Friday, 1 August 2014

The Clinic is CLOSED.

I'M STILL ANSWERING BEHIND THE SCENES BUT AM TAKING NO MORE QUESTIONS!

Just a reminder:
  • Questions will be held back and chosen specifically to reply to.
  • Please don't send the same question relentlessly. Just once please!
  • Please try not to post a thesis. Yes, it helps to have a full picture but please, no thesis. ;)
  • I won't publish any questions that I do not answer. (But I will be doing the Clinic regularly so please do try again)
  • I will be sat in front of my computer until the job is done!
Look forward to speaking to you! Excited!

166 comments:

  1. Hi Caroline,

    I have moderately oily skin, not too many big zits (a few per month), BUT it seems like every pore on my nose and my chin and many on my forehead are clogged. The internet says they are “sebaceous filaments,” although I’ve had facialists say they are blackheads.

    Is there any way to get rid of them?!

    Thanks!
    Danielle

    ReplyDelete
    Replies
    1. Hi Danielle,

      It will honestly depend on if they are actually blackheads or just large pores. Large pores can look like blackheads - its sadly just the luck of the draw. Please don't go crazy trying to get rid of them. Use acids, use good facial oils and they will be as minimised as they possibly can. Sorry. :(

      Delete
  2. Hi Caroline. In the last 9 months or so i have gradually developed multiple under the skin spots at the bottom of my cheek bone. Started on one side, now slowly starting on the other. The spots tend to flare up, then calm down, then flare up again throughout the month. They have calmed down lately to a degree but are still there. One actually bled one night after cleansing with a flannel. I also have a large one on my chin. The worst side is not the side i sleep on or anything. Now have some brownish marks!

    Another skin ...'expert' through organic surge advised me it is a mild form of acne. (Sent her pics). She advised a simple routine for one month to just cleanser, toner moisturiser & recommend products from organic surges brand -gentle cleansing lotion, orange flower toner and the gentle moisturiser. She also said not to use flannels as my spot bled, lay off the acid toner and advised trying star flower oil supplements...
    Just wondering what your opinion/advice would be? Product recommendation?

    I have been using: Alpha H creamy cleanser, avene thermal hydrating mist spray thingy and nivea naturals moisturiser. Recently tried balance me balm which hasnt made it worse. I was using the Ren Toner but have stopped that since. ..not sure if thats why it has improved maybe? Prior to that was using pixi glow.
    I am 29, combination dehydrated skin & not had any babies. This is the worst my skin has ever been! Didn't even have acne as a teenager! Please advise! :-(

    ReplyDelete
    Replies
    1. Hi Sparky,

      They sound like they could be food-related. They are exactly the kind of spot I get when I have an allergic reaction. Are you aware of any sensitivities? I (unsurprisingly) say the exact opposite of the Organic Surge woman. If the spot is bleeding it means there is blood flow to the area. The acid should, in theory, kill off any germs and speed up healing time and prevent scarring. So don't stop using them. Nivea naturals is not the best choice for moisturiser. I would reintroduce balms and acid toning and look to your diet. Sugar intake etc - do you supplement with omegas of any kind etc?

      Delete
    2. Thanks so much for replying! I did think you would disagree!
      I did wonder if it was food related, not allergic to anything i am aware of. Haven't changed my diet but they seem to have slightly calmed down... Bit confusing. Not using any supplements at present. I did buy starflower oil but haven't used yet. Im guessing fish oil is better.... Can they be combined?
      Is a spot treatment worth trying? Like aesop control gel?
      Liquid gold? I have it on shelf but scared to try it! Lol!
      I will try a new moisturiser! Thanks!!!

      Delete
    3. Oh and er...i have a problem with cake...and chocolate... I know i know i know. :-/ ...but i was fine before! #gettingold #legrandesigh

      Delete
    4. THERE IS ALWAYS A REASON. And people usually know it deep inside. *hides packet of wafer biscuits behind back*

      Delete
  3. I am 24 with slightly sensitive combination skin (oily forehead/nose, normal cheeks, chin gets dry in the winter). Occasional spots, but nothing dramatic. I recently added the Ole Henrikson truth serum into my morning routine and am liking it so far. What would be a good preventative serum/oil to introduce into my night routine underneath my moisturizer? Or should I just use the Ole Henrikson at night as well? I hesitate trying a retinol product because it seems like more than I need at my age, but maybe I'm wrong about that. Thank you so much, I love your blog!!

    ReplyDelete
    Replies
    1. The Ole Pure truth youth Activating Oil is BRILLIANT for PM usage. Great for scarring and gives good glow. (That's my new official rating - GGG ) :)

      Delete
    2. Thanks so much! I'm always tempted by pricey oils with dozens of fancy components, but sometimes simple is best :) I'll go try this out!

      Delete
  4. Hi Caroline (: Sorry in advance for the lengthy plea for help!

    I'm 16 and have combination to dry, acne-prone skin that's quite sensitive, easily dehydrated (as I'm a swimmer) and congested. I had mild to moderate acne since starting on my period at 13 up until last summer when I discovered your blog. Before that I had tried topical gels and creams, antibiotic and birth control pills to facial treatments to get rid of my persistent acne to no avail - so thank you. However, I do still struggle with blackheads and frequent, random acne flare-ups that leave my skin irritated, red and scarred for months. When my skin flares up I tend to get a lot of small under-the-skin bumps on my forehead, hairline, temples, brows, cheeks, chin, sides of my mouth, and jaw-line that sometimes form a small white colored head. Besides that my skin will also be plagued with with recurring whiteheads that are stiff, red, sore and inflamed between the brows, between my upper lip and nose, cheeks, temples, chin and / or jaw-line that all seem to push through from deep under the skin. I'm also prone to slight eczema at the sides of my nose and red spots that don't come to a head along the jaw-line and forehead. All of which don't subside for weeks. I notice that my skin worsens around that time of month, whenever I miss a period or am subject to lifestyle / diet change. I have a relatively healthy lifestyle and diet that is mainly plant based with the exception of seafood (shellfish, fish), chicken and eggs. I try to eat only complex carbs and to avoid dairy (I have since switched from conventional cow's milk to organic, unsweetened almond milk and on the rare occasion that I eat cheese I try to choose organic) and additional sugar that aren't from fruit. I have recently started incorporating 4 x 1000 mg of omega 3 fish oil tablets, 2 x 1000 mg of evening primrose oil tablets (to try and regulate my menstrual cycle) and probiotic tablets before every meal. My current skincare routine is as follows;

    AM -
    REN ClearCalm3 Clarifying Clay Cleanser
    REN Clarifying Toning Lotion
    Pai Lotus & Orange Blossom BioAffinity Toner
    Kate Somerville Goat Milk Cream
    (SPF from a tinted moisturizer)
    PM -
    Clinique Take The Day Off Cleansing Balm
    REN Clarifying Toning Lotion
    Pai Lotus & Orange Blossom BioAffinity Toner
    Dermalogica Overnight Clearing Gel (unsure about this step)
    Pai Rosehip Bioregenerate Oil (unsure about this step)
    Kate Somerville Goat Milk Cream

    Having read through all of the cheat sheets and previous clinics to no avail, it would mean a great deal if you could give me some specific advice on what I should be doing to achieve relatively clear skin. Thank you so much! I really appreciate everything your blog has done for me (:

    Kathy x.

    ReplyDelete
    Replies
    1. Hi Kathy,

      OK - the 2 main things. You're a swimmer - and you're young. So although you should technically go easy, your skin is being bashed with chlorine (I assume) on a regular basis so you need to step up your game.
      Food/supplement-wise:
      Check that the fish oil are good quality and high in EPA % and aren't clashing with your EPO. Some people are not good at digesting high amounts.
      Don't take your probiotics with hot food - heat destroys them. Take them an hour before or after.
      I think the REN clearcalm may be a tad strong for you every day. I would switch to a gentle milk for dehydration. You're a swimmer - always use products for dehydration.
      You don't need Pai Bioregenerate. you're a baby in skincare terms (that's a compliment!)

      My priority if I was you would be a mild cleansing milk - and to find a balm that you can apply before you swim. Try something like Neal's Yard Wild Rose Beauty Balm. Apply before you swim and wash off afterwards. You need a barrier.
      Does that all make sense?

      Delete
    2. Caroline, I hope you'll allow me to add this?

