Acne

Interesting. Where do you get the blackheads? Just on your face?

Yeah just on my face, but the blackheads are not noticeable at all and probably only a few here and there. The ones on my nose though are pretty noticeable and quiet abundant. What I did notice though is if I use moisturizer I don't get blackheads anymore but than I start getting red pimples here and there.(Its also possible im sensitive to face moisturizers) My body is weird as fk. I would rather be dry and have some blackheads than my face moisturized and red.

What I do for my blackheads on my nose to keep them under control is facials. I go like once every 2 months. I love facials.
 
Yeah just on my face, but the blackheads are not noticeable at all and probably only a few here and there. The ones on my nose though are pretty noticeable and quiet abundant. What I did notice though is if I use moisturizer I don't get blackheads anymore but than I start getting red pimples here and there.(Its also possible im sensitive to face moisturizers) My body is weird as fk. I would rather be dry and have some blackheads than my face moisturized and red.

What I do for my blackheads on my nose to keep them under control is facials. I go like once every 2 months. I love facials.

Yeah take the blackheads over red, painful pimples any day! For the blackheads, have you ever tried a comedone extractor?? If not, look them up on google. Ive never used them but they are said to work wonders on blackheads.
 
I bought this on July, http://www.amazon.com/gp/product/B00BWNJQJA?psc=1&redirect=true&ref_=oh_aui_detailpage_o08_s00

Makes huge difference on black heads. They are now much much smaller when they do show up.
 
Acne Fulminans Induced By Anabolic Steroids

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Clinical images of the case patient. A and B, The patient at the time of his first consultation shows severe acne fulminans with inflammatory nodules, pustules, and deep hemorrhagic ulcerations in the chest area and back. C and D, The same patient 6 months after treatment with oral prednisolone and isotretinoin shows extensive scarring.


A 22-year-old male amateur bodybuilder presented to our clinic with a 3-month history of severe acne lesions on his upper trunk and face, accompanied by arthralgia of several joints. He reported the use of anabolic androgenic steroids (AAS) (testosterone enanthate, trenbolone acetate, drostanolone propionate, and methandrostenolone) for 3 months to increase his muscle mass. Shortly after he discontinued AAS intake, he developed severe inflammatory acne with painful rupturing and draining inflammatory nodules, pustules, and hemorrhagic ulcerations on his upper trunk and face (Figure, A and B). Moreover, he described an immobilizing arthralgia of his right ankle and both shoulder joints, as well as general symptoms including fatigue and a 15-kg weight loss over the 6 weeks prior to presentation.

Treatment with several antibiotics had been attempted, including erythromycin, clindamycin, doxycycline, and flucloxacillin, but his condition did not improve. Treatment with isotretinoin, 20 mg/d, was stopped after 4 weeks because of an aggravation of skin lesions. He presented to our clinic while being treated with oral doxycycline, 100 mg/d, and prednisolone, 40 mg/d, for 1 week. Enlarged lymph nodes were palpable in the groin; fever was absent.

Laboratory examination showed leukocytosis (white blood cell count, 19 400/?L) and an elevated C-reactive protein concentration of 52.3 mg/L. (To convert white blood cells to number of cells × 109/L, multiply by 0.001; to convert C-reactive protein to nanomoles per liter, multiply by 9.524.) Magnetic resonance imaging of the patient's right ankle joint revealed soft-tissue edema and articular effusion. The diagnosis of AAS-induced acne fulminans was made, characterized by sudden onset, ulceration of lesions, fever, polyarthralgia, weight loss, and failure of usual antibiotic therapy.

In our clinic, doxycycline and prednisolone treatment were discontinued. The patient was treated locally with debridements, antiseptic wound dressings, and benzoyl peroxide ointments. A new systemic therapy with isotretinoin, 60 mg/d, was started 3 days later. Arthralgia was controlled by treatment with oral diclofenac, 100 mg/d. A continuous improvement with reepithelialization of ulcerations and reduction of purulent lesions and nodules was noted. After 3 months, the isotretinoin dose was reduced, after 6 months, isotretinoin therapy was discontinued. However, the formation of extensive and partly hypertrophic scars could not be prevented (Figure, C and D).

