Tuesday, 31 July 2018

NEW OR NEED HELP? Ask here! - ScA Daily Help Thread Aug 01, 2018. Text-post only today!

Beauty Tips For Body Care
If you're new to SkincareAddiction: welcome!This thread is the best place to start if you have questions about skincare products, your routine, and your skin. Our community is knowledgeable, and we want to help you have the best skin of your life!Do you have a question?Step 1: Read our resourcesFirst take a look at our FAQ and Wiki! They include product recommendations and advice for skin concerns like acne, pigmentation, and dehydrated skin. You might find a solution to your problem there!If you can't find an answer, or you have additional questions after reading, please move on to step 2!Step 2: Ask for helpTo give you the best advice possible, our users need relevant information about your skin and skincare. With your request for help please include:The issue(s) you need help with.Skin type. It's OK to be subjective, how do you feel your skin is? Oily, dry? If you need help clarifying, check out this guide on skin typesCurrent routine with the full names of your products (try to separate it in to Morning, Evening, and Occasionally used)How long you have been using your current routine, or product in questionAnything new you’ve introduced or started doing that might change the condition of your skinYour location so we can recommend products/services available to youThanks for taking the time to include your information!Would you like to give advice?Firstly, thank you so much for helping out our community, without your knowledge and time ScA would not be the same!Some things we'd ask for you to keep in mind: please don't just downvote someone's opinion or response because you disagree.If you can, please take the time to tell them why you think their advice may be incorrect or harmful. It's better for people to understand why something is a poor choice, instead of just being told that it is one.Previous ThreadsThis thread is posted every day at 12:00am ET.
Girls Blog 2015
Submitted by AutoModerator

[product question] has anyone tried the new hyaluronic serum from Trader Joe’s? I am at the end of my neutrogena hydroboost serum and was wondering if this was a good alternative?

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https://i.redd.it/iy0af2bp8ed11.jpg
Girls Blog 2015
Submitted by golddustwoman-

[Skin Concerns] How do I fix the dry/cracked/peeling skin around my nails?

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https://i.redd.it/h4gsv1bmwdd11.jpg
Girls Blog 2015
Submitted by zershia77

[Shelfie] Finally got rid of products that were taking up space.

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https://i.redd.it/3hvcrsgh7ed11.jpg
Girls Blog 2015
Submitted by mollyollyoxenfree_

[Sun Care] Does using oil blotting paper after putting on facial sunscreen lessen the SPF effectiveness?

Beauty Tips For Body Care
This might be a silly question. I use Elta MD SPF 46 UV Clear Facial Sunscreen daily and usually end up having a really shiny/oily face afterwards, so I use oil blotting papers to take away the shine. Would doing this make the sunscreen less effective at all? I usually wait ~10 minutes before using oil blotting papers on my face in the hopes that the sunscreen will absorb a bit more, but I'm curious as to if this practice would make the sun protecting properties less effective if the sheets are taking away these components of the product.Thank you!
Girls Blog 2015
Submitted by ayedeeque

[ACNE] B&A Fungal Acne Skin Update!! 7 weeks difference!

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https://i.redd.it/qscd2r3r2ed11.jpg
Girls Blog 2015
Submitted by churro91

[SHELFIE] Come be excited about my caddy with me!

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https://i.redd.it/e7qa2osnlcd11.jpg
Girls Blog 2015
Submitted by xianbeijing

[Skin Concern] Milia & black heads & blemishes “oh my!” How do I banish these :(

Beauty Tips For Body Care
https://i.redd.it/6jm8q8xocdd11.jpg
Girls Blog 2015
Submitted by Mafea

[Skin Concerns] Hey, I need help. This has been happening to my skin for a while and I can't currently see a doctor. More details in comments.

Beauty Tips For Body Care
https://i.redd.it/r4h4qlm00dd11.jpg
Girls Blog 2015
Submitted by Because-why-not-

[Shelfie] Bedside table! Moving house means it's a good time to get back to basics.

Beauty Tips For Body Care
https://i.redd.it/630q4a8qwcd11.jpg
Girls Blog 2015
Submitted by globemint

[acne] oooook skin!

Beauty Tips For Body Care
https://i.redd.it/x8harqqgvcd11.jpg
Girls Blog 2015
Submitted by samanthadenisem

[shelfie] finally found my base line routine with products i will always go back to, mini review in the comments

Beauty Tips For Body Care
https://i.redd.it/ml6prycbucd11.jpg
Girls Blog 2015
Submitted by technicolourjpg

[Skin Concerns] Repairing skin after heavy drinking/depression

Beauty Tips For Body Care
Hi all,I've been going through a difficult time and been really depressed. The result has been I was partying a lot and the effects are showing on my skin. I usually have really nice skin, but I feel like I've aged so much in the past few months because of all the abuse I was doing to my body. Fine lines look more pronounced, a lot of little zits in my chin area, and my skin looks so dry that makeup doesn't sit well on it anymore.I'm tired of living like this and want to make a change. I'm drastically cutting back on drinking and junk food. I want to go back to looking like my healthy and glowing self again.Please offer any tips to help recover my abused skin. I'm open to any diet/health/supplement suggestions and, of course, any products that might help speed the process.Also, my face has been looking bloated lately. I've been drinking a ton of water, cutting back on sodium, and bought a jade roller recently. I think I still need more help though!
Girls Blog 2015
Submitted by Lil_pupusa

[Skin Concern] How can I get rid of these 2 black dots? They started as pimples and don't seem to go away.

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https://i.redd.it/7il9xqorubd11.jpg
Girls Blog 2015
Submitted by JakeWasAlreadyTaken

[misc] I was emailed a $10 off $50 purchase for Sephora but I won’t use it before it expires today. If anyone is for sure making a purchase today and would like this coupon code PM me 😊

Beauty Tips For Body Care
Its valid on most items. Dyson, Sephora play and gift cards are excluded. Expires 11:59 PT 7/31
Girls Blog 2015
Submitted by blovesb0524

[Skin Concerns] Tiny white dots all over my face

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https://i.redd.it/izi8yejjrbd11.png
Girls Blog 2015
Submitted by von_craw

[Review] Empties w/ mini reviews— June/July ‘18

Beauty Tips For Body Care
https://i.redd.it/ia0hkwk1gbd11.jpg
Girls Blog 2015
Submitted by hannahgt_

[Skin Concern] Embarrassed to post this, but never seen anything like it. What is happening on my neck?

Beauty Tips For Body Care
https://i.redd.it/6vt6ww6isad11.jpg
Girls Blog 2015
Submitted by hcbradley1

[Skin Concern] Is there still a way to remove old scars? I've still got some scars from when I was a kid and I'm already turning 21 in a few months. Please help.

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No text found
Girls Blog 2015
Submitted by haze-line

[PSA] Stratia: 25% off site-wide!

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https://www.instagram.com/p/Bl5kRerhagJ/?taken-by=stratiaskin
Girls Blog 2015
Submitted by iruvsnowball

[Personal] Just felt like making a positive update

Beauty Tips For Body Care
I'll try and keep this long story short...I posted a thread about 4 months ago on how I fell into a very toxic cycle of work related stress, social anxiety, skincare issues and OCD related compulsive picking. Because of this, I probably left my house 2 or 3 times for social interaction in 6 months other than normal life related things.Growing up I had little acne but later in my teenage years I started gaining some more frequently. I'm a pretty vain person so I decided to get on benzaclin & differin for about a year or so to help. My skin was amazing and I was really happy! I stopped out of habit and slowly my skin got worse. I wasn't educated on skin care products or skin care best practices so as it got worse, I made it even more worse.It wasn't until January of this year till skin related issues took control of my life and mental peace of mind however. I am self employed and currently building a startup but I also have been dealing with a lot of other things. All of this stress manifested into negative habits like avoiding social interaction, picking at my skin, etc. I finally came to a point after reading SCA to turn my life around and pursue fixing my skin.So when I thought things would get better, they actually didn't. Starting in March, I began the Acne.org treatment thinking it would be of help, I was wrong. It drastically changed my skin and did way more harm than good. This put me back into a very bad state.When I finally realized that the Acne.org treatment wasn't for me, I decided that focusing on moisturizing was key before I tried anything else. I stopped the Acne.org treatment and only moisturized and used a light cleanser for a month.Now we're here... I decided to give Differin another try, and I should have from the start. I also should have just gone to a dermatologist but my CSP didn't allow me to go out of fear.So guess what?! I've only been on Differin for a week & 1/2 and my skin looks so much better than it has before! I can finally smile in the mirror for once and I have so much more hope! I just pray that my skin doesn't purge because the first time I was on Differin I didn't purge.I really wanted to make this post to just say have hope and keep fighting, do NOT let your mind and skin take control of your life. You're stronger than that.(but I also wanted to say moisture is key and Differin is amazing ;) no I'm not endorsed by them lol)
Girls Blog 2015
Submitted by growwithlogan

[acne] ooook skin!