      Kathy - when you sit and do schoolwork/ read, do you put your hands on your chin/ hairline? I only ask because when I started a summer internship recently I got a line of red spots which didn't really come to a head (as you describe) below my lower lip. I was so confused until I realised that I was sitting reading with my hand resting there, and my hands probably weren't as clean as they should be. Some Germolene cleared them right up, and I'm now super-careful to use antibac gel on my hands on a regular basis.

      Delete
  5. I hope it's alright to ask two quick questions!

    Recently, you briefly mentioned the role of sugar in the diet on skin glycation, would applying raw honey on top of skin as a mask have the same harmful effect? Would it even be beneficial? Specifically, I have been considering using raw manuka honey.

    Secondly, would grape seed oil be a "safe" oil to use nightly on my 20 year old skin which is combination and prone to clogged pores and acne? I've been reading a lot about the high (~70%) linoleic acid or omega-6 content of grape seed oil and it's effect on sebum consistency, but I'm not sure how accurate the information is. Thank you!!! -Laura

    ReplyDelete
    Replies
    1. A: No, honey used topically is completely different to ingesting sugar and yes is beneficial
      B: Yes, in theory - although a lot of testing is done using oils through sophisticated formulas so using it neat may not be as beneficial - definitely worth a try though!

      Delete
  6. Hi Caroline! I found out about you last month and I have since read your whole blog and watched all of your videos! Now I want to do a complete overhaul of my skincare regime. I have planned out a routine for myself and made a list of products I want to buy, but I would love to get your opinion before I actually purchase them. I am willing to spend quite a bit of money. Btw, I am 18 years old with oily, congested, acne prone skin and I live in the US.

    AM:
    REN clearcalm 3 clarifying clay cleanser
    Switch off between REN clarifying toning lotion and p50
    Switch off between caudalie beauty elixir, serozinc, and clinique moisture surge face spray
    Aesop control gel
    REN omega 3 optimum skin serum oil
    Hydraluron
    Kate Somerville oil free moisturizer
    Estée Lauder daywear spf 50

    PM:
    Switch off between Clinique take the day off and Emma hardie cleansing balm
    REN clearcalm 3 clarifying clay cleanser
    Switch off between REN clarifying toning lotion and p50
    Switch off between caudalie beauty elixir, serozinc, and clinique moisture surge face spray
    Aesop control gel
    Clarins lotus facial oil
    Hydraluron
    Clinique moisture surge extended thirst relief

    Is there anything I should change? Also, it would be great if you could recommend a couple other cleansers because I would like to rotate a few. And do you know of any good masks for my skin type? One last thing-I could only find the p50 on a website called shoprescuespa.com and they carry a bunch of different versions (p50, p50v, p50 original 1970, p50v 1970). The regular p50 and p50v don't have phenol in them, and it says they're recommended for women who are pregnant/breast feeding (I'm not). It also says the p50 v is good for sensitive skin, but my skin isn't too sensitive. Which one do you recommend for me? Thanks so much for doing the clinics! I really appreciate it!

    ReplyDelete
    Replies
    1. Hi Abby!

      Welcome. :)

      See my answers in order below:

      AM:

      DITCH CAUDALIE ELIXIR. Too strong in Alcohol for you.
      Rest is perfect.

      PM:
      No Caudalie.
      Use either the Clarins Oil OR Hydraluron under Clinique (and make sure the Clinique is mineral oil free)

      Mask-wise buy any clay mask from CVS or Duane Reade - don't break the bank on clay.
      Get P50 1970 - my fave. :)

      Keep me posted.

      Delete
  7. Hi and thanks for doing this.
    I have many small flesh coloured raised bumps on my face, mainly around my chin/jaw, which are only visible when the skin is tightened. They produce a white secretion when squeezed but I can never get rid of them completely.
    I also have hypothyroidism and that makes my oily skin very dehydrated. Currently I use malin + goetz vitamin e moisturiser which helps but never clears the problem. Can you help?

    ReplyDelete
    Replies
    1. With that name I thought you were spam! :)

      Its hard to say without seeing your skin and your entire routine but hypothyroidism can play havoc with the skin. Do you take meds for it?
      It sounds like you need some acid exfoliation on your skin and a light oil. Have you tried any acids? I'd go Dr Dennis Gross or Kate Somerville Clinic to go?
      Make sure you are doing everything possible to rehydrate yourself and your skin. Drinking tons of water/using products with high levels of sodium hyaluronate (like Hydraluron etc) and good oils. Make sure you keep it cleansed and exfoliated or those products won't penetrate!
      Sorry it can't be more definitive via a webpage!

      Delete
    2. :)
      I use levothyroxine. Thyroid started playing 2 yrs ago so I'm on 50 mcg but even now my nails are always weak and broken and massive hair loss. I drink lots of water. No alcohol. Don't smoke and I'm vegetarian. I exfoliate mostly with indeed labs powder or aha toner from silk naturals. And using wheatgerm oil/hemp oil/argan oil for the night. For the day I use the malin + goetz which makes it much better. Almost no dry flakes now. But still oily. The worst is usually the nose. It's flaky and oily at the same time. I have hydraluron but I tried to put it just on half of my face and it was no different from the other half in the afternoon.

      Delete
    3. Has your doctor recommended zinc at all? Have you tried supplementing with protein shakes? Using oils at night is nice but they only replace lost oil - not moisture. You need a moisturiser too.Did you use hydraluron under a moisturiser? SO MANY QUESTIONS LOL

      Delete
    4. Oh you are so amazing :). Thank you so much for helping. Nobody mentioned zinc or protein shakes. They just said on me pointing out that hair loss is levothyroxines side effect that if I stop taking it the hair will fall out anyway.. I follow the routines. Toner - hydraluron or oil at night - moisturiser.. I just bought the Dr gross acid pads so hopefully that will improve the flesh coloured bumps n stuff. Thank youu :)

      Delete
  8. Hi Caroline!
    I love reading your blog so much! I know you have a lot of questions so i'll make this quick... I was hoping you could help me with breakouts that I still keep having.

    Background...

    Yes...
    22 years old
    Combo, light-medium, Asian skin
    (Smallish?) Breakouts only on apples of cheeks (a little on chin) (come to head fairly quickly; about ~1-3x/week)
    Good skin texture
    Lots of leftover hyperpigmentation
    Healthy diet and exercise
    Vitamin D and Zinc supplements
    Stress? In pharmacy school (but i still break out in the summer)

    No...
    Cysts
    Scarring
    Dairy, Gluten, Sugar, almost no meat
    Makeup (only special occassions)

    My routine:

    Morning- nothing (i sleep on my back and im really careful about not touching my face)

    Night-
    Clinique take the day off balm (double cleanse; wash off with hands)
    Estee Lauder Advanced night repair serum
    Tarte maracuja oil
    Aztec clay mask - 2x/week
    Tomato, yogurt, pineapple mask - 2-3x/week

    My skin has really improved a lot, but its still not where i want it to be. I'm really into treating acne from the inside out, so supplement/lifestyle suggesstions would be appreciated too...or more natural products (....or not-natural, im desperate). I know you recommend fish oil but correct me if I'm wrong, but it seems like that's more for cyst-like hormonal acne? And is there an exact brand of probiotics that you recommend? I'm kinda scared of trying probiotics because I've read that it can worsen acne in some people, which, then again, I guess everything could. Any suggestions would be greatly appreciated :) :)

    THANK YOU :)


    ReplyDelete
    Replies
    1. Hi Saba,

      *grabs tea, sits down*

      OK:

      AM - YOU HAVE TO WASH YOUR FACE. YOU HAVE TO WASH YOUR FACE.
      That's all I have to say on that one.

      What level of Vit D do you take? Minimum of 3000mg a day?
      Get over the whole 'natural product' thing. Inside, yes, obviously. Outside - whatever works. And being natural is no guarantee that it will a: work or b: not make it worse
      You have absolutely no need to use Advanced Night Repair. It does not cover a multitude of sins and does JACK ALL for pigmentation.
      I'd get a good clay mask, a good acid - which is key - and supplement-wise:
      You need omegas - it doesn't have to be from fish - you can use linseed etc for example - but get some down you. They are good for the skin full stop. And I've never heard of probiotics causing acne. That's a new one for me. Go get some. STAT.

      Delete
    2. THANK YOU :) I take 5000 units because I was deficient but no longer am (but I still take them every other day). And I take 4 tablespoons of chia seeds daily so I'll figure out exactly how much omega it has and go from there. Added probiotics to shopping list and I'll wash my face in the morning promise lol.

      Anything you'd suggest to take advanced night repair's place?

