Friday, 29 August 2014

Friday Lunchtime Clinic - Topic - Acne - CLOSED

The Clinic is live. CLOSED!!!

Please leave your question in the comments. The comments are moderated so there is no need to repeat your question if it hasn't shown up. I will leave the comments open until there are a large selection of differing questions and will let you know as soon as it is closed so that you don't waste your time. Just a reminder...
  • I will answer 25 (or more depending on time) questions
  • I will only publish questions that I am answering so they are easy to find and read 
  • PLEASE make sure you have read both the acne and spots cheat sheets. This will save time and may answer your question.
  • As always, brief questions will work better for these online circumstances - if you need a more intensive reply it might be better to wait for the skin consults to open again. (Soon)

Thanks everyone!

91 comments:

  1. Hi Caroline my brother has always had quite bad acne and completed a course of Roaccutane in his late teens which cleared it up for the most part. He still gets a rash of spots - like really severe beard rash from his chin down his neck but not on his face (I believe it is ingrown hairs personally) which had got so bad that he went to the GP who prescribed Duac and an antibiotic. I told him about you and said maybe a chemical exfoliant and a decent dose of omegas would help going forward but he asked me to post the question to you so I am! Any advice would be really helpful to avoid this problem again!! Thanks so much. Sara

    ReplyDelete
    Replies
    1. Are you a dark skinned family? Ingrown hairs likely - it's much harsher on boys so i would do both. Attack from all angles - use the duac, use acid pads (boys prefer pads IME) and he can definitely take omegas - I wouldn't go for the antibiotics unless they look infected. Pointless. x

      Delete
    2. Thanks so much for the reply caroline he will be delighted!we are fair skinned irish but he actually suffers with vitiligo so I'm not sure if that makes any difference bar that he has to be more rigorous with sunscreen application?

      Delete
  2. Hi Caroline

    I'm 27 with combination skin. I'm taking the fertility drug clomid and all month long bar a few days I have spots on my chin and lower cheeks. Which of the following products would be best to introduce to my routine and how would you use it?
    • Vichy Normaderm Night Detox
    • Effaclar Duo[+]
    • Aesop control gel – Worth the investment?
    • Body shop Tea tree range - any thoughts?

    I use The Bodyshop vitamin e serum in oil at night, could this be problematic for my skin?

    Thanks so much! You are a Legend! :D

    PS. I bought 2 bottles of pixi glow tonic back when you first recommended it in Nov 2012. I still have one bottle left, seems to last ages. Would the ingredients have degraded by now and not be of any use? ...I should have sold it on eBay and made a fortune back when it was always out of stock!

    ReplyDelete
    Replies
    1. In order:
      Yes - in the evenings if your skin takes a turn for the greasy worse
      No
      Yes - amazing
      Too harsh
      Yes it could be problematic.
      No you can still use it but I would see how much you are using - it should't last that long LOL!

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    2. Is the vichy night detox suitable for teenage skin?

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    3. Thanks Caroline!
      Lol, yeah I guess i've been too stingy with the Pixi glow tonic, I shall slather more on my face pronto!

      Delete
    4. I use the tea tree creamy cleanser, dont find it to be stripping or drying at all. (Not their gel/normal tea tree)
      Do you think that is too harsh too?

      Delete
    5. Abby - YES.
      Penny - Yes you have! LOL
      Latifa - YES

      Delete
  3. Hi Caroline – I’m 18 and have been on Dianette for acne for 3 years which has cleared up most of the really ‘angry’ red acne but left me with really congested, uneven, dull looking skin. I get lots of blackheads (especially on my nose) and other tiny lumps under the skin. I cleanse, acid tone and moisturise twice daily using mainly Boots Botanics products. Is there anything else I can do? Thank you in advance for all your help :-)

    ReplyDelete
    Replies
    1. Up the ante on the acids - Boots botanics aren't exactly 'strong' so that could help. I'd also ingest omegas like they're going out of fashion and say BUHBYE to sugar and dairy (as much as you can) xx

      Delete
  4. Hello Caroline,

    Thank you so much for doing these clinics – they are always extremely informative and enjoyable to read.
    I have super oily skin (has improved greatly over the past month since using an acid toner (grease relief am, pixi pm), serum (snoxin), and hydraluron moisturiser on a daily basis – thank you). I also use alpha H once a week overnight.
    However, I still have lots of grey bumps under the skin – mainly around the jaw line/neck, sides of face (around cheek area, but not directly on the cheeks) and chin. No matter what I do, I can’t seem to shift them. Chemical exfoliation just seems to bring more to the surface, which often result in red inflamed spots – sometimes with a head, sometimes not. Any help would be greatly appreciated. Thanks, Liz x