Beauty Tips For Body Care
https://i.redd.it/9q193dyidad11.jpg
Girls Blog 2015
Submitted by samanthadenisem

[SHELFIE] I've been lurking since March when I finally began my new routine thanks to this sub - description in comments!

Beauty Tips For Body Care
https://i.redd.it/lkaijfj05ad11.jpg
Girls Blog 2015
Submitted by pancakewafflesyrup

[Skin Concern] I’m so mentally exhausted with the SFs. I can’t go out without doing makeup on my nose.PLEASE HELP...

Beauty Tips For Body Care
https://i.redd.it/fa0vp70128d11.jpg
Girls Blog 2015
Submitted by TheMusicOnTheRadio

[Routine Help] Best toner for Post Inflammatory Erythema

Beauty Tips For Body Care
Do you have any recommendations for me?I'm looking for a very hydrating toner that could help with my scars.I've tried many AHA and BHA toners and they made no difference to my skin. So far I've really liked skinfood's bitter green toner but I'm not that satisfied with it to repurchase.I was thinking of buying skinfood's truffle age defying toner, after I used it for a month or so because I found it being quite nice. However, for a cheaper price I can get a kiehls or a clinique toner so I'm kind of torn..Any recommendations?
Girls Blog 2015
Submitted by PotatoComet116

[Misc] What are the genders of SCA users?

Beauty Tips For Body Care
Reddit has more men on it than women, I was curious if that held true to this subreddit as well. It being a "beauty" sub. I've seen a mix but I want to see the count.Here is a strawpoll for you to enter gender, if you would be so kind:https://strawpoll.com/r917779dIf this has been researched or polled before, sorry. I couldn't find anything from searching. Thanks for reading, have a nice day, and may your skin be healthy.
Girls Blog 2015
Submitted by Rainlocke

Monday, 30 July 2018

[Skin Concerns] Bumpy and rough lines on neck

Beauty Tips For Body Care
Hello,I have no idea what's been going on with my neck but I'm becoming more self-conscious each day. About 1.5 months ago, I suddenly noticed these strange lines on the sides of my neck but I have no idea how long I've had them. The lines look bumpy/beaded but in a patterned, uniform way. They don't itch or hurt, they just look bad. Mostly the bumps are skin-colored but between the lines they are slightly darker. The bumps look rougher in the picture than they feel. When I extend my neck like in the photos or when light casts shadows, the lines look more obvious than when my neck is upright. The bumps are just faint colored spots when they reach my collarbones.Pictures:Pic 1Pic 2Pic 3Pic 4I've been to the dermatologist who originally thought I was having an allergic reaction. He prescribed a topical corticosteroid anti inflammatory lotion for me to use. It didn't help, so then he diagnosed it as the early stages of acanthosis nigricans. But my neck doesn't have that smooth velvet look, and it's not really dark or noticeable unless looking closely or when I flatten the skin with my fingers (Pic 4).Per the dermatologist's orders, I've been taking minocin (antibiotic) twice a day and using Urea cream (20%) three times a day for the last 4 weeks. The bumps had a reduced appearance for a while but now they are getting worse and more obvious.Has anyone else had this problem? What else could it be if not AN?Thanks!
Girls Blog 2015
Submitted by jinthebu

NEW OR NEED HELP? Ask here! - ScA Daily Help Thread Jul 31, 2018

Beauty Tips For Body Care
If you're new to SkincareAddiction: welcome!This thread is the best place to start if you have questions about skincare products, your routine, and your skin. Our community is knowledgeable, and we want to help you have the best skin of your life!Do you have a question?Step 1: Read our resourcesFirst take a look at our FAQ and Wiki! They include product recommendations and advice for skin concerns like acne, pigmentation, and dehydrated skin. Or search the sub using this awesome website. You might find a solution to your problem there!If you can't find an answer, or you have additional questions after reading, please move on to step 2!Step 2: Ask for helpTo give you the best advice possible, our users need relevant information about your skin and skincare. With your request for help please include:The issue(s) you need help with.Skin type. It's OK to be subjective, how do you feel your skin is? Oily, dry? If you need help clarifying, check out this guide on skin typesCurrent routine with the full names of your products (try to separate it in to Morning, Evening, and Occasionally used)How long you have been using your current routine, or product in questionAnything new you’ve introduced or started doing that might change the condition of your skinYour location so we can recommend products/services available to youThanks for taking the time to include your information!Would you like to give advice?Firstly, thank you so much for helping out our community, without your knowledge and time ScA would not be the same!Some things we'd ask for you to keep in mind: please don't just downvote someone's opinion or response because you disagree.If you can, please take the time to tell them why you think their advice may be incorrect or harmful. It's better for people to understand why something is a poor choice, instead of just being told that it is one.Previous ThreadsThis thread is posted every day at 12:00am ET.
Girls Blog 2015
Submitted by AutoModerator

[Skin Concern] Went to get a Vitalize peel and my skin broke out 2 days after... is this purging phase after chemical peels normal? I just wanted it to fade the hyperpigmentation 🙃

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https://i.redd.it/vx3hhv8pn4d11.jpg
Girls Blog 2015
Submitted by sonofazombie1

[Skin Concerns] Your view on Spironolactone?

Beauty Tips For Body Care
I go back to my doctor on August 14th and wanted to talk to her about starting spironolactone(I have PCOS). What can I look forward to using this medicine? Will it help much with my acne and hyperpigmentation, what's your success story? I have PIH and PIE both. I picked quite alot at my acne and it's left hyperpigmentation all over my body, even places I can't reach to pick at.I hope to find some relief from this, I've suffered for years.
Girls Blog 2015
Submitted by BlkChidori

[skin concerns] what are those?!

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https://i.redd.it/1h0kpcxs46d11.jpg
Girls Blog 2015
Submitted by ninepennylane

[Misc] Does anyone’s acne ever turn into these weird ‘wounds’?

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https://i.redd.it/xb2xx60ss5d11.jpg
Girls Blog 2015
Submitted by TameSneer

[Review] Biossance Squalane + Probiotic Gel Moisturizer Sample Review + Bonus kitten

Beauty Tips For Body Care
Hey everyone! I received my first Play by Sephora bag last month and decided to review each product as I run through it. I'm adding each product individually into my routine, so I can see individual benefits/effects (if any!).This is my first time doing a review like this, and I'm planning on submitting a big giant review of a bunch of my empties of products I've been using the last year. So if you have any suggestions for future reviews, please let me know! CCWIntro to my skinVERY oily t-zone, normal cheeks, normal-to-dry jaw line and around mouth; light-to-medium skin toneVERY VERY CC-prone, mainly on my forehead (some on chin). This is mainly due to not being consistent with my routine (especially simply washing my face with a cleanser, which is the minimum I need). This can also occur from moisturizer.No issues with acne, except a few whiteheads around my menstrual cycleMain skin concerns: Oil control, reducing appearance of giant nose pores, preventing CCs, even skin tone, healthy aging, trying to reduce the use of fragrancesProduct ReviewProduct: Biossance Squalane + Probiotic Gel MoisturizerProduct Type: Light-weight moisturizer (which I was excited about!)Cost: $$$ - ~32.5 USD per ozIngredients: Water, Squalane, Glycerin, Dimethicone, Pentylene Glycol, Ammonium Acryloyldimethyltaurate/VP Copolymer, Lactococcus Ferment Lysate, Caprylic/Capric Triglyceride, Phenoxyethanol, Caprylyl Glycol, Dimethiconol, Chrondrus Crispus Extract, Allantoin, Bisabolol, Glycine Soja (Soybean) Sterols, Linoleic Acid, Phospholipids, Sodium Phytate, Lechithin, Sodium Hydroxide, Sodium Hyaluronate, Lactic Acid, Lepidium Sativum Sprout Extract, Sodium Chloride, Sodium Benzoate, Citric Acid, Zingiber Officinale (Ginger) Root Extract.The nitty gritty: Great light-weight moisturizer; Fragrance-free; Contains silicones; Fatty alcohol-free; Contains fatty acids; thin consistency; no noticeable smell; absorbs quicklyLength of use: This sample lasted me approximately 1 week of PM only useMy experience: I liked this product! I'm very prone to CCs from even light-weight moisturizers, and this one did not break me out or cause any noticeable blemishes. It absorbs very quickly into the skin, and does leave my skin feeling soft and moisturized. I like the idea that the squalane is the main moisturizing ingredient in this product - squalane always sits well on my skin. Plus, I liked that I didn't have to do an additional squalane product mixed into the moisturizer since the squalane is already "built in" to the moisturizer, therefore reducing the number of products I'm using at night.Bad stuff: This stuff claims to "Calm the look of skin redness" and "Reduce the appearance of pore size". Neither of these claims I found to be true. In fact, I found that it actually increased redness around my nostrils, which normally gets a little dry for me. When I applied this product, I would feel a slight stinging around my nostrils, followed by redness. This didn't last, so it was likely from something irritating my skin. But I did not find my natural redness being reduced after 1 week. And no - it did not reduce the appearance of pores. Granted, these lackluster results could be due to the size of the sample - not being able to use the product longer than one week. Also can't make any claims toward the "probiotic" effects of this product - it feels a little gimmick-y to me. Change my mind.Rating/Repurchase: 4/5 stars, mainly due to lackluster results. WNRP due to cost - I'd rather stick to my affordable moisturizer + affordable squalane.Pictures!Empty-ish containerConsistencyBottle + bonus kitten for scale (Her name is Buffy. She's real cute)
Girls Blog 2015
Submitted by katcherintherye

[MISC] I think I need this camera, to know is my sunblock enough?

