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  1. Hi everyone. New here. I'm struggling on how to 'label' my acne. I tend to get these annoying red spots, mostly in my cheek area, but it's beginning to spread. Really taking away my confidence. Are these mostly fresh scars or actual acne? I want to know what products to look out for, specific to whatever the hell my skin is. I've been on isotrex, isotretinoin and benzoyl peroxide. All have had their temporary affect. Currently on Lymcycline tablets (under a week) but not sure if that will be enough to get rid of this scarring. These stubborn 'red'-heads are a pain to get rid of. Sooo frustrating seeing the perfectly clear spots on the rest of my face. Losing. All. Hope!!!! Please, someone identify my problem here and possible solutions? Many thanks ☺️
  2. I have acne since I was 13, now 22. Have a lot of scarring and hyper pigmentation as a result. Planning on using milk kefir masks topically starting today, was wondering if anyone else has tried this?
  3. Hello, this is my first time ever writting here, so it might be a bit long (sorry in advance) So first off I will start by giving you an idea why I got on acne.Org regimen, I always had mild acne growing up, but around the time I became 20 ( Im now 22), my acne changed to these painful cystic pimples which leave the nastiest scars when they heal and by the time they heal new ones form on top of these scars and ever since my face is covered in discoloration from acne and scars. So I began using the regimen on the 26th of Dec (a little over a month ago) , I did not start gradually, I used a pea size amount of the treatment twice daily for the firsr 4 days and I noticed my face was purging but also was extremely dry, red and irritated so the following week I used the regimine once a day. Second week I applied the same amount twice a day, and now I cant seem to be able to increase the amount anymore cause my skin is peely and started showing wrinkles no matter how much moistureizer I use. My skin feels rough, flaky that I cant wear any makeup, not to mention that my face is a whole different shade than my neck ( looks tanned+red) I must say, though my skin is almost clear from active breakouts (I only have two) maybe its because my menstrual cycle is nearing. So is all of this normal? Shouldn't my skin be used to the treatment by now? Should I give it more time or just quit it because of the exessive irritation, hyper pigmentation and drieness?
  4. My Accutane log

    So, I've been on Accutane 20mg for 5 weeks and I'm really just making this log for others to see and to show you guys any improvements and to get advice from you guys. So far my side effects have been there but have been manageable; dry lips, dry eyes causing them to go red, back pain and slight depression but not too bad just the odd sign and feeling of social anxiety. Here are pictures I've been taking to document my experience so far: Day I started Accutane 20mg Second week Fourth week Please let me know if you have any advice or any queries, also I will be updating every two weeks during my accutane course.
  5. Hi. Ok so my acne right now is the worst its been since high school! Im desperately needing help! Im 31 and suffer from hormonal acne. December was an extremely stressful time for me. (A death in family and another traumatic event happened). My face, around my mouth, just exploded with acne! Some of the acne went away, but the hyperpigmentation is really bad! Cysts, pustules and whiteheads. Id been using Cetaphil Oily Skin face wash as my skin is quite oily. With Benzac Ac 5% gel. Followed by Cetaphil Dermacontrol Moisturizer SPF 30 Sunscreen. At night was the same, but with standard Cetaphil moisturiser. It was all working semi-ok. I havent had clear skin since I was 14, but this routine gave me only 2-3 breakouts at a time. Now, as you can see in the photos, Its a hell of alot more! I am currently on Zinc tablets and Doxycycline 100mg. I have been for a decent 10 years and I dont think its doing much but my fear to stop is huge. My dr who is wonderful says it is helping. I also probably need to add that I do have an eating disorder (anorexia) so I know my diet isnt great. Its too low but im doing quite well with water. Having atleast 2L a day. So. I got desperate. It was worsening my depression so I came online to think what to do and I read about the Caveman Regimen. I decided since Im not working and never wear make up anyway I thought it actually made sense. It sounded crazy and scary as hell but it still made sense. Im now on day 2 of Caveman Regimen and its not as scary as day 1. I thought my face would be dripping with oil but its not. I have made my own version of Caveman Regimen though. I couldnt not wash 100%. So my morning shower i let water fall over my face but only for a few seconds. I lightly rub with hands. Once out, i very very gently pat with a soft face cloth. Then let it to dry properly itself. Once dry I do use Cetaphil Dermacontrol Moisturizer SPF 30 because i can not not wear a sunscreen. At night just before bed I splash luke warm water over it and very lightly pat dry maybe once or twice. Thats it. Im not getting the flaking so much and my acne is the same. I was expecting it to be worse but im feeling positive about this. Im definitely going to keep trying it coz I have nothing to lose any more. My depression couldnt have gotten worse. My other issue is hyperpigmentation which is also why I need the sunscreen. Any help, or any advice, or ANYTHING, feedback would be so helpful.
