Dr Bollmann, Skin Care Specialist, Anti-Aging Expert
This is an answer to a question I was asked to answer on Quora (Quora.com).
Cystic acne, as you realize, is difficult to treat - but not impossible. It would be best to go to a good cosmetic dermatologist to get advice.
First to your concerns. Even though you feel this is not hormonal, you might try a different contraception method. Many IUD's contain progesterone, and this can contribute to acne. You might be better off with a combined oral contraceptive, one with estrogen and low in progesterone.
As you mention, it might be due to the pollution. A simple method would be a good skin care program. What I used in my med-spa was my own products, see (sorry for the commercial, but you asked me how I would treat this). We do ship to China.
Below is a before and after of one of my patients with severe cystic acne. She is a beautiful Mexican patient, and I think her diet and environment contributed to her acne.
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First, the answer is yes, retinol can make wrinkles worse, especially when you first start using it. What is happening is a drying effect, and one can get epidermal sliding from separation from the dermis. But this is temporary, and will eventually end up tightening the skin around the eyelids, provided you are using a potent retinol preparation.