WestCoast82

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  1. Yeah that is definetly not normal, I would speak to your doctor immediately. If he tries to prescribe you more antibiotics, I would probably refuse. I don't usually give a head strong opinion like that, but that is definetly alarming. As I said, I'd rather my clients get on accutane than antibiotics for all the reasons I listed above. Also, you said you're using differin, I would advise against using a tea tree oil cleanser with it as it can lead to dehydrated skin. When your skin becomes dehydrated it causes your skin to over produce oil to keep the epidermis hydrated, thus causing more acne. I am a proponent of aloe Vera, however it isn't usually hydrating enough on its own. If you don't believe me, check out dehydrated, oily, acne prone skin. Many people think they have extremely oily skin, but in reality it's due to the reasons I listed above. The difference is dehydrated skin lacks water, not oil. I would try using a mild cleanser like Cerve Hydrating cleanser or Vanicream (my FAVORITE- sold at target or maybe other places). There's other cleansers that are appropriate, but those are great. Just don't get anything drying (salicylic acid cleansers, etc) as the differin is your acne solution. As for a hydrating moisturizer you can using something along the lines of Cerve PM, Cetaphil, Neutrogena Hydroboost, etc. If you would like high end suggestions I can reccomend some as well, but I think you should try one of those to see the results first. I would say try Cerve PM first. You can apply the differin before the moisturizer. Keep it simple and your skin will thank you!
  2. Need help regards to skin issue.

    How long have you been doing Dans Regimen? Are there any dermatologists or estheticians where you live? I know they can be pricey, but if it's affecting you that much it might be worth saving up to get professional advice. I really feel terrible you've been through so much. Things will get better with time just continue to stay strong and keep a positive mindset!
  3. Pityrosporum folliculitis

    This post will overwhelm you with incredible information regarding pityrosporum (malassezia) folliculitis. There's a science to beating it and this will help you learn. https://simpleskincarescience.com/pityrosporum-folliculitis-treatment-malassezia-cure/ Hope this helps!
  4. I am a soon to be esthetician and I am very disappointed by dermatologists overprescribing antibiotics. I even prefer accutane over antibiotics. I 100% agree the with 'O Wow' user. Antibiotics alter our gut bacteria which can lead to SIBO overgrowth, candida, parasites, and infections. Your dermatologist will probably tell you none of that is true, but it's because they're used to prescribing medicine and topicals and not examining other culprits that cause acne. I like to look at things from all angles. I am not a doctor, but I am very educated in regards to the body, medicine, etc. Speak with your primary care doctor or dermatologist first, but I would HIGHLY reccomend stopping erythromycin immediately. It should not be getting worse and you're probably altering your gut microbiome. You're already doing great by eliminating processed foods and dairy, but if you're commited here's several other things you can eliminate to really clean up your body internally and restore your bacterial balance. Gluten can cause a lot of issues for many people, especially those with digestive issues. Try to incorporate healthy carbs such as quinoa, sweet potatoes, brown rice, and steel oats. If you have any intolerances to grains obviously ignore some of those (quinoa is my personal healthy favorite). Try to limit sugar intake, even natural occurring sugars (honey, fruit, etc). It's best to consume fruit on an empty stomach since its digests quickly and so it doesn't mix with other foods causing insulin levels to fluctuate (in return causing acne). Also, 1-2 servings of fruit a day is perfect. Try eliminating all red meats and stick to things like lean chicken and fish. Make sure you're consuming vegetables with EVERY meal. Seriously, I can't emphasize this enough it's crucial for clear skin and make sure you incorporate variety, don't get bored eating the same thing daily. Caffeine is also a culprit for many people, it's hard to give up but after 30 days you'll have more natural energy and your body will thank you (that includes preworkout ). Now for some supplement reccomendations! Start every morning with a glass of warm water and half a squeezed lemon with a probiotic. The probiotic will replenish you with good bacteria to restore balance. I absolutely LOVE the probiotic called Pro-15 by Hyperbiotics, (find on amazon) it's great for the skin and gut (I personally take it). Next supplement is vitamin D, if you're someone that doesn't get much sun it can be very beneficial to restore the skin and a great brand is NOW vitamin D 5,000 IU. Lastly, the one I reccomend the MOST is arctic cod liver oil by Nordic Naturals. This is a boost of vitamin A that allows our skin to thrive. Our body only converts 1/12th of the vitamin A we consume through diet into retinol (which our skin needs). Your skincare regimen is great! I'm a fan of differin. What cleanser and moisturizer are you using? I hope some of this helps and I'm happy to answer any questions you may have! Best of luck!
  5. open wound pimples

