Two or three years ago i decided to boycott the acne section of stores entirely. No chemical laden wash, toner, moisturizer is going to help you. All you need for your skin can be found in nature. You can be attacking internally and externally for the best effect.

Internally, there are loads of things to start eliminating. Things like refined sugar, processed/pre-packaged foods, non-organic foods, crappy vegetable oils (corn oil, canola oil, vegetable oil, cheap olive oils) Grape seed, sesame seed, apricot kernel, and a whole host of other oils are much better for consuming. You can try going gluten free for a month or longer and see if that helps. You can also see if going dairy free helps. If you continue to consume dairy, you should only purchase organic dairy that does not have added I-GF1 or rGBH.

Also it's great to incorporate lots of raw fruits and vegetables into your diet. And healthy omega 3 fatty acids, but not from fish oil. Unless you're using a cod liver oil that is refrigerated at a whole foods type store, it's likely going to be rancid. And fish oil comes from the skin of the fish, whereas cod liver comes from the liver. So there's a large difference. Walnuts are a great source of omega 3's, as well as Chia seeds, Hemp seeds, and Kiwi Seeds. These seeds are best consumed sprouted/fermented, but sprouted is the next best option. Navitas sells a wide variety of these seeds

Topically, if you think you need a wash, you can make it right from home. An easy recipe uses yogurt, oats, organic sugar, and a small amount of grape seed oil/sesame oil/apricot kernel oil, etc. After this, you can tone using a homemade toner. There is a lot of freedom when it comes to these homemade toners, but i can link you to a couple that i make. If you wean off of harsh chemicals, i believe that once your face adjusts, you won't need a moisturizer. If you do, you could try aloe vera straight from the leaf. You can buy aloe leaves at whole foods market. You can even mix a little aloe into a homemade toner if you'd like.

Anyway, going all natural is what saved my skin. And i don't advocate anyone use harsh topicals, ever. Not after seeing what they do to people's skin. Including myself.

Your skin looks eerily a LOT like my skin. I think your skin may look a bit better than mine, but we have all the same things going on. I went to many dermatologists and was told I had rosacea, but it just wasn't right. Finally a derm told me I have KPRF which I started believing from pictures I saw online of keratosis pilaris rubra faceii. I have been battling my skin looking like this for 2 yrs. I had normal skin up until 2 years ago when my skin texture and everything started changing. I have pink areas that are very embarassing so I have to wear make-up but makeup only accentuates the tiny bumps all over.

Do you feel like your face looks like it has shallow indentations in certain spots? Aside from the one on your cheek. Also, do you have blackheads and enlarged pores on your cheeks and forehead? Does it look like you have these lines on your skin because it is so unhealthy and also as if some pores have collapses and formed lines? Do you have any permanent pink skin areas that are always pink in the exact same shape on your face?

Before diagnosis of KPRF, I forced a dermatologist to do a skin scraping of my skin and look under a microscope. He found demodex mites. I will post more tomorrow. I have no time. But look into demodex mites.

Was there any resolution to this? I havent had a test done but I think i may have the same thing. Shallow scars appearing out of nowehere, huge pores everywhere. I am considering buying the zz cream.

It's a tough one to call, I think your skin looks more irritated than acne prone, if that makes sense. If it were me I would make a decision between two courses of action. I would either try and cut back on harsh products, try a basic cream cleanser, I like the La Roche Posse ones and simply wipe off with a damp cotton pad or damp wash cloth and from there just a simple oil free moisturiser. Or it might help to incorporate a gentle acid or retinoid into that regimen as well, I know it contradicts what I have said earlier about harsh products but I do believe that sometimes dehydrated skin, which is dry yet oily at the same time can have problems with exfoliating off dead skin cells, you need to get rid of the build up of dead skin cells for any product to penetrate your skin properly and a build up of dead skin will trap oil and dirt and ultimately irritate your skin further. You could start out with a low % salicylic acid serum for under your moisturise, or over. whatever works best and does cause too much irritation and see if that helps at all to clear those little under the skin bumps and the rough texture of your skin. I'm sure its just a case of finding the right combination of products as you don't seem to have inflammatory or cystic acne. Good luck

Your skin looks fine to me. Really.

Looks like there's a bit of hyperpigmentation though. These will fade with time or the healing can be increased with Salicylic Acid. This increases the cell turnover and helps to heal it faster.

Hyperpigmentation: Discoloration of the skin due to previous acne.

I recommend:

http://www.walmart.com/ip/14122691

For any scarring, there is something called a DermaRoller. Check it out.

The Salicylic Acid product I recommended will help to close pores and clean off dirt and oil.

You need to find an OIL FREE NON COMODEGENIC moisturizer. This is key.

Regimen for you:

Cleanse

Salicylic Acid Pads

Moisturizer

For any pimples, spot treat.

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Best wishes,

WadeX