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Should I Exfoliate?

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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

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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.

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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


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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...

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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


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

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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


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

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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


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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...


My Story:
I've had mild-to-moderate adult on-set acne (inflammatory) that started creeping up on me towards the end of 2009 (22 years old). Regarding previous skincare/lifestyle changes I've attempted, I've been conflicted, misinformed, resistant, allergic, and/or had my hopes up too high only to be let down. Many of my previous posts on here may reflect that. Considering I've 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 can only offer my humble advice based on my own personal experiences.



Finished my Accutane course on 3/29/2015
40mg/day every month for 6 months

Began 2nd course of Accutane on 10/13/2015
Even though my acne came back very mildly & nowhere near as bad as it used to be, I refused any topicals or antibiotics since I've already been through the "last resort" treatment without any problems.

My targeted length of time & dosage is currently the same as the 1st round.


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