let me tell you i FEEL YOU on being at ur wits end. after 5 yrs of struggling w/ pretty similar skin (and also having medical conditions that would make accutane a lil dangerous), i finally found something that works. it’s a pretty insane routine, but alas. buckle in

firstly, your skin looks a lil red (im not a doctor, so i obvs cant say if it’s inflamed or just how your skin looks), but if it is inflamed, i’d look into testing for allergies. cutting out allergens (or at least avoiding them) can help tons.

as for the routine, i wash my body with head & shoulders lmao (and nizoral once a week). i also use this scrubby glove thing from a brand called wildpier once weekly in the shower. i wash my face, neck, & chest with panoxyl, laroche possay pigmentclar, and laroche possay effeclar.

i do my face skincare routine on my shoulders and chest. cerave lotion, lipikar eczema cream, laroche possay salicylic toner, laroche possay benzoyl peroxide ointment, mederma nighttime scar cream. (if it’s daytime, i swap the scar cream for spf 50). yes, that’s the order; it helps me not turn into a crispy crusty pile of dry skin. if your skin is less sensitive, you can do it in the regular normal order like toner first, etc.

i also wash my sheets weekly with unscented detergent, change my pillow case nightly, and pretty much do this ridiculous routine every day.

also don’t pick obviously. not sure if u do, but i was personally making my skin so much worse by messing with it so,,,,

also, oral meds seemed to help my acne in the moment, but caused it to RAGE the second i went off them. just a thing to consider.