    I am a soon to be esthetician and I give most dermatologists a run for their money (not trying to sound cocky). I had TERRIBLE skin so I understand the emotional toll it takes on you. I have A LOT of things to reccomend, but first I need to get to know you a little better so I can help to the best of my ability. The first thing that concerns me is you being uncomfortable around family. I understand not wanting strangers to see you when you feel your worst, but you shouldn't have to impress family. If they are going to make rude comments then you should try honesty. Say something along the lines of, "We all strive for 'perfection' and I don't appreciate you adding to the stress I already feel about my skin." Home is the one place you should feel comfortable letting your guard down and going makeup free. Another thing is makeup, of course we all want to conceal our imperfections but makeup is only going to exacerbate the issue. Plus there are many ingredients in makeup that clog your pores. Now time for the questions so I can get a better understanding (please don't think I'm being nosy, the more you disclose the more I can help). Also I will judge NOTHING you do, my sole intent on this site is to help people feel comfortable in their skin. With that said, how old are you? What a your current skincare regimen? If you can tell me things you've tried in the past that didn't work that would be helpful as well. Are you taking any supplements or medications? What is your diet like? Also, is it strictly whiteheads? Are you picking at the whiteheads? Again, I'm not judging but this can cause them to become cystic. Lastly, if you're COMFORTABLE posting a picture (obviously not your whole face, just a very upclose image of the bumps only) that would be extremely helpful for me. In meantime, work on keeping your stress levels down and focusing on something other than your face (I know this is challenging). Cheers!
  6. Yes, thinking about your acne ABSOLUTELY affects your stress levels whether you think it does or not. Everything I'm about to say comes from personal experience and I've had a long journey clearing my skin. Acne can consume you mentally. If you use up all of your mental real estate focusing on one thing you tend to miss the bigger picture. I can't begin to tell you how long it took me to realize that. I was always seeking the next best diet, supplements, etc and I lost track of what matters most, your mental health. Don't get me wrong, those things matter as well, but your mindset is what defines YOU, not your acne. You are unique, you are beautiful, and no matter what your struggles are find the positive in life. There are two kinds of people in this world: those that find the beauty and those that judge imperfections. Find the beauty in EVERYTHING, including yourself. I know you're probably thinking, "you don't know me and how much this affects me, that's easier said than done." TRUST ME, I get it. With that said, here are some reccomendations that helped me refocus my negative thoughts. I downloaded an app called Insight Timer and made myself meditate at least five minutes every morning. If you're thinking, "I don't have time for that." Well there's plenty of ways to make time such as on your way to work in your car, or at night before bed. I also went walking outside (preferably on trails) and tried to notice something new and beautiful everyday that I may not have paid attention to before. I ate healthy, but I stopped letting my diet consume me (obviously avoid foods you're allergic or intolerant to). I started a journal called "My book of positives" and everyday I write three positive things. If nothing comes to mind, well you're ALIVE and that's something to appreciate. Acne makes you feel MISERABLE, but I remind myself everyday that there are burn victims that CANT heal or people with cancer fighting for their life. Don't read any of this in a condescending manner, because I know we ALL strive for clear skin. My point is this is a moment in time, and all moments eventually come to an end. If you change the way you look at things, the things you look at change. Best of luck and positive vibes!
  7. What's your morning and night skincare regimen? It's not uncommon for a purge to come in waves, and sometimes it lasts longer than we anticipate. It seems like you're on the right track with your face since you've had a reduction in inflammatory acne. I would give it a full six weeks before changing regimens. Keep pushing through it Now your body is a different story. If the bumps on your body are unresponsive to benzoyl peroxide and salicylic acid it's very likely you have malassezia folliculitis. This is actually caused by a fungus instead of propionibacterium bacteria like your typical acne. This will have to be something you research because it resembles acne and it's often difficult to differientiate the two. The key indicator is the "acne" (malassezia folliculitis) being unresponsive to acne treatments. After doing research if it feels logical then I have a few reccomendations. The first is to use a shampoo called Nizoral with 1% ketoconazole in it and leave it on the skin for 5-10 minutes. I would do a test patch first to make sure it doesn't irritate your skin. Also make sure your shampoo/conditioner doesn't get all over your back/body when you rinse your hair as this can worsen folliculitis. I would also be careful using soaps in areas you're experiencing the body breakouts. I have plenty more tips if this feels like a logical explanation for your breakouts so feel free to ask any questions! Good luck! I also meant to post this picture. This gives you a good idea of a typical purge course. Just remember everyone is different though.
  8. How do I get rid of these marks? :(