  6. i've been on accutane for 2.5 months now .. skin is now smooth to the touch, but tons of red marks and scarring left behind .. not really sure which is which to be honest, me that's why i'm here. just wanted to post these to see if anyone had any advice for what i could do to help these fade in the next couple months .. really want clear skin for the summer !! i uploaded pictures from about a month into accutane to what it looks like now, anything helps .. please and thanks.
  7. Today, I went to a laser tech that was highly recommended by reviews and also by my sister in law! She usually does hair removal, but had realized that the tech had different treatments that would help skin texture and skin over all. I did my research before my consultation which was today and I wasn't planning to even do the treatment today, but heck... Why not. The treatment lasted about less than ten minutes, but ten minutes max as well, not horrible at all. I am a 19 year old asian little lady and my hyperpigmentation isn't crazy bad because vitamin C from Asia has helped a whole lot! The appointment was about 11 and I got out at 1130 with no side effects which I am not complaining about, but maybe it's not a good thing? It is about 7pm now and all that I feel is about a very minor sunburn feeling (she did mention that my face will eventually feel tight as time goes by for a bit) but I read a lot about different things like ichiness and redness, or even spots being more visible etc, but I'm nervous that maybe IPL didn't work? Even though is only been a few hours...... The first picture is about a week ago and the second set is about 2 hrs after the appointment. Please let me know if maybe give it time to show up or what I should do Sorry about the flash with the first set of pictures and no flash in the second, although the second set had bigger lighting 2:
  8. Dry skin

    Hello, I ve been using the treatment for about 3/4 months now... I had a lot of hyperpigmentation on my skin but a few active acne. My skin has improved a lot the scars are starting to fade away. BUT my main concern now is that my skin is very dry no matter how much moisturizer I put on. I use the acne.org moisturizer mixed with argan oil but my skin is still very dry. I am also noticing that my skin is cracking a lot. I want to know if you have any suggestion to stop my skin from cracking and from being so dry.
  9. Hello so ive been having acne since 14 yo now 21 going 22 this year still having some active acne lookin for some advice to fix my scars, i have this huge scar and look disfigured
  10. Hello I Am male 18 years of age skin color: white and have struggled with acne and acne scarring sense I was 13 (5 years) I've used accurate antibiotics peels and lasers (not ablative) and haven't seen the desired results I wanted to know if I should try the Dermapen or another treatment. I'll post pics of my skin so please help me!!
  11. So I was wondering what type pf acne marks I have and what product that would be recommended for my skin. I know that u can see some pimples on my face but I usually don't have that many pimples, I usually have like 1-3 Right now I am on week 7 of cleansing with "Purifying Himalaya neem face wash" and using BP 5% (because 2.5% doesn't exist in Sweden) and after that moisturizing with Oil Control moisturizer.
  12. Hi everyone, **Before you read any further, I wanted to let you all know why I am posting on acne.org tonight. I've been wanting to post this for a while because I know that many acne sufferers stalk each post and forum daily, endlessly looking for cures and solutions. I know because that's exactly what I did for 8 years straight. And I know how much of a negative impact suffering and obsessing over the clarity of your skin can have on your personal life, friends, family and academics. You are not alone and you are actually stronger than most people by having to go through this kind of emotional distress in life. It will make you stronger and smarter later, trust me. TBH, I can actually say that most readers and posters on this site are extremely literate and excellent internet researchers (always looking for that next possible cure haha). A bit about me, I am 25 years old and have been suffering from acne since middle school. Starting in middle school, I used by first acne product which was a Neutrogena acne bar soap. Of course, this escalated with the severity of my acne and I ended up using Proactiv all throughout High School to keep my skin clear. I thought that Proactiv was amazing at the time. Regardless of the price, it kept my skin crystal clear and who could really put a price on that right? ...Wrong. When I started college, my acne started to change and Proactiv was slowly losing its effectiveness (I had to start using it twice a day, faithfully again to reap 85% clarity). It was during this time that I started to obsess HARD about my skin and was probably on acne.org more than my studies. Acne held me back from dating, social confidence, attending class and more. I feel foolish that I let it affect me so much looking back, but I also know how real it is to have acne put you back... Fast forward 6 years and I was still on acne.org as well as googling any type of successful treatments out there (on bodybuilding. org forums too). I stopped using Proactiv and started experimenting with Cerave, Neutrogena, 5-star acne products on Amazon... anything really. And yes, I gave it 4-8 weeks to see if it was actually working. During this time, I was really messing up my skin. Coworkers and family were actively asking me what happened and recommending products to me which drove me insane and also really tore down any confidence I had even more. I even went to a dermatologist and the first thing he recommended was Accutane (rude but also understand some people had great outcomes with it). After I was faced with the decision to either go on