Dealing with Oily Skin and Acne: Expert Insights for Lasting Relief - Dermatology

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Hello Dr.
Jiang: I have been troubled by acne on my face for many years, but it has improved significantly with age.
I have oily skin, which is always shiny.
I took traditional Chinese medicine for a year to improve my skin condition; although the acne has decreased, I am not sure if it is due to reduced oil secretion, but I have developed dryness all over my body, not just in winter but also in summer.

pp, 20~29 year old female. Ask Date: 2003/05/13

Dr. Jiang Zheen reply Dermatology


Itching all over your skin may have other underlying causes.
Given your age, it's uncommon for dryness to be the sole reason for itching.
You should seek help from a dermatologist.
Wishing you well.

Reply Date: 2003/05/13

More Info


Dealing with oily skin and acne can be a challenging journey, especially when it has persisted for years. As you mentioned, your skin type is oily, which is characterized by an overproduction of sebum (oil) from the sebaceous glands. This can lead to a shiny appearance and is often associated with acne due to clogged pores. Here are some expert insights and recommendations to help you manage oily skin and acne effectively.


Understanding Oily Skin and Acne
Oily skin is often caused by hormonal fluctuations, genetics, and environmental factors. The excess oil can trap dirt and bacteria, leading to acne breakouts. While it’s great to hear that you’ve seen improvements with traditional Chinese medicine, it’s essential to adopt a comprehensive skincare routine that addresses both oil control and acne treatment.


Skincare Routine Recommendations
1. Gentle Cleansing: Use a gentle, foaming cleanser specifically designed for oily or acne-prone skin. Look for ingredients like salicylic acid or benzoyl peroxide, which can help reduce oil and prevent breakouts. Avoid harsh cleansers that can strip your skin of moisture, as this can lead to increased oil production.

2. Exfoliation: Regular exfoliation can help remove dead skin cells and prevent clogged pores. However, be cautious not to over-exfoliate, as this can irritate the skin and worsen oiliness. Aim for 1-2 times a week using chemical exfoliants like AHAs (alpha hydroxy acids) or BHAs (beta hydroxy acids).

3. Moisturizing: Even oily skin needs hydration. Opt for lightweight, oil-free moisturizers that won’t clog pores. Look for products containing hyaluronic acid, which hydrates the skin without adding excess oil.

4. Oil Control Products: Incorporate products that specifically target oil control, such as mattifying primers or powders. These can help reduce shine throughout the day.

5. Spot Treatments: For active breakouts, consider using spot treatments with ingredients like benzoyl peroxide or salicylic acid. These can help reduce inflammation and speed up healing.

6. Sunscreen: It’s crucial to protect your skin from UV damage, even if you have oily skin. Choose a non-comedogenic sunscreen that is oil-free and designed for acne-prone skin.


Lifestyle Modifications
1. Diet: While the relationship between diet and acne is still being studied, some people find that reducing dairy and high-glycemic foods can help improve their skin. Incorporate more fruits, vegetables, and whole grains into your diet.

2. Hydration: Drink plenty of water to keep your skin hydrated from the inside out. Proper hydration can help regulate oil production.

3. Stress Management: Stress can exacerbate acne, so consider incorporating stress-reducing activities into your routine, such as yoga, meditation, or regular exercise.

4. Regular Dermatologist Visits: Since you’ve had ongoing issues with acne, it may be beneficial to consult with a dermatologist. They can provide personalized treatment options, including prescription medications if necessary.


Addressing Scarring and Hyperpigmentation
If you have post-acne scars or hyperpigmentation, consider using products with ingredients like vitamin C, niacinamide, or retinoids, which can help improve skin texture and tone over time. However, introduce these products gradually, especially if you are using other active ingredients.


Conclusion
Managing oily skin and acne requires a multifaceted approach that includes a consistent skincare routine, lifestyle modifications, and possibly professional guidance. While it may take time to see significant improvements, patience and persistence are key. Remember, what works for one person may not work for another, so it’s essential to find a regimen that suits your unique skin type and concerns. If you continue to struggle with your skin, don’t hesitate to reach out to a dermatologist for tailored advice and treatment options.

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