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Mild Acne Solution?

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Basic info:

- in late teens

- had one three-month Roaccutane treatment in summer of 2008

- acne reached moderate stage in 2010, went on Oratane treatment for 9 months from Sept to June 2011

- from March onwards always using ACV, until today

- skin great during treatment, but once stopped pills and hormones returned to previous levels (presumably), breakouts again

- now mild acne, white head or little inflammated spot every now and then, never more than 5 or 6 at a time

- acne only on face, rest of body perfectly clear

- lately using salicylic acid too, little use

- notice breakout when dairy products and caffeine, although not 100% certain but avoided anyway

What to do? Go to dermatologist again? Any other alternatives? Laser helpful?

Alex appreciate any advice.

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My first answer for mild acne is always salicylic. Before you dismiss it, you need to make sure that 1) Your salicylic has the proper pH, 2) You follow a strict regimen, applying twice a day once your skin is acclimated, and 3) You allow at least 2 months to see results. As you probably know, you will purge and look worse before you look better. Tell me what salicylic you're on, but know immediately that most drugstore varieties are not the proper pH. Two good options are Paula's Choice and Bion.

It is likely you will need something more substantial for your inflamed spots. Benzoyl peroxide in a 2.5% concentration is the obvious suggestion. Dan's regimen is as good as it gets if you're looking for an over-the-counter treatment for inflammatory acne.

I recommend you establish a strict regimen with only the most basic elements (Cleanser, Treatment, Moisturizer) and give it time. A month at least. Then you can start introducing an alternate treatment (ex. if you've been sticking with salicylic, add BP in the evening). Retinol works particularly well with salicylic, which helps it penetrate.

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