Accutane, start antibiotics (which I definitely do not recommend!!!) or just let my acne go crazy and leave a lot more hyperpigmentation. ---I decided to just face my fears. At this point my acne was pretty bad and I did not want to risk my health just to have it potentially fixed for an indefinite amount of time. I decided to just listen to my dad and let my skin heal without products FOR A WHILE. No, this post isn't some hollistic preaching to use all natural products.. it's my successful experience with clearing my acne that I feel obligated to share with everyone in the hopes that I can help someone, or anyone. REGIMEN For the first month, I transitioned my skin off all my products. Using just warm water to rinse and pat dry with a towel. Yes, you will accumulate dead layers of skin. Try not to scratch or pick (unrealistic, I know). During this month, you will obviously have a period of increased acne, your face will itch when you sweat and your acne will heal faster when irritated or popped. The goal is to let your skin barrier heal and “reset”. *****Special PSA about acne products… QUIT while you’re ahead. Like everyone has mentioned to you, acne products are all a scam in the end. What they essentially do is kill all the bacteria on your face and sterilize your face, which does prevent acne and clear you but requires you to never be able to go without their products or change anything up in your routine without sudden breakouts (from bacteria reintroduction). Your skin is supposed to have good bacteria and your skin barrier works over age and time to normalize your skin oils to prevents clogged pores/pimples. What I am saying is, acne products are just a trap.****** The next month and a half, I stopped using any products and continued with just warm washes. Again, lots of dead skin, faster healing of popped pimples and itchy skin. Keep going! The next month I started applying Aloe gel mixed with oil-free lotion on my skin to re-moisturize and build a healthy skin barrier again. It was really all about healing to this point. My skin was calming down but definitely still breaking out with the normal cysts and small pustules. However, it was nice to have such an easy regime and calmer, less angry skin. During the next month, I grew tired of not having clear skin so I reintroduced some products that were A) NOT made for acne reviewed and regarded highly to not break you out. I started with and I am still using Shiseido Men Foaming Cleanser (gentle and main part that cleared my skin) paired with Shiseido Men Moisturizing Emulsion (thicker than their hydrating lotion and does not clog pores while ACTUALLY HYDRATING for once!) I then introduced the Shiseido Men deep cleansing scrub to alternate every two days with my foaming cleanser to add exfoliation (Really took my skin to the next level of consistent clarity) and also added their oil-free SPF sunblock. That’s it really. I know I may have missed a lot of details that I forgot to mentioned but I have outlined my overall journey to reset my skin balance before reintroducing more sustainable, healthy products to my skin. This really helped clear up my skin and give my confidence back. I plan to be active on this forum for a couple weeks/months to help answer and clarify any questions! I hate people who post with “cures” in it and then fall off the face of the planet. ***side note** i acknowledge that I am a guy and understand that women are more prone to hormonal acne which cannot be solved by resetting skin balance/new cleansers. My sister has hormonal acne and I can say that birth control paired with snail essence facial products made her skin flawless.
  13. I put too much benzoyl peroxide all over my skin it was 5% and it was too sensitive for my skin and got really burned and my skin was peeling so much ... so I put some vaseline and peeled the skin off ...now it has been over 5 months and I am still seeing the affects of the benzoyl peroxide it has really damaged my skin and it also made me get many pimples due to this ...and my skin is really thin now and is really damaged and dark and I think the skin has become very old looking due to this and I'm only 21 !!!! will my skin go back to normal ....what can I do ???? is the skin permanently going to be like this ??? Will I have the burnt damaged skin forever ??how can I heal this ??? My skin has lost its youthful look and feel ..what to do ? My skin used to be so much whiter but it looks very dark now and damaged ..i don't know what to do ... I very sad cuz of this ...plz help me !!! thanks ur help is very appreciated !!! Will Benzoyl peroxide damage the skin structure and its ability ?
  14. I've been updating content on acne.org to reflect all of the very latest science. Here's the completely updated hyperpigmentation page.
  15. Can just one chemical peel make that much of a difference in hyperpigmentation? I have PIH and I am mixed race but half white. I have had 15% TCA peels before and undergo light peeling but didn't notice much difference from those. If I go higher what type of peel should I try? Also for a 25%+ of TCA, glycolic, mandelic or lactic acid peel did you have much experience with lightening of PIH?
  16. guys please help me! how can i get rid of these scars i put rose hip oil on my face every night but i dont see a difference please help me
  17. 5 days in and I got what I honk is the initial break out. I got 2 cysts on my hairline and a few nodules across my forehead. I haven't broken out on my cheeks or chin, at least not yet! I'm just leaving them alone, I've applied some aczone at night to keep redness down. My skin isn't dry yet and neither are my lips. I've been applying Burt's Bees chapstick and Vaseline religiously to prevent the dryness from coming on. My skin is still pretty oily. I'm on 20mg day for the first 2 weeks and then I'll be up 40mg. My back has experienced a bit of dryness and no new breakouts!
