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DonkeyKong

My Girlfriend Is About To Give Up.

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My girlfriend is 29 and about 4 years ago she started to get acne on her face. She went to a Dermatologist and he prescribed her Veltin (Clindamycin/tretinoin) and that cleared her face up for a few months. However, it stopped working and her acne came back. Since then, she has been on differin and benzaclin (many different percentages), Retin-A, and even Dan Kern's BP. All of these products dried her face out horribly. She is now on doxycycline and has seen no improvment, and it is slightly worse. I am attaching a few pictures to see if anyone has any suggestion. She lives a pretty easy lifestyle, eats healthy, works out, stress free. Thanks again!

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Hey, I know it always isn't the best thing to say, but it really does look mild, I would say her skin looks more dry and irritated rather than full blown acne. Maybe all the harsh treatments before are to blame, but her skin tone is nice and she doesn't look like she has any scars at all so once she finds a routine that works she will have lovely skin. I can only speak from personal experience what has worked for me. I have been using differin now for six months, I know it can be drying, but maybe reducing use to a few nights a week or moisturising afterwards might help. I also stopped using harsh soap cleanser and I use a cream cleanser instead and make sure to use lots of moisturiser (something nourishing that wont break you out). I have also been taking birth control, has your girlfriend tried this? Different pills work in different ways, so if she is on one maybe it is the wrong type? I would say the main thing would be switching to a skin care routine for sensitive skin, gentle products and an acne cream like differin or dans regimen only in moderation or every other night. It has taken me a good six months to really see improvement so it is important to stick to a regimen unless it is cause your skin to look worse or flare up. I hope this helps, and it's such a nice thing to do to help your girlfriend out.

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Current Routine

AM:

Cleanse: Merumaya cleansing balm, removed with damp hands and a cotton wipe. Followed by la Roche Posse La Toleraine cleaner followed again by rinsing with damp hands, patting my face and a cotton wipe
Tone: Pixi glow tonic, simply apply some to the palm of my hands and pat on my face

Moisturise: Aveene rich, or light moisturising lotion (oil free) spf 20

Topicals: Vitage protect and perfect serum, after I moisturise now that it's coming into fall and winter

PM

Same as morning but occasionally will thrown in a priori aha cleanser and use Differin after I moisturise a few nights a week

Bliss aha mask once a week/every two weeks followed by Nuxe crème fraiche moisturising mask

Oral medication: Cilest BCP

Supplements: No current supplements

Current make up: Various foundations depending on my mood, Estee lauder double wear light, Vichy Dermablend, Charlotte Tilbury and Skin 79 BB cream, NARS creamy concealer or Naked concealer, Dollish CC cream for days when I don't want to wear foundation and Jane Iredale mineral powder to finish. For some colour I use tea to tan By Terry, it's water base tint to give me some colour and various cream and powder blushes (love my blushes) currently loving Orgasm by Nars for a pop of colour on my cheeks and Vita Liberata mineral tan is amazing for the summer

Tools: Sigma F80 Kabuki for foundation or Real Techniques beauty blender and pretty much every other real techniques bruses for the rest of my make up


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Agreed, Keep working at it and do not give up. She is VERY lucky there is no scarring at all. Once she finds a routine (as hard as this seems) that clears her up all shell have to work on is some red marks leftover that heal naturally with time but can be accelerated to some extent with certain topicals. I do know how much stress it puts on a person though, trying year after year to get clear but not being able to get even half way there. Once you have scars it brings this whole new physiologically cringing aspect to the condition. What is her diet like?

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Thanks for the responses. She is not on any birth control. The weird thing about the acne is that rarely come to a white head. It acts as a form of rosacea. She's going to try changing her eating habits, organic/gluten free and see if any changes take affect. I told her to stop all the products, and just get back to a normal bodily system. She was thinking about getting one of those saliva testosterone tests to see if she has some kind of imbalance.

I feel for her, but it doesn't make her embarrased as she won't even wear makeup to cover it up. She's a great girl with lots of confidence. I wish I was more like her..

Thanks again!

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To me, this doesn't look like hormonal acne, more like mild irritation probably from the harsh products she has been using. She needs to balance the PH of her skin. When products dry out the skin, it means that the PH becomes too acidic. What she needs to do is find gentle balancing products that restore the skin's PH to its healthy levels (around 5.5 is optimal). Products that say "balancing" or "restoring" are usually what's needed to achieve this. Make sure she avoids SLS and other sulfates because those will just make the redness worse.