    ReplyDelete
    Replies
    1. I'd go from the inside out - check your diet (I am in no way assuming it is bad) and get extra oils into it.
      Alpha-H can be used at least 2 x week AND snoxin is for lines - it's not a 'skin' serum - switch to something like Ole Henriksen Pure truth youth activating oil. You'll see a world of difference. xx

      Delete
    2. Thank you so much x

      Delete
  5. Hi Caroline! After coming off the pill 2 yrs ago (at 38yrs), my skin went haywire. Turns out I have Polycystic Ovaries. Have a lot of raised white lumps/Acne along jawline/top of neck, but rest of skin is dehydrated/lined. Help! x 😕

    ReplyDelete
    Replies
    1. OK I really need to do a post on PCOS - in the meantime the only thing you can really do is acid tone - you can use stronger ones on your neck and jaw - and use really good oils over the top - best in the evenings. I would also take probiotics and omegas - your stomach is a world away from your ovaries but it will help make sure that that area isn't jumping on the bandwagon too. By 'strong' I mean things like Dr Dennis Gross https://www.dgskincare.com/productdetails.cfm?SKU=BA521010 - take no prisoners.

      Delete
    2. I'd be so grateful for a PCOS post. I got diagnosed when I was 19 (3 years ago) but I'm really struggling with everything right now x

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    3. Yes please do a PCOS post!

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    4. I would love a PCOS blog, as someone who has it and has always really struggled with acne

      Delete
  6. Hi Caroline, I'll try to be quick!

    Q1. I've suffered with back acne but it has gone down and left red scars also left little white bumps on the skin (not whiteheads or spots) just genereally little bumps all over, please tell me there's something to even my skin or get rid of marks, I'm VERY self-conscious about it :(

    Q.2 Best product for getting rid of old acne scars, used LRP Effaclar Duo (and +) and Pai Rosehip Oil but still left with pigmented marks. I'm 16 and have normal/combo skin, please help! Thank you :)

    ReplyDelete
    Replies
    1. 1. Body pads like these: http://uk.spacenk.com/retexturizing-pads-for-body/MUK300022697.html - I thhink nip & fab might do some too but they won't be as strong. OR - use your acid pads/cotton pads after you've used them on your face. You're 16 - you have time to get rid don't stress - please - it'll bring back the zits!
      2. Depends how bad they are - if they are still pinkish you can get to work - if they've gone white or are 'puck' marks it's much harder. You're only 16 but you need retinols/vitamin A's and something like these: ask for presents! :)
      http://www.skinceuticals.com/advanced-pigment-corrector-883140023234.html
      https://www.olehenriksen.com/p-164-pure-truth-youth-activating-oil.aspx
      Cx

      Delete
  7. Hi Caroline, I'm 13 and I'm looking for a moisturiser that's good for young skin.I get hormonal spots on my chin and sometimes small red sore ones too. I know you recommend Sam Farmer but I noticed that it has shea butter in it which you say is bad for spots. I have combination skin, do you have any recommendations? Thankyou in advance, I really apreciate it :)

    ReplyDelete
    Replies
    1. I would still go with Sam as he also has an ingredient specifically designed to tell the over-active sebum in younger skins to chill out. the best thing you can do at your age is invest in a really mild acid toner and get a good routine going - it's the best defence.

      Delete
  8. Caroline, already thank you very much:* I was on accutane 2 years ago and I have used glycolic acid 10%(3 times a week) and retinoic acid 0.1%(3 times a week) for 2 years. Acne spots from the past make my skin look uneven (like the acne has carved out a tiny bit of my skin). Does the algenist concentrated reconstructing serum for my morning treatment help even out the skin? Does liquid gold help this? Better ideas? I am not as oily as before but drier on the cheeks.