  18. So since my last post which was almost 6 months ago my skin was doing really well no break outs my scars were fading - picture from my last post - those have now faded but as I mentioned last tI me it's a constant cycle with my skin. Just before Christmas I broke out quite badly around my jawline - which was either to do with a new bread I started eating (daily) or new oil I started using - I stopped both immediately! So I broke out on both left and right hand side of my face (not too concerned with left) but soon after I broke out again and again on the right with spots appearing on my cheeks and also on upper cheek/below eye. - my spot treatment was not working, even tried peppermint oil and I was so afraid of it darkening I decided to use a product which also had 2% hydroquonine in it during the night to spot treat, during the day I'd use essential lemon oil to spot treat and also glycolic acid gel 4% ... I thought this method was working really well as my skin was peeling and the marks were light BUT then they started getting darker and the surrounding skin was getting lighter - making it really difficult to cover up and my skin is uneven toned so I've stopped The hydroquonine product and I'm now using aloe Vera twice a day and glycol is gel at night. I will attach a picture (I assure you it looks worse once person) but please suggest anything that'll help! Do you think I should go see a dr? If any of yous have seen a dr about the same issue what did they recommend? I would've thought my skin would've gotten better since Christmas but it's gone from bad to worse!
  19. can apple cider vinegar be used as a face peel and how? I saw a diy mask peel recipe for it but I'd love to know everyone's experience with acv and maybe a recipe for the acv peel.
  20. Skin and Us

    Skin and Us Skin is really something isn't it ? For the past hour Iv'e spent time reading through acne.org forum, learning of the many people like myself struggling for lasting clear skin. And for many of us, to have 'lasting clear skin' sounds like what we most desire. Ive created this post to speak on skin sufferers, no matter the skin condition severity, emotional journey or pain. Skin is not everything, skin is not you. Yes, it is downright hard to walk out of the house into that HD natural lighting, to talk to other people or even walk by someone, thinking that their eyes are magnifying every 3D dimension and redness on your face, its hard to look into your bedroom mirror and see what is ruining your sociality, ruining your self esteem and perhaps even life - which couldve been so, so much better.. If you just had, normal skin.. I understand how socially, mentally and emotionally hindering skin can be. And it gets to the point where, skin is constantly on the mind. "look at how perfect her skin is.. She isnt even wearing makeup" "He's never had to deal with a pimple in his life" "they can touch their face so casually" The negativity, self consciousness and fear associated with unclear skin is not healthy. When will the day come when people can walk out of their door completely comfortable and loved in the skin they have, pimples, flaws and all? Skin has become such a big deal in today's society, and we have grown to value the outer appearance much past the healthy amount it should be measured ~ nitpicking on every tiny bump on someone else's face. To only have tiny bumps would be perfectly fine for me, haha. When will those days come? It would make a difference to educate more people, as many people as we can on skin. that not eveyone has perfect faces, and that is completely OK. not 'disgusting', 'ugly'' 'gross' or 'disturbing'. Unperfect skin is OK. Hold a vision of acceptance,not perfection. If you've read this far, i hope you are feeling more accepted, because I am one more person that accepts you wholeheartedly. Stop worrying and stressing over that massive rudolph monstrosity you picked at 4 in the morning, on that forehead parade of little bumps and clogged pores, that red, spotty jawline and cheeks you've been battling with for years on end, or that collection of necne (neck acne) and bacne and go live life like nobodys watching. Easy thing to say, but moreso difficult to live out. But Im right here with you, and so are many others. Make skin, your friend. Not your enemy. Skin and Us. Keep trying, build towards a healthier mindset and connection with your skin. Search and Find what works best for your skin, whether its adjustments in lifestyle, eating, your skin regimen or more. Make "lasting clear skin" your goal, and not you. And you will get there.
  21. my hairs a mess sry. how do i cget rid of this nasty sh*t?!! im so sick of it! i used to use tazorac but it made my face so itchy that i couldnt even fall asleep.
  22. Hi, my name is Avro and I am 31 yrs old. I am from India ( Kolkata, West Bengal). I do not know, are there any one from India, Kolkata. Acne is not a new thing for me, but things have worsen. I got acne scars along with blemishes and pigmentation. which is totally screwing me day by day or let say minute by minute. Deep down, I know that I am not at all OK with the situation but I don't let the emotion run in front of anyone. The reason is, there is no point in doing so ether. Well, I have never taken seriously or gave a damn about my appearance. Now, I really want to make a difference. Maybe it's late ....... However, nothing is late when you have the money power. But, there also I face challenges. I came to know about a skin clinic here at Kolkata, "Wizderm" I did visit them yesterday, and they told me " You have come to the right place. I was like, good. Then, they handed me a prescription where it was written ( Subcison + Frac Co2 laser). When I saw Subcision, I was like . I knew, what does it mean. I was no at all ready, to get myself injected with anything. I am really scared to Injection, particular when something is being push through. It's way hard for me to bear the pain. After I saw videos of Acne scar Subcision (Youtube), I was more . They told me, they would give me anesthetic gel or kinda something like that. However, if i really want to skip that, they would only with Frac Co2 laser. I told them, okay. They told, if I can bear it the I should go with Subsicon to. The outcome would be visible after 3-4 weeks post 1st session. I was good with that. They told me, it would require 6 seating all total. They asked me, if I am working or my work related to be in the outdoor. I told them, I do work, but it inside the office. They told me, the face would be swollen for a number of days ( 7-10) I have to avoid the sun. The cost per session would be around Rs- 10,200 ($150). This is where I was . I took my prescription, gave the consultation fee of Rs-500 ($7.35) and left. When I went to that clinic, I had hope but now it's ........... (Videos / kits removed by moderator will do nothing for scars.) Here are my question 1. Even if I do spend $150 per session, will the subsicion and Frac Co2 laser would do wonder? Is it really possible, to continue my work freely while going under this whole treatment ? 2. Is the Regimen, is another and possibly best alternative? How many kit would be required annually? 3. Is WOW, another good alternative to Regimen? If not, what are the possible alternative that I could look for? 4. Apart from my mentioned products, please do share if you have any other alternatives as well. Below are my pictures and the prescription. I would request you, please look at my pics and suggest me the best possible advice. Thank you.