    Do they itch at all? Also what is your current skincare regimen? The more information you can give the more I'll be able to help. Just keep remembering this is only temporary!
  9. Makeup for acne

    Awesome!! I'll check those out thank you so much!!
  10. What can I take after Doxycycline

    I personally take it in a liquid form because it doesn't taste bad AT ALL and it's a lot more effective than the capsules. I love the brand Nordic Naturals - Arctic Cod Liver Oil. I personally take it and after a month I've definetly noticed an improvement in my skin. I purchased mine at the vitamin shoppe but I'm sure you can find it on Amazon Best of luck and I'm happy to answer anymore questions! Cheers!
  11. What can I take after Doxycycline

    It sounds like you're on the right track! I would give your new skincare regimen at least four weeks to work its magic. Don't be surprised if your skin purges a bit, but this will be beneficial in the long run (comedones can become inflamed when they purge). Also, I would reccomend using a sunscreen on top of the benzoyl peroxide as it can increase your sensitivity to the sun (you may already be doing so). Your diet is perfect and do whatever works best for your body. Red meat can be really hard for our body to digest and causes problems for many people, but if this isn't a problem for you then disregard and follow what works! In your post you said oral medications typically work best for your skin so I would suggest researching cod liver oil. Supplementing with cod liver oil helps many people because it aids our body with the vitamin A our skin needs our thrive. Overall, it sounds like you know what you're doing and hopefully you'll rid yourself of those stubborn comedones in no time with your new regimen. Best of luck! If you have any questions feel free to ask.
  12. Alright, well it sounds like you're in tune with your body and know what works for you in regards to diet. The last suggestion I have that will help oiliness and blackheads is a BHA. There are several BHA products on the market that target your concerns. Two of the most popular BHA's are Paula's choice BHA and Corsx BHA. I would also reccomend using something a little more hydrating for your night time moisturizer and you can continue to use the aloe Vera as your day time moisturizer. I know it seems like using a moisturizer on oily skin is a bad thing, but when you use a good moisturizer it will stop your skin from overproducing oil to compensate for the lack of moisturer. I HIGHLY reccomend Elta AM moisturizer (the Elta PM is good too) and I've never had a client breakout from using it. It's worth a shot, but your current skincare regimen doesn't have any active ingredients to help repair and replenish the skin. An example of a skincare regimen: cerve hydrating cleanser, Paula's choice BHA, and Elta AM moisturizer. Keep it simple and effective. Do your own research and see if any of this applies to you, but I feel like it could be beneficial!
  13. Things will get better, just stay positive and stay on track you're doing the right things. The skin takes a long time to heal and consistency is key! I'm not trying to tell you what to do, so listen to your body and disregard anything I say that doesn't apply to you, but there were a few things that stood out to me. One is the amount of nuts your consuming. Peanut butter is actually really bad for acne, most of the time it has sugar or high fructose syrup in it and even if it doesn't have those things peanuts have a very high mold rate and don't digest easily. I would reccomend only consuming handful of almonds a day. I suggested reducing oil because you mentioned you live in India. I know that's extremely hard to avoid living there, but try your best to not eat out and cook as much as you can. Make sure he fruits you eat have a low glycemic index and don't consume more than two servings a day. Also it's best to consume fruit on an empty stomach since fructose digests very quickly and you don't want it mixing with other foods allowing the sugar to sit in your stomach affecting your insulin levels. Are you vegan? Also, my making an assumption so pardon me if I'm wrong but it sounds like you eat a lot of the same foods everyday. Our body thrives off of variety because it supplies us with the various nutrients we need to aid our health/skin. Have you ever tried supplementing with cod liver oil? It's a vitamin A supplement (accutane is a powerful vitamin A derivative) and our body only converts 1/12th of the vitamin A we consume through diet into retinol (which our skin needs). Vitamin D is also a great supplement for skin. They might be worth a shot. I would also highly reccomend you incorporate a retinol, like Differin (aka Adapalene). Your skin really isn't that bad, I see far worse in clients every day. Stay positive, you'll beat this and come out stronger and healthier!