    I am not gonna bump into you in LA, so please comment on my routine. Even if you don't, I love you.
    I have lost elasticity around my mouth on both sides of the face because of lost weight and age(I am 37) and to solve I have been rotating blue cocoon and love your face serum at nights. Can I start using retinal again? How often per week? I am afraid it will make my skin thin in the future. I also tried overnight facial with sara chapman and my skin loved it.
    Morning:
    1. I am desperately looking for a cleanser as most of the products I have tried make my skin tight and dry???
    2. Dennis gross
    3.algenist serum???
    4.elemis pro collagen ultra rich

    Evening
    1.first cleanse: ole Hendrickson 3 in one..... 2nd cleanse : omorovizca thermal cleansing balm
    2.p50 v
    3.rotating blue cocoon and love my face serum right now ...should I add skinceuticals retinal 0.5% and overnight facial? Or what?
    4.midnight moisture



    ReplyDelete
    Replies
    1. OK first things first - retinols and acids strengthen the skin - they don't weaken it. Please don't worry.
      The best thing you can do for jowls and ageing is say bye to sugar (assuming you don not smoke). It really is the number one enemy of sagging skin - that and the skin's inability to retain moisture.
      I wouldn't say Algenist was specific enough - I would absolutely be using retinols - the more the merrier art your age (within reason obvs LOL)
      AM
      1. that's because American brands are obsessed with foaming. Obsessed. Step away. Move to a lighter balm for am OR something like Tata harper Regenerating cleanser http://www.tataharperskincare.com/cleanse - expensive but amazing. OR tracie martyn AMLA or a teeny bit of the OLE that you use in the evening.
      2. yes
      3. Ole henriksen Truth serum OR this which is small but packs a bomb when it comes to the change in your complexion http://www.tataharperskincare.com/replenishing-nutrient-complex
      4. I would use this at night. Switch to Kate Somerville Nourish

      PM
      1. all good
      2. lush!
      3. Yes add a retinol first and use the serum or Blue cocoon on top
      4. What is that? Use the Elemis here (not on top of blue cocoon obvs)

      Cx

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    2. Oh god, thank you very much caroline...I greatly appreciate it. 4 is this works no wrinkles midnight moisture;) sorry it's 5 am. Believe it or not but the Tracie Martyn one dries me a little bit. What would you like as a light balm for morning?

      Delete
    3. The new NUDE jelly is perfect. Blog post and video coming! :) http://uk.spacenk.com/perfect-cleanse-omega-cleansing-jelly/MUK200013843.html

      Delete
  9. Is it true that you get spots in certain places in your face due to internal problems? Like hormonal brekouts are always on the chin etc?

    ReplyDelete
    Replies
    1. Absolutely. Will find a picture and instagram it x

      Delete
  10. Hello Mrs Hirons!
    I get spots on my forhead, not inflamed, red och yellowish, just like little bumps under my skin, no specific colour. They just make the skin look kind of uneven. How do I get ride of them?
    Thank you!
    Malin

    ReplyDelete
    Replies
    1. Acid toners, facial oils, probiotics and omegas - sounds like I'm repeating myself - the middle of the forehead is usually related to the small intestine. Check your intake of pretty much everything :)

      Delete
  11. Hi Caroline, love your blog it has improved my skin so much.

    the problem i have is cystic acne coming up on my cheeks/jawline which i think is due to pillowcases sometimes, do you think this could be true? how often would you recommend to change pillowcases?

    also i love the clarins gentle exfoliating toner but i find that if i use it everyday my skin gets a bit angry (bumps, redness etc.) but if i dont use something with acids everyday i tend to get occasional breakouts on t-zone.

    (btw im 22 still with hormonal breakouts but the cysts have been cropping up for years and im at my wits end with the scars that they leave!)

    thanks for all your help! gemma x

    ReplyDelete
    Replies
    1. The pillowcase can aggravate but it wouldn't be the main cause.
      Check you have no food intolerances - the easiest way is to think if you eat anything bloats you or causes discomfort after eating (FART) :)
      Try switching to something like the First Aid Beauty pads - and maybe Pixi glow tonic - more gentle.
      Scarring-wise try repeated use of good facial oils - they're the best defense.

      Delete
    2. thanks caroline!
      i have been starting to think i have an intolerance to gluten due to my bad digestion and have been trying to cut it out as much as i can.
      i tried the pixi glow tonic but it gave me a rash after one use - not sure why! i've also tried paulas choice salicylic acid toner but it tends to give me breakouts for a while and i noticed you said purging is a myth. i think my skin just cant tolerate too much acid maybe.
      thanks again :)

      Delete
  12. Found this product on Space NK website. My acne (and bacne) respond very well to salicylic acid treatments (better than glycolic or lactic). Not sure about sulphur though? Any thoughts?

