Pizza Face

I've struggled with acne since 6th grade; I've even done two courses of Accutane. Thankfully, I'm good with makeup so it's not hard for me to disguise these pesky little visitors. But the truth is, I hate wearing makeup and I'd rather leave the house without it.

My dermatologist office has a MedSpa and I can get facials monthly for only my copay ($15)! My Dr. informed me that my skin isn't great at cycling itself, and doesn't naturally shed dead skin; thus, the breakouts occur. Before college I always broke out on my forehead, but since college started I've been breaking out on both cheeks.

Here's what I'm doing now:
A. 2 antibiotics
B. Yaz
C. Prescription face wash
D. Differin at night & Duac in the morning
E. Changing pillowcase nightly

Honestly, I've reached my wit's end! I'm 22 years old and this shouldn't be a problem any more. I've made an appointment with Ellen Jacobson (SkinMD) in Nashville, and I'm excited to have a new Dr's opinion. Recently I've bought a couple new products to try and fight this battle: Dermalogica CLEAN START (starter program) and a Zeno Pro. The Zeno was a little pricey $130, but there's a 30-day money back guarantee. The problem is that you can only use it on deep breakouts- which aren't really my main problem. I will definitely let you know how the new products work.

Do you all have any great derm recommendations in Nashville? Also, I'm nervous about the hard water. My skin always seems to break out worse when I'm in TN. I didn't grow up with hard water, and I don't have it here- so my face isn't used to it. Did any of you have a hard time adjusting? Don't worry, Mr. SE already got me a super nice filtering shower head, but I can still tell a little. Any advice would be great! Sorry for the long post- love you all.