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Member Since 15 May 2007
Offline Last Active Aug 11 2014 05:50 PM

Posts I've Made

In Topic: 27 Year Old Female Cystic Acne

11 August 2014 - 05:50 PM

Can you see a dermatologist?  PCOS is usually treated with birth control pills which you say don't work for you so you'll have to do something different.  Spironolactone might be a better choice since it isn't a hormone but instead blocks androgens which in turn helps stop the acne cycle.  


For really oily skin try avoiding all processed oils (olive, canola, mayo, butter, fried foods, etc.) and eat whole foods instead (avocado, salmon, whole coconut, olives, etc.).  Google "Dr McDougall acne" and his article will come up about cultures that don't get acne and how to eat to clear up skin.  It works...along with avoiding dairy and sugary foods.


For really deep cystic acne you will have to do more than diet.  It is doing a combination of things that works...not just finding one "magic bullet".  The combination approach is diet + something to open pores + something kill acne bacteria + soothing the skin.


I battled deep cystic acne for years and years until finding an approach that consistently keeps me clear (see signature below).  Hope this helps! 

In Topic: No Moisturizer Works For My Oily Face

04 August 2014 - 10:09 AM

If you are using tretinoin then yes you need to use lotion because tretinoin is so irritating.  Lotion helps skin heal and is a protective barrier.  Acne products like tretinoin strip that barrier and cause skin to shed more (flakey skin).  Try the DML lotion.  DML is the only lotion I have tried that does not make my skin oily.  Avoiding processed oils and dairy is essential to having less oily skin.  It takes awhile for avoiding dairy to kick in because dairy is a hormone issue and that takes time for the body to show a difference.  Avoiding processed oils is quicker in my experience...but you have to be diligent.  That means no added oils, margarine, butter, salad dressings, fried foods...basically anything in oil.  


In my own experience I was doing everything right with diet and acne treatment and my skin was looking better but it was still very oily and breaking out.  The one thing I had not changed was avoiding processed oils.  It was after reading about the diets of cultures that don't get acne and reading everything Dr McDougall had to say about the acne-diet connection that I finally realized that all the oils I was consuming (margarine, olive oil, salad dressings, french fries) was causing the oily skin and continuing to plug my pores.  Within weeks of avoiding those things my skin got normal...and finally clear.  Amazing.  I keep sharing this info with everyone and meet with a lot of skepticism I think because people remember the "low-fat" diets of years ago.  But those diets substituted oil with lots of meats and high sugar processed "low-fat" foods that are also not good for acne prone skin.  The diet I do is whole fresh foods, no added oil, dairy or sugars.  So I get my fat from whole foods like avocado and salmon.  I get my sugars from berries and peaches.  I get my calcium from eating tons of dark green vegies.  I have never felt better in my life.  Just completed a marathon last weekend and I'm in my 60's!


Google "Dr McDougall acne" and articles will come up that go into the science behind avoiding processed oils and why it helps oily skin and acne.  Cut and paste the following...





In Topic: After 1 Year On Regimen Not Working Going To The Derm For The First Time. Wha...

31 July 2014 - 11:28 AM

This is great!  So glad to hear it's working.  You'll have setbacks from time to time...usually when hormones surge monthly but overall things will be under control and easier to live with.  FYI --- biggest mistake most people make is stopping tx when clear.  If you have acne as an adult you usually have to continue doing a maintenance regime of some kind to stay clear.  Your derm will guide you in what is best for your skin and acne type.  A researcher once wrote that adult acne is like diabetes of the skin so if that is even remotely true then it makes sense that you have to continue doing something...just like diabetics do.  Also try modifying diet to help with keeping clear. The diet that has worked best for me is avoiding dairy, sugary foods, alcohol, processed oils (dressings, fried foods, etc.) and eating whole fresh foods versus junk.  Just an idea to consider.

In Topic: 27 Year Old Female Cystic Acne

28 July 2014 - 03:37 PM

Don't be afraid of accutane.  I had terrible cystic acne and did it twice in my late 20's.  Only side effect was chapped lips.  While on it I was clear (...a wonderful respite from cysts...) and afterwards my cystic acne returned but milder.  Meds that never worked before began to work better.  The regime I'm on now is the one that finally got me clear and has kept me clear now for several years.  FYI --- full strength antibiotics did too but you can't take those forever.  Also harsh acne topicals like BP and salicylic acid were too much for my sensitive skin.  Here is the regime that got me clear.  Using these things individually did not work...it is using them together that works.



BP cleanser (Panoxyl 4%) --- in the morning gently swoosh on for one minute and rinse with lukewarm water. Pat dry.

Topical antibiotic (Cleocin-T) --- apply in morning all over face and spot treat as needed at night.

Lotion for acne skin (DML) --- apply evenly with gentle strokes of fingertips, let dry naturally, don't rub.

Anti-androgen (Spironolactone 100mg) --- take one in the morning.


Mild cleanser (Cetaphil Antibacterial Bar) --- in the evening gently swoosh on briefly and rinse with lukewarm water. Pat dry.

DML lotion

Anti-inflammatory Diet --- this diet is for oily cystic inflamed skin --- avoid all dairy, sugary foods, processed oils (salad dressings, fried foods, etc.), nuts, caffeine, alcohol, spicy foods.  Eat fresh whole foods.  

Monthly microderms help keep more pores clear and help the topical meds to penetrate.

I really like a zinc supplement called "Opti L-Zinc".  Studies have shown that most people with chronic acne have a zinc deficiency.

Hope this helps!

In Topic: Help! Is This A Nodule Or A Cyst On My Right Cheek? Sad And Depressed. Pi...

25 July 2014 - 03:37 PM

My acne looked like yours and my derms diagnosed it as cystic acne.  Nodules typically are so deep they don't come to a head but cysts can come to a head...although it can take a long time.  Although I had cysts that were so inflamed that mine could come to a head within a couple of days.  Size and degree of inflammation and infection determines whether it is a typical pimple or a cyst.


I too have extremely sensitive skin and topical BP was always too harsh.  I was very surprised when my derm had me do a BP cleanser (Panoxyl 4%)...in fact he had to actively talk me into trying it.  It's great for sensitive skin, formulated to kill acne bacteria eventhough it's only a cleanser and rinsed off before irritating skin.  Panoxyl 4% can be bought over the counter now.  What really makes it effective is when it is paired with Cleocin-T, a topical antibiotic.  There have been studies on the pairing of BP cleansers with topical antibiotics for being gentle but really good at controlling acne.  You have to see a derm for topical antibiotics.


On your diet you should also avoid nuts, including peanut butter.  Chinese and holistic medicine both recommend it.  I avoided this advice until several years ago but wish I hadn't.  When I finally avoided nuts the degree of facial oil went down.  Nuts are great for non-acne prone people but if you get acne nuts can cause oily skin and clog pores.  Same with processed oils (olive, canola, etc.).  I know the arguments for oils but at least for me avoiding them did the trick as far as reducing facial oil and unclogging pores.  


Stress can also be a cause due to an increase in stress hormones (cortisol) and then androgens which cause acne.  However if stress is the cause you can still do things topically that will help keep the pores open, kill acne bacteria and stop the breakouts.  Breaking out from stress just means that you are prone to clogged up pores and the extra oil and inflammation caused by an increase in hormones makes it a perfect environment for serious acne.  I'd say that if you are breaking out like this because of stress that you most likely will continue to break out when the major stress is over...although less.  You'll want to develop a regime to help your skin cope...one you can do regularly when under stress and not.  Keeping up a good regime keeps the pores open so that you are ahead of the curve next time you are under lots of stress.