Beauty Tips For Body Care
https://i.imgur.com/Vlb2Gtt.gifv
Girls Blog 2015
Submitted by iceporter

[Skin Concerns] I had a motorcycle accident three weeks ago which leave abrasion scars on my face. Can you guys suggest me something to help fade the scars? Thank you so much!

Beauty Tips For Body Care
https://i.redd.it/dl8od9j454d11.jpg
Girls Blog 2015
Submitted by hsrobin

[Review] My Extremely Sensitive Skin's HG Routine

Beauty Tips For Body Care
My shelfie.I've worked on this routine since January, and this is what I've finally landed on. I have rosacea, and very acne-prone skin, so I have to balance out what works on my acne with what works on my skin, without overly drying it or sensitizing it.I probably spent over a grand trying to find the right combination of products, and this routine costs about 250$ all together. I had the most success trying things from the same brand - I started with Fresh Rose serum, and went from there, trying different things from the brand. I've tried dupes for several of these, but always come back to this list, so I thought I would share some reviews!Routine:AM:Rinse with cool waterTO Salicylic Acid 2% all overFresh Rose serumFresh Rose moisturizerEither Glossier's sunscreen or Dr. JartPM:Fresh Soy milk cleanserFresh Rose serumFresh Rose moisturizerDifferinReviews:The Ordinary 2% Salicylic Acid: This stuff really helps with texture issues that Differn doesn't address. I wasn't able to get perfectly smooth skin with Differin alone. Lactic acid was too much for my skin - it burned all the time. So I had to give up P50w and switch to this exclusively. It does dry out my skin more than I'd like, but I adjusted over time.Fresh Soy Milk Cleanser: the gentler sister of the soy cleanser. I really like this. I switched from Clarins alpine milk cleanser because, honestly, I was tired of the scent. Clarins still works really well on my skin, but the soy milk cleanser is richer, a cross between a milk and a gel. I find it much more enjoyable to use. I apply it with dry hands to a dry face, and then add a little water after I've smoothed it on, to act as a sort of double cleanse (it's the Kypris method, btw.) Doing this removes all of my makeup and sunscreen. It's a keeper, and it's easier than Clarins to get out of a travel container.Fresh Rose Serum: I actually bought this originally to be a stand-alone daytime moisturizer. Now I always layer it with moisturizer. It's actually more expensive than the moisturizer, so I tried switching to TO's hyaluronic acid, but switched back. I find this to be more moisturizing and to have a better feel when layered with my other products. I can use this around my eyes without an issue, which I couldn't do with the hyaluronic acid, because of the tackiness of the gel.Fresh Rose Moisturizer: I've learned my lesson about moisturizers - this is my all time HG. Since May I've tried two others from Fresh - the vitamin nectar and the lotus moisturizers, and I came back to the rose. I'm buying my fourth pot of it today, which is why I decided to write reviews!It definitely has pros and cons. It can burn a little when I put it on at night, after washing my face. I can't put it around my eyes. I have a backup moisturizer in case my skin is really sensitive or red, because this just exacerbates the issue. But on a normal skin day, which is most for me, it works wonderfully. It has a gel-cream consistency that soaks in well, and it keeps my skin hydrated all day. It allows me to use salicylic acid and Differin without overdrying, which the other two couldn't do. And it smells like roses.Glossier sunscreen: basic chemical sunscreen. It totally burns my skin sometimes, because I should be using a mineral sunscreen, but this soaks in quickly, is hydrating, and burns way, way less than Neutrogena. I've never gotten a sunburn while wearing this, and you can reapply it over makeup if you're gentle.Dr. Jart Cicapair Color Correcting Treatment: this is a tinted sunscreen. It goes on green and turns pale skin colored. I am medium pale, and it matches on me. I can't imagine you could get much darker, but maybe. I like this as a no-makeup makeup, and wear it on days that I normally wear makeup. It has a slight grit that can make my skin sensitive, so I use a damp blender to apply it. I'm sure that's not great for the SPF. My skin is a little too dry to wear this right now, because it looks patchy, but I've worn this a few times a week for the past two years. It doesn't break me out, but I feel like it could - the re.Pair serum from this line breaks me out badly.Avene Skin Recovery Cream: I use this when my skin is sensitized or red. It's excellent for healing, it's moisturizing, and I always have it on hand. The texture isn't great for everyday wear, but this is what I would recommend if everything burns.Differin: changed my whole game. I always apply it after my moisturizer to prevent sensitivity issues, and it has, with consistent use, cleared my skin. It does not, like I said earlier, help with texture issues, but all of the deep seated stuff it knocks out. I haven't had a cyst since I started using this in January.
Girls Blog 2015
Submitted by abillionbells

These Noxzema pads are the sh*t! My skin looks significantly smoother/even and blemish free after using them for about a month! I’ve been getting told my skin looks “glowy” lately too! [review]

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https://i.redd.it/njworh0t64d11.jpg
Girls Blog 2015
Submitted by u4NkFbj4Mp

[Review] Neutrogena Hydro line

Beauty Tips For Body Care
I'm so curious if others have tried the Neutrogena Hydro products and that are your thoughts. I've tried a few things and here are my mini reviewsI went through two tubs of the Hydro Boost water gel, and while I like it, even though I'm oily I need a bit more moisturization. I've temporarily gone back to my Belif Aqua Bomb, but I'm going to try the Hydro Boost Gel-Cream when that runs out. I'm hoping to get a sample or review here. I don't want it to heavy for under makeup.I am newly OBSESSED with the Hydroboositng Hydrating Cleansing Gel. IMO it is crap at removing makeup, especially anything waterproof, but I've been using it as my second cleanse in the evening and my morning cleanser. I had been using the Glossier Milky Jelly but I am looking for something easier to acquire.I'm curious about the 50 SPF sunscreen and the eye gel-cream if anyone has any thoughts.I really can't recommend the gel cleanser enough!!
Girls Blog 2015
Submitted by becca92079

[DIY]I am black and a newbie to skincare; I have alot of acne scars -- are home chemical peels an option for me?

Beauty Tips For Body Care
I've been taking much better care of my skin in recent years, as my mother never wore makeup herself and pretty much never taught me about having a "routine" other than just washing your face in the morning with a wet cloth. I now have tons and tons of acne scars from my teenaged years, though I use a few products and eat much better now, so my acne has been kept away. I was wondering about trying light home chemical peels, as I've had one done on my face before, and a deeper one done on my chest (acne scars there too, believe it or not) but my finances are not in a place to afford getting it done by someone. I don't know what peels would be okay for black skin, and I've never done one before. Is this something a beginning can undertake? I've heard that peels from a place called MUAC are super popular in this subreddit and that a bottle can last me an entire year of peels, and I've heard that I have to do a test spot first? Anyway, can anyone recommend any peels for black skin, as well as a good guide to do one safely? Also, how long will it take to get rid of my acne scars using light peels? How often can they be done? Can I hide the peeling? Can I be outside after doing these peels?Thank you in advance!
Girls Blog 2015
Submitted by CaliBounded

[Skin Concern] How to fix textured skin and acne scarring?

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https://i.redd.it/t46e879y31d11.jpg
Girls Blog 2015
Submitted by churro91

[misc] Has anyone found research on how long before pregnancy you need to stop retinol?

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Searching but not finding much.
Girls Blog 2015
Submitted by march20161

[Personal] i’m going to be an esthetician and i couldn’t be more happy about it!!

Beauty Tips For Body Care
i finally found what i want to do with my life. any tips or pointers would be appreciated, i’m even interested to hear just what you do for your job if you are one because i know there is a lot of different things you can do with an esthetician licensee. i start in a month & i just wanted to share this with you guys :)
Girls Blog 2015
Submitted by reefer_mermaid

[Misc] I just want to say screw all clinics and products with shitty lighting on B&A photos

Beauty Tips For Body Care
I have probably seen 1000s of B&A photos, and like 80% of them have entirely different light on the different pictures. The bad one is usually fluorescent and the good one is more yellow, and the source of the light is always from different angles.Anyone with acne scars(Or other scars) knows that the light-source is detrimental to the visibility of their scars... With good enough lighting you can hide even the worst scars, pretty much entirely. I get it that it can be tricky to recreate a photo's lighting perfectly but god damn if you are a professional practician it should be your business! At least use the same freaking lamp.Sorry for the rant.
Girls Blog 2015
Submitted by Chaitann

[misc] not sure what to do, does anyone’s forehead look like this...

