on a very similar situation where I’m entertaining the idea of going on acutaine but i’m afraid of what happens when you finish the course. Do the spots come back? Do they not? I’d love to see your journey.
girl, you had the BEST skin! I am on isotretinoin aswell! on my 2nd month, best thing for my acne. you are always beautiful anyway ;)
I think in another month or two her skin will be flawless again, including her neck.
You're so well spoken.
Your skin is looking 😙🤌 (good) lol!
I started accutane in late October. I should be on it for a couple more months. But oh gosh it has helped tremendously with my acne. The minor side effects is worth it for me! I also watched video after video before I went on accutane too! So I appreciate you adding to the list of accutane videos!
how is your skin doing now?? is it cleared up yet? :)
I have had accutane twice in my life at different times. Once in high school & again in my mid twenties.
I remember having a terrible time with side effects but looking back it was worth it.
Twenty plus years later I like my skin.
Thoroughly recommend Dermaveen Bath & Shower Oil as a facial & body cleanser.
Best accutane video so refreshing thank you so much for sharing you’re beautiful ⭐️
As soon as I came off birth control my skin went haywire :( I’m so glad I can relate to someone else!
as someone who got off of accutane 2-3 months ago. I shared the exact same side effects as karima, which is a veryyy small price to pay for beautiful skin afterward. great video xx,
how are you now? did u face any long terms side effects or hairfall?
I just want to second the gal who said she's happy to see you more regularly again! I've been with you for few years and it's been awesome to see you more recently. And neck pimples are *lé WORST* and I hope that they stop troubling you soon.
♥️ Thank you for watching! x
I’ve been on low dose accutane for over a year now, since october of 2019. I had pretty severe, cystic acne, it hurt so much and it affected me mentally a lot. I have never had any side effects besides dry lips and dry, sensitive skin. All of my acne is gone, except for the occasional pimple. Hopefully I’ll be able to get off it before the summer. For me it was definitely worth it though! Good luck on your journey❤️
I’m planning to start on mine soon for cystic acne and lumps on my scalp as well as acne on my face. The worst part is dealing with pain everyday even worst when try to sleep. I just wanna ask besides clean and clear skin, did it eliminate the pain and inflammation as well?
When you said „I hear you, I know why you are struggling“ I cried. I feel so bad and no one understands me really. Thank you for the video, I talk to my dermatologist next week :)
How was your consoltation?
Thank you so much for being so brave and sharing this. I was on Accutane as a teenager and it honestly changed my life - i.e. my confidence.
I'm about to start accutane and this video was super helpful. I also shared the exact experience where I had acne in my T zone as a teen and now its on my cheeks and the sides of my face. Thank you for the awesome vid!
how are you now? did u face any long terms side effects or hairfall?
I've watched your channel for a long time and always enjoyed it. I really admire that you've come on here to share your journey. During all this mask wearing my skin has broken out. I decided to try Differin (which is over the counter in the States). I didn't know what I was getting into with topical vitamin A and it just destroyed my skin. I put moisturizer underneath (as I've heard can help to buffer it a bit) but I think I started too fast (I started every night...crazy me!). It was so embarrassing how bad my skin looked. I broke out far worse with it and my skin was so dry. I felt that my skin barrier was actually damaged. I ended up trying a product called La Roche Posay Cicaplast Baume (it's supposed to help with skin barrier damage). Thankfully it really healed the skin barrier and I've just now started back into a routine again. I have never tried accutane but I am cautiously venturing back into Vitamin A (this time something less intense...a regular retinol with a low percentage only twice a week). On the off nights I use either a BHA or an AHA and feel like I am finally, finally getting my skin back. I know the frustration! BTW, what you mentioned on your neck...there's a great Aussie product called Zitsticka. It's a clear patch that's medicated and it really might help (basically a spot treatment). Within a couple of nights it'll be significantly reduced and feel better.