  23. 5 days in and I got what I honk is the initial break out. I got 2 cysts on my hairline and a few nodules across my forehead. I haven't broken out on my cheeks or chin, at least not yet! I'm just leaving them alone, I've applied some aczone at night to keep redness down. My skin isn't dry yet and neither are my lips. I've been applying Burt's Bees chapstick and Vaseline religiously to prevent the dryness from coming on. My skin is still pretty oily. I'm on 20mg day for the first 2 weeks and then I'll be up 40mg. My back has experienced a bit of dryness and no new breakouts!
  24. I am soooo busy. But i thought I'd share some info to other acne sufferers based on my experience. Hopefully this could help someone. If you read my past post, I had used Retin A. This post is the most recent update on what is going on with my skin. Retin A worked well for my skin when i first used it. Once i got clear skin, i completely stopped. I broke out again after three months of not using Retin A. So i started using it again, and this time it did not work at all. In fact, because the retin A made my skin so thin and sensitive, when i broke out again, my skin started to scar!!!! SCAR!!! something i never dealt with in my life. I was the lucky person who when i broke out, i just got hyper pigmentation. So scarring was such a sad moment. So i stopped using Retin A because it was changing my skin texture. Now I am completely clear from acne, taking a natural route. And when i get a pimple, it does not leave a scar. This is my current routine for my skin: ( oh and i have hormonal acne) Supplements : 1) vitamin code raw whole food and probiotics (multi-vitamin Brand- Garden of Life)- It recommends 4 pills a day. But since I eat healthy I only eat 2 pills 2) 2 cups of water with 1 tbps Apple cider vinegar 3) 2 cups of water with 1 tbps tumeric powder 4)1 serving of maca, 1 serving of matcha 5) 2 cups of either peppermint tea, lemon tea or green tea 6) a serving of golgi berries (now this alone helps with preventing acne and if i get acne, it helps my skin scar less and heal faster) Face 1) I wash with african black soap 2) spot treat blemishes and scarring with tumeric powder mixed with benonite clay and french pink clay 3) Toner Spray DIY: green tea, sea salt (natural kind), tea tree essential oil and helichrysum essentail oil 4) Moisturizer: Raw organic shea butter mixed with Frankincense, tea tree, rose hip, geranium essential oil)--> I KID YOU NOT this reduces acne by 50% the next day, I really hope I have helped. If anyone anyone can try this, keep me posted if this works for you.
  25. Q&A / FAQ; POST INFLAMMATORY ERYTHEMA (PIE), POST INFLAMMATORY HYPERPIGMENTATION (PIH), & HYPOPIGMENTATION: <If You Have Updates / Hints / Tips for This Thread, or Questions, Please PM Me>Special Thanks for Contributors : DeLovely Disclaimer: The information below is provided as a courtesy to address general questions. As we are not medical professionals, we cannot be held responsible for the accuracy of this information. By reading this information, you agree not to hold us liable for any damages that may result in your use of this information. This information should not replace information that your Doctor, Dermatologist, or Plastic Surgeon provides you. Please keep in mind that this is for general information only and results will vary for each individual.TABLE OF CONTENTS: 1. DEALING WITH SPOTS AT HOME & NATURAL HEALING 2. DIET NEEDED FOR HEALING 3. WHAT IS: POST INFLAMMATORY ERYTHEMA (PIE) - red spots, turn white after pressed on 4. WHAT IS: POST INFLAMMATORY HYPERPIGMENTATION (PIH) - brown or red spots that stay brown red after being pressed on 5. WHAT IS: HYPOPIGMENTATION - white spots 6. SKIN: PORES & TEXTURE, DRYNESS, & COVERING UP SPOTS ___________________________________________________________ 1. DEALING WITH SPOTS AT HOME Q: Where do I start? A: Hyperpigmentation takes a long time to heal. You can try to simply wait it out...but it never hurts to try and heal your spots naturally: -Aloe vera gel + honey and vitamin K (gets rid of bruises and red) keeps the spots moist creating quicker healing. -Fresh lemon has helped some people fade their spots and also topical green tea. -Topical Vitamin C serum can help some fade their reds and browns and in others it has irritated their skin. Always wear sunscreen. In the morning you use cool water to cleanse your face. Use diluted white vinegar and pat (not rub) the face to sterilize it. Moisture with a pure 100% Hyaluronic Acid Serum, this avoids skin irritation. These spots can take months to heal being irritated wounds, the remnants of acne or other skin issues. OR You can use triple antibiotic or Vaseline at night (Note: this breaks out some people so please spot test). In the morning you use cool water to cleanse your face. Use diluted white vinegar and pat (not rub) the face to sterilize it. Moisture with a pure 100% Hyaluronic Acid Serum, this avoids skin irritation. If this doesn't work more treatments are below>> ___________________________________________________________ 2. DIET