The illegal use of AAS is increasingly common even among leisure sports athletes. Doping prevalence among college athletes in the United States reportedly is 17% to 20%; among male amateur bodybuilders it is even as high as 80%. In addition to cardiovascular, hepatocellular, and psychological adverse effects, 43% of patients who abuse AAS develop androgen-induced acne. As derivatives of the hormone testosterone, AAS lead to hypertrophy of the sebaceous glands, increased sebum production, and increased density of the Propionibacterium acnes population.

Our patient developed AAS-induced acne fulminans with the typical unresponsiveness to systemic antibiotics. After initial therapy with oral prednisolone, 0.5 mg/kg, and debridements, a clinical response was achieved with isotretinoin, 0.75 mg/kg.

In conclusion, it is important for health care providers to keep in mind that androgen-induced acne is one of the most frequent symptoms of AAS abuse. The most important measure is the immediate termination of AAS administration. Increased public education is needed to curb AAS abuse and associated health risks.


Kraus SL, Emmert S, Schon MP, Haenssle HA. The dark side of beauty: acne fulminans induced by anabolic steroids in a male bodybuilder. Arch Dermatol 2012;148(10):1210-2. JAMA Network | Archives of Dermatology | The Dark Side of Beauty: Acne Fulminans Induced by Anabolic Steroids in a Male Bodybuilder

This is exactly what happened to me. Exactly. Began February of last year, I was 22. huge cyst formed on my forehead about 2 weeks after cessation of sustanon cycle. I popped it. Blood sprayed out. Another one formed and that one reformed, then all hell broke loose. All over my forehead, my neck, my chest and shoulders. Antibiotics did not work, epiduo slightly helped over time. I finally found an excellent place to get liquid isotretinoin and began 40mg/ed in November. I have one more 1600mg bottle to go through and I'll be all cleared up. Last year was absolute hell /: live and learn.
 
I'm starting to wonder if mine had anything to do with not keeping estrogen levels low and stable while on the sust
 
Hello, I was referred to this site by a friend who recommended that I ask a general men’s health question here. I am 27 years old and not using any type of supplements or doing any kind of intense exercise program. However one side of my family has a history of acne and my whole life I have had moderate to severe acne on my upper body. When I was in my teens I went through two 6 month cycles of Accutane which seemed to lessen the acne but not resolve it. Since then studies have shown it not to be safe and I would prefer not to resort to it. I have also tried the topical cream treatments and I am currently on a 6 month oral antibiotic cycle. The antibiotics seem to hold the outbreak in check but not reverse or help the situation. I had a consultation with a dermatologist a couple months ago as well and they informed me they could try laser therapy or skin peels but nothing was guaranteed to work and those are costly treatments. Does anybody have any other suggestions or is anybody familiar with other remedies that I could try other than the typical perscriptions on here of topical creams, antibiotics, accutane? Thanks in advance for any help or advise.

I personally have had acne issues since I was 13 years old (I'm now 30). I used Accutane in my teenage years but it definitely has not resolved it. I now go get laser treatments every couple months. At first you need to go in every couple of weeks but as the treatment goes on it becomes much less. Yes, it's expensive but it's been the best way to curb breakouts and help with acne scars. Also becoming religious with a good skin routine helps too.
 
I personally have had acne issues since I was 13 years old (I'm now 30). I used Accutane in my teenage years but it definitely has not resolved it. I now go get laser treatments every couple months. At first you need to go in every couple of weeks but as the treatment goes on it becomes much less. Yes, it's expensive but it's been the best way to curb breakouts and help with acne scars. Also becoming religious with a good skin routine helps too.

Whats your "routine" look like?
 
Whats your "routine" look like?
Use a quality oil free face wash. Nothing from a drug store, that stuff is shit. Wash straight after the gym and before bed. Kiehls mens products have worked for me so far. Took a lot of trial and error before finding something that helped.
 
Use a quality oil free face wash. Nothing from a drug store, that stuff is shit. Wash straight after the gym and before bed. Kiehls mens products have worked for me so far. Took a lot of trial and error before finding something that helped.

Well, thats interesting. Now, what type of acne did/do you experience? Would you say it is hormonal?

The reason i ask is because i too struggled with acne. I had it really bad and know how people feel who go through it.

In my case, i was cured and i mean literally cured 100% by discontinuing the use of ANY face wash product. And yes that even includes soap. Go back a few pages in this thread and you will see my other posts on the topic. But in essence, if you stop washing the natural oil off your face, your body will go back to producing natural, healthy levels of oil. If you keep on washing your face, you are stripping the oil forcing your body to create more than what is needed.