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https://i.redd.it/a2yjov5h60d11.jpg
Girls Blog 2015
Submitted by Ashleyphil

Sunday, 29 July 2018

NEW OR NEED HELP? Ask here! - ScA Daily Help Thread Jul 30, 2018

Beauty Tips For Body Care
If you're new to SkincareAddiction: welcome!This thread is the best place to start if you have questions about skincare products, your routine, and your skin. Our community is knowledgeable, and we want to help you have the best skin of your life!Do you have a question?Step 1: Read our resourcesFirst take a look at our FAQ and Wiki! They include product recommendations and advice for skin concerns like acne, pigmentation, and dehydrated skin. Or search the sub using this awesome website. You might find a solution to your problem there!If you can't find an answer, or you have additional questions after reading, please move on to step 2!Step 2: Ask for helpTo give you the best advice possible, our users need relevant information about your skin and skincare. With your request for help please include:The issue(s) you need help with.Skin type. It's OK to be subjective, how do you feel your skin is? Oily, dry? If you need help clarifying, check out this guide on skin typesCurrent routine with the full names of your products (try to separate it in to Morning, Evening, and Occasionally used)How long you have been using your current routine, or product in questionAnything new you’ve introduced or started doing that might change the condition of your skinYour location so we can recommend products/services available to youThanks for taking the time to include your information!Would you like to give advice?Firstly, thank you so much for helping out our community, without your knowledge and time ScA would not be the same!Some things we'd ask for you to keep in mind: please don't just downvote someone's opinion or response because you disagree.If you can, please take the time to tell them why you think their advice may be incorrect or harmful. It's better for people to understand why something is a poor choice, instead of just being told that it is one.Previous ThreadsThis thread is posted every day at 12:00am ET.
Girls Blog 2015
Submitted by AutoModerator

[Sun care] it’s so motivating to watch!!

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https://i.imgur.com/SE2uACa.gifv
Girls Blog 2015
Submitted by Samovard

[Acne]Finally decided to go see a dermatologist! So thrilled with the results that I decided to make a post :)

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https://imgur.com/a/6QYrUC5
Girls Blog 2015
Submitted by sound-it-out

[Meta] [PSA] Announcing Science Sundaysss

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Hello again, everyone!This is an update post to let y’all know we have created a schedule, got the go ahead from the mods, and organized weekly science posts for the rest of the year!Here is a link to the schedule we’ve created:https://docs.google.com/spreadsheets/d/1fu42l_B-Oqo8axdTs0hvx7oSsf8N4sxjxRpJcOJcM0Y/edit?usp=sharingWe will be posting every Sunday, thus calling our posts “Science Sundays”. Including myself, the other users who will be posting are u/katcherintherye, u/-punctum-, and u/msnobuddy. We can’t wait to share our love of skincare and science with everyone. :)If you have any questions you would like us to address within the scheduled topics, feel free to comment below or message us! Or, if you don’t see a topic you want to be covered, go ahead and send us a recommendation. Depending on how this trial run goes, we will likely continue our series beyond our schedule!
Girls Blog 2015
Submitted by BrookeEnds

[Sun care] [Review] and swatches of 4 La Roche-Posay sunscreens (US formulation)

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This is a review of LRP's SPF 60 Melt-in Sunscreen Milk, SPF 60 Ultra-Light Sunscreen Fluid, SPF 50 Mineral (untinted) sunscreen fluid, and SPF 50 mineral Tinted sunscreen fluid. The SPF 60 melt-in milk received a perfect rating from Consumer Reports for several consecutive years, while the SPF 60 ultra-light fluid is recommended a lot on this sub under topics about LRP. The mineral 50 tinted and untinted often come up on IntoTheGloss articles/comments. LRP is a fairly expensive drugstore brand in the US, so I thought I'd review these to potentially save some of you $$$.My skin: normal-oily, NC25-30 (light/medium) with yellow/olive undertones. I tan very easily and slightly unevenly, which is useful for sunscreen reviews because I can use my level of tanning to judge how effective a sunscreen is at UVA protection.---Here are my arm swatches of the sunscreens. Arm skin is much more absorbent than my face skin, so greasiness and white cast are minimized compared to on the face.First pic: dollops of sunscreen. I put them in order of viscosity, from thickest to thinnest: 1 is SPF 60 melt-in milk, 2 is SPF 50 mineral tinted, 3 is SPF 50 mineral untinted, and 4 is SPF 60 ultra-light fluid.Second pic: rubbed in. My phone camera doesn't capture the greasiness of the sunscreens, but 1 and 2 are very shiny and would transfer easily; 4 is slightly less shiny but still transferable, and 3 is the least shiny/transferable. 3 and 1 leave a STRONG white cast, while 4 leaves a moderate white cast that is very slightly greenish (compare 4 with the un-sunscreened skin on my wrist right next to its swatch). 2 (the tinted one) is too dark and slightly orange for my skin. I would estimate it as NC 35ish, but I'm not an expert.Third pic: with flash. You can see the shininess a little bit better here. 1, 3, and 4 have flashback. 2 does not.Fourth pic: after 15 minutes. 4 and 3 are almost completely absorbed into my skin (again, my arm skin is much more absorbent than my face), but 3 still has a strong white cast. 4 also has a cast, but it just looks like my skin is paler in that area (not like I'm wearing sunscreen). 1 and 2 remain easily transferable, and 1 is still pretty white while 2 is still too dark.---REVIEWS:SPF 60 Melt-In Sunscreen Milk Chemical sunscreen (see links above for ingredients). Advertised as "fast absorbing and non-greasy". Large container, sold as a face and body sunscreen.TEXTURE: Here's a picture of the sunscreen on my hand, as a dollop and then rubbed out gently. It is a cream, quite greasy and does not "melt in" to the skin at all; instead, it forms a sticky, transferable, shiny layer that is very uncomfortable.SKIN FEEL: Thick, uncomfortable, suffocating. Makes my skin tingle. I don't have sensitivities to chemical filters, so I'm not sure which ingredient(s) is/are the culprit. Perhaps it's the silica? You also have to really drag this across your face when you're applying it, so I would advise against this for sensitive skin. On my arms and legs it doesn't tingle, but is greasier than I'd like.WHITE CAST: On a scale of 0 to 5 (0 = no cast, 5 = mime paint) this is a 4/5 - surprisingly white for a chemical sunscreen. It refuses to blend out easily and leaves streaks on my face/legs/arms (this is worsened by body hair). I would not be able to rub 1/4 tsp of this into my skin because of the texture and the streaks. I wore maybe 1/16 tsp (estimated) on my face while at home, and was told that I looked like I had "a layer of paint on my face".PROTECTION: I wore ~1/16 tsp indoors near a window on a cloudy day, wiping it off and reapplying every 2 hours, for a total of 6 hours. I got a very slight tan and I think that with a full dose I wouldn't have tanned at all. So UVA protection is pretty good (better than several PA++++ Asian sunscreens I've tried), provided that you are able to wear enough of it on your face, which I can't.TLDR: This works as a body sunscreen, not as a face sunscreen. OK if you're extremely pale with very absorbent and non-sensitive skin. Otherwise, skip this.---SPF 60 Ultra Light Sunscreen Fluid: Chemical sunscreen, advertised as a face sunscreen that is "Fast absorbing, weightless texture, matte finish" and lightweight. This is a thin fluid (think Asian milk-type sunscreen) and comes in a small 50 mL container with a nozzle to dispense the fluid. You need to shake it before application; there's a metal ball inside to mix while you shake.TEXTURE: Pic of sunscreen on my hand, freshly dispensed then gently spread on skin. It is runny and the least viscous of the 4 sunscreens. It evaporates slowly, and fitting 1/4 tsp on my face would be nearly impossible due to the slickness/spreadability. It's actually really annoying to put on because I have to keep rubbing it into my face for a long time. I apply it by drawing lines on my face with the nozzle (which makes it difficult to reach 1/4 tsp).SKIN FEEL: feels like an oil but also kind of siliconey. Mildly tingles. The maximum amount of this I can comfortably wear is 1 line across my forehead and 1 line across either cheek; any more and it feels like I glopped olive oil all over my face (except it doesn't really moisturize). I think this sunscreen's texture was designed for sparing/inadequate application. If you put on a tiny amount, it feels wonderful and almost velvety, drying to a soft and slightly glowy finish. You're also getting an SPF of like 10 with that amount. At larger amounts it is oily and NOT fast-absorbing, weightless, or matte.WHITE CAST: 3/5 at my 3-line dosage. Not as white as the melt-in milk, but it still leaves me looking like I should get a better sunscreen. This also does not blend out nicely, and likes to leave streaks. The whiteness (or is it the shine?) somehow emphasizes my skin texture and facial topography (eyebags + nasolabial folds) in a way that the melt-in milk does not.PROTECTION: surprisingly not too bad (at my dosage). I actually turned mildly orange for an hour after removing this, which was very strange, but after that my skin did not appear much more tanned at all. At a full dose, I think this would be quite protective in terms of UVA.TLDR: Good for pale and absorbent skin/those who don't mind greasiness/those who are patient with rubbing in their SPF. Bad for darker and/or oilier (less absorbent) skins.---SPF 50 Mineral UNTINTED fluid: mineral sunscreen with ZnO and TiO2 at low percentages. Advertised as "Non-whitening, fast absorbing, weightless texture, matte finish". Thin white fluid, 50 mL container with dispensing nozzle, needs to be shaken. I've heard complains that this is gritty; in my experience it was not (quite smooth actually).TEXTURE: Pic of sunscreen on my hand. Slightly less runny than the SPF 60 ultra-light fluid, quicker to evaporate and less slippery. I can actually fit 1/4 tsp on my face with few issues of "oh no I am covered in oily fluid that is dripping all over my clothes and hands!" Leaves a slightly chalky residue on fingers.SKIN FEEL: this is actually more lightweight than the SPF 60 fluid. Drier skins will feel more of its slight chalkiness, and the finish goes from soft velvet-matte to dewy depending on how much you put on/oiliness of skin/what skincare you have under it. For me, at a full 1/4 tsp with a serum underneath, it is dewy. This is probably designed for drier skin and inadequate application; on my neck/backs of my hands, this dried down to a pleasant, velvety finish that did not transfer.WHITE CAST: 5/5. LITERAL mime paint. Extremely white and looks ridiculous even at small amounts. I put on half the amount that I did for the SPF 60 fluid and it still left my face white and purple-toned. The face swatch on their website is not representative of what this looks like. At one point I tried to cover the white cast with the tinted mineral sunscreen, but the cast was still visible. The cast is bearable when used on my neck/backs of hands, and the velvety dry-down makes it actually enjoyable to use for those areas.PROTECTION: At my extremely insufficient dosage, the protection wasn't great; I tanned a good half-shade indoors near my window, in conditions where my Blue Lizard UV-detecting sunscreen bottle wasn't detecting any UV. But I won't claim that this is necessarily not protective, because I used way too little product.TLDR: Not for skin tones that aren't pale. Texture is fine, probably the best of all 4.---SPF 50 Mineral TINTED fluid: mineral sunscreen with ONLY TiO2. Advertised as "Light tinted sunscreen, fast absorbing, weightless texture, matte finish". More viscous than the other 2 fluid sunscreens, same nozzle dispenser and shake container.TEXTURE: Pic of sunscreen on my hand. It's viscous enough to make a nice round bubble on my skin, which the other 2 fluid sunscreens can't do. Feels slightly oily and not as lightweight as the untinted mineral. Same chalky finger residue. (The tint on this is quite tenacious. There was still some residue of it after I wiped my arm with 2 wet paper towels and 2 alcohol pads.)SKIN FEEL: Think a cross between the fluid 60 and mineral untinted in terms of oiliness, and heavier than either of the two in terms of lightweight-ness. This is bearable at a low dose, and I can fit 1/4 tsp on my face...it just looks ridiculously dewy/verging on oily.WHITE CAST: 0/5. This does not look like a tinted SPF, it looks like a liquid foundation with light/med coverage. Unfortunately the coverage is high enough that I can't wear a lot of it, since the tint is too dark for me. For darker skin tones than mine this could be a great tinted product (and especially for those who have found other tinted sunscreens to be too light). The undertone is yellow-undertoned with a dash of orange, definitely more warm-toned than, say, the Australian Gold tinted sunscreen. Probably best for neutral-warm undertones, not cool undertones.PROTECTION: Because of the only filter being TiO2, this product will only protect against the lower half of the UVA spectrum plus the full UVB spectrum. UVA light is responsible for aging and comprises 95% of all UV light that reaches us, so this is maybe not the best protection in that respect. Personally, I found a full dose to not protect very well against tanning when I wore it from 5pm-8pm outside with a wide-brimmed hat. I tanned slightly less than with the untinted version (to be fair, I also applied a lot more of this). I think if you're looking for a solid anti-aging product, you might want something that covers the full UVA spectrum, which this just doesn't do.TLDR: Good for medium skin tones (warm/yellow undertones) and dry skin types. Too dark for paler skin tones than NC25/light-medium. Not fully UVA protective.
Girls Blog 2015
Submitted by bluemountainvireo