  14. Well that's how you know who the real people are in your life. If she is willing to stay by your side when you're at your lowest you know she is genuine. Don't shut her down and maybe give her a chance to see all sides of you. I'm not trying to give you relationship advice on here, but I really do feel for you. I know acne makes life unbearable at times, but keep fighting and take back your life. You're doing more than most people would and it's great you've cleaned up your diet and lifestyle. This isn't something I typically reccomend as the first diet method to try, but have you ever tried reducing your fat intake and oils? I've read many people have had success with their breakouts when they completely eliminated all oils including healthy ones like olive oil. Just a suggestion, you might already be doing so. Another question is what happens when you stop taking the hormones? Do you have any severe side effects? Lastly, based on your routine you're not doing anything to combat the acne. I know you said you have in the past and you experienced a lot of irritation with the products you used. I'm not a fan of any of the products you listed and they never worked for me either. I would reccommend a gentle retinoid called Differin (or Adapalene). It takes 3 months to see results, but for many people it's worth it. Something else you said raised some red flags, nothing seems work for you. Have you ever considered you might have pityrosporum folliculitis (also known as malassezia folliculitis)? It's a form of fungal acne and typical acne treatments only make it worse. It shows up in the form of pustules, papules, and comedones (whiteheads). Without a picture I can't say whether or not you fit the description, but research it and tell me what you think. If it seems possible, I'm very knowledagble on the subject and would be happy to give you product reccomendations. I hope some of this helps!
  15. Well that's how you know who the real people are in your life. If she is willing to stay by your side when you're at your lowest you know she is genuine. Don't shut her down and maybe give her a chance to see all sides of you. I'm not trying to give you relationship advice on here, but I really do feel for you. I know acne makes life unbearable at times, but keep fighting and take back your life. You're doing more than most people would and it's great you've cleaned up your diet and lifestyle. This isn't something I typically reccomend as the first diet method to try, but have you ever tried reducing your fat intake and oils? I've read many people have had success with their breakouts when they completely eliminated all oils including healthy ones like olive oil. Just a suggestion, you might already be doing so. Another question is what happens when you stop taking the hormones? Do you have any severe side effects? Lastly, based on your routine you're not doing anything to combat the acne. I know you said you have in the past and you experienced a lot of irritation with the products you used. I'm not a fan of any of the products you listed and they never worked for me either. I would reccommend a gentle retinoid called Differin (or Adapalene). It takes 3 months to see results, but for many people it's worth it. Something else you said raised some red flags, nothing seems work for you. Have you ever considered you might have pityrosporum folliculitis (also known as malassezia folliculitis)? It's a form of fungal acne and typical acne treatments only make it worse. It shows up in the form of pustules, papules, and comedones (whiteheads). Without a picture I can't say whether or not you fit the description, but research it and tell me what you think. If it seems possible, I'm very knowledagble on the subject and would be happy to give you product reccomendations. I hope some of this helps!
  16. Makeup for acne