Thats why i find your case interesting seeing as you still wash your face. In fact, the only time i let anything get on my face is when water gets on it.
 
Well, thats interesting. Now, what type of acne did/do you experience? Would you say it is hormonal?

The reason i ask is because i too struggled with acne. I had it really bad and know how people feel who go through it.

In my case, i was cured and i mean literally cured 100% by discontinuing the use of ANY face wash product. And yes that even includes soap. Go back a few pages in this thread and you will see my other posts on the topic. But in essence, if you stop washing the natural oil off your face, your body will go back to producing natural, healthy levels of oil. If you keep on washing your face, you are stripping the oil forcing your body to create more than what is needed.

Thats why i find your case interesting seeing as you still wash your face. In fact, the only time i let anything get on my face is when water gets on it.

My dermatologist said it was hormonal break outs. And you're right, washing your face strips off the natural oil off your face but I always make sure to reapply an oil free moisturizer to restore the natural moisture barrier on my face. I also limit how many times I was with soap per day (2x). In the morning I'll rinse with water but after the gym and before bed I'll wash with soap.

This has worked for me so far. I've heard of other people say water has worked for them too.
 
My dermatologist said it was hormonal break outs. And you're right, washing your face strips off the natural oil off your face but I always make sure to reapply an oil free moisturizer to restore the natural moisture barrier on my face. I also limit how many times I was with soap per day (2x). In the morning I'll rinse with water but after the gym and before bed I'll wash with soap.

This has worked for me so far. I've heard of other people say water has worked for them too.
Well I guess some people benefit from the stuff and others don't. I can confidently say my acne was caused by an excess of oil on my skin from using these harsh products. Glad you found out what works for you. Acne is a bugger.
 
Isotretinoin finally knocked mine out after a year of trying every other thing I could. Only issue note is getting rid of these scars before summer. They're fading very slowly. I get cotton swabs and disk in hydrogen peroxide and dab onto the dots 4-5 days out of the week. Seems to be helping some. Also began tanning again for 5 minutes every 3 days. Getting a darker skin tone helps with it. Make sure if you do this, use the hydrogen peroxide AFTER tanning. Don't tan for at least 24 hours after. You could potentially make scars darker due to sensitivity to UV after HP treatment (: hope that helps someone
 
I will toss this out there hope it helps someone.... I have been working on fuel trucks for 15 years and Im lucky enough drenched in jet-a or diesel every once in a while. I take dish soap like Palmolive or dove put it on a washcloth and scrub like hell. I also use it on a backbrush this is about the only way I can get the stink off of me.

Im 47 and started trt 6 months ago and acne started on my chest and back and just started this scrubdown every day and this has worked very well for me.
 
So I just seen a new doctor a couple days ago. Very knowledgable guy. By far best doctor I have ever seen. I was open about using gear and told him after my cycle a month or so I always break out bad back shoulders arms. He prescribed me doxycycline and said to avoid that you want to start using it at the peak of you cycle because at this time the body oils start thickening. Doxycycline will prevent that from happening. But the key is to take it during cycle at peak levels. If your late it will not reverse the effect of an out break. But should help prevent new one from happening. Just started my doxy half way through my cycle. Will keep you guys updated how it's works out for me.
 
So I just seen a new doctor a couple days ago. Very knowledgable guy. By far best doctor I have ever seen. I was open about using gear and told him after my cycle a month or so I always break out bad back shoulders arms. He prescribed me doxycycline and said to avoid that you want to start using it at the peak of you cycle because at this time the body oils start thickening. Doxycycline will prevent that from happening. But the key is to take it during cycle at peak levels. If your late it will not reverse the effect of an out break. But should help prevent new one from happening. Just started my doxy half way through my cycle. Will keep you guys updated how it's works out for me.
Interesting. I've used other antibiotics, not doxycycline yet. Since it's an antibiotic, it kills the bacteria so i'm not sure what effect it will have on oil production. Anyways, what exactly did the doc mean by saying you need to start using it at peak cycle?
 
When you blood levels are at a peak with aas. The reason for is the high androgen level effect the gland which produces oil. What he said is it starts to thicken which will clog pours
 
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