    MALIN + GOETZ 10% Sulfur Paste
    Formerly known as Acne Treatment. Intended to be left on over-night, this formula helps kill the bacteria that may cause spots.
    ACTIVE INGREDIENT: 10% SULFUR.
    INACTIVE INGREDIENTS: ISOPROPYL ALCOHOL, PURIFIED WATER (AQUA PURIFICATA), ZINC OXIDE, CAMPHOR, SALICYLIC ACID, MAGNESIUM ALUMINUM SILICATE.

    ReplyDelete
    Replies
    1. Sulfur can be really drying so I would go ahead but just be open to using less frequently if need be. x

      Delete
  13. Hi Caroline,

    I am 25 and had good skin for most of my teenage years. Since I've been in my early/mid 20s, I have developed lots and lots of horrible white bumps under my skin, mainly on my chin and around my jaw.

    Sometimes they come to a head, and when they do, they seem to take a long time to resolve themselves. I am carefully cleansing with milks/creams, acid toning (not sure how strong to go) and treating mainly with retinol and oils for brightening/hyperpigmentation.

    Are these under the skin whiteheads due to over moisturising or something else? Please help!

    Thanks,
    Sophie

    ReplyDelete
    Replies
    1. Hi Sophie,

      Just horrible hormonal swines that we all get when we are (girls) fertile sadly. The' taking ages to heal' is quite common - there ARE things you can do to help them move along though. Use really good vitamin A products, good serums/oils and the obvious acids.
      It's also worth keeping your system as free of sugar as possible - sugar will cause inflammation and that in turn will give the scars a new lease of life. Boring and tedious but the process works.

      Delete
  14. Hello Mrs Hirons!
    I get spots on my forhead, not inflamed, red och yellowish, just like little bumps under my skin, no specific colour. They just make the skin look kind of uneven. How do I get ride of them?
    Thank you!
    Malin

    ReplyDelete
    Replies
    1. Hi Malin,

      Depends on how long they have been there. It may be worth getting a facial (from someone good like Sarah at Fortnums) and letting them see if they are milia (prob not - wrong area), spots or just aggravated 'won't come to a head' types.
      Assuming you use acids already I would also physically exfoliate that area using something like this: http://www.beingcontent.com/skincare/cleansers/wash/regenerating-cleanser.htm
      It has apricot kernal powder (not husks) and really exfoliates well - that way you'll have a better idea of what's going on. Where do you live?

      Delete
  15. A good moisturiser for acne/blemish prone skin that is sensitive and only slightly oily? I like something nourishing but my skin is sensitive and breaks out easily with moisturisers... it hates anything with 'essential oils'. Also should I only be using one product per day with glycolic acid in or can I use more?

    ReplyDelete
    Replies
    1. Have you tried Kate Somerville Goat Milk or oil-Free? Bloody marvellous things. And no - if you have acne-prone get acid on your face 2 x a day. Doesn't have to be the same product each time - but definitely 2 x a day.

      Delete
  16. Hi Caroline - can you recommend any treatments for spots that leave red marks?

    ReplyDelete
    Replies
    1. If you mean actual scarring try this https://www.olehenriksen.com/p-164-pure-truth-youth-activating-oil.aspx OR this http://www.tataharperskincare.com/replenishing-nutrient-complex - neither is cheap but both are good for that regeneration needed.

      Delete
  17. Hello Caroline,

    I had a baby 9 months ago and my usually spotty skin cleared up! Hooray!! However over the last few weeks odd spots here and there are appearing, I've totally changed nt skincare recently basically to follow your routine cheat sheets lol - do you think this could be it? Like a purge??

    Also the only thing missing is a treatment? I've used anr and similar products but want to up the amp was thiinking skinceuticals ??

    My skin is combo to oily, used to suffer from acne pretty badly until my pregnancy, baby is 9 months and I'm 26. Worried about lines, but also worried about clogging skin which it why I worry about treatments, I already use an oil (the espa or clarins for oily) I also adore decleor - would you recommend their serums??

    Sorry for the ramble - I'm rushing as I have a wiggly little lady on my lap lol :)

    Thanks if you can help

    Siobhan'

    ReplyDelete
    Replies
    1. Your body is still in hormonal 'turmoil' for want of a better word. Love Decleor. treat the spots first, don't worry about anti-ageing at this stage.