    I'm looking for some makeup reccomendations since that is not my expertise. I have a great skincare regimen, but I have a hard time finding makeup that suits my skin type. I have dehydrated acne prone skin, so I'm looking for something that won't clog my pores (I always get comedones using foundation) and I don't want anything with active ingredients in it (ex- salicylic acid). I have very fair skin and I have hyperpigmentation from old acne scars. I prefer foundations that are liquid or pressed powders. Also, I like something that has a decent amount of coverage without looking "cakey." So do any ladies (or guys) know any good products that fit what I'm looking for? Also, any recommendations for concealers, primers, and any other fun noncomedogenic products would be greatly appreciated!! Thank you!
  17. I would absolutely not get on accutane again. I know having acne is terrible and it lowers your self esteem so much, but there are many ways to heal yourself. Based upon what you've said you sound incredibly stressed, and understandably. You've probably heard this a million times, but stress really is a culprit for many people. I know acne makes you want to isolate yourself and stay sheltered, but that only adds to the stress. There's an amazing app called Insight Timer and it's a meditation app. Here me out before you shut down the idea. Take at least 5 minutes every day to begin your day with a positive podcast. Also, try to get out more. I know your self esteem is low right now but there's many ways to get out of your rut. Go on walks in nature, read a book, learn another language, or do whatever makes you happy. Maybe even send a text to your ex explaining your circumstances. People are a lot more understanding than we give them credit and honesty is often in our favor. I'm only saying this because I was in your same situation, I gave up all of my friends and I isolated myself all due to my insecurities. I didn't realize I was chronically stressed, and I always shrugged people off when they mentioned stress being an issue. I started doing the things I mentioned above along with writing three positive things at the end of every single day. Now if none of this applies to you there's a lot of other things to examine. What is your current skincare Regimen? What is your current diet, and what diets have you tried in the past (also for how long is key). Lastly, what supplements and medication are you taking right now? I am so against accutane, there's so much dermatologists don't know and neglect to inform their patients of the repercussions.
  18. What can I take after Doxycycline

    What is your current skincare Regimen? What supplements/other medication do you take? And lastly, what is your diet like? Sorry for all of the questions but this will give me a better understanding of your current situation. First of all, I hate when dermatologists put people on antibiotics that long. I always advise my clients to avoid antibiotics at all costs. They kill off all of the good gut bacteria in our intestine which causes our flora to be unbalanced. When this occurs it can cause people to develop food allergies or intolerances which further worsens the acne outbreak. Are your breakouts inflamed?
  19. Need help regards to skin issue.

    I feel for you! I know how hard it is to have skin problems and have no answers. I really want to help and I'm doing my best to think of a solution. If you don't mind, would you take a picture of the marks with your flash or fluorescent lighting? If not it's cool I'll see try to think of something. Also, I noticed you have irritation and redness around your lateral canthus (corner of the eye). You might be applying the retinoids too close to the eye. I always advise my clients to put vaseline on their eyelids, nasal folds, and lips before applying a retinoid. If you think you're applying it correctly then you might be having a reaction or intolerance to a certain food.
  20. I'm sorry for the delayed response, have you had any improvement? It does sound like it could be rosacea, but without a picture or seeing it in person it's hard to say. However, it sounds like you're absolutely having a reaction to something. You said you take spironolactone and a multivitamin? Have you ever stopped taking both? Often people react to one single ingredient in their supplements and have no idea that's what's causing it. I would maybe start with the multivitamin for two weeks and see if there is any improvement. Also I would suggest you start a food diary and listen very closely to how your body reacts to different foods. Anytime you notice flushing, slow digestion, or anything of that nature, take note. Is there anything else you consume on daily basis or more than four times a week? Another thing you can try is a juice cleanse. I know it doesn't sound that appetizing, but juicing gives our digestive system a break and since the liquid is not hot it might help with your flushing. I wouldn't do it for more than a week if you decide to. Also, try eating foods in their raw form for a little while, and double your intake of vegetables. What's your current skincare Regimen?
  21. Need help regards to skin issue.

