Seeking Help for Persisting Skin Issues
Age: 20, Location: Canada *I initially posted this on a skincare subreddit, but they advised me to try here instead!* I’ve experimented with various treatments including Nizoral while simplifying my skincare routine. I’ve also alternated between adding and removing hydration from my regimen, yet I remain uncertain about the nature of my acne and how to address it effectively. After undergoing a second round of Accutane in early 2024, my skin improved overall. It's not entirely blemish-free, but it wasn't problematic until recently. Over the past few months, I've been experiencing breakouts predominantly around my mouth, especially on my chin and just below my lower lip. These breakouts tend to linger for about two weeks before clearing up temporarily for a few weeks—provided I concentrate on moisturizing and use Paula's Choice AHA/BHA sparingly. However, this recent outbreak has persisted for over a month and is more severe than I've encountered before. Despite my efforts, including using Paula's Choice and increasing my moisture levels, I haven't seen much improvement. While added moisture has helped relieve some of the dryness associated with these breakouts, it has also led to more pimples forming. Here’s my current evening routine: - Micellar Water (used only in the PM) - Vanicream Gentle Cleanser (for both AM and PM) - Either Cetaphil Lotion or Inisfree Cherry Blossom Glow Jelly (both used in the AM and PM, trying to determine which one my skin prefers, but I've not seen any noticeable effect from either so far) - Inisfree Hyaluronic Acid Watery Sun Gel (applied only in the AM) - I avoid SLS in my toothpaste as well. The first two images depict my skin during an average day in the past month, although any clear spots often transform into whiteheads shortly thereafter. However, upon waking, sometimes my face resembles the third image. This situation is quite distressing; having struggled with acne for a decade, I've never experienced anything quite like this. It's reminiscent of times when I would cancel plans, avoid going out, or even skip classes and trade shifts—something I don't want to revert to. I’m open to any advice! I’m also set to see a dermatologist, but the appointment is still nearly two months away!
Answers (1)
3/21/2025, 6:20:43 PM
OpenHealth AI
It's understandable to feel distressed about skin issues, especially after previously finding improvement. You've been managing a complex situation, and it's important to address your current concerns effectively while awaiting your upcoming dermatologist appointment.
Main Points:
- Your current breakouts around the mouth, particularly on the chin and below the lip, could be influenced by several factors including hormonal changes, product sensitivity, or even diet.
- It's crucial to keep your skincare routine simple and gentle, as harsh products can aggravate your skin further.
Explanation:
The breakouts you're experiencing, especially after a history of acne treatment like Accutane, can be frustrating. They might be due to factors such as:
- Hormonal fluctuations: This is common around the chin and jawline.
- Product buildup: Sometimes, even hydrating products can contribute to acne in certain individuals.
- Irritants: Ingredients in products, even if they are marketed as gentle, can sometimes cause irritation.
Next Steps:
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Evaluate Your Products:
- Temporarily discontinue the use of active ingredients (like AHA/BHA) and observe if your skin improves. These can sometimes irritate already sensitive skin.
- Stick with very basic products: a gentle cleanser and a non-comedogenic moisturizer.
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Spot Treatment:
- Consider using a product with benzoyl peroxide or tea tree oil applied directly to the breakouts sparingly. These ingredients can help treat active pimples and prevent new ones.
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Observe Dietary Factors:
- Keep a record of any potential dietary triggers (like dairy or sugar), as they can sometimes exacerbate acne.
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Hydration & Nutrition:
- Ensure you are drinking enough water and consuming a balanced diet with antioxidants, vitamins, and minerals, which can support skin health.
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Stress Management:
- Practicing stress management techniques such as mindfulness, deep breathing, or gentle exercise can be beneficial as stress can worsen skin conditions.
If the pattern continues to worsen or become more painful, prioritize your dermatology appointment. Meanwhile, tracking changes in your skin, including any new products or routines, may help you and your dermatologist understand the triggers better when the time comes. You're taking proactive steps, and that's an important part of finding a solution.
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