      Delete
    3. I am obsessed with Ole Henriksen's Pure Truth Youth Activating Oil for evenings at the mo. And where is your moisturiser?? You need hydration as well as oil.

      Delete
    4. gosh thank you for replying again! I'll dig through your blog to find a moisturizer too. thank you for the help! :D

      Delete
  9. Hi Caroline—
    Love your blog, such a big fan  I’m 25—had pretty perfect skin (normal to dry) my whole life but have been struggling with hormonal acne on me chin for over a year now. I have been to the dermatologist, taken antibiotics and topical meds which calm it down but never get rid of it. I get mostly those annoying small bumps that sit deep under the skin and never ever ever come to a head. I follow your regime of cleansing, acid toning, hydrating toning, serum, moisturizer. I use salycilic acid on the area. I eat healthy, exercise, drink water. Nothing seems to get rid of it. NOTHING. Anything else I should be doing/using?.

    --Spencer, USA.

    ReplyDelete
    Replies
    1. Hi Spencer,

      Your plight sounds identical to mine! After peeeeerfect skin my whole life, I developed moderate to severe cystic acne mostly on my jawline. Three different doctors tried to treat with tetracycline antibiotics and benzoyl peroxide and clindamycin. The fourth dermatologist I saw put me on Yaz birth control pills, benzaclin in the morning and Retin A at night. I've been thrilled with the results and remained loyal to this routine for two years, as it has cleared me up about 85%. When I steer clear of dairy and refined sugar, I'm almost perfectly clear, with the exception of something minor around that time of the month. Good luck!

      Gabby

      Delete
    2. Hi Spencer.

      Have you tried food elimination? Most derms in the US will say that food and acne are unrelated - which gives me rage - but they are completely related.
      What changed a year ago?
      Stress?
      Lifestyle?
      Work?
      Food?

      The only thing that helps when I get those bumps is to drink my weight in water, cut out sugar in its entirety - all of it - and eat a ton of salmon. And sleep - always, always sleep. I hope it helps - they're so painful!

      Delete
  10. Hi Caroline,I am 24 weeks pregnant.my skin is in a cycle of breaking out really bad-white heads,red bumps and lumps-almost like a heat rash ?(it is v humid here and I do find my skin can break out whilst on sun holidays ?)this lasts for about 5-6 days then clears and is ok again for about 12-14 days then break out again!it occurs mostly on my forehead ,under my eyes,upper lip and chin.
    Is it solely pregnancy do you think or would heat do it?
    My current skincare regimen is:
    AM: ceramic slip/Ren clay cleanser
    P50/Zelens AHA pads
    Hydrating toner
    Elemis eye cream
    Ren omega serum
    Zelens z matrix
    Should I be using exfoliating toner every day?
    PM:EH balm/Elemis balm/body shop cleansing oil,
    P50/liquid gold/Zelens pads
    Elemis eye cream
    Good genes
    Artemis facial oil

    My p50 is almost out so I will be looking for an alternative as I can't get it easily here in Ireland .
    I use masks once a week-glam glow /clay masks/
    I use the Indeed labs Exfoliating powder every other night.
    I am taking no supplements-GP advised not to during pregnancy
    Would LRP Cicaplast benefit me?i use it sometimes but not sure,my skin is so rough,lumpy during breakout(used this last night and awoke to a load of tiny whiteheads,put on some EffaclarDuo then!!)
    Thank you so much Caroline, hope you can help me out,
    Catriona
    X

    ReplyDelete
    Replies
    1. Hi Catriona,

      Firstly - unless you have a medical contraindication I would seriously look at supplementation - most GP's say 'don't do it' because they have no training and its easier for them. I would at LEAST be taking Floradix or Floravital in liquid form and fish oil. At LEAST. Please, please do some research. Your GP is naive. (UNLESS OF COURSE YOU HAVE MEDICAL CONTRAINDICATION PLEASE DON'T SUE ME) :)

      It could be both - heat and pregnancy - primarily because pregnancy raises your body temperature considerably. I would be drinking a lot of water, eating minimal sugar and staying away from spicy foods etc for a start.

      Don't go overboard on exfoliation - the acids are ok but acids am and pm AND powder is possibly too much. Try just using acid in teh evening and the powders a couple of times a week?
      Let the P50 go while you are letting it calm down.

      And please, please look into supplements. AND NO HAAGEN-DAZS. :) (My sugar of choice in my first preg)

      Delete
    2. Thanks so much Caroline,getting back on my supplements so,I was taking all you recommend before said GP said no.ill try and look up some more info,love your blog!xx

      Delete
    3. I have a cheat sheet in the pipeline but I'm taking my time over it!

      Delete
    4. Can't wait for that,thanks again,xx

      Delete
  11. Hi Caroline,

    Sweden calling ... Being a tad curious of your thoughts of Paula's choice (not the products though).

    A lot of the product you recommend get a thumbs down by her and her team - by including ingredients harmful to the skin.. (Ole Henriksson, Clarins, Perricone, Caudalie, Darphin, to mention a few..).

    What are your thoughts - I quite like your recommendations - but she seems so darn sure abut her claims....

    Hoping to be convinced!

    Best
    Anna

    ReplyDelete
    Replies
    1. OK here's the thing about PC: I am asked a LOT about them - their products, the website - everything.

      I have huge respect for Paula - she has been in the industry a long time. To my knowledge, she is a trained esthetician - but I don't know where or when she trained or even if that's true.

      My only concern - and the only thing I've ever said negatively - is that I can't help feel that you take away from your supposed unbiased opinion when you give something 1 star and then your own label product pops up on the page saying something like 'Try Paula's Choice!'.
      I actually use the PC website (Beautypedia) to check on ingredient listings in products - but I make my own mind up about the product based on that. They are also very anti-essential oil etc which is a tad scare-mongering IMO. Not all essential oils are bad and not all cause allergies. If it was me, I would have kept the Beautypedia completely separate from the retail website - but it's not me and not my business. She's clearly very successful for good reason - and there are people that I think are unethical and lie to people all the time in this industry - Paula is not one of them.
      That was a long convoluted answer! Sorry!

      Delete
    2. Excuse me, I'm just going to gatecrash quickly to add one thing from my PC experience... one of the main things she gives "thumbs down" for is fragrance because it can be a skin irritant. My take on that is that if you don't have overly sensitive skin, and if that's the ONLY thing that's bringing the rating down, then the product is fine (obviously if also recommended by Caroline, haha).
      I also recall Caroline mentioning (somewhere on the blog...) that some of Paula's products have mineral oil, which is as we all know, a big nono.
      I also generally go through the ingredients section, although the amount of information is sometimes brain-melting... and there seem to be so many things that are 'skin irritants', so I'm glad that you see some of it as fear mongering, Caroline... it's reassuring!
      *ends gatecrashing* *leaves on tip toes*

      Delete
  12. Hi Caroline!
    I’m 19 & I’ve recently come off antibiotics & topical steroid creams for a sudden & 1st time flare up of perioral dermatitis.
    I’m very uneasy about suffocating my skin with any harsh products that I was using before, but want to keep blemishes at bay.
    I have combination skin, susceptible to blackheads/blemishes in my oily T-zone.
    Current routine
    AM: Bioderma sensibio, Alpha H Triple action cleanser, Clarins gentle exfoliating, Lush tea tree toner water, Avene thermal spring water spray, hydraluron & Elemental Herbology moisture milk.

    PM: Bioderma sensibio, Alpha H Triple action cleanser (& if I’ve been wearing make-up I will also use a double cleanse of REN ClearCalm3 clay cleanser), then either Clarins gentle exfoliating/Pixi glow tonic/Alpha H Liquid gold, Avene thermal spring water spray, hydraluron & Alpha H Balancing & Exfoliating moisturiser.

    Worried I may be over-exfoliating?

    Many thanks! - Natalie

    ReplyDelete
    Replies
    1. Hi Natalie,

      Way, way too harsh.
      And yes you are over-exfoliating IMO.

      I would do:

      AM:
      Drop Bioderma
      Drop Alpha-H
      Drop Clarins toner
      Drop Lush toner
      (SORRY!)
      Get a milder cleansing milk for morning, follow it with a gentle acid (Pixi/First Aid Beauty pads), then spritz, then hydra and moisturiser.

      PM:
      Scrap most of it to be honest. SORRY AGAIN I KNOW!
      Oily balm cleanser
      First Aid beauty Pads
      Spritz
      Facial oils (the world is your oyster here - so many beautiful ones)
      And a moisturiser on top - use the elemental from the morning if possible. Light and won't interfere with the oils.
      Feel free to come back with more Q's. I know I've bombarded you.