      Delete
    2. Thank you Caroline - I' guess I'm trying to rush things with my body too! I'm off to hunt down the aesop control gel which by the was seems to be sold out everywhere! Damn Caroline effect lol :) xx

      Delete
  18. I'm 19 years old, have had acne since I was 13. My skin is combination, more on the oily side. Also my skin is slightly sensitive.
    I have spots mostly on my cheeks and chin. My skin has gotten better since I've started to follow your advice, but my acne is still nowhere being gone.
    My routine is:
    AM:
    clinique ttdo balm (little, with wash cloth) or the body shop tea tree cool&creamy wash
    REN clarifying lotion
    body shop vit e face mist
    kate somerville goat milk cream
    sunscreen (vichy)

    PM:
    same minus the sunscreen

    I have a few questions:
    1. Is there something missing from my routine? Something you would change?
    2. What exfoliators can I use other than the REN one? You've said earlier in clinic that some exfoliators are too strong for young skin.
    3. Any recommendations for moisturiser that's easier to get your hands on in Europe than the Somerville one? Preferably not really expensive (student budget)

    ReplyDelete
    Replies
    1. AM: drop Body Shop - too harsh
      Definitely add some acids - have you tried First Aid Beauty Radiance Pads?
      Try NUDE for moisturisers.

      Delete
  19. hi caroline. thank you for this particular clinic. I've always had spots/blemishes. I still have clusters of scars in the middle of my right and left cheek. not too bad but not too good either.

    having read both of your cheat sheets I am still unsure whether these are hormonal spots or if it's acne.

    I do get spots during/after my period. clear skin for a week or 2. then random bursts of spots. and the spots are ALWAYS on my chin, or right cheek, or upper lip area. never forehead or nose.

    I really don't want to go on any medication. do you think I may be doing my skin care wrong?

    my skincare:

    merumaya balm (but I also have elemis and Clinique balm)

    pixi glow tonic (also use merumaya tonic, elemis lavender tonic after a treatment mask)

    hydraluron serum, followed by Clinique dramatically different lotion, and I use effaclar duo on spots and blemishes.

    cleanse and tone is the same in the evening but I swap the final moisturising step with either grown alchemist antioxidant oil or Vichy night detox.

    ps - I am 22, I have combination skin, which is definitely dehydrated! I take my multi vitamins every day, drink plenty of water and I have been healthy eating for a month which has helped me lose a stone.

    hope you can help!!

    ReplyDelete
    Replies
    1. Hi Zaynub,
      Drop Clinique DDML - its mineral oil and that won't help.
      Checj the vitamin B level of your multi-vitamins - vit b can trigger acne. And it doesn't matter if your problem is hormonal - its still called acne. :)
      And well done on the healthy eating! :)

      Delete
    2. thank you for your reply! i will definitely drop that. what would you recommend to replace it? i currently take seven seas complete multivitamins. the vitamin b levels are the following:

      B1: 127% RDA
      B2: 143% RDA
      B6: 143% RDA
      B12: 100% RDA

      thank you once again! i love you!

      Delete
  20. Hi Caroline!

    Things my skin likes: vanishing cream by lush, angels on bare skin by lush, Bare Minerals Powder Foundation
    I reduced dairy to a cup of coffee in the morning, a yoghurt every two days. I avoid wheat
    I don't have IBS.
    I stopped creams with SPF and only use a sunscreen by Khiels...BUT
    I do yoga, I meditate, so i try to reduce stress,
    I get acne on chin and neck...what else could I do that I'm not doing? but I really don't want to end up with wrinkles AND acne....

    Any tips? thanks xxxx
    Ps. Sorry if my question was posted twice, dodgy computer at the mo ;)

    ReplyDelete
    Replies
    1. Hi.

      Have you tried supplementing with omegas? And Bare Minerals use bismuth oxychloride which can be an irritant. It gives me spots. Check it out. :)

      Delete
  21. Hi Caroline. I have a good regimen (balm cleansers, acids, oils) but still, without fail, I wake up every single morning with new whiteheads and more new ones by the end of the day. What can I do to get rid of these?