[Misc] This mildly infuriating add on Reddit

Beauty Tips For Body Care
https://i.redd.it/x46m7pp7ixc11.jpg
Girls Blog 2015
Submitted by ehholfman

[Routine Help] Cancer/lymphoma and moisturizers

Beauty Tips For Body Care
Hey everyone!I'm a longtime lurker, never made a post, but do love this sub and all the thing I've learned and its community. I'm finally coming out of the woodworks because I've been given the task of finding a good moisturizing, pampering, thick cream for my grandmother who was diagnosed with lymphoma/cancer back in december 2017. She is currently doing chemotherapy, don't know whether this is important or not.I've done research, but there is so much information out there (and many times conflicting) that I'm here to ask for any personal experiences/any advice or tips that this community has for me.We're not looking for anything specific like getting rid of discoloration, etc, just something she can put on to make her feel luxurious during these difficult times.Some questions to narrow it down:What should I be looking out for? Specific ingredients to avoid? Any experiences? Recommended products?Thank you so much from me and my family, we really appreciate any help. This is new terrain for us.Price range around the $50 mark, give or take $10.I am in the USA, if anyone was wondering.
Girls Blog 2015
Submitted by apot2pssin

[Misc] Anyone who is looking for a silicone face scrubber should check TJ Maxx!

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https://i.redd.it/7a36hf96rxc11.jpg
Girls Blog 2015
Submitted by ahhh_zombies

[Skin concerns] How to get rid of dark marks on bikini line?

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I have so many dark marks and discoloration from shaving my bikini line. I've been doing it since I was like 13 and had no idea how to properly do it back then so I got a bunch of razor bumps that turned into dark marks and scarring. I've learned over the years how to shave properly so now I dont get bumps very often, but the marks are still there. It's embarrassing actually.Can anyone share their experiences getting rid of discoloration from this area? I want to see what has worked for some people (and if it's even possible) and to see if it will work for me.
Girls Blog 2015
Submitted by Hhbo1

[Acne] Hi guys! Just wanted to post an update on my sister’s skin. We know there’s still a looong way to go but so far we’re happy with the progress. All her acnes have dried out and no major flare ups. Now we just have to figure out how to clear the marks. Any suggestions guys? Thanks!

Beauty Tips For Body Care
https://i.redd.it/44dg702sewc11.jpg
Girls Blog 2015
Submitted by Tysrch

[personal] update on my Curology nightmare

Beauty Tips For Body Care
https://imgur.com/a/CPMPOyzHi!Two months ago I posted about the horrendous reaction my skin had to Curology, which I had tried in order to get my skin wedding-ready. I ended up quitting to try to start some damage control. Here’s the result of three months of birth control and a very simplified routine. The pics on the left are dated 5/12, right about when I quit using Curology.AM Stridex in the red box, wait about 10 minutes Rinse face with water, but I do not dry it TruSkin Naturals vitamin C and hyaluronic acid serum CeravePM occasionally I will use PixiGlow glycolic acid Cerave (I always wet my face with warm water before applying moisturizer) Take BC (Tri-Sprintec)I am thrilled with these results so far. I currently have no active acne and that’s something I never thought I would be able to say! It’s 97 days until wedding time and I am so much more at ease with this under control! I owe it to everything I learned on this sub ❤️
Girls Blog 2015
Submitted by bucklenutnumbskull

[Review] ACNE PRONE/OILY SKIN HOLY GRAIL

Beauty Tips For Body Care
The Body Shop {Tea Tree Mattifying Lotion} Once you get over the strongish tea tree smell(it goes away entirely within an hour), this product is AMAZING. Clears up like 80% of my redness(yes, REALLY!!), no bumps/lumps popping up on my face(most moisturizers do this to me), and I’m nearly shine free after a 10 hour shift. Usually I’m using 4/5 oil blotting sheets at least! It’s on the pricey side for a little over 1.5 oz (13.48 on Amazon), but I only use a peasized total amount for face/neck, so I’m guessing it will last awhile. Take the plunge!!
Girls Blog 2015
Submitted by addledd

Before & After 7 months of Accutane! [Acne]

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https://imgur.com/a/Y4zZcF2
Girls Blog 2015
Submitted by Spyroh98

Saturday, 28 July 2018

[acne] I'm about to enter college, and I'd like some routine advice since I'll finally be living on my own!

