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Skin barrier

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Hey guys - I'm at a loss for what to try next so thought i'd post here. 

I took accutane for mild cystic acne about 8 years ago. Cleared the acne and left my skin slightly dry but nothing major. 

After i stopped i read about water only washing, I then continued to do that for about 5 or 6 years, i initially started because i liked the dryness after having really oily skin since my teens. I carried on and didn't make a connection when my skin started to get SEVERELY dry and eventually became scaly, i blamed accutane and didn't even consider the fact it was my skincare routine (or lack thereof). 

I didn't moisturize, didn't use any cleanser until the scaly, dry skin got so horrible i needed to do something. 

So, after trialing different things I got rid of the scales and continued to try different things to try to heal my skin, still blaming accutane for the most part. 

I tried emoliants, moisturizers with urea, safflower oil and now im using Shealed repair lotion with ceramides, which has been the best product so far. 

I use sebamed soap free cleanser (pH 5.5) and then that lotion, i've also just ordered some rose water sprtiz to try. 

So, my skin right now just looks horrible, my self esteem is absolutely zero. I'm 31 years old my quality of life is diminishing because of this. It's red (not rosacea), past scares look horrible because of the lack of moisture, it doesn't retain any moisture at all and dead skin continues to build up. After doing so much research, I believe my skin barrier is completely ruined and i cannot seem to heal it no matter what i try. Also, to make it worse, because my barrier is non existent, on the odd occasion i get a spot, the red mark stays on my face because it cannot heal anymore. Any scratches, anything, just dont heal. 

The Skin on the rest of my body is absolutely fine. I think i've just ruined my face from years of washing with water only and letting it get ridiculously dry. 

If anyone can guide me or offer me any advice I would really appreciate it. Even any surgical options, just anything. 

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