    ReplyDelete
    Replies
    1. Check what ingredients could be causing them. Sometimes whiteheads that are easily popped are a mixture of sweat and product. EEW. I know :)

      Delete
  22. I've been getting large bumps on my chin and around my mouth that are really sore and eventually turn in to spots i also get small trapped blackheads in that area that eventually turn in to spots. I don't know what cleanser/moisturiser to use. I eat healthily and drink lots of water and I'm 24! Any advice on what products to use would be lifesaving thanks caroline!

    ReplyDelete
    Replies
    1. It's more down to cleansers and acids than moisturisers. Good balm cleansers and acid toners are key. I'm filming a video about acid toning today.

      Delete
  23. Hi Caroline
    Oldest son is now 20 - from 16 to 19 he had bad acne and was treated with antibiotics and cream from GP - his skin is a lot better now so I would say it is normal but prone to spots and blackheads - have just got him ren clear calm clay cleanser and clarimatte gel cleanser to try - are these good for him? What else should he use - moisturiser? Mask? He asked me to get him some wipes but I have refused - as you have taught me well!! Any suggestions gratefully received! Thanks so much for your blog!

    ReplyDelete
    Replies
    1. Hi Andrea,

      He has no business wanting wipes! LOL
      Yes get him a moisturiser such as Anthony for Men oil-free. Not too ££ and good.

      Delete
    2. Thanks so much for replying - the REN cleansers are working and have ordered the Anthony for men moisturiser - he's also now using his own set of primark face cloths! You're transforming our family's faces - hurrah!

      Delete
  24. Thank you so much for doing these clinics - you are a complete hero to skin, and mine is so much better since I started your routine and the fish oils.

    My chin hasn't seemed to get the message. I get the odd hormonal/post bad food spot, and very occasionally one of those nightmarish cysts that will not die. But it is permanently covered in what looks like shaving rash (it's not that).

    AM: Ren Rosa Centrifolia hot cloth cleanser, Clarimatte toner, Caudelie Grape Water, Ren Vita Minerals Serum & Day Cream
    PM: Coconut oil (RMS or Neal's Yard), Pixi Glow, GW, then VMS and Neal's Yard Wild Rose Balm, or just Liquid Gold.

    Any advice would be hugely welcomed. Thank you!

    ReplyDelete
    Replies
    1. Hi.
      Routine:
      Ren hot cloth is not my fave
      Clarimattwe is fine (but extremely mild on the acid front - might be worth upping this)
      Caudalie yes
      Ren yes

      PM
      Yes
      Pixi Yes
      GW Yes
      VMS can be switched out here to something more dedicated to helping spots or spotty skins like a retinol.
      I wouldn't use NYWRBB every night (even when alternating with LG)
      I would invest in a couple of good facial oils and lighter nighttime moisturisers - like this one: https://www.olehenriksen.com/p-142-truth-crme-advanced-hydration.aspx

      Delete
  25. Hi Caroline. Thanks for doing this!

    Any advice for back/shoulder acne? Because the skin is thicker and covered most of the time, I am having a hard time finding something that works as my face stuff is not strong enough. Any suggestions would be highly appreciated!

    ReplyDelete
    Replies
    1. Do you use acid toners? If so, use them on your face and them swipe the cotton over your back afterwards. If not, BUY SOME! You can also get body pads from brands like Cane & Austin.

      Delete
  26. Hi, do you recommend balm cleansers for acne prone skin as a morning cleanse?

    ReplyDelete
    Replies
    1. yes but you would not use a lot of product - and I would alternate with ones designed to be a bit more stimulating to skin like these: http://www.beingcontent.com/skincare/cleansers/wash/regenerating-cleanser.htm or this http://www.traciemartyn.com/amla_cleanser.html - both applied to dry skin

      Delete
  27. Origins super spot remover for huge blemishes which show up every so often - yay or nay?

    ReplyDelete
  28. I wrote a message earlier but it doesn't seem to have appeared (If it does ignore this one). I have adult acne - I think dairy may be my problem, that and very oily skin. I have an appointment with a derm next month, I'm hoping to be put on Roaccutane so I was hoping you may have some tips or product suggestions for what i've heard can be quite a harsh drug. Have a nice day in this semi sunshine.

    ReplyDelete
    Replies
    1. You will need to make sure you are suing really hydrating products to counteract the drying effects of the roac. lots of balm cleansing and light hydration via sprays and moisturisers.

      Delete
  29. Hi Caroline - thanks so much for this clinic! I have two questions:

    - Firstly, my dad suffers with dry skin on his face/head yet when he uses any moisturisers they bring him out in spots. Do you have any idea of why this could be or products you could recommend for him?

