Managing Fluctuating Acne: Effective Solutions for Your Skin Issues

Intermittent acne?

I have been experiencing skin issues that started with enlarged pores, and then my face began to break out with acne, particularly severe on the left side.
I visited a dermatologist in June this year and used medication that helped a lot, but after 1-2 months, it relapsed.
I sought treatment again, but after applying the medication, my face became severely red.
Additionally, using a cleansing product made my skin dry and itchy, so now I only wash my face with lukewarm water and splash it with cold water, avoiding any harsh cleansing.
Someone recommended the Sebamed brand, but it seems like it doesn't suit me.
My skin feels rough with visible keratin buildup when I touch it.
Do you have any recommended brands or methods? I only use loofah water as a toner; is that okay? I'm afraid to use anything too moisturizing or to try new products.
Please help me! Also, using green bean powder mixed with egg white doesn't seem to help me...
I would appreciate any advice for improvement.
I am located in Taichung.

yu, 10~19 year old female. Ask Date: 2002/12/10

Dr. Jiang Zheen reply Dermatology

I suggest that you start by washing your face with lukewarm water.
If your skin is too dry, you can apply some moisturizing lotion, such as those from Gladerma or Eucerin.
If your skin is not too dry, there is no need to apply anything.
If your skin is itchy, please consult a dermatologist for a prescription for some eczema ointment.
Regarding the issue of acne, it is currently best to focus on oral medication for treatment.
You can visit a dermatologist for evaluation and treatment.
In Taichung, you can go to Dr.
Bai Jia-sheng's dermatology clinic, as he is a very good physician.
Wishing you peace, and may God bless you.

Reply Date: 2002/12/10

More Info

Managing fluctuating acne can be a challenging experience, especially when it seems like your skin is on a roller coaster ride of breakouts and improvements. Based on your description, it sounds like you have been dealing with enlarged pores, intermittent acne, and sensitivity that has worsened with certain treatments. Here are some effective solutions and recommendations to help you manage your skin issues.

Understanding Your Skin Condition
Firstly, it’s essential to recognize that acne can be influenced by various factors, including hormonal changes, diet, stress, and skincare products. The fact that you experienced improvement with a dermatologist's treatment but then saw a resurgence of acne suggests that your skin may still be reactive or sensitive to certain ingredients or environmental factors.

Skincare Routine Recommendations
1. Gentle Cleansing: Since you've mentioned that your skin has become dry and itchy, it’s crucial to use a gentle, hydrating cleanser. Avoid harsh soaps or cleansers that can strip your skin of its natural oils. Look for products labeled as "non-comedogenic" and "suitable for sensitive skin." Brands like CeraVe or La Roche-Posay offer gentle cleansers that can help maintain your skin barrier.

2. Moisturizing: Although you are hesitant to use heavy moisturizers, hydration is key to preventing dryness and irritation, especially if you are using acne treatments. Opt for lightweight, oil-free moisturizers that contain ingredients like hyaluronic acid or glycerin, which can hydrate without clogging pores.

3. Spot Treatments: For active breakouts, consider using targeted treatments containing benzoyl peroxide or salicylic acid. These ingredients can help reduce inflammation and clear clogged pores. However, use them sparingly to avoid over-drying your skin.

4. Exfoliation: Since you mentioned having rough patches, gentle exfoliation can help remove dead skin cells and improve skin texture. Look for chemical exfoliants like alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) rather than physical scrubs, which can irritate sensitive skin.

5. Avoiding Irritants: Be cautious with DIY treatments, such as using green bean powder and egg whites, as these can sometimes irritate the skin further. Stick to products that are dermatologically tested and recommended for acne-prone skin.

Product Recommendations
- Cleansers: CeraVe Hydrating Cleanser or La Roche-Posay Toleriane Hydrating Gentle Cleanser.

- Moisturizers: Neutrogena Hydro Boost Water Gel or CeraVe PM Facial Moisturizing Lotion.

- Spot Treatments: Clean & Clear Persa-Gel 10 (benzoyl peroxide) or Paula's Choice 2% BHA Liquid Exfoliant (salicylic acid).

Professional Help
Since your condition fluctuates and has not stabilized, it may be beneficial to revisit a dermatologist. They can assess your skin's current state and possibly adjust your treatment plan. They might recommend prescription medications, such as topical retinoids, which can help with both acne and enlarged pores.

Lifestyle Considerations
- Diet: Consider keeping a food diary to identify any potential triggers for your acne. Some people find that dairy or high-glycemic foods can exacerbate breakouts.

- Stress Management: Stress can significantly impact skin health. Incorporating stress-reducing activities like yoga, meditation, or regular exercise can be beneficial.

Conclusion
Managing fluctuating acne requires a balanced approach that includes gentle skincare, targeted treatments, and possibly professional guidance. It’s important to be patient and consistent with your routine while monitoring how your skin responds to different products. If you continue to experience issues, don’t hesitate to seek help from a dermatologist who can provide personalized recommendations based on your skin's needs. Remember, everyone's skin is unique, and finding the right combination of products and treatments may take some time.

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