NEEDED FOR HEALING Q: What can I do diet-wise to deal with my spots (red, brown, white)?A: Eliminate: sugar, dairy, gluten, start eating fermented foods and bone broths, take your probiotics, and antioxidants such as green tea, vitamin C, and niacinamide. Smoking stops healing as does too little rest. You need animal foods in your diet, especially healthy fats, so don't be afraid to eat fatty meats! If you are a vegetarian eat nuts, hummus, coconut & olive oils, Many with these spot flare-ups mixed with red hyperpigmentation have candida (yeast) and gut health issues. This might need addressing. After antibiotics, this common yeast can cause issues in the body. ___________________________________________________________ 3. WHAT IS: POST INFLAMMATORY ERYTHEMA (PIE) - red spots that turn white after being pressed on Q: What Is Post Inflammatory Erythema (PIE)? A: Post Inflammatory Erythema (PIE) describes pink to red discoloration after an inflammatory acne lesion. Patients with lighter skin types (I-III) the post-inflammatory dyspigmentation is often not hyperpigmentation, but instead discrete erythematous macules (PIE). Acne may not be the only cause of post inflammatory erythema, as any resolving cutaneous inflammatory process may have residual erythema. Treatments (ranked most effective to least): V-beam (vascular laser can help these areas quickly by making the body dissolve the trapped red blood / surface veins), steroid creams from the derm, Retin-A Cream, Bactroban cream, Silicone Sheets and topicals (known as scar gels), 2.5% hydrocortisone twice per day (only for a weeks time - it thins the skin), triple antibiotic. How to care for Erythema First, get your skin completely clear from active acne. This way you are preventing any future Erythema. Once you are clear, you can try a Erythema treatment above to reduce the marks you might have. Topical treatments are the first choice for treating Erythema. The treatments most commonly prescribed by dermatologists are Steroids. Erythema is common among people of Caucasian descent. Erythema can also occur in darker skin, albeit less frequently. UV light – the light from the rays of the sun – can make Erythema worse and cause it to remain longer. However, it is not clear whether UV light worsens acne itself, as research studies have reported that UV radiation can both increase6 and decrease7 acne. Regardless, for all skin types, it is important to take appropriate steps to protect your skin from excessive sun in order to avoid worsening of Erythema and allow any Erythema you currently have to heal as fast as possible. How to prevent Erythema Picking at acne lesions is the worst culprit when it comes to creating Erythema. Absolutely do not pick at acne lesions. Properly pop a pimple only when it is ready to be popped, and then leave the lesion alone. Also, while it may seem intuitive to scrub marks away, harsh scrubbing will only prolong their duration and should be avoided. Be sure to wash gently. Next, as mentioned, keeping Erythema skin out of the sun when possible is a huge help in allowing these marks to fade as quickly as possible. Wearing a sunscreen is important as well.1,5,9 The best way to prevent hyperpigmentation is to treat the acne itself, thus preventing future acne lesions and any Erythema that they might leave behind.10 Acne is treated the same regardless of skin color and responds extremely well to proper topical treatment with benzoyl peroxide. When acne is severe, widespread, and deeply scarring, Accutane (isotretinoin) is also an option. ___________________________________________________________ 4. WHAT IS: POST INFLAMMATORY HYPERPIGMENTATION (PIH) - brown spots or red that stay after being pressed on Q: What Is Post Inflammatory Hyperpigmentation (PIH)? A: Post Inflammatory Hyperpigmentation (PIH) is related to brown spots, and permanent red spots. The discolorations are caused by an excess production of melanin. Vitamin C, Glycolic, Hydroquinone (skin bleaching cream) are all great tools for inhibiting melanin which will fade the discoloration. PIH is more common in darker skin types (Fitzpatrick IV-VI), although it is not limited to any skin type. Treatments ( ranked most effective to least): IPL Intense Pulsed Light or Photo facials act on certain colors, Alpha Hydroxy Acid peels: glycolic * good also for smaller pores, TCA, Mandelic (Acne.org has an excellent one in the store), Skin bleaching creams (aka hydroquinone or Kojic cid w/ Arbutin), Retin-A Cream for cell turnover, Vita-K cream for Blotchy Skin . How to care for hyperpigmentation First, get your skin completely clear from active acne. This way you are preventing any future hyperpigmentation. Once you are clear, you can try a hyperpigmentation treatment from above to reduce the marks you might have. Topical treatments are the first choice for treating hyperpigmentation. The treatments most commonly prescribed by dermatologists are hydroquinone (HQ) and retinoids.11 Hyperpigmentation is common among people of African, Asian, and Latino descent, as well as other forms of