      Delete
    2. Hi Caroline, I truly appreciate your help!
      Milder cleansing milk for the morning - I have Avene extremely gentle cleanser which I used when first diagnosed with the dermatitis, would this be ok to go back to or do you have a better recommendation?
      Would love an oily balm cleanser recommendation which won't make me worry about breaking out. The same with facial oils which I've never used - have been looking through all previous posts and have seen you talking about Clarins Lotus Oil & the Balance Me Radiance facial oil?
      Many thanks again - Natalie

      Delete
    3. Yes the Avene is ok as long as its not the foaming one? OR contains mineral oil?
      Oily balm cleansers should only break you out if you don't remove them properly or don't follow up with acid?
      You're 19 - I wouldn't go crazy. Ask Clarins or Decleor for samples of their Lotus/Blu Orchid or Ylang Ylang oils. Try first. :)

      Delete
  13. Hi Caroline,
    I am 24 with oily combination and dehydrated skin. I am a A&E nurse who works nights often and also suffer with slight insomnia and stress. I eat healthily (lots of salmon) and take supplements. I have been following your blog for a year and follow your advice. In the morning I cleanse with clarins pure melt cleansing gel, acid tone with clarins or rodial glamoxy exfoliating pads pads, then tone with clarins or elemis ginseng or lavender toner and follow with effaclar duo or hydraluon and any light moisturiser (current is trilogy and body shop vitamin e sorbet but also like clarins). PM I double cleanse with una Brennan oil then clarins cleansing milk. Every three days I use liquid gold and leave it at that. In between I tone with same as above. Then use clarins hydra quench serum, followed by body shop vit e oil, kiehls midnight recovery concentrate or clarins lotus oil. Then moisturise with clarins multi active or Clinique moisture surge. I use a combination of masks clarins, una Brennan, elemis, REN and origins for clarifying, moisturising and brightening. I also very infrequently use a clarins manual exfoliator. I also have 6-8 weekly facials with clarins. And use eye creams. As you can tell I love clarins! Too much?
    Firstly, is there anything I should add or take away?
    Secondly, I have recently been suffering from spots on my chin and forehead. Nothing has changed in my routine which I can blame. But I did change from the combination contraceptive pill to the implant 5 months ago. And did experience spots when coming off the pill few years ago. Could these be hormonal? Also what will help me?! I've never suffered from spots and before this was happy with my skin!
    Thank you for putting so much into your blog, it is a constant source of information and entertainment!!
    Katie x

    ReplyDelete
    Replies
    1. Ok Katie we need to talk so I am going to come back to you tomorrow when I've had a sleep. Dinner awaits me! Nurses, along with teachers - have a special place in my heart and also a special place in 'working in the atmosphere from hell' for their skin. I will reply to you properly tomorrow - but you should brace yourself for changes. And you've reminded me that I need to do the cheat sheet for teachers/nurses etc!

      Delete
    2. Coming from another nurse with skin issues - I would love to hear more of your thoughts on the nurse-specific issues!

      Delete
    3. caroline - i await eagerly for your response. I'm just about to start a high stress max fax hospital job and would love to hear what you have to say about this "atmosphere from hell"
      Thanks
      Aarti x

      Delete
    4. Cheat sheet for nurses, yes please! Any tips and advice on dealing with the 'atmosphere from hell' greatly received. Pretty please include advice for older nurses, 43 and still doing night shifts.

      Delete
    5. I am a teacher and would love to see a cheat sheet relevant to my working conditions!

      Delete
    6. I'm totally up for changes! This sounds very exciting. And thank you it's lovely to hear things like that about nurses. I know the environment is awful I leave work looking oily and dehydrated every day. Not my most attractive look. I shall be sending all my nurse friends your way when the cheet sheet is complete!

      Delete
    7. I'm a teacher and can't wait to read your cheat sheet!

      Delete
    8. Hi Katie, (and everyone!?) :)

      Firstly you need to ditch the Clarins Gel - too drying. Your skin is in a perpetual state of dehydration, treat it accordingly. If in doubt, buy products for dehydrated skin.

      I wouldn't use Liquid Gold with nothing on top - it's too drying - your skin will be desperate for water.
      Your product mix is ok - I'd just be sure to make moisturisers the centre of your routine. Do you take a spritz to work with you? If you don't wear makeup I'd be spritzing and reapplying a light serum/moisturiser throughout your shift.

      Delete
    9. Ok I shall ditch that! Right I wasn't sure but wanted to get the full benefit, but will moisturise on top of the liquid gold in future. I don't take one to work with me no. I wear a bb cream because it's light coverage and less oily than any tinted moisturisers I have tried. Plus don't like wearing full on foundation as it's too heavy and wears too much after a 13 hour shift. On good skin days I will wear no make up so will make sure to have an emergency bag of moisturisers and spritzers. Any recommendations for a good moisturiser or serum for me? I am so excited to have a reply! Thank you!

      Delete
  14. Hi Caroline,I'm 13 and I was wondering would it be ok for me to use hydraluron? I would only be using it at night. Also what's the best product for me to use to exfoliate once a week? It would be best if it's liquid but gentle scrubs are ok. Also how young is too young to use the clarins toner? Thankyou very much and sorry this is long :)

    ReplyDelete
    Replies
    1. Use hydraluron under a moisturiser only - not on its own. And no you're not too young.
      You're too young for the Clarins toner (lucky you!) :)
      Try REN Clarimatte toner - very gentle. I wouldn't scrub your beautiful young 13 year old skin. :)

      Cxxx

      Delete
    2. Thankyou I'll look at the ren one. Is it better than pixi glow tonic?

      Delete
    3. the ren toner is milder ;)

      Delete
    4. it's just more gentle for your age.

      Delete
  15. Lady Hirons,

    I'd be so happy if you could send a bit of your skincare wisdom and knowledge my way. I was wondering what night-time serum you's recommend for very oily t-zone skin, the kind that looks shiny three hours after cleansing. Funny enough the excess oil doesn't cause breakouts - yes, the blackheads are there, but they're not oversized as I exfoliate every 4-5 days -, it just...sits there, really annoying me.

    In general is there any topical wonder cream/serum/balm/etc. for diminishing oil production both during day and during night-time? I'm in my mid-30s.

    I don't use makeup on a daily basis, and I don't really like silicones in my skincare products.

    Thanks so much,
    Petra

    ReplyDelete
    Replies
    1. Hi Petra.

      Thank you for calling me Lady. LOL

      Why don't you like silicones? Do they make you feel greasier?
      Try the new Vichy Detox for night (in the latest skincare favourites video with Ruth) for evening.

      Try using an oil in the morning under your moisturiser. Yes, am serious. Something light - Ole Henriksen Truth Serum etc - I would need to know what your routine was before going further.

      Delete
    2. You replied, how wonderful! I was right: you ARE a lady :-).

      I have a minimalistic (although thorough) skincare routine, and, since I live in Germany, you might not have heard about the domestic products I use.
      AM: wash face with a non-foaming gentle wash (Santaverde Aloe Vera Gel), moisturise eyes with Sisley Eye and Lip Gel, moisturise face with Santaverde Light Cream.
      PM: remove first layer of grime with Dr. Hauschka cleansing milk, wash face with the Santaverde Aloe Vera Gel, swipe a cotton pad of my mixture of cider vinegar and distilled water.
      I feel like ANYTHING more than the above makes my skin even greasier. And silicones break me out (sadly).

      Delete
    3. You don't use moisturiser in the evening? Your skin is dehydrated and trying to compensate itself by over-producing.
      There is no acid in the routine so your skin is slightly too alkaline and won't absorb the moisturiser that you use in the morning. I would step it up a notch. If your skin feels greasier for a few days it will soon settle -but that routine is asking for oil production. I would be ADDING oils and water to your routine - not minimising them. Sorry!

      Delete
  16. Hello Mrs Hirons,

    This is rather long (sorry!), but I think it may address also some other readers that are approaching 30:
    I'm 27, I've never had acne, but I've *ALWAYS* struggled with blackheads and never had really smooth skin. I recently moved to LA; I never tan and always use SPF. My goals are:
    1) have a routine which starts to prevent aging (for lack of better terms) and takes into the account that I live next to a desert,
    2) have skin like Milla Jovovich. No blackheads and even. One can dream ;).