    - Secondly, my brother suffered with very severe acne during his teens and completed a course of Roaccutane. He is mostly left with scarring now and the occasional bout of spots. Are there any treatments proven to help with acne scarring?

    Both boys are Caucasian and tan easily in the sun.

    Hope you can help. Thanks so much! Steph x

    ReplyDelete
    Replies
    1. Hi Steph,

      Dad - what is he using?
      Brother - he needs some acid and some retinols/vit a.

      Delete
  30. Pregnancy acne.....all over. I came off the pill a year ago and had acne badly ever since. My doc suggested roaccutane but as I was intending on getting pregnant I said I'd prefer a more natural approach. Worsened now that I'm 7 months pregnant and doc won't help. Skin is dehydrated but over producing oil all over do anything rich causes more spots. Obviously my query isn't as important as others as I'm sure I can try retinols etc after I shoot out the baby ;-)

    ReplyDelete
    Replies
    1. Hi Talli.
      What you CAN do is eat a ton of oily fish (or supplement of you don't like the taste).
      You can also use something like this: http://www.renskincare.com/p/3393/Clarimatte%E2%84%A2+Clarifying+Toner which is really mild and won't cause you issues. I know brands will stress about it but you are safe to use acid toners and products with mild retinols (like retinyl palmitate) in them - don't panic. x

      Delete
  31. Hi caroline,

    What advice can you give please to get rid of acne scars without using acids? Glycolic acid toners triggered a bout of breakouts for me for a year, managed to get rid of but now have scars and marks, tried a mask recently that had milder acids in and that broke me out too so think I need to steer clear of any acids.

    Any other specific good exfoliator/ products to clear my scars/ improve skin tone I would really appreciate! I'm 25 btw.

    Would love if you could do a post on specific products and routines for people who can't use acids, most balm cleansers break me out too.

    ReplyDelete
    Replies
    1. Try something like Tata Harper regenerating cleanser. and retinol/vitamin a products in the evenings.

      Delete
  32. I'm going to stay tuned! As someone who still suffers from acne at 27 I need all the information I can get :-)

    ReplyDelete
  33. Hello Caroline, I'm currently suffering from a MASSIVE breakout. My skin was completely clear for about a month and then has went crazy. Most are small, but I have a very painful cluster of red blotches underneath my undereye area. I've tried to put a treatment on them, but it's so close to my eye it stings so bad! Can you recommend any gentle treatments? I haven't changed my diet or skincare so I have no clue whats set off the breakouts! :(

    ReplyDelete
    Replies
    1. Are you sure its not a reaction? What are the red blotches like? Google perioral dermatitis. Does it look like that?

      Delete
  34. Caroline! You are such an amazing human for sharing such a precious knowledge with us! Thank You!

    ReplyDelete
  35. thoughts and opinion on effaclar duo ? is it good to treat spots?

    ReplyDelete
  36. 1) What would be your top picks for them cus i don't know where to look or what to buy, I'm not too fussed on price just nothing that is to crazy expensive.

    2)I get get pimples that are "ingrown pimples" (its what I call them as there is only a lump & redness on the skin and no other signs, they are never painful and never move up towards the skin.) it takes weeks for them to go away. I use the Clarins toner but I don't think its strong enough. Im thinking of getting the liquid gold?
    Top Picks for strong toners??

    Thanks

    ReplyDelete
    Replies
    1. Stronger acids would be Dennis Gross MD, P50 and Kate Somerville Clionic to go pads.
      What does your first Q relate to!? :)