non-Caucasian skin.1-5 Hyperpigmentation can also occur in Caucasian skin, albeit less frequently. UV light – the light from the rays of the sun – can make hyperpigmentation worse and cause it to remain longer. However, it is not clear whether UV light worsens acne itself, as research studies have reported that UV radiation can both increase6 and decrease7 acne. Regardless, for all skin types, it is important to take appropriate steps to protect your skin from excessive sun in order to avoid worsening of hyperpigmentation and allow any hyperpigmentation you currently have to heal as fast as possible. How to prevent hyperpigmentation Picking at acne lesions is the worst culprit when it comes to creating hyperpigmentation. Absolutely do not pick at acne lesions. Properly pop a pimple only when it is ready to be popped, and then leave the lesion alone. Also, while it may seem intuitive to scrub marks away, harsh scrubbing will only prolong their duration and should be avoided. Be sure to wash gently. Next, as mentioned, keeping hyperpigmented skin out of the sun when possible is a huge help in allowing these marks to fade as quickly as possible. Wearing a sunscreen is important as well.1,5,9 The best way to prevent hyperpigmentation is to treat the acne itself, thus preventing future acne lesions and any hyperpigmentation that they might leave behind.10 Acne is treated the same regardless of skin color and responds extremely well to proper topical treatment with benzoyl peroxide. When acne is severe, widespread, and deeply scarring, Accutane (isotretinoin) is also an option. Hydroquinone: (Bleach Eze®) Hydroquinone is the first choice of treatment for hyperpigmentation.12 It is normally used at a concentration of 4%. In higher concentrations it can cause "spotted halos," which appear as lighter colored ring around marks. Hydroquinone treatment results in a marked improvement or complete clearing of PIH in 63% of the patients.4 The efficacy of hydroquinone may be increased by the addition of a retinoid and a low potency corticosteroid, such as hydrocortisone.13 Side effects of hydroquinone include burning, redness, and itching in 30% of the patients.12 The addition of ascorbic acid (Vitamin C) to a topical hydroquinone treatment may help minimize side effects.2-3 Hyperpigmentation starts to subside after 4 weeks of hydroquinone treatment, but maximum results usually require 8 to 12 weeks of treatment. Be certain to work closely with your physician or dermatologist if you decide to use hydroquinone to ensure proper dosage and reduction of side effects. Read Reviews No Reviews Retinoids Tretinoin (Retin-A®), Adapalene (Differin®), or Tazarotene (Tazorac®). Retinoids are vitamin A analogues that are typically used together with hydroquinone. Retinoids are topical treatments that can help fade marks and treat acne at the same time. According to the Journal of the American Academy of Dermatology, “Of particular significance to skin of color patients is the ability of retinoids to treat both acne and PIH. By increasing epidermal turnover, these agents facilitate melanin dispersion and removal.”8 A study published in The New England Journal of Medicine on people with skin that was darkened by hyperpigmentation showed that daily retinoid treatment resulted in “much lighter” skin in 53% of participants and in “somewhat lighter” skin in an additional 33% of patients.14 If retinoids are used alone and not in combination with hydroquinone, dermatologists often prescribe a topical corticosteroid in order to reduce the irritation and potential worsening of PIH that retinoids can cause when they are used alone. An expert opinion in Skin Therapy Letters sums it up: “The use of retinoids as monotherapy is not recommended as an irritant reaction may cause inflammation that induces paradoxical hyperpigmentation; a similar concern exists over the use of HQ as monotherapy at very high concentrations (i.e., 8-20%).”12 Retinoids typically take 8 to 12 weeks to produce maximum results. The frequency and concentration of retinoid therapy depends on the severity of hyperpigmentation and should be determined by a dermatologist. Tretinoin Read Reviews 3.54/5 - 1396 reviews Adapalene Read Reviews 3.3/5 - 1305 reviews Tazarotene Read Reviews 3.51/5 - 615 reviews Niacinamide, also known as Nicotinamide. Niacinamide is a B vitamin that can be administered topically, and is currently being investigated as a potential therapy for hyperpigmentation. A study published in the journal Cutis in 2015 showed that a topical cream containing 4% niacinamide in combination with the other pigment-lightening and anti-inflammatory compounds arbutin, bisabolol, and retinaldehyde reduced hyperpigmentation due to melasma by 34% over a period of two months. Melasma is a common skin problem where brown marks appear on the face due to pregnancy or sun exposure.15 To date, there exists no published research that has investigated whether niacinamide is also effective in treating PIH, but studies are currently in progress. Read Reviews 4.5/5 - 3 reviews Azelaic acid