    I don't know how to balance out the ongoing battle with unclear skin and an anti-aging (...) routine. *Any* recommendations are welcome. Price range: $50-$70 for a serum (this is going to be an upgrade, I'm using much cheaper product now), for example.

    Here's my current routine (PM one is with the flannel):

    AM:
    REN Clarifying Clay Cleanser (LOVE IT!)
    Clarins lotion tonique Iris (Like it)
    The Body Shop Nutriganics smoothing serum
    The Body Shop Aloe Soothing Cream
    Clarins Creme Solaire Anti-Rides Visage SPF 30 (it just never absorbs, and I know you recommend it - what is wrong?)
    + make up

    PM:
    Neutrogena naturals fresh cleansing + make up remover (I know, it foams! I have hard time finding the "first cleanser")
    REN Clarifying Clay Cleanser
    Clarins Gentle Exfoliator (LOVE IT!)
    The Body Shop Vitamin E serum
    Reviva Rosewater facial spray
    The Body shop aloe soothing night cream / The Body shop Vitamin E moisture cream

    I use some clay masks. I stopped exfoliating mechanically when I started using the Clarins toner and the flannel, but is it enough? (My skin did not get visibly worse since then, which is about half a year. It even got better I think.)

    Thank you so much for the Clinic!!

    ReplyDelete
    Replies
    1. Hi Agnes,

      Your SPF isn't absorbing because your skin is not in a position to 'absorb'. You need to introduce and acid into your morning routine. Try First Aid beauty pads - you can get them in Cali.

      PM - you KNOW that cleanser has got to go. Get Clinique Take the Day Off balm - I'm trying to think of things you can buy in Cali :)

      The Body Shop in the evening isn't enough if you want strong anti-ageing. Maybe look into Ole Henriksen Truth Range or Kate Somerville - all readily available in Sephora.

      Cx

      Delete
    2. Wow, thank you so much for replying! I'm going to use your advice ASAP.
      Also, I'm feeling like I've just had a conversation with a (beauty) rock star :)

      Delete
    3. Haha Caroline, re: Neutrogena. I tried it once and it was like washing my face with battery acid. Nasty stuff

      Delete
  17. This comment has been removed by a blog administrator.

    ReplyDelete
  18. Hi, thank you so much for doing this!
    I'm 30 with very reactive, sensitive skin with rosacea (just the redness – without pimples or acne). My skin can feel very congested and dehydrated so I need to be very careful with what I put on it. Would like to know your opinions on: Phyto corrective and hidrating b5 of skinceuticals to hidrate /correct/protect before my moisturiser rosaliac from la roche posay.
    Toner: Should I use a Pai toner or a Ren toner?
    To exfoliate I use dermalogina microdaily exfoliant once a week – sometimes less – but I'm thinking about starting with some gentle pads daily – wich one?
    And to finish: do you know this brand: purelogicol? It arrived here in Portugal, would like to know yout thougths.
    Thanks!

    ReplyDelete
    Replies
    1. Hi Rak,

      I'd change pretty much your entire routine (well what you've listed).
      Do you know why your skin is so reactive? Has it always been that way? Allergies? Medication?
      I would use the B5 as a mask not underneath your moisturiser.
      I'd use First Aid beauty Pads underneath a Pai spray.
      Scrap microfoliant - no scrubbing on rosacea.
      I haven't used PureLogical - it looks ok apart form the cleansers.

      Delete
  19. Hey Caroline! I have a ton of blackheads (most of which aren't actually black) all around my nose, cheeks, chin, and right above my upper lip. Do you have any suggestions for how to get rid of them? Also, how do you feel about blackhead/whitehead extractor tools? I use one sometimes when I get out of the shower and I clean it with isopropyl alcohol before I use it, but I don't know if it's damaging my skin.

    ReplyDelete
    Replies
    1. How do you know they are blackheads if they aren't black? Are you sure they aren't just your pores? (SO sorry to ask but i come across this frequently).
      I'm not a fan of tools like that unless used by a pro.

      Delete
    2. Hi, sorry to join in, but I'm wondering: simply, wouldn't you know they're blackheads and not pores from the fact that should you squeeze, something would come out?
      If not - what is this thing?
      I've always thought that blackheads are just clogged pores (so there is something to clog with but also a space to be clogged, i.e. large pores) that have lasted so for a while (so the stuff has oxidized and gone black... I was very confident when I was starting this sentence, but somehow now it looks like beauty voodoo to me). If not, then my world is about to turn over!

      Delete
    3. Well whenever I use the extractor (I promise I'll stop) yellowy gunk comes out (sorry, I know it's gross). I thought they were blackheads but maybe they're something else. Either way, they're SO annoying and I want to get rid of them.

      Delete
  20. Hello Caroline,
    I am 41 years old and my skin is the oiliest it’s been in my entire life. And my pores are huge. I have always been oily but for whatever reason it is getting worse. Here is my routine:

    Morning:
    Renee Rouleau Purifying cleanser
    Pixi Glow Tonic
    Restorsea recharging finishing mist
    Caudalie Polyphenol C15 anti wrinkle defense serum (just started this)
    Sunscreen. I used to use pure sunscreen but than though maybe my skin was dehydrated so switched to a moisturizer with sunscreen. I think it made things worse!
    Eye cream

    Night:
    Tatcha camellia oil cleanser
    Pixi Glow Tonic
    Restorsea recharging finishing mist
    Burts Bees night sensitive cream (not sure this is good) then same eye cream as morning
    About 20 minutes later I apply a retinol treatment. I used a prescription formula throughout most of my 20's and 30’s (Retin A/Tazorac) but now am using SkinCeuticals 1.0. I just started the 1.0 and my skin has become quite sensitive feeling so maybe that is making things worse. My husband asked me if I got a sunburn so it’s making my face red as well.
    I do that for two nights in a row than skip the retinol on the 3rd night and instead use a clay mask (Kiehls currently). The morning after that I use a physical exfoliant (Tatcha deep enzyme powder instead of the cleanser).

    Is there something I am missing which would help my pores and oily skin? Or maybe I’m being too aggressive and making the problem worse?

    Thanks so much!
    Donna

    ReplyDelete
    Replies
    1. Coming back to you tomorrow Donna!

      Delete
    2. So looking forward to your reply...I'm itching to buy a new product!

      Delete
    3. I feel left out of the party :(
      Oh please please I was so excited when I saw that you were going to respond. I would love to hear your advice. I thought one of the benefits of being in my 40's was that I wouldn't have to walk around with a shiny face all the time!

      Delete
    4. Hi Donna,
      I'm no Caroline but I can talk from my own experience. Try ditching the physical exfoliant as sometimes skin can be more sensitive the more we mature, it might be that your routine is too harsh, so it's over compensating with oil production; this might be the case cause retinol a can sometime be drying? ( for me anyways) . I would also cut back the retinol use to twice a week and slowly build it up again to every other day, eventhough your used to prescription retinol, as your skin is flared up, you might want to give it a break. Also possibly try a calming cleanser instead of a purifying one for the mean time? Ren cleansing milk has been fab when I've been extra sensitive.

      Delete
  21. Hi Caroline,
    I have a quick question about cleansers, by far the favourite part of my routine! I do the whole 2 cleanse thing but was wondering what makes a good first or second cleanse. I have oily skin and I tend to use a balm cleanser first (Elemis Pro Collagen or Clinique TTDO) then a clay or milk cleanser (REN ClearCalm clay currently) as I like the way the balm completely gets rid of my make-up and the clay helps stop the oiliness.
    Is it purely down to personal preference/skin type or is there a good reason for using one type over the other?
    Thanks very much for all you do!
    Sarah.

    ReplyDelete
    Replies
    1. Oily balm first to remove makeup, a skin cleanser next to clean skin with good ingredients that you want ON the skin :)
      In short, you're doing it correctly :)

      Delete
  22. Elemental herbology facial glow radiance peel. Suitable for dry skin prone to redness. Using it weekly to remove dry skin. If not any other recommendations?

    ReplyDelete
    Replies
    1. Daily acid exfoliation. :) Although I love EH.

      Delete
  23. *hyperventilates*

    1. it is ok to mix 100% argan oil (neals & yard) with pai rosehip oil?
    2. do i need a moisturizer on top of that?
    3. hydraluron original or the new jelly? (the hyaluronic acid is higher on the new one)
    4. or instead of hydraluron, the bruvara hyauronic serum seems amazing for day and maybe night with pai? should i give it a go?

