Treatment timeline: Acne has ruined my life. I started getting acne in December of 2019 and then it tuned into red acne scars ( idk if it’s rosacea). My first every treatment was different gel 0.1 ,Spectro gel cleanser , and I would ice my face everyday. A month later my redness and my acne were slowly healing/clearing but I felt very discouraged because it wasn’t cleared so I stopped using it. I didn’t use anything on my face until feb 2021, during that time my face was still red and was producing acne. In February I was prescribed retin-a micro gel 0.4, I used this for about 2 months but again felt very discouraged because my face was getting more red. Then I used nothing until October 2021 where I was prescribed doxycycline, tretinoin cream 0.01 and taro benzoyl peroxide/ clindamycin kit. I used this for about 2 months but gave up again. Went to the doctor again in April 2022 and was perseribed differen gel again and azelic acid 15% cream and metro gel which I used for 3 month and saw no improvement. In August 2022 I went to the doctor again and got prescribed tretinoin 0.025 cream which I have been currently using and plan to keep using it if it’s the right treatment for me.

Do I have rosacea: - My face is constantly red like no dark patches but just red - I could feel when my face is about to get red because it feels like a warm sensation in my skin - my skin gets really red when I take a shower and goes away like 30 min later - when I look down my face gets red When I lay in bed on my pillow my face gets red -When I eat my face gets a little more red and more oily - when I use a cleanser or just water on my face it gets red and then goes away after like 30 min - face gets really oily throughout the day

Every time I workout / exercise or sweat my face looks clearer then ever as there is no redness but then it just magically appears after like 5 minutes

Current routine: Am: La Roche posay hydrating cleanser and then a moisturizer ( I don’t use a sunscreen because I don’t like how it feels on my skin)

Pm: hydrating cleanser again, tretinoin 0.025 cream and then moisturizer

Every time I wake up in the morning with tretinoin on my face, my face looks really clear but once I wash it it goes red again even if I wash with just water

Tretinoin also caused me to get sunken eyes/hollow eyebags. I one time put the cream on my eyebag and woke up the next morning with extreme sunken and dark eye-bags and had it ever since. Anything to help clear them or fix it.

Questions :

Is my moisturizer barrier damaged because my skin has been red for too long now?

Should I keep using tretinoin? (Willing to use tretinoin for a year)

Is it rosacea?

Should I ice my face?

Guys please help me I’ve been in a constant depression for a years after I got acne because it ruined my life (face) like I can’t even be myself anymore and sometimes feel suicidal. For everyone that had my type of acne Can you guys plz recommend products that I should use.