Topical retinoids are no joke, I think just about everyone starts too strong and learns that lesson 😂 Me included. Also, I love Zitsticka! x
I've been on 10mg accutane for almost 20 weeks. I have mild acne just like yours when I started. My skin used to be super oily, now I don't have to use blotting papers anymore and I can rock day4 hair pretty well. Keep update on your journey Karima, We love it :)
Hi have you had any side effects so far? What are the changes for you? My Dermatologist also advice me on 10mg accutane but I am wondering if it's worth it as I don't have major acne but it seems that no topical acne can improve my acne more...
@@HereDiianas I think i noticed some mild side effects, here and there. Like my stomach was hurt, I had back pain, i felt weak. But everything was fine after 1-2 months. In my opinion, i'm very happy with the result, i don't have to use heavy make up anymore😊
@@jet2506 Thanks for the feedback!
Incredible video! I am 32 (nearly 33) and have been on it for the past 6 months. I wish I had taken the leap and started it ten years ago! It's TOTALLY worth every bad side effect. Laniege lip sleeping mask saved my life!!!
I have never had what you would call "acne" but it has been persistent for years. If anyone really this is contemplating it just do it!
how are you now? did u face any long terms side effects or hairfall?
Thank you for making this video! I'm seriously considering it. I've gone onto the pill to try manage mine. It does for about 2 weeks of the month and then i breakout for the other two. Albeit not as bad as when I'm not on the pill. My gp really wants me to go on accurate but I've always been nervous. I've definitely tried so much other stuff and it's not working :(
My skin looked very similar to yours (before accutane) before I had children. Thankfully my hormones seem to have sorted themselves out after 2 children! It was a long adult acne journey.
I start in a few weeks and my skin is very much like yours in the beginning so this gave me hopes that it won’t be as hard as I thought
This is so helpful! Im 27 and went of BC pills after 8 years on them, and had the same thing only it was also on my back and shoulders and ive never had body acne prior to now. Going to be going to talking to my doc!
I can tell my acne is bad when I would do literally anything for my skin to look like yours when it was at week 0 😭
Thank you for this! My dermatologist also prescribed me Isotretenoin Oral however i have not yet agreed to it since it’s kinda pricey and i’m kinda scared to do it but after watching this it gave me courage to start it this sooner this week (after undergoing some lab test) because i’m overly depressed looking at my face every time when i look at the mirror 😔
I almost feel as though being heavily invested in the science of skin can make acne worse (you try everything, and the skin HATES IT).
Nina is so fantastic; a great derm can make all the difference (from a fellow sufferer of post-pill hormonal acne misery).
Thanks for sharing. Would you be able to do a video on skincare you used on accutane please? Thank you 🙏
I’ve not had problems with acne beyond monthly hormonal breakout. Our oldest suffered with acne and since neither my husband or I had ever really dealt with it, I took him to a dermatologist who said it was cystic. She prescribed an oral antibiotic along with topical ointment that changed all the color on our bath towels and some shirts. I wish accutane had been available then. Or it may have been and I just didn’t know about it. Your skin is looking amazing and I know acne is painful. That’s something that’s not widely talked about but I wish it was. Maybe then people wouldn’t judge when someone does or doesn’t choose accutane. Furthermore who cares? It’s your face and how you choose to treat your acne is best left to you and your dermatologist, no one else. Well maybe a significant other! 💜💜💜
I am starting accutane in a few days and literally cried when my doctor approved me for it. I suffer from painful cystic acne on my face, chest, shoulders, and all over my back. Your video is the best I have found. I know you posed this a while ago but I am hoping that you have/are going to post a three month update. Also can you post your skincare routine while on accutane and after you get off it? I haven't been able to find anyone who discussed their skincare routine after completing treatment!
The second accutane update is now live, you can watch it here: ua-cam.com/video/bSraZFoZlHs/v-deo.html
Skincare routine is in that video too! x
I’m on month to tackle severe back acne. I’m already seeing results and am so happy
Congratulations! Great news! x
Yeah definitely it's very helpful... Hey karima this is me from India... And first thing I want to tell you is that I love you ❤ you're such a sweet person.
I have also started accutane this week.... Was so depressed because of acne since so many years. Hopefully it will help me as it helped you.
I also want to tell you that I love your content... Absolute pleasure to watch you.