    *waits like a psycho skincare obsessed freak*

    http://img.pandawhale.com/post-26111-kristen-wiig-fangirl-crying-gi-GYbW.gif

    ReplyDelete
    Replies
    1. 1. Yes if you want to.
      2. Yes. Oil is oil. Moisturiser is water.
      3. Depends what you want it for. Moisturiser - jelly or serum - serum :)
      4. There is no point using hydraluron under an oil. Use it under a moisturiser.

      *waves to the skincare freak*

      Delete
  24. Hey Caroline - thanks for doing another clinic! In the last clinic you recommended skincetuticals / retinols to a number of people to treat pigmentation. Did you mean to use these together? Also, is there a specific retinol you would recommend - as I know you have to be very careful with retinols. Finally, I have read you can't use retinols with aha's - so no pixi glow tonic/liquid gold etc? Thanks!!!

    ReplyDelete
    Replies
    1. Hi Niamh,

      Yes you can use retinols with aha's. Nonsense. :) And you've just reminded me I have to do a Beauty myth on that topic - so thank you!
      if you're worried - try Skin Ceuticals 0.3% then move up to 0.5 and 1%. :)
      Stop worrying and get on with it! :)
      Cx

      Delete
    2. Great - thanks so much! And thanks for doing the beauty myth post - it's so informative. I'll try the Skin Ceuticals 0.3% :)

      Delete
  25. This isn't technically a beauty question, but where was your favourite place to purchase stationary whilst you were in NY? :) Hope you had an amazing time! x

    ReplyDelete
    Replies
    1. Kate's Papiere, Kate Spade (anywhere) and Lee's Art Supplies on West 57th for PENS.

      Delete
  26. Hi Caroline - I have a question on serums. I'm 32 with combo skin and pigmentation. I never know should I be using different serums for each skin concern? Or a good all rounder (any recommendations??). And if you are using a number of serums - which do you use when? Thanks so much!

    ReplyDelete
    Replies
    1. Easy - use serum for whatever your main concern is. If it's pigmentation, focus on that. If it's dehydration, focus on that. :)
      If you want to mix them up do pigmentation in the evening and dehydration during the day.

      Delete
    2. Thank you so much :) Also I'm loving this version of the Clinic where only the questions answered are published. It's great being able to read them all afterwards!

      Delete
  27. Hi Caroline,
    I am 34 and planning to begin some antiaging regimens. Do you recommend retinol use, if so which products ? What do you think about fractional lasers?
    Last question is for one of my patients, i am a plastic surgeon btw, what would you recommend for home use in melasma.

    ReplyDelete
    Replies
    1. Hi Ebru,

      I love retinol. Lots of brands use it. SkinCeuticals is my personal fave at the moment. I'm not a fan of lasers personally. Sorry!
      Home use? As in products? Pigmentation corrector by skinceuticals (again I know) and retinols. :)

      Delete
    2. Thank you so much:) wish some day i have a chance to meet you :)

      One last question for now, i couldnt find clarins lotus oil here, there is sth called santa? oil of that brand, once i used l'occitane immortale oil. Would you recommend another brand? Many brands are not imported to turkey:(

      Delete
  28. Hi Caroline! Love the blog!
    Please could you recommend some products for pigmentation and scarring from spots? I use the Trilogy Rosehip Oil at the moment and just bought Alpha H Liquid Gold. I tried Peptabright but it did nothing for me and Healgel didn't work well either. I have combo, Chinese skin (more on the normal but blemish prone side). This has caused me too many tears and I can't see the light at all :(

    ReplyDelete
    Replies
    1. Hi Anon,

      OK if you want to fix pigmentation and scarring you need to embrace the chemical. And in strength. You need good formulas and proper complex products - a neat rosehip oil will not have the same effect as something like SkinCeuticals Pigmentation Corrector used alongside Retinols. Sorry!

      Delete
  29. O M G last one i promise.

    I've been using Cermaic slip for months and love it but am willing to try the Oskia Renessaince thing, how do they compare as skin cleansers? Do you have a definitive fav or can you recommend me a new one all together for winter? xx

    ReplyDelete
    Replies
    1. They're both good and do different things. Ceramic Slip is great for combo skin and Oskia's Renaissance is brightening. if you have zits go Ceramic, if not try Oskia. :)

      Delete
  30. Hi Caroline (I already commented but I realised I didn't include enough information).

    I have eczema prone skin that is also slightly oily around the tzone and I'm prone to spots, blackheads and weird 'under the skin bumps'/clogged pores.
    I was recommended by my doctor to use 'ultrabase' as a moisturiser which worked to clear eczema at first but now it seems like it's only doing bad for my skin. Do you know of a moisturiser I can use that will nourish my dry skin yet not cause spots? I am also 16 so my budget is pretty tight, I'd say my limit is around £25.
    Thank you so much!

    ReplyDelete
    Replies
    1. Hi Anon,

      Try something from Pai - http://www.paiskincare.com/avocado-jojoba-hydrating-day-cream-1
      like this?

      Delete
  31. Hi Caroline, my mother has really bad rosacea (I'm talking dry, flaky, perma-red, sore, itchy skin). Her doctor has prescribed antibiotics that have done nothing in the year she's been taking them and is reluctant to refer her to a dermatologist. She's had this for as long as I can remember and I'm 27. It's really starting to get her down and I want to help her. Any help is greatly appreciated.

    Emma

    ReplyDelete
    Replies
    1. Her Doctor is a moron. And you can tell them I said so. Tell her to read this: http://www.perriconemd.com/category/the+doctor/dr.+perricone+discusses/anti+inflammatory+diet.do and maybe consider buying this: http://www.amazon.co.uk/Anti-Inflammation-Diet-Dummies-Artemis-Morris/dp/1118023811/ref=sr_1_2?ie=UTF8&qid=1407089249&sr=8-2&keywords=anti-inflammatory+diet+for+dummies
      I'm not suggesting your Mum is a dummy! :)
      She needs a diet overhaul/routine overhaul and some serious omega oils. For starters. xxxx

      Delete
  32. Hi Caroline,

    I have had sensitive/ allergic (partic. essential oils I think) oily skin and persistent small bumps/spots all over my face since I was a young teen (I'm now 27). My skin improved when taking dianette bc but quickly returned when I came off this and I ended up taking Accutane for 6 months 2 years ago. My skin was amazing for this period and up to a year after. BUT my skin gradually worsened and I now have small spots covering my jawline/neck, cheeks and hairline. Lots of these are skin coloured and some red bumps and are often itchy (often looks like heat rash but isn't)! I also now get larger red hormonal spots around my mouth and cheeks that scar and also blackheads.

    I am actually 3 months pregnant and my skin seems to be just getting worse although it was bad before falling preg. I feel so fed up about it! I am currently using merumaya cleansing balm with flannel, pixi glow tonic (pm), origins white tea serum (am) and cetaphil moisturiser (very small amount pm). I have cut out all of these in turn but my skin doesn't seem to change. What do you recommend trying?! I'm up for anything!

    Thanks!
    Amy

    ReplyDelete
    Replies
    1. Hi Amy,

      Those products are not going to do you any good. Ilove Merumaya but it does contain fragrance. Origins contains essentials oils and Cetaphil - NO.
      You need to keep it easy while your skin is deciding what it wants to do - could go either way :) Tried coconut oil for cleansing? I'd also try the First Aid beauty pads - they are gentle and have enough zing to do some good around your hairline. An itchy skin is a reactive skin so I would look at your diet and see what you think you may be allergic to/intolerant of?

      Delete
  33. My baby has extremely severe eczema. It's red and bumpy and angry and all over is poor cheeks. I'm currently using an oil blend with argan oil, rose hip oil, flax oil, coconut oil and oregano oil in it. I know oregano sounds weird but it really calmed his skin. Then I'm using CeraVe as a moisturizer. I was wondering if I should use a toner or something to help get rid of the dry skin flakes. The GP said not too because it might take off skin that's not ready to slough off, but I feel like the products aren't being absorbed as effectively because of the dry skin flakes. Also should I wash his face daily or what kind of routine should I use on him. Many thanks!

    ReplyDelete
    Replies
    1. How old? I wouldn't use toner - let his skin try and sort itself out - are you breastfeeding? If so you can supplement with omegas to help him from the inside out. If he's older and bottle fed/weaned - make sure you are giving him omegas. Wash sporadically - don't overdo it. And I would consider allergies. I have 4 children - 2 of them are lactose intolerant and it showed in their skin early and we missed it. Hope it helps. xx

      Delete
  34. Hi Caroline, I'm not sure if I published this or not as my computer froze the first time I tried. Sorry, if this comes through twice now.