Beauty Tips For Body Care
https://i.redd.it/mzkl21b2vsc11.jpg
Girls Blog 2015
Submitted by AggravatedSalad

[Review] Rants, Raves, & New Purchases Jul 29, 2018

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Hate it? Love it? Just bought it and excited to try it?Tell us about it here!The rants, raves, & new purchases thread is posted every Sunday at 12 am ET
Girls Blog 2015
Submitted by AutoModerator

NEW OR NEED HELP? Ask here! - ScA Daily Help Thread Jul 29, 2018

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If you're new to SkincareAddiction: welcome!This thread is the best place to start if you have questions about skincare products, your routine, and your skin. Our community is knowledgeable, and we want to help you have the best skin of your life!Do you have a question?Step 1: Read our resourcesFirst take a look at our FAQ and Wiki! They include product recommendations and advice for skin concerns like acne, pigmentation, and dehydrated skin. Or search the sub using this awesome website. You might find a solution to your problem there!If you can't find an answer, or you have additional questions after reading, please move on to step 2!Step 2: Ask for helpTo give you the best advice possible, our users need relevant information about your skin and skincare. With your request for help please include:The issue(s) you need help with.Skin type. It's OK to be subjective, how do you feel your skin is? Oily, dry? If you need help clarifying, check out this guide on skin typesCurrent routine with the full names of your products (try to separate it in to Morning, Evening, and Occasionally used)How long you have been using your current routine, or product in questionAnything new you’ve introduced or started doing that might change the condition of your skinYour location so we can recommend products/services available to youThanks for taking the time to include your information!Would you like to give advice?Firstly, thank you so much for helping out our community, without your knowledge and time ScA would not be the same!Some things we'd ask for you to keep in mind: please don't just downvote someone's opinion or response because you disagree.If you can, please take the time to tell them why you think their advice may be incorrect or harmful. It's better for people to understand why something is a poor choice, instead of just being told that it is one.Previous ThreadsThis thread is posted every day at 12:00am ET.
Girls Blog 2015
Submitted by AutoModerator

[Acne] Active break outs are nearly gone (YAY) but dermatologist isn't very interested in helping me reduce scaring (BOO)

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https://i.redd.it/uq046rv04tc11.jpg
Girls Blog 2015
Submitted by northern_belle

[Acne] My acne has been steadily getting worse since April and no product seems to help. Any advice would be appreciated.

Beauty Tips For Body Care
https://i.redd.it/t1z03h86qsc11.jpg
Girls Blog 2015
Submitted by MotorSun

[PSA] Super comprehensive Vitamin C video from Gothamista

Beauty Tips For Body Care
https://www.youtube.com/watch?v=YDe-zTZzYFA
Girls Blog 2015
Submitted by DejectedUnicorn

[acne] have you ever switched from a prescription retinoid to a non-prescription? Please tell me your experience!

Beauty Tips For Body Care
A few months ago I started breaking out, my skin had always been acne prone but this was relentless. Eventually I started using differin and am now clear.Differin is working fine for me but my skin is a bit sensitized and the acne seems to have really settled down; I’d love to try switching to an over the counter retinol, maybe with BHA, but I’m scared to awaken the sleeping beast (aka my acne).Had anyone tried this? How’d you go?
Girls Blog 2015
Submitted by pocketfullspaghetti

[Skin Concerns] Dead skin/dirt accumulation on buttocks?

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Hi all. For as long as I can remember my buttocks have had this dark outlook kind of like on your elbows when you lean on them too much. I've been exfoliating and scrubbing religiously but it's not working. Any advice is greatly appreciated as this bugs me quite a bit. Thank you!
Girls Blog 2015
Submitted by OGPotato12

[Acne] Using Differin .1% At Home Effectively for Mild-to-Moderate Acne (x-post: /r/scacjdiscussion)