Good luck, lovely! x
Good for you! I did it at 28-29 and it changed my mental state! Wish I had done it even younger. However my purge stage was absolutely horrible I went through months of terrible worsening acne along with peeling and dryness and painful corners of lips nostrils and eyes. But outcome after 5 months was worth it ! My skin was flawless for 5 years afterwards and decent ever since ... I’m now 52 and don’t really break out . I have more of a mild rosacea sensitive skin . But no wrinkles ☺️
I'm so glad it worked for you! Fingers crossed it all works out for me too 😘
Hey I broke out with chest acne 3 months and ago and I’ve literally tried everything except Accutane. You think Accutane would help my acne?
Mild rosacea due to accutane ? 🤔
@@kate.rpillar no I had rosacea even as a child … my skin flushed easily . Gym class . More genetic plus gut
I started mine today. I spent so much money on skin care treatment that don't work.
thank you so much! its like ur talking about me, i have the same persistent mild to moderate acne with oily skin, I also have the same lip tugging thing haha, i was prescribed 10mg od, super scared yet excited to start, I would definitely love to see a video about what makeup products worked well when u were on the pill, annd werent so drying and problematic!
Really helpful Karima! Do you mind me asking, were you on any form of contraception while taking roaccutane and if so, what? x
thank you so much this made me feel much better im so nervous about going on roaccutane
Karima, your face is week 1 was beautiful! With or with out make up/blemishes I still found you beautiful! 🤗
Hi Karima, if you haven't tried Bepanthen Nappy Rash Ointment for your lips... you truly must, it's the only thing I've tried that keeps my lips from bleeding (i've tried laneige, nuxe reve de miel...). I'm glad to see isotret worked for you.
I would be very curious to know what skin care products you were using during this period, considering your skin was going through such a significant transition!
Karima, this is lovely. Your content always has incredible polish and is just so well edited and thoughtful. I have been watching you for years! From MakeupAlley days. I’m glad your skin is healing up! When my acne started in my early 20s, it crushed me. Resolving that changed my life. Also, you turned me on to Dr Sam skincare and my skin is ABSURDLY picky - like, has liked 3 moisturizers I’ve tried in 7 years (thanks autoimmune disease!). Bless you!
Just going to share my accutane story as well here. Overall glad I did it. But definitely glad it’s over.
Some side effects: extremely dry lips. I moisturized with Vaseline, oils, lip masks, etc but it got so bad my lips cracked in the corners and I couldn’t open my mouth to eat without pain. Mornings were the worst.
Flaky skin
I actually got an anal fissure because my digestive tract was so dry I got a cut when I took a shit too big once. This lasted 4-5 months. Had to see a colorectal specialist.
Irritability
Extreme loss of appetite that turned into 15-20 lbs of weight loss, I was 90lbs at my lowest weight
wow we're more or less on the same timeline and same dosage and same age! I started 16th of December, first it looked like it got better, than I broke out, but it heals quicker, then I healed, then broke out again. I also get them on weird spots, in week 7 I thought wow great it's clearing all uphill and then week 8 some older ones got bigger again or looked more 'sore'. It stresses me because i also work as a model :( i was hoping i'd be one of them where it's all cleared up by end of month two. anyway started week 9 today! Your video calmed me down. I was thinking maybe I need to up the dosage or is this not working but yeah maybe patience is key here. Which obviously is hard, as it is such an emotional rollercoaster. I never really had issues up until September last year (i mean in the last two years here and there but nothing major), I went through everything under the sun, including birth control nothing helped. i was off for birth control prior to the break outs for 3 years so it can't be that. anyway, i am so glad to find someone who is on a similar timeline as me! I also have some dark spots all over my right cheek, hope they clear up! We can do this :) I love your enthusiasm. I recently talked to another girl our age who also did 20mg and her journey was similar to mine described and she stopped breaking out in month 4. Did your dermatologist say you might need to up the dosage at any point? I have mixed feelings on the one hand i wanna up it so i am done quicker and see results quicker on the other hand i don't wanna deal with more side effects. Mine said we'll have to see.. but usually they do try to stay with 20mg. My ex had severe acne and cleared up so quickly with 10mg and I am here going up and down, confusing.