    My little girl, who turned 3 on Wednesday is just recovering from chicken pox. The largest spot's scab fell off (or maybe has been scratched off) today revealing an indented "scar." Is there anything I can do or put on her delicate skin to help heal this and prevent it becoming a permanent scar?

    ReplyDelete
    Replies
    1. To try and save Caroline's precious time- I know she talks about Heal gel it in her latest video with Ruth on Youtube. I hope this helps!
      https://www.youtube.com/watch?v=nDN3DugCkBk&list=UUyzKg_t3tPv8Aa_7JL2xXZA
      http://www.healgel.co.uk/products/heal-gel

      Delete
    2. Would that be suitable on a toddler's skin? xx

      Delete
  35. Hi Caroline. Firstly thank you for recommending clearasil pads with salicylic acid for my teen son. He is so pleased with the improvement in his skin. Secondly, despite using factor 30 on my face I have still developed pigmentation areas on my face. Can you recommend anything which will help with this. I use a cleanser with glycolic acid and ren moisturiser at the moment, but I know at 46years old I need to up my game!

    ReplyDelete
    Replies
    1. You need way more than a REN moisturiser at 46 Jenny. Sorry! :) Up your game indeed :)

      For pigmentation see other comments re Skin Ceuticals Pigment Corrector and retinols. They are the way forward for both your pigmentation and anti-ageing concerns. x

      Delete
  36. Sorry if this has gone through multiple times, it keeps freezing. Q: is it okay to use an acid toner on the nights / days I'm using effaclar duo or is that overkill?

    ReplyDelete
    Replies
    1. Yes please do - and make sure you are using more than effaclar duo to moisturise.

      Delete
  37. Hi I have a problem with Mia under the eyes. I drink 2 litres of water a day and no caffeine. I use caudalie polyphenol eye cream and cleanse am and PM. PM cleanse is Emma Hardie and Oskia, AM cleanse is Oskia. I use Pixi glow tonic every other night.

    What else can I do to get rid of it?

    Thanks

    ReplyDelete
    Replies
    1. Hi Frostsweet,

      Do you moisturise? The Caudalie is clearly not enough. Milia is a sign of dryness. Moisturise, moisturise, moisturise!

      Delete
    2. Hi, thanks so much for replying.

      I do moisturise but I never use it around the eye area as I thought that the eye cream was enough? Should I be using my moisturiser over the eye cream?

      The moisturisers I use are am: Aesop Camellia nut and PM: REN Frankinscence, although I am just switching this to This Works Midnight Moisture. I would describe my skin as dry sensitive

      Delete
    3. Hi frostsweet, if I am correct Perricone's Blue Plasma Orbital is a gentle exfoliant specifically for around the eye area and is particularly good at dealing with milia, of course address the cause as caroline has suggested but the blue plasma could help speed up getting rid of those pesky lumps!


      x Lisa

      Delete
  38. Hi Caroline, what do you recommend to treat red marks and acne scars?

    Thanks!

    ReplyDelete
    Replies
    1. Retinols/Retin-A creams. SkinCeuticals if no prescription - if bad enough get a script for retin-a creams from your doc.

      Delete
  39. Hi Caroline,

    How strict do we have to be with skin care/make up use by dates? If I'm spending £40 on an eyeshadow palette it seems a shame to have to throw it away after 24 months!

    Also, could you use something like Dermalogica's Microfoliant instead of an exfoliating toner?

    Thanks,

    Laura

    ReplyDelete
    Replies
    1. GOD NO! I have limited edition palettes from over 10 years ago that I won't part with. To be fair I also won't USE them but you know.....
      Mascara - grim - bin.
      lip gloss - bin
      lipSTICK - go by smell and make sure you have shaved it regularly.
      Anything that involves dipping fingers - be careful - but eyeshadow? No way Jose. I keep mine too.

      And no to the Dermalogica question.

      Delete
  40. Hi Caroline,

    Hydraluron Moisture Jelly - Have you tried it and should I be buying it, like, right now?? I've stalked the blog for it all week lol!

    Love ya!
    Also Caroline

    ReplyDelete
    Replies
    1. HOW VERY DARE YOU NOT KEEP UP TO DATE WITH MY YOU TUBE LOL :)
      http://youtu.be/nDN3DugCkBk?t=20m3s

      Delete
  41. Hi Caroline! Which are your favourite Dr Perricone products for anti-aging? particularly addressing firmness.
    Thankyou :)

    ReplyDelete
    Replies
    1. Face Firming Activator USED to be my favourite but they discontinued it and replaced it with this: http://uk.spacenk.com/formula-15/MUK200010357.html - still an excellent product.
      Face Finishing moisturiser and cold plasma too.

      Delete
    2. Thanks for replying, Abi

      Delete
  42. How can I rapidly heal and cover the remains of spots - like, after the inflammation phase is gone, and now it's just a wound? I really struggle to get them to heal without hiding in the house for days. This also applies to the suuuuuper dry, peely and irritated skin around my nostrils during winter - everything I've tried slathering on so far (LRP Toleriane Riche, Lush Ultrabland, doesn't seem to be working, and definitely doesn't help with concealing it.

    ReplyDelete
    Replies
    1. Google Perioral Dermatitis for the nose problem. - you may need to see your doc.
      Spot scarring try Pure Truth Youth Activating OIL - Ole Henriksen. Works a treat for me.

      Delete
  43. When will you come to birmingham

    ReplyDelete
    Replies
    1. Don't know sorry! I might be doing something with Selfridges but nothing is confirmed.

      Delete
  44. Hi Caroline. I'm 36 and have struggled with acne since I turned 30. Four months ago I started using Epiduo (night) and two months ago clindamycin(morning) . The two of them together have been working. My derm has advised me to continue on both for another two months. My first issue is that moisturizer seem to react negatively with the Epiduo making my face irritated and painful. If I use the moisturizer in the morning I have no problem. I feel like I need something at night and would like any recommendations. Second, I am concerned about the signs of aging. I would like to add in a vitamin c and some sort of exfoliating products. Should I and if so how do I incorporate these with the Epiduo and antibiotics.

    ReplyDelete
    Replies
    1. Hi Unknown,

      Try SkinCeuticals Ferulic Acid as your antioxidant product. Continue to use your acid products in the toner part of your routine. What moisturiser have you tried?

      Delete
  45. Hi Caroline,

    I'm a HUGE fan of your blog, and recommend it to all my friends in need of skin care advice!

    I'm 26, caucasian, and worried about my skin looking old before its time, especially sagging around the mouth-cheek area. I have combination skin (ish) and feel it's a little dry around the cheeks, but nothing drastic.

    I also have clogged pores around the jawline/chin area that won't go away no matter what I do, including chemical exfoliants, and I occasionally get blocked pores/blemishes in the area under my cheekbones too.

    I currently use the Somme Institute 5 step regime (minus the cleanser, I use Cetaphil instead), but I was wondering if you could recommend a good cleanser, acid toner, serum or oil and moisturiser to perk my skin up, and deal with the nasty clogged pores. The clogged pores are under the skin mostly, white bumps, they sometimes come to a head and are a standard blemish, but mostly not.

    Thank you in advance!

    Elaine.

    P.S. My friend who is sitting beside me was wondering what she could do to make her skin look less tired. She's also 26, and works very long hours as a doctor, so stressful work. She currently uses Lush skincare, but was wondering what you'd recommend as a good basic regime for tired skin? Thank you again!

    ReplyDelete
    Replies
    1. Hi Elaine,

      Ditch the Cetaphil. Way too drying. Do you have an oil cleanser? And acids?
      Any good balm cleanser - acid - try First Aid beauty pads. Start there you'll see a huge difference. xx

      Ask your friend what business a 26 year old doctor has using products that my 12 year old uses. :) And show her the thread on here started by the nurse - think it was Katie? :)

      Delete
    2. Hi Caroline,

      Firstly, thank you so much for replying, made my day!

      Will do on the Cetaphil, was considering the Ren No. 1 Purity Cleansing Balm? Also, would I be too young to try something like the Oskia Super 16 serum, or would something like the trilogy rosehip oil be fine? I'm really struggling to work out a routine due to the massive amount of products and information out there! I'm sure pretty much everyone has the same problem though!

      I will pass the information on to my friend also!

      Thank you again,

      Elaine.

      Delete
  46. Your replies are minimal

    ReplyDelete
    Replies
    1. OH GEE I'M SORRY ANONYMOUS IF I DON'T HAVE TIME TO WRITE A THESIS TO 358 QUESTIONS..

