"i have had acne since puberty. i haven&#039;t ever given much thought to going to a derm because acne is just &quot;a part of growing up&quot;. well 23 now and i didn&#039;t really see it leaving my face anytime soon. doc gave me 0.025% once a day at night. i use a simple cerave foaming wash 2x daily (once in morning, once in evening). at night after i wash my face i use a cerave night moisturizer  and i wait about 20-30 mins for my face to totally dry before applying my &quot;pea sized&quot; amount of trentinoin to my entire face. i would not describe my breakouts as bad. probably a 6. but it&#039;s always there. it&#039;s never left me. i am on my second week so far. no noticeable changes so far. nothing positive or negative to report. i will keep updating."