Azelaic acid is another topical acne prescription that is sometimes used for PIH that works by slowing down the production of melanin. It is a gel that doctors normally prescribe in 20% concentration for PIH, applied twice a day. Azelaic acid is safe and effective for the treatment of both acne and PIH conditions in darker skin types. Common side effects include mild redness, scaling, and burning.16 Due to the mechanism of action of azelaic acid, results are not seen for the first few months of azelaic acid treatment, but results are eventually seen after six months. Read Reviews 3.89/5 - 218 reviews Gentle Chemical Exfoliation Over-the-counter glycolic acid products are available in strengths up to 10% and can provide gentler chemical “peeling,” which is better described as gentle chemical exfoliation. At lower percentages in over-the-counter products, glycolic acid does not cause the skin to visibly peel off in sheets like professionally administered chemical peels do, and instead provides exfoliation of only the surface cells of the skin. This is a slower and safer way to achieve the skin turnover required to reduce hyperpigmentation and can be used on a more frequent basis when compared to chemical peels. Most people find that they can tolerate over-the-counter 10% glycolic acid products every two or three nights, or every night when mixed ½ and ½ with moisturizer. Acne.org AHA+ Read Reviews 4.41/5 - 332 reviews Alpha Hydrox Enhanced Lotion Read Reviews 4.11/5 - 58 reviews ___________________________________________________________ 5. WHAT IS: HYPOPIGMENTATION - white spots Q: What Is Hypopigmentation? A: Hypopigmentation is: Vitiligo, pigment loss due to burns, scars, skin discoloration. Treatment: Melanin can be stimulated with a UVB lamp, Melgain (Decapeptide - Basic Fibroblast Growth Factor), and microneedling at home. Clinics use costly Recell which only has a small percentage of working on scars. Read More here: http://www.acne.org/messageboard/topic/352685-recell-for-hypopigmentation-burn/?page=5 ___________________________________________________________ 6. TEXTURE, DRYNESS, & COVERING UP SPOTS Q: Can Guys Do Anything to Cover Their spots and Help with Self Esteem?A: Guys you can be as manly as you want and wear makeup (the ladies have had this tool for some time). Hear me out. Movie stars, news anchors, models, musicians, Youtubers, and even politicians wear makeup. Buy a concealer for just your acne scars and spots (spot treat them). You want it to match exactly your skin color and not be shiny ("matte"). My favorite is sold at Sephora (they color match you) Makeup Forever Camouflage Concealer, this looks extremely natural on the spots. Dermablend is sold at Macy's and Nordstrom. This is used for medical scars and to cover tattoos (they match your color) and it's very thickly pigmented. Ben Nye Cover All Wheel and Bill Nye Concealer Wheel sold on Amazon and Ebay (it has various shades), this is used in the theater. Q: How do I improve my large pores, and orange peel texture? -- Please See the Filler and Subcision Section below for a detailed description for scars. A: At Home Retin-A - Increases Skin turnover production. BHA (Glycolic acid peels) like you find from Acne.org store above. Paula's Choice 10% niamincide booster. Niamincide has been proven to thicken skin and shrink pores. There is a cream called Benefit Cosmetics "Pore"fessional that blurs these spots, used as a primer under makeup or by itself. TCA Cross using 50%, you need a very tiny way to either get into the pore and not hit the walls doing a little at a time until they heal. Some have used a broom bristle, shaved down toothpick, and tiny needle to fit inside pores or ice picks. For a larger area you can spot treat with TCA full peels (spot treatment on your scars 35% and under, start at 15% and move up, do a test spot to see how your skin reacts before going crazy). Always degrease with acetone or rubbing alcohol and a pre-peel jesner / glycolic peel before. You can do a few at a time, so you can cover with makeup. Doctors treatments: -PDT using led blue light and medication to shrink pores -Infini shrinks pores -CO2 laser is great for surface texture (long down time) -Laser Genesis Shrinks pores and small acne scars -Sublative is good for surface texture takes many treatments, results are subtle like laser genesis -Microneedle .05mm followed by botox to the pores superficially shrinks them. Q: What can I do for extreme dryness, bumpy or bad texture, small wrinkles, or marks? A: Moisture with a pure 100% Hyaluronic Acid Serum, this avoids skin irritation or ... Skin boosters (very popular in Europe and Asia) like Restylane Vital, Juvederm Hydrate or other HA products are not crosslinked like what is used in filler and much more superficial (just under the epidermis). Filler provides lift; but boosters are different making a bunch of small injections to provide intense hydration, minor skin correction, and small textural improvements.http://www.acne.org/messageboard/topic/357406-skin-boosters-restylane-vital-hyaluronic-acid/