      *head, desk*

      Delete
    2. Get it, Mrs. H! http://cdn01.cdnwp.celebuzz.com/wp-content/uploads/2013/09/03/beyonce-4.gif

      Delete
    3. (Smacks Anonymous and gets Caroline another cuppa...)

      Delete
  47. Hi Caroline!

    I'm 19 and my acne is going away slowly but i'm left with ugly scars and hyperpigmentation :(

    Do you recommend any products for darker complexions?

    ReplyDelete
    Replies
    1. Hi Amanda,

      Of course! Being darker you're much more prone to pigmentation scarring (as I know you will know).

      If you're only 19 you have a long way to go so get started and keep up the routine.
      Try things like:
      Ole Henriksen Pure Truth Youth Activating Oil (ignore the youth bit - you have that!)
      SkinCeuticals pigmentation corrector
      SkinCeuticals Retinols - starting at 0.3%

      They are more expensive - you can use things like Peptabright daily but they aren't as effective.

      Make sure you are on top of them as soon as they appear - try not to pick unless they are fit to burst and make sure you follow that with acid toners to aid healing.

      Cx

      Delete
  48. Hi Caroline. What do you think about lactic acid peels? I've been doing really short contact time peels with 20 per cent solution for 30-40 secs up to twice a week. Does this sound safe? I have acne and rosacea and a really flaky sheddy skin with lots of scar tissue and fine and deep lines. It always looks dry but is really oily. I use LRP effaclar due and trilogy rosehip oil with clinique ttdo and elemis tri enzyme cleanser. Any advice welcome ooh I'm 42 xx

    ReplyDelete
    Replies
    1. Hi JMANGEL. :)

      STEP AWAY FROM THE PEEL. With rosacea? NO.
      It sounds massively dehydrated.
      Elemis TriEnzyme NO.
      Clinique TTDO YES.
      Effaclar Duo. NO. We're not 15 anymore love. (Note I said 'WE' before you hate me!) :)
      Trilogy Rosehip - blah blah it's ok but not the be all and end all of oils. (Rant coming on blog about this - please don't think its aimed at you)
      Where's the acid?
      Better to use gently every day than blast your skin 2 x a week.

      Delete
    2. Caroline, I could never hate you! So excited you've replied - thanks so much. Appreciate you won't have time to answer my "come back" questions so if anyone else can chip in please please do.
      So after I've used TTDO, what can I use as a second cleanse if elemis is out? I thought the elemis could be in place of an exfoliating toner as I can't tolerate glycolic.
      Shall I get P50 which is lactic malic salicylic I think? Would that replace my second cleanse? Would p50 be ok for my rosacea?
      Then go back to hydraluron serum followed by rosehip oil - I'm nervous to try different oils as have had some horrors with argan, jojoba and sea buckthorn oils.
      If I can't use effaclar duo, what should I use for spot prevention and treatment?
      Would be honoured to be subject of one of your rants - hysterical.
      Jacqueline xx

      Delete
    3. Hi Jmangel
      Obviously not Caroline here but hope I can be of some help. Have a look at some of Caroline's cheat sheets, especially the 'routine' one. It is extremely helpful to work out what products to be using and when.

      After you have used Clinique TTDO (I also bought it following CH's advice, and love it to get the gunk/makeup off!) maybe try another of her faves, the Clarins Extra-Comfort Cleansing Cream? It is very gentle and nourishing, and won't dry your poor skin out. Then you need a separate toning stage - as per CH cheat sheets, ideally an acid tone FOLLOWED by a hydrating tone (maybe go easy here on your skin - try something like the Ren toner CH recommends, rather than one of the harsher ones like P50? I am using the Kate Sonerville clarifying treatment toner - not a CH recommendation per se, though she does like the KS line overall, but am finding it really good and not too harsh). In terms of hydrating tone, try CH reccie Darphin Intral and decant into a spray bottle - lovely. As CH said above, hydraluron is wonderful but helps keep the moisture (water) in, not oil. So no point using it under oil. Maybe try it under Kate Somerville goat milk moisturiser (another CH recommendation, of course) - light, but nourishing again and good for sensitive skin. If you want to use an oil at night, say in place of hydraluron and the moisturiser, try the Ren omega oil CH recommends - it's lovely and light and not as 'oily' feeling as true oils, and also I think doesn't contain essential oils which can be irritating. Also Sunday Riley's Juno is a good one to try, as again avoids essential oils, but much richer in feel than Ren so I would probably try Ren first. See CH cheat sheet on acne and spots, and look into the Aesop Control Gel to treat spots. In terms of prevention, getting the acid into your routine as CH says should really help. Again though, take some time to look through CH cheat sheets! Good luck! And hope you don't mind me butting in - I've just been obsessed with Caroline's entire archives of late and thought I could guide you to some of the things she recommends in one spot :)

      Delete
  49. Hi Caroline!

    My question is about how to layer my skin care products. I have dehydrated skin and I am trying to add more moisture, while still using my preferred serum. Can I layer my "Kiehls Powerful-Strength Line-Reducing Concentrate" (morning) and "Kiehls Midnight Recovery Concentrate" (nighttime) with my "Indeed Labs hydraluron moisture boosting facial serum"? If so, which goes first? I am assuming the Kiehls serum, then Indeed Labs and then moisturiser and sunscreen?


    Thank you! I love your blog and videos!

    ReplyDelete
    Replies
    1. AM:
      KIEHLS LINE REDUCING
      HYDRALURON
      MOISTURISER
      SPF

      PM:
      KIEHL'S MIDNIGHT
      THEN IF NECESSARY:
      HYDRALURON
      MOISTURISER

      :)

      Delete
  50. Dear Caroline,

    Thank you so much for taking the time to do this for us! I have a few questions:

    * Is it "safe" to use both Good Genes (Sunday Riley) and Pixi Glow tonic or will it be "too much" as both products seems to be rather active?
    * If using Ceramic slip from Sunday Riley, what would be a good product to use as a second cleanse?
    * Is it "enough" to use a product such as Bioderma "micelle solution" (Sensibio H2O) in the morning?

    Thanks in advance for your help! /Linda

    ReplyDelete
    Replies
    1. Hi Linda,

      You're welcome!

      1: Yes, it's fine.
      2: Ceramic Slip IS the second cleanse. Use an oily balm cleanser for the beginning, then use CS.
      3: No. Wash your face. Don't put chemicals on it and leave them to sit under your products.

      :)

      Cx

      Delete
    2. Thank you so much:-)

      I am thinking of Renaissance cleansing gel (Oskia) and I guess this could be the first cleanse?!

      As for the morning, should I use the CS or the oily balm cleanser?

      Once again thank you for answering my questions!!!!! Cheers, Linda



      Delete
    3. No OSKIA is a second cleanse. Ceramic Slip in the morning.

      Delete
  51. Caroline, what can I do re post-menopausal chin, neck and upper lip hair? I would like a safe way to remove for good. Thanks for replies x

    ReplyDelete
    Replies
    1. Maybe invest in a Tria depending on your hair colour?

      Delete
  52. I'm loving these clinics so much. I don't have any of the isues mentioned so far but you are just so fascinating to read & learn from. Thanks Caroline.

    ReplyDelete
  53. Hi Caroline - love your answers, feel like I learn so much! Please please do an Acid toner strength post! Am coming to the end of my Clarins (too harsh i think) and need to know what to substitute with! Thank you muchly, Sadia x

    ReplyDelete
    Replies
    1. Hi, I too would love it if you have time to do a post comparing the toners, and skin type/age appropriate ones. (i.e. 65, slightly sensitive, not oily, trying to keep the wrinkles at bay LOL). Loving the you tube vids, but do enjoy being able to check back through the posts when I have a query. Thank you x

      Delete
    2. Hi Anon, Will do! If in doubt try First Aid Beauty Pads.

      Alison you need Dr Gross https://www.dgskincare.com/productdetails.cfm?SKU=BA520210

      Delete
    3. Let me just say I would love for that as well! A guide to which ones are the strongest/weakest. Which ones are best for different skin types/ages/concerns? Night/day? I started using FAB ones and noticed improvement but still get oily skin by mid day and my makeup goes patchy. I think stepping on the acid might help.

      Delete
  54. Oh no! My comment mustn't have posted :(

    ReplyDelete
  55. Is it pathetic how many times a day I check your blog Caroline?! I also have loved your YouTube vids esp with Ruth. :)

    ReplyDelete

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