Honey masks (with pure honey, not raw though) might help, but tell her to spot treat first for a few days to see how her skin reacts. Whenever I had mild acne like hers, all it took for it to go away was stop using harsh topicals, wash my face with filtered/spring/distilled water, and use gentle products to balance my skin's PH. If she can afford to visit a qualified esthetician, that may help too. But the most important thing would be to lay off the topicals for now and give her skin a rest.

Antibiotics are a temporary fix, if that. Her acne isn't even severe enough for antibiotics - it doesn't look infected, just irritated. Infected zits usually contain a lot of greenish pus and tend to spread out more across the face.


Current regimen: garlic supplements [as needed], Enzymedica gluten blocker [as needed], nicadan [not sure if it works yet]. I try to simplify as much as I can. Don't take more supplements than you need....try one at a time and be patient.

The supplements that really helped me when my acne was at its worst: inositol, DIM [not as frequently now!] digestive enzymes [don't need them every day anymore, only on cheat days], herpanacine & vitamin C with rose hips/ low acid [not every day], regular sun exposure for vitamin D3, superoxide dismutase (SOD) enzyme supplements. NOTE: I do not recommend DIM for long term use, and I do not recommend hormonal creams without doctor supervision.

Lifestyle & Skin Care: acupuncture, regular exercise/ yoga, low histamine diet, avoiding unnecessary stress, balancing skin's PH (using Image Ormedics), using distilled/ filtered water to wash face, occasional high frequency facials...

 

Grocery list:

 

** Find the cause, find the cure **

** If you have a question for me, please ask it publicly so that others can benefit from the discussion**

 

 


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I get mild acne on my cheeks and using a mild cleanser with no chemicals, one treatment and then a pure moisturiser (like jojoba oil) twice a day keeps things under control for me, except when I break out from my hormones (I have PCOS and high levels of testosterone). Also, make sure she doesn't pick at it as it can spread the infection.


Currently clear of acne with the occasional hormonal breakout. Check out my routines and progress updates here:
http://www.acne.org/...g-and-duac-gel/

Treat yourself as you treat others.


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I tend to agree that it looks more like rosacea than acne...especially if the papules don't "come to a head". Also, since it seems more inflamed than infected, you might focus on treatments meant to reduce inflammation. One thing that experts seem hopeful about is a very low-dose (sub-microbial) of doxycycline daily. I know antibiotics are the devil (and I seriously don't condone their long-term use) in general, but in this case, a dose of 40 mg of doxy a day decreases inflammation by mitigating the immune responses release of chemicals in your skin that cause cellular destruction (this is what inflammation is at a very simple level). The very low dose does not cause side-effects and is too low of a dose to cause any kind of resistance (it can't kill any bacteria, as such, there is no need for the bacteria to build a resistance to it). Might be worth looking in to simply lowering her dose of doxy. Also, I hear great things about Finacea cream as the above poster suggested.


My Accutane log (with pictures): Holy Isotretinoin Batman It's another Accutane Log!

26 y/o female- approx. 54kg

Absorica -40 mg, 1 daily, December 26, 2013 - February, 25, 2014

Absorica - 60 mg, 1 daily. February 26, 2014 - July 6th 

Probiotic - 1 daily

Fish oil supplement w/ vit D - 1 daily

 

Morning:

Cetaphil cleanser

Food Grade Rose water - Toner

La Roche Posay Mineral Water Spray

Vichy 50+ Capital Soleil Cream for Sensitive Skin

 

Night:

Cetaphil Cleanser

Food grade Rose Water - Toner

Ziana (tretinoin/clinda combo) August, 2014 - Current

La Roche Posay Mineral Water Spray

Aveeno Positively Radiant intensive night cream

Cerave Facial Moisturizing Lotion- PM

Avene Cicalfate (as needed)


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Since her acne looks very mild, i would say to eat more fresh fruits and veggies and less cooked stuff. And drink "green smoothies" morning and night everyday. (Go on youtube or anywhere on the internet to find a green smoothie recipe). Also, Queen Helene Mint Julep Mask helps dry up pimples, plus try to find non-comedogenic(non-pore clogging) face products. Has worked a little for me, but my acne is way worse than hers.

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I don't know exactly what rosacea looks like, but this could be it. It looks similar to acne, and it is accompanied by redness and dryness. Most likely, she has been treating it as acne, but in reality is is rosacea, which might be why she didn't get results.

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If she had rosacea her doctor would have diagnosed it as such since doxycycline didnt help she needs to be on one of the broad spectrum antibiotics great for acne-like bactrim or one of many of the cephalosporins as in duricef or cephalexin etc... good luck ;

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