Skin Care Concerns: Tips for Managing Combination Skin and Acne

Regarding skin issues?

Hello, Doctor: I have a question.
Previously, I used cosmetics from the "Mei Shuang Shuang" tea tree series, including toner and serum, while my moisturizer was from the whitening Vitamin C series.
After using them, I felt that there wasn't much difference.
The beauty consultant said my skin is combination type, leaning towards neutral.
Since starting college, my lifestyle has been irregular, with late nights and early mornings.
After returning home for winter break, I completely stopped using skincare products and have been eating more fruits and vegetables daily.
I wash my face with soap at night and rinse my face with water about two to three times a day.
I also have aloe vera plants at home, and initially, I would apply it after showering and leave it on overnight, but later I noticed some itching, which might be a mild allergic reaction! Now, I apply it every two to three days for about an hour before washing it off.
Compared to when I returned home with red, swollen acne, my face has improved a lot.
I have some fine hair on my face; should I remove it for better absorption? Sometimes I notice acne extending to my neck, which bothers me.
Additionally, it seems I am not using suitable skincare products, so I feel my skin isn't very good.
I also have digestive issues; sometimes after eating too much, I quickly need to use the restroom.
I have previously tried traditional Chinese medicine, but it didn't seem to help much in the end.
Could it be that individual constitution varies? Can you give me some skincare advice? I have seen a dermatologist before, who prescribed a similar anti-inflammatory ointment, but it didn't work.
Thank you, could you please provide me with some answers?

snako, 20~29 year old female. Ask Date: 2002/02/16

Dr. Zheng Lizhen reply Dermatology

1.
Facial fine hairs do not significantly affect absorption, so there is no need to worry too much about them.
2.
Individual skin types naturally vary.
3.
First, use a cleanser to gently and thoroughly cleanse your entire face, then rinse off the cleanser with lukewarm water, and gently pat your face dry with a towel.
If you have oily skin, you can use a cotton pad soaked in toner to wipe your face.
Observe the cotton pad; if there is still residual dirt, repeat the process with a cotton pad soaked in toner.
(At this point, note: if you consistently need to use a lot of cotton pads before seeing no dirt, you should evaluate whether your makeup remover or cleanser is effective enough, or if you are not washing your face thoroughly.) Then, use a lightweight or non-comedogenic moisturizer to hydrate your skin.
However, remember that the skincare or makeup products you use are only meant to assist in the early disappearance of your acne, and do not neglect the importance of seeking medical treatment!

Reply Date: 2002/02/16

More Info

Managing combination skin and acne can be quite challenging, especially when lifestyle changes and environmental factors come into play. Based on your description, it seems that your skin has gone through various changes due to different products, dietary habits, and possibly stress from university life. Here are some tips and insights to help you navigate your skin care concerns.

Understanding Combination Skin
Combination skin typically exhibits characteristics of both oily and dry skin. This means that certain areas, like the T-zone (forehead, nose, and chin), may be oily, while other areas, such as the cheeks, can be dry or sensitive. It’s essential to tailor your skincare routine to address these varying needs.

Skincare Routine Recommendations
1. Gentle Cleansing: Since you mentioned using soap to wash your face, consider switching to a gentle, non-comedogenic cleanser that is suitable for combination skin. Harsh soaps can strip your skin of its natural oils, leading to increased oil production in the T-zone and exacerbating dryness in other areas.

2. Moisturizing: Even if your skin feels oily, it’s crucial to use a lightweight, oil-free moisturizer. Look for products labeled as "non-comedogenic" to avoid clogging pores. Ingredients like hyaluronic acid can provide hydration without adding excess oil.

3. Spot Treatment for Acne: For acne-prone areas, consider using targeted treatments that contain salicylic acid or benzoyl peroxide. These ingredients can help reduce inflammation and prevent new breakouts.

4. 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. A gentle exfoliant, such as a chemical exfoliant with AHAs or BHAs, can be beneficial.

5. Sun Protection: Always apply sunscreen during the day, even if you’re indoors. Look for a broad-spectrum sunscreen that is lightweight and non-comedogenic.

Addressing Allergies and Sensitivities
You mentioned experiencing itchiness after using aloe vera. It’s possible that your skin is sensitive to certain ingredients, including those in natural products. It’s advisable to perform a patch test before applying new products to your face. If you continue to experience irritation, it may be best to avoid those products altogether.

Diet and Lifestyle Considerations
Your digestive issues could also be contributing to your skin problems. A healthy diet rich in fruits, vegetables, and whole grains can support skin health. Staying hydrated is equally important. If you suspect that certain foods are triggering your digestive issues, consider keeping a food diary to identify potential culprits.

Professional Guidance
Since you have previously consulted a dermatologist without satisfactory results, it may be worth seeking a second opinion or exploring other treatment options. A dermatologist can provide personalized recommendations based on your skin type and concerns. They may suggest prescription treatments or specialized skincare products that are more effective for your condition.

Conclusion
In summary, managing combination skin and acne requires a balanced approach that considers both skincare products and lifestyle factors. Focus on gentle cleansing, appropriate moisturizing, targeted acne treatments, and sun protection. Pay attention to your body’s reactions to products and adjust your routine accordingly. If issues persist, don’t hesitate to seek professional advice for tailored solutions. Remember, consistency is key in skincare, and it may take time to see significant improvements.

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