I have now been using Spironolactone 5% cream since Wednesday night (3 nights now). Thursday I did the following steps:
My regular Morning routine for the last week now:
1. Shower, wash face with Ketoconazole shampoo, leave in for several minutes before rinsing off.
2. Neutrogena alcohol-free toner.
3. Put on the Johnson and Johnson "Clean & Clear" oil-free moisturizer with 2% Salicylic Acid. (I didn't mention this product because I just started taking it 4 days before my recent posts on this site and didn't know what results it would have for me yet, so I left it out when reporting my regimen before.)
4. Dab small 'dots' of Spironolactone cream to the sebaceous hyper plasia spots.
5. Aveeno face moisturizer (I love the smell of Aveeno it's awesome)
Evening weekly routine:
1. Washing off the face oil with Aveeno face cleanser.
2. Heating face with hot tap water for 3 minutes to open pores.
3. I used Biore pore strips then Q-tips to try and extract any sebum I could from the pores. (Not really very much sebum at all this week, YAY! The combo of the Ketoconazole & Salicylic Acid moisturizer seems to be working over the last week to reduce sebum. My nose still had the most sebum production but it's greatly reduced compared to normal!)
4. Rinse with hot water to reopen pores then apply the Mint Julep Mask. (Why do I love this stuff so much? You ladies have a nice thing going with some of these facial masks, they feel real good!)
5. Wait for it to dry to a crusty consistency then rinse off with hot water completely and to re-open the pores again.
6. I then spread on the Ketoconazole shampoo and letting it dry on my face and stay for 10 minutes then rinse off lightly, intending to leave a small residue behind on the skin.
7. I spread on a lavish amount of the Spironolactone cream, putting some pressure on the rub so that I can push it as deep into the skin & pores as I can. My face remains very moist from the cream all night while I sleep.
The next day my face was a tad irritated, but no rash or anything, just a bit of increase redness (which happens the day after my sebum extraction as my skin has always been reactionary to physical squeezing and manipulations).
Then Friday, the same morning routine.
In the evening I wash, then apply only the Clean & Clear stuff with dabs of the Spironolactone cream to give my face a rest from the medicine for a night and only dab the cream on the sebaceous hyperplasia spots.
This morning one prominent sebaceous hyperplasia on my forehead (which I worked on Thursday with the q-tips hard to extract oil) looks to be closing up! I'm hoping it keeps shrinking and it's looking like it's going away!
I'm so encouraged by my recent decision to try these things on my skin over the past 6 weeks. I'm really thinking all my research, shopping for products and waiting thru acne breakouts and skin reactions to the new routine is paying off. Yes, initially when I did this stuff for the first couple of weeks, my face broke out with acne and was irritated. I just got thru it with patience and now things are looking better at the 6-week mark.
Also, my shoulders, which used to produce so much sebum that every week when I scratched my shoulders I would get little blackhead in my fingernails from the junk, I'm now finding that it's almost non-existent! The ketoconazole shampoo and salicylic acid moisturizer combination has obliterated the sebum that constantly clogged the pores on my shoulders and upper back region!
My shoulders have never looked and felt so smooth and clean and healthy! I've also been working out on P90X lately, so, with my new nice looking skin on my shoulders and emerging muscles I'm actually feeling 'sexy' for the first time in ages. (I'm 38 years old and single, so this is so awesome!)
I don't know if there are many guys on this forum that can relate but I've had bad skin all my life and it's always been a confidence thing with me, so feeling sexy about my shoulders is more than just an improvement. It's an awesome, awesome feeling.
Also, on the nutritional front, I've started taking some anti-oxidant supplements (Glisoden, N-Acetyl Cystein & Tocotrienols). Just added those Thursday night to my normal supplements and I have slept so well the past few nights. I have to think good nutrition could also be a factor in my improving skin. So, I feel I should mention that as well.