      Delete
  37. Caroline



    Hi Caroline, this is quite long but I would love for you to read and answer this, I've been waiting for some answers forever.
    I am a 16 year old boy who came off a six month prescription of roccutane around 6 months ago (I survived!) Before that I had terrible acne and had tried many things including various antibiotics that had little to no effect. Baring in mind I did have a very strict routine (cleansing,toning,moisturising) I think they were caused from oily skin rather than dehydrated. My skin was perfect from up to around 3 months ago, my spots and oily skin have started to come back (slowly) although this might not seem the end of the world - to me it is. I discovered your blog about two months ago and all the products I use you have recommended. Being a 16 year old boy with a fairly large social life I find it difficult to dedicate a lot of time and money especially on high end products. I use for morning and night: l'real age perfect (it says for mature skin I know I'm 16 wow) followed by the cleresil salysilic acid pads then a Sam farmer moisturiser. Although I did go to the doctors and get a retinal cream called differin with adapelene in it 0.1%. I use this only on pm because my skin gets sunburnt easily from it. I do take a dose of 3000mg of cod liver oil a day. I also use the good things clay mask every week or so. Will the Adapelene help with my scarred skin from acne? What is the best way to get rid of blackheads? How do you tell if you have dehydrated skin or oily? Also how would a male who shaves incorporate post shaving balm into their routine? Could you recommend some low priced (£1-£20) skin cleansers? What key ingredients should we look for in cleansers toners and moisturisers aside acids?
    Thank you for taking the time to answer in advance

    ReplyDelete
    Replies
    1. Hi Morgan,

      It's quite common for it to come back I'm afraid. :(

      I would switch to fish oil - cod liver oil is better for joints than skin. They're different.
      The differin should help.
      Have you read the dry or dehydrated cheat sheet? Over there ----->
      Your routine would be cleanse, shave, acid, moisturise. And I would never recommend something that costs A POUND. Get a grip man LOL
      Avoid mineral oil, go for hyaluronic acid and glycerin.

      Cx

      Delete
  38. Hi Caroline

    First of all thanks so much for all of your advice you are wonderful for helping out all of these people.

    I am 22 suffering with (what I think is hormonal) acne, and on dianette birth control to help with hormones.

    I recently used effaclar face wash and this did not help clear my skin at all, after hearing so many people rave about it, I also used effaclar duo treatment serum which did not have any effects or improve my breakouts.
    Do you think I should avoid stuff like this?

    I also had Neutrogena grapefruit acne wash, this made my face swell up and i could barely open my eyes, also made my skin super dry, I have learnt my lesson to avoid stuff like this because of hidden chemicals etc.

    Steering more towards organic and natural products, such as dr manuka facial serum which I feel is helping calm my face. Do you think this is okay?

    Also bought pixi glow tonic about 2 days ago and really liking it already, I always thought toners were not for me as they completely make matters worse in my case and break me out.

    On top of this I am using 'simple - kind to skin moisturising facial wash' as well as a simple moisturiser as I didn't want anything too harsh. Maybe it is these products that are not helping clear my skin?

    What I really want to know is anyy suggestions for face washes / cleaners / moisturisers that you reccomend for me in my case?

    My acne is very painful at times and it can be difficult to talk or move my face as they hurt. It also brings my confidence down because I feel like people are looking at my red lumps when I am talking to them, and it gets me down. I don't wear make up incase that makes it worse, but I feel even worse without it because I have nothing to hide behind, even when i do put it on I feel like you can still see the lumps and i feel like I just look terrible!

    I would LOVE if you could help me, I am totally obsessed with doing anything to help banish this problem once and for all but I am totally clueless!

    Thanks again,

    Abbie xxxxxx

    ReplyDelete
  39. Hi caroline
    ive been following your blog for a while now and trying to follow all your tips but my skin is just so arghh!!
    Im 23 and suffer from hormonal acne (I think), Asian my heritage but quite fair skinned (olive toned)
    I would say currently I have mild acne, which flares up at the time of the month and takes until the next time of the month to completely recover at which point the process starts again. I have suffered from worst acne before though.
    3main problems areas are 1. nose wings where I get awful whiteheads and what not and 2. chin which has these sort of clogge spores there not inflamed or red there skin colour/whitish but they look awful ive tried drying that area out with benzyl peroxide but it didn't work.3. hyperpigemtation marks and I feel my skin just looks so grey sometimes
    I have cut out dairy and sugar for a very long time now, I change my pillow cases often I clean my phone very often and I take manuka honey and cod liver oil every day

    My current products I use AM AND PM are
    liz earl cleanse and polish
    bravura candula toner
    estee lauder advanced night repair
    benzyl peroxide for spot treatment (epiduo)
    aleo vera gel for acne marks
    manuka honey and sometimes manuka honey and turmeric face mask nearly everyday

    thinking of buying:
    the hydrlon moisture jelly as a moisturiser
    estee lauder enlighten serum for hyper pigmentation
    natural argan oil for hyperpigmentation

    what are your tips for me and thoughts on these products I would really appreciate it

    thank you so much
    sam

    ReplyDelete

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