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Should I Exfoliate?


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#1 frenchie86

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Posted 24 September 2013 - 07:47 AM

I'm a 27 yo female who has been suffering from moderate acne, oily skin and mild hirsutism out of the blue for the past 6 months, it's ruining my life.
I'm new to acne, I hate it. I use differin, doxycycline and dianette but so far it's made it worse!
My question is: is exfoliating a good idea when suffering from acne?
Thanks

#2 SamLam

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Posted 15 October 2013 - 08:22 PM

No, H#££ no. I've been told by everyone who thinks they know that "you need to exfoliate to remove the dead skin from your skin." Including my derm. In my experience, the only thing exfoliating does is irritate skin and stimulate pores to produce more oil. Turns out, my problem was too much irritation. I stopped using anything drying including benzoyl peroxide, retin-a, sodium lauryl sulfate, and most importantly, any scrubbing cleansers. No rubbing with a washcloth. Dab dry only. I even only spray my toner on, no cotton pads. Without the irritated skin, there was no need to exfoliate. Olive oil massage if skin is dry or flaky. Massage for 2-5 minutes, hold a hot wet washcloth over skin for 30 seconds, dab off excess oil, then cleanse normally, followed by viamin c toner for repair and a few (4) drops of jojoba. By replacing any lost oil on the surface with jojoba, your skin will not overreact by producing too much oil. Lose the chemicals, lose the irritation. Plus of course, a healthy, anti-inflammatory diet, low sugar, with lots of water is essential to keep skin glowing.

#3 Calumma

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Posted 16 October 2013 - 01:52 AM

The combination of your symptoms is classical for hormone related issues. So you should get your hormones checked and I bet spironolactone would help you.

Any physical peeling irritated my skin too much, but I love the BHA, it makes the skin incredibly soft and clear.

I
Successfully on "the regimen" from age 12 to 33 for cystic acne
 Now:
 100mg spironolactone since 08/13
Paula's Choice BHA 2%,
Green Cream 6 Retinol

Acne free and already almost free of hyperpigmentation, discolorations and wrinkles

#4 frenchie86

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Posted 16 October 2013 - 01:56 AM

All of my hormones were normal in my blood and I had a scan of my ovaries, I do not have PCOS... I still think its hormonal though as its mainly on my chin/around my mouth and started after my period stopped due to huge weight loss...

#5 Calumma

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Posted 16 October 2013 - 07:13 AM

It might not be the hormones themselves, but rather a oversensitivity to DHT , whose receptors are blocked by Spiro.


Successfully on "the regimen" from age 12 to 33 for cystic acne
 Now:
 100mg spironolactone since 08/13
Paula's Choice BHA 2%,
Green Cream 6 Retinol

Acne free and already almost free of hyperpigmentation, discolorations and wrinkles

#6 frenchie86

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Posted 16 October 2013 - 07:15 AM

Do you think dianette will still help? I will ask my dermatologist about spiro. Thanks

#7 Calumma

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Posted 16 October 2013 - 10:34 AM

I don't know Dianette? We had a BCP here called Diane 35. It was very helpful with acne after a few months because it contained anti-androgenic ingredients, but they took it off the market because of severyl deaths related to it. But it was helpful, yes. But make sure you get tested for genetic thrombophilia before you use it.


Successfully on "the regimen" from age 12 to 33 for cystic acne
 Now:
 100mg spironolactone since 08/13
Paula's Choice BHA 2%,
Green Cream 6 Retinol

Acne free and already almost free of hyperpigmentation, discolorations and wrinkles

#8 frenchie86

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Posted 16 October 2013 - 11:46 AM

Dianette is the same thing as Diane 35. I've been on it 5 weeks, so far no improvement, my skin is actually worse :(

#9 Calumma

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Posted 16 October 2013 - 12:19 PM

That will take a while, rather months than weeks. Diane 35 used to be the ultimate weapon against acne in germany until it was forbidden.


Successfully on "the regimen" from age 12 to 33 for cystic acne
 Now:
 100mg spironolactone since 08/13
Paula's Choice BHA 2%,
Green Cream 6 Retinol

Acne free and already almost free of hyperpigmentation, discolorations and wrinkles

#10 xdevochkax

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Posted 23 October 2013 - 03:13 AM

All of my hormones were normal in my blood and I had a scan of my ovaries, I do not have PCOS... I still think its hormonal though as its mainly on my chin/around my mouth and started after my period stopped due to huge weight loss...

 

 

I went through the same thing as you. I was diagnosed with Anorexia Nervosa 11 years ago and lost my period due to such an extreme low body weight. Even during that time my blood tests came up as my hormones being normal as well. I didn't believe that for a minute because it took years for my period to come back, which was when I gained a sufficient amount of weight for my BMI and maintained it for about a year.

 

I can't recommend enough staying away from any form of BC if you aren't menstruating naturally. That is definitely a hormonal imbalance. Even though Diane 35 isn't a direct form of BC, it works with your menstrual cycle and it may be the culprit of why it's not working for you.

 

Feel free to take what I say with a grain of salt, but please be careful.


My acne in a nutshell -- Mild-to-moderate, adult on-set, began late 2009. Regarding my beliefs and previous skincare/lifestyle changes I've tried, I have been conflicted, misinformed, resistant, allergic, and had my hopes up too high only to be let down. Many of my previous posts on here will reflect that. Considering I have never found an explanation as to why I developed acne in my twenties (whereas I've had flawless skin my entire life up until then), I claim to know nothing. I am still fighting the fight and can only offer my humble advice.