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On July 8, 2016, Differin .1% Gel was approved by the FDA for over-the-counter sale. This is a big deal in the treatment and management of mild-to-moderate acne at home, as it is the only prescription strength retinoid available in every major drugstore (and Amazon!) in the US. Bonus: it's cheaper than most people's co-pays (including mine) used to be. Unfortunately, it's still kind of a mystery on how to use it properly for your skin, as there is a ton of misinformation out there on the world wide web and the tube basically tells you to just use it every day after washing your face.General Retinoid TipsIn my last post, I talked a bit about the different types of retinoids available as well as some brief usage tips. In short:Wear SPF 30-50 every day while using any topical retinoid, including Differin.Avoid the eye area (lid and thin undereye) as well as the lips and areas next to the nasal passages.Apply a pea-sized amount. Dr. Dray demonstrates this amount in her video. It is quite literally roughly the size of a pea.Apply after cleansing and moisturizing your skin, once your moisturizer has dried down. Don't use overly occlusive moisturizers before Differin application, like heavy oils.Do not introduce new products right before or while using Differin. The reason for this is that if you begin to break out from the new product, it can be misinterpreted as breaking out from the Differin.Retinoids are not pregnancy safe. Please speak with your doctor if you are pregnant or planning to become pregnant before using Differin or any topical retinoid, including retinol.If you do best by watching videos, Dr. Dray has an excellent video on this process.Starting DifferinWhen you first start using Differin, you'll want to ween your skin into it. While some skin is very tolerant and can withstand every night almost immediately, for more sensitive skin types this can be a bit more of a process. I've written some general guidelines below, but please note that all skin is different so you may need to tweak this depending on your own skin.Tolerant Skin. If your skin is quite tolerant of topical therapies and rarely shows signs of irritation and peeling, feel free to begin applying a pea-sized amount of Differin once a day, at night, after cleansing and applied over your moisturizer as Dr. Dray demonstrates above. If your skin begins to feel tender or like it is burning, even after application of a bland moisturizer, cut down to usage every other day.Normal/Sensitive Skin. If your skin is sensitive or relatively normal, apply a pea-sized amount of Differin every other night (Monday, Wednesday, Friday, etc.), after cleansing and applied over your moisturizer, as demonstrated above. If your skin begins to feel tender, even after application of a bland moisturizer, cut down to every third night.Very Sensitive Skin. If your skin frequently shows signs of irritation to new products, particularly things like AHA, BHA, or vitamin C serums, or if you have rosacea, you may want to start by applying a pea-sized amount, over moisturized, clean skin every third night. This is where I started. After a few weeks, your skin should be able to tolerate every other night without excessive burning, tenderness, or peeling. If it does, cut back to every third night.If your skin starts to feel a-okay with every third night or even every other night, try to bump up frequency. The goal is to be able to use it every night, but if your skin never feels comfortable at that point, that is okay - use it as frequently as you can. Remember that for everything, everyone's skin is different and beautiful. Your mileage may vary.What to ExpectSome tenderness.My skin is more sensitive to being scratched, hot water, scruffy beards, and chemical filter sunscreens, particularly sunscreens with avobenzone.Micro-peels. Wearing makeup will be a challenge during the adjustment period (about two months) of using Differin. Your skin will look and feel smooth, but application of foundation will show very fine peeling all over the skin. This is okay and normal. If your skin is ever showing thick "sheets" of peeling, you should back down on usage. Your skin should not be shedding like a snake from Differin .1%Slightly more breakouts. Experiencing slightly more breakouts for the first few weeks is normal and fine. They should not be extremely aggressive or much worse than the breakouts you were experiencing before, particularly if your acne is mild.Dryness. Dryness is very typical with any retinoid product, particularly during the first 4 weeks. Apply more moisturizer than usual and more frequently throughout the day, if needed. Do not use occlusives like Vaseline on your skin before applying Differin, as this can inhibit some of the absorption of Differin.Combining Therapies at HomeReferring back to my post I made previously once again, all retinoids (and frankly, all acne treatments) are best when used as a combination therapy all over the affected area (in this case, the face).Benzoyl Peroxide (BP)BP is not a new drug. First shown to be effective against acne in 1934 (though not explored as a treatment for acne until the 1960s when William Pace began to treat patients with a precipitated sulphur cream that contained BP), it is now often prescribed as a treatment for mild-to-moderate acne in conjunction with topical retinoids, particularly adapalene (Differin). The FDA has permitted use of benzoyl peroxide in OTC concentrations of 2.5-10%.Details of randomised, double blind clinical studies using BP for the treatment of acne.It has keratolytic, moderate comedolytic, and antibacterial properties, "which include the reduction of P. acnes and Staphylococcus aureus on skin."¹ It is a largely vehicle-dependent drug, meaning that the formulation matters. One journal notes this: "Many formulations incorporate BP crystals that vary in size and do not necessarily fully dissolve completely or at the same rate. Larger crystals that are not capable of settling into the follicular ostia due to their size may randomly rest on the skin surface for more prolongued periods of time, thus producing scattered foci of 'hot spots' that may present as patches of cutaneous irritation."¹In addition, in three double-blind studies 2.5% BP gel was been found to be just as effective as 5% and 10% preparations with fewer side effects due to the lower concentration of the drug.To combine with Differin at home, I recommend finding it in a wash, such as PanOxyl, or Differin's brand "Daily Deep" Cleanser, which contains 5% Benzoyl Peroxide. Feel free to use BP in this form twice a week or every other night - whichever you and your skin are most comfortable with. This is a form of short-contact therapy (an effective way to use benzoyl peroxide with less side effects) that can also be done with gels or creams as well, especially if cleansers are too drying for your skin. In one study on short-contact therapy:Short contact therapy utilizing a 2 minute skin contact time with BP 9.8% emollient foam used once daily over a 2 week duration was highly effective in reducing the quantity of P acnes organisms on the back and provided comparable colony count reduction to "leave on" therapy using BP 5.3% emollient foam. (Source)For gels or creams, I sound like a broken record about this brand, but I do genuinely love Paula's Choice BPO formulations. I have a small, travel-sized tube of their 5% formulation (which is not more efficacious than their 2.5%, but I had to test it!) and I love it. Unlike most BP formulations that crust up and sit as a film on the skin, the PC BP spreads easily and sinks in. Acne.org also has a pretty wonderful formulation of 2.5% BP that I used many years ago.An additional note about BP is that is must be used all over to be effective as a combination treatment. While it is frequently billed a spot treatment product, BP really shines when it is allowed to treat acne before it becomes a problem, by blasting P. acnes and unseen microcomedones. This is why infrequent short-contact therapy is ideal, as the whole face can become quite sensitized when you're new to Differin.To use a cream or gel as short contact therapy, use it over your moisturizer, before washing your face. If this bothers you, wash your face very gently first, removing any makeup or sunscreen, and patting dry with a towel. Apply a thin layer all over, let sit for two minutes, and rinse away. Apply your moisturizer while skin is still damp to prevent TEWL (trans-epidermal water loss) and let dry completely before applying a thin layer of Differin (about 20 minutes, if you are using it on the same day you use Differin).To use a benzoyl peroxide cleanser, follow the instructions on the bottle, after removing any sunscreen and makeup with an oil-cleanser. Apply your moisturizer immediately after, while skin is still damp, to prevent TEWL and let dry completely before applying a thin layer of Differin.If your skin feels particularly raw, painful, or chapped from the introduction of BP, cut down on frequency, use it on the "rest" day that you aren't using Differin, or remove it all together to let your skin heal before re-introducing. Please note that these instructions are not for use with Duac, a prescription topical combining clindamycin and benzoyl peroxide.Salicylic Acid (BHA)Salicylic acid (SA) is in a class of ingredients known as hydroxy acids, which I've referenced before. SA is a lipophilic (oil-friendly, meaning it is ideal for oilier skin types or in conjunction with oily products) compound and found in a plethora of products. While frequently considered as the oil-friendly version of AHA, it differs from AHAs in how it exfoliates the skin (desquamation, keratolytic) as well as it's ability to prevent the formation of comedones (comedolytic). To quote a journal that overviews the many OTC treatments for acne:[On AHA] At lower concentrations, AHA functions as an exfoliant, interrupting corneocyte adhesion in the upper SC by interfering with formation of ionic bonds. As a result, AHAs promote individual corneocyte desquamation and decrease corneocyte clumping, both of which lead to smoother skin texture and decreased visible scaling and flaking; a decrease in follicular hyperkeratois promotes resolution and prevents formation of AV lesions, especially comedones. ...[On BHA/SA] Due to its desmolytic properties, salicylic acid promotes individual corneocyte desquamation, thus simulating natural exfoliation, and exerts moderate comedolytic activity. The desmolytic and comedolytic properties of salicylic acid are concentration-dependent. In fact, salicylic acid is not keratolytic. Rather, it exerts its effect on SC desquamation by breaking the bonds created by corneodesmosomes, also called the “rivets” or “staples” of the SC, which sustain the adherence between contiguous corneocytes. ... The “physiological” desquamation provided by salicylic acid provides smoother texture and appearance to the skin and can give the illusion of decreased pore sizes.The journal goes on to add: "Unfortunately, lower concentrations of salicylic acid may provide only a modest desmolytic [the process of breaking down carbon-to-carbon double bonds, such as between skin cells] activity, thus producing minimal therapeutic effects." In shorter terms, your mileage may vary. Some people find great success with BHAs while others feel like it does very little for them.Over the counter formulations can appear in 0.05% to 5%, while higher concentrations of SA are reserved for prescriptions and chemical peels.These features make it less ideal (and much less studied) than BP for combination therapy with Differin, especially in lower percentages or untested formulations, but for some it may prove useful or even better than BP.To use it with Differin, look for unscented washes or leave-on applications and use on clean, moisturized skin, before applying Differin or every-other-night, when not using Differin. Many people like Stridex pads due to their wide availability, but the formulation can be irritating to some. My personal favorite is (again - I swear I am not sponsored, I just really love their active ingredients) Paula's Choice 2% BHA Liquid (Extra Strength, if using her acne line). CosRX also has a couple products, if you prefer Asian beauty products.For cleansers, there are fewer options. Clinique has one that is fairly pricey and Dr. Dray loves the classic orange, oil-free Neutrogena cleanser in the pump (not the bar!). Use after removing makeup, following the directions on the bottle, and immediately apply your moisturizer to prevent TEWL. Once dry, apply a thin layer of Differin.The risks with BHA combination therapy are largely the same as BP - redness, dryness, tenderness. If you begin to feel any of these effects, cut down on the frequency of usage of BHA before cutting back on Differin. If needed, remove the BHA entirely until your skin heals.Glycolic Acid, Lactic Acid, Mandelic Acid (AHAs)AHAs or Alpha Hydroxy Acids are a group of products that include glycolic, lactic, mandelic, and fruit acids. While the exact mechanism of these ingredients is rather poorly understood, it is known that they exert some effect by thinning the stratum corneum (SC) - the upper most layer of the epidermis - as well as dispersing basal layer melanin and increasing collagen synthesis in higher concentrations.As mentioned above, AHAs can be helpful for some conditions of hyperkeratinization where the epidermal thickening impairs the SC permeability, resulting in skin fissures (microfissuring and macrofissuring). The most extreme examples of macrofissuring is usually seen on hands or feet, where the skin may split or "fissure." At low concentrations (below 8%), AHAs disrupt the corneocyte adhesion. To re-iterate from above:At lower concentrations, AHA functions as an exfoliant, interrupting corneocyte adhesion in the upper SC by interfering with formation of ionic bonds. As a result, AHAs promote individual corneocyte desquamation and decrease corneocyte clumping, both of which lead to smoother skin texture and decreased visible scaling and flaking; a decrease in follicular hyperkeratois promotes resolution and prevents formation of AV lesions, especially comedones. Higher concentrations of AHAs (8-10%) can lead to both epidermolysis and thickening of the dermis.For some, this action can prove helpful when used in conjunction with retinoids, which most frequently cause peeling and dryness.To use with Differin, look for low percentages to start with (4-8%) in leave-on products. Glycolic, while the most effective form of AHA, is quite irritating to some skin types due to it's ability to work quickly. Mandelic and lactic acid are especially gentle forms of AHAs due to their larger molecules that penetrate slower and may allow some people to use AHAs when they otherwise wouldn't be able to.To start, add them to your routine on your off-nights and work up tolerability from there. Some people also find value in using short-contact therapy with AHAs - particularly glycolic - though this limits their efficacy, particularly with forms that penetrate much slower, such as mandelic acid. Some popular brands of AHAs are Paula's Choice (8% Glycolic Gel), Pixi Glow Tonic (note: this contains several plant extracts, which can be very irritating), Nip + Fab pads (also contain fragrance and plant extracts), The Ordinary (7% Glycolic Solution as well as 10% Lactic), Stratia (10% Mandelic), and as CosRX (Glycolic Acid).It is not advised to use an AHA in a cleanser, as it is often not on the skin long enough to create noticeable differences.As with all of the other above combinations, if you begin to experience redness, soreness, dryness, or irritation, cut down frequency and remove entirely if needed to allow your skin to heal.Azelaic Acid (AzA)A natural component of everyone's skin, azelaic acid (AzA) is also a viable combination therapy, and there are increasingly more products available over-the-counter that contain this ingredient. While AzA is not frequently prescribed for acne, it can be very helpful for some skin types, particularly those that are very sensitive.Unfortunately, there are no good studies around AzA when used with Differin, but there are studies around AzA in comparison to clindamycin and BP. Specifically, one study showed it to be as effective as 5% BP as well as 1% clindamycin in a randomized controlled study with 351 patients (BP gel) and 229 patients (clindamycin).Azelaic acid 15% gel proved to be as effective as BPO and clindamycin with median % reduction of the inflamed lesion (papules and pustules) of 70%, and 71% respectively. The azelaic acid gel was well-tolerated, the side effects (local burning and irritation) were distinctly less than with BPO but more pronounced than with clindamycin. Despite these side effects, the treatment was well-accepted by the majority of patients. (Abstract, source)AzA is also bacteriostatic, meaning that it can suppress the ability for bacteria to reproduce, which can help inflammation. It also suppresses hyper-proliferation of keratin, which is a factor in acne.Unfortunately, it does take time to work and the side-effects when initially starting off can be aggravating. The most common side-effects are itching and stinging as well as mild dryness or peeling. This tends to resolve within 4 weeks. This can be difficult to push through. As someone who uses AzA, I can say that the initial itching upon application canfeel very intense and aggravating to deal with, though icing my skin helped me push through the worst days. Your mileage may vary.To use AzA with Differin, I recommend trying to use it in your “off” nights, when not using Differin. If your skin tolerates this fine, feel free to use it every night. AzA is typically pretty gentle, but the itching can feel very intense if you have never used it before, especially when used on sensitive skin or skin that is sensitized from other ingredients.There are a few trustworthy AzA topicals available over-the-counter in the US. Paula’s Choice makes one that contains 10% AzA and 2% BHA, which I reviewed. The Ordinary also makes a 10% AzA, though it feels quite powdery and silicone-y, which some people dislike. Garden of Wisdom is another option, especially for people sensitive to many ingredients. Their product is an 8% serum that receives a lot of love, though I have never used it myself.Another option is Melazepam Cream (20% AzA). However, I want to mention that this formula contains two oils, which may inhibit some of it’s efficacy. Specifically, in a study involving 15% AzA, waiting until after moisturizing seemed to result in greater penetration of AzA in all moisturizers tested except for one, which contained an oil (macadamia nut oil). It was surmised that this was due to the occlusivity of the oil. Another potential issue is that Melazepam is made in Israel – something that may concern some consumers.If you feel irritation or the itching is incredibly intense, try to back down on usage. I have found that applying a cool ice pack (wrapped in a towel so you aren't pressing such an extreme cold to your skin) can really help soothe some of the "itch."SulfurTopical sulfur is another option, though hard to find and frequently found in masks and other short-contact products. Sulfur exhibits antimicrobial properties and has been used for hundreds of years to treat AV as well as seborrheic dermatitis. It is frequently found in formulas up to 10% in combination with other products, particularly resorcinol, which is thought to be antibacterial, antifungal, and keratolytic.Unfortunately, topical sulfur frequently causes mild irritation and sensitization, and has limited popularity.Queen Helene’s Mint Julep Mask is a popular product with sulfur, as well as the ProActiv mask. I would advise anyone using the Mint Julep Mask in particular with Differin to be cautious, as the clay (kaolin) can be very drying to skin that is already dry and peeling, and the fragrance content is fairly high, making it a potentially extremely irritating choice of treatment.Whatever you decide, it is important to be consistent and not treat either the Differin or the combination product as a spot treatment. While this is a popular way to avoid irritation and sensitization, it only treats the symptom, not the disease, which is to say that it is only treating the comedone once it has surfaced as a larger issue rather than treating the root of the problem: the formation of microcomedones. Differin takes roughly twelve weeks to see full results, and products like AzA can take even longer. Whatever you decide, stick with it and listen to your skin by backomg off when it feels a bit more sensitive and moving up slowly in application when you feel you're adjusting.SourcesOver-the-counter Acne TreatmentsThe effect of benzoyl peroxide 9.8% emollient foam on reduction of Propionibacterium acnes on the back using a short contact therapy approachThe role of benzoyl peroxide in the management of acne vulgarisAll of My PostsSkincare Ingredients: Tretinoin, Adapalene, and Tazarotene - Part OnePurging, Irritation, and Gram-Negative FolliculitisDehydrated Skin: An Updated GuideA Guide to Your Dermatologist: When to go, picking a doctor, prepping for your first visit, and tackling shame and depressionPerioral DermatitisKeratosis Pilaris: An Updated GuideRosaceaRosacea: Recommended ProductsEvaluating Your Routine: Hydroxy AcidsEvaluating Your Routine: SunscreenEvaluating Your Routine: MoisturizersEvaluating Your Routine: Cleansers
Girls Blog 2015
Submitted by JoanOfSarcasm

