Sorry this will be so long-winded!
I had clear skin until my early thirties… since then BAM! Spots constantly. Forehead and cheeks mainly. Very rarely on my nose. Occasionally on my chin. Some are tiny with a clear white head, some huge painful red lumps with no head. Some normal sized with a whitehead.
I have mostly dry skin I would say. Never been particularly oily. Orange peel texture on my cheeks. Loads of pigmentation from old spots. The last 4 years or so have been terrible. My skin seems to cycle from being ok, to a mess, to ok again. When I say ok - it’s never clear but I will have minimal spots.
My GP said it’s Acne rosacea. I do not flush at all. I have tried metrogel - didn’t work. I have tried azaleic acid. It does work to an extent, but spots never fully go away.
Finally seen a derm in the summer. She prescribed Soolantra. Been using that for almost three months - no real improvement so I think it will be discontinued.
I don’t think I have rosacea - I think it’s acne.
I am thinking oral antibiotics might be my next step. Has anyone else had success with oral antibiotics after trying what feels like everything? The derm mentioned roaccutane to me if the Soolantra failed. I know people have had amazing results from this.
I am just so fed up with waking up every day to new spots. It’s never ending!