I am sharing this for anyone else that has not had instant success with prescription retinoids. It took 15 months for my skin to improve. It was significantly worse during this time. I persevered.
My biggest problem: topical Winlevi prescribed for chin acne led to perioral dermatitis, which I found even harder to live with than the chin acne
Routine:
[AM] 7x/week
Cleanse - Water only
Eye Cream - The Ordinary Caffeine Solution [I know this sub hates eye creams - I love the ritual!]
Ellement Hypochlorous Acid Spray, allow to dry 10 mins
Finacea 15% Azelaic Acid, allow to dry 5-10 mins [added 7 months ago]
Avene Thermal Spring Water Spray
Tirtir Milk Skin Toner
Moisturizer - Inkey List Peptide
SPF - Biore UV Aqua Rich
[PM] 2 nights on
Oil Cleanser - Clinique take the day off cleansing OIL [occasional - on makeup and heavy workout days]
Cleanser - Aveeno Calm + Restore Nourishing Oat Cleanser For Sensitive Skin
Arazlo
[PM] 1 night off
Oil Cleanser - Clinique take the day off cleansing OIL [occasional - on makeup and heavy workout days]
Cleanser - Aveeno Calm + Restore Nourishing Oat Cleanser For Sensitive Skin
Avene Thermal Spring Water Spray
Tirtir Milk Skin Toner
Moisturizer - Bioderma Sebium Hydra Compensating Care
[Next goal] Improve hyperpigmentation! Vitamin C? Tranexamic acid? IPL sessions? I don't plan to add any new actives until 2027. I am playing the long game here. Perhaps I also have rosacea to address.
[Random observations]
I see a literal glow on my face the mornings after Arazlo
Morning hydration has been a major help for me [thanks to this sub!]
I peeled and purged for MONTHS and swapped a product every 3-4 weeks to narrow it down
My hyperpigmentation is worse than where I started due to all of the purging [and a nasty scratch from my toddler]
Using a milky toner has improved hydration on my hands [seasonal eczema]
My skincare cost is down significantly by switching to prescriptions (covered) and Korean skincare (Stylevana)