    I don't think your skin looks bad at all. That's my personal opinion, but I know pictures don't always do justice and I absolutely get it bothers you. I know all about skin that seems untreatable. Have you tried stopping all of the topicals (tretinoin and differin). These both rapidly exfoliate the skin and I know that sounds like a good thing, but it's not for everyone. Especially using two different retinoids at the same time it can really shock the PH levels of the skin and disturb our natural barrier function. Most scars do heal with proper moisturization and routine cleansing. Also, it may work for you but just so you know shea butter is comedogenic (pore clogging). Also, a vitamin C serum is very beneficial healing scars.
  22. The best thing you can do is treat your skin very gently. Don't use anything abrasive and I wouldn't advise using any mechanical exfoliation. Have you been diagnosed with rosacea? Also do you have pustules and papules (red acne) as well or just the flushing? Rosacea is actually considered to be an autoimmune disease so it is DIRECTLY linked to the gut. The more you can clean up your diet (which everyone should for health reasons) the better you'll manage your skin. Many people that have rosacea have success supplementing with MSM (it contains shellfish so don't take it if you have seafood allergies). Also, as you said heat exacerbates rosacea so since the sun can cause issues, I would suggest supplementing with vitamin D (I love NOW brand and I personally take it- it's on amazon) and start using a good sunscreen (Elta clear sunscreen is great or there's a tinted version for rosacea sufferers but I don't personally like it- other people do though). Yes definetly avoid hot food and tea! Wait for both to get cool befor eating/drinking (I know that sucks but think about the positive at least you won't burn the roof of your mouth anymore lol). As for RX topicals there's one called soolantra that has helped many people, but it tends to help more with pustules and papules (and I'm not sure if it's available outside the US). If you can eliminate added sugar entirely that will really help. Try starting a journal and anytime you notice something makes you flare write it down on the "do not eat list." One last reccomendation is there's a skincare line called Avene (French skincare) and they have a hypersensitive product line that is highly reccomended for rosacea. I hope some of this helps and I'm happy to answer anymore questions!
  23. Need help regards to skin issue.

    Well based on your description it sounds like there may be damage in the subcutaneous tissue which will be really difficult to treat via topicals. Give your Regimen a try (a full 6 weeks at least) and then if it is unsuccessful lasering is a great option because it penetrates the deepest layer of the skin (subcutaneous tissue). However, it's a pricey penny. What's your current Regimen? What does your skin feel like when you moisturize the skin that feels rubbery? Does it feel softer after using any products. The more details, the more I'll try to rack my brain.
  24. A great option for people with irritated skin/rosacea is SkinCeuticals phyto corrective gel. It is a little more pricey (somewhere around $65) but it's very soothing. It might be something worth researching. If not, then yes Eucerin is a great moisturizer. The Eucerin lotion with 10% urea helps people combat dehydrated and red skin. Also if you're having sudden flares I would look at your diet and see if there are any potential ingredients or foods that cause you to flare. I'm sure you know this but caffeine, alcohol, spicy foods, and nightshade vegetables are often triggers for many people. Make sure you're not using any harsh cleansers or anything too drying. I hope things get better!!
  25. How do I treat my red, dry, itchy face?

    First give your skin a break from the BP and only spot treat when neccesary. You don't want to over dry your face or you'll cause more breakouts and irritation. A fantastic product for irritated acne prone skin is SkinCeuticals phyto corrective gel, although it is a bit pricey (somewhere around $65 dollars). Another cheaper option is Eucerin intensive lotion with 10% urea. Urea is a fantastic ingredient for skin. If you feel like everything breaks you out and you have sensitive skin then SebaMed sebamed clear face gel is a great option. I hope it gets better!