[Misc] Looking for products to help shrink large pores? I wash my face twice a day because I was told keeping them clean would make them less visible but that and astringents don’t seem to help. Any advice??

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Girls Blog 2015
Submitted by BlueBlossom72

[shelfie] More than a year after I started ScA, I almost have my perfect regime

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Girls Blog 2015
Submitted by WookieVillage

[acne] when a closed comedon turns into a open one or a blackhead should we extract it or should we leave it alone

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Aöso since i'm using aha and bha a lot of my closed comedons turnt into open once or blackheads can we extract these without them filling again or better don't touch them
Girls Blog 2015
Submitted by ebruaxx

[PSA] Sunday Riley UFO on sale for $28 when using the code “30SUNDAY” at Skinstore.com!

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Girls Blog 2015
Submitted by fruitandcheeseexpert

[Acne] This is a public admittance that starting now, I am never smoking or drinking again.

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So for over a week I committed to a really good diet - dairy free, low on sugar/simple carbs, no junk food, tea instead of coffee, and LOTS of water. My skin was starting to look really good. Then, I go out last night with my friends, have quite a few drinks and socially smoke, only to wake up and find darkened/reddened scars, some new pimples, and a cyst developing right between my eyes. Fuck this shit. I am NOT TOUCHING any substance that isn't a direct benefit to my body, both physically and psychologically. I've never been more motivated. I am really glad, too, because after last night I think I finally completed my list of breakout triggers. May this serve as a case study to any of you on your acne journeys.
Girls Blog 2015
Submitted by InAFlatline

[Acne] I'm so depressed because of how bad my face looks. What can I do to make it better?

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Girls Blog 2015
Submitted by Mc_Nuggets18

[Misc.] What were the long-term effects of glycolic acid for your skin?

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I would love to hear more about how glycolic acid has helped your skin in the long run.
Girls Blog 2015
Submitted by Gracilis67

Friday, 27 July 2018

NEW OR NEED HELP? Ask here! - ScA Daily Help Thread Jul 28, 2018

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If you're new to SkincareAddiction: welcome!This thread is the best place to start if you have questions about skincare products, your routine, and your skin. Our community is knowledgeable, and we want to help you have the best skin of your life!Do you have a question?Step 1: Read our resourcesFirst take a look at our FAQ and Wiki! They include product recommendations and advice for skin concerns like acne, pigmentation, and dehydrated skin. Or search the sub using this awesome website. You might find a solution to your problem there!If you can't find an answer, or you have additional questions after reading, please move on to step 2!Step 2: Ask for helpTo give you the best advice possible, our users need relevant information about your skin and skincare. With your request for help please include:The issue(s) you need help with.Skin type. It's OK to be subjective, how do you feel your skin is? Oily, dry? If you need help clarifying, check out this guide on skin typesCurrent routine with the full names of your products (try to separate it in to Morning, Evening, and Occasionally used)How long you have been using your current routine, or product in questionAnything new you’ve introduced or started doing that might change the condition of your skinYour location so we can recommend products/services available to youThanks for taking the time to include your information!Would you like to give advice?Firstly, thank you so much for helping out our community, without your knowledge and time ScA would not be the same!Some things we'd ask for you to keep in mind: please don't just downvote someone's opinion or response because you disagree.If you can, please take the time to tell them why you think their advice may be incorrect or harmful. It's better for people to understand why something is a poor choice, instead of just being told that it is one.Previous ThreadsThis thread is posted every day at 12:00am ET.
Girls Blog 2015
Submitted by AutoModerator

[Humor] Relationship goals

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Girls Blog 2015
Submitted by Mehmeh111111

[Misc] Skincare Ingredients: Tretinoin, Adapalene, and Tazarotene - Part One (x-post: /r/scacjdiscussion)

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Note: This post only covers retinoids in acne, and it only covers retinoids, not retinol. I will be writing about wrinkles, scars, aging, and discoloration as well as retinol separately. This post also does not have recommendations for how to use Differin .1% at home. That is a post I am working on for everyone and will post, as I am in the midst of using Differin for my own skin!Topical retinoids are one of the most common treatments for acne - both during treatment and for maintenance, after the acne is considered to be resolved. During treatment, they are most often prescribed in combination with other products, such as benzoyl peroxide (BPO), where they show the most efficacy.While the pathogenesis of acne is constantly evolving, it is widely accepted that the key factors that play a role in the development of acne are follicular hyperkeratinization, microbial colonization with p. acnes, sebum production, and inflammation. Additional factors have been suggested by the American Academy of Dermatology (AAD), such as "neuroendocrine regulatory mechanisms, diet, and genetic and nongenetic factors all may contribute to the multifactorial process of acne pathogenesis." To understand how retinoids can improve acne, you need to first understand some of the mechanisms of acne, particularly follicular hyperkeratinization.According to William J Cunliffe (Acne: Diagnosis and Management, 2001):_Acne lesions do not usually occur in a follicle bearing a terminal hair [hairs found on the scalp, for example]. The hair acts as a wick allowing sebum to drain from the pilosebaceous canal. In contrast, in the pilosebaceous follicles the hairs are small and vallus in nature and often do not reach the surface. They are ineffective wicks and do not therefore prevent the retention of follicular contents. Histological examination of the pilosebaceous canal reveals that much of the duct comprises an epidermis-like structure undergoing cornification [the final stage of keratinization for the skin cells], the cornified material occupying the more central part of the canal. ... The horny cell layers [the stratum corneum is frequently referred to as the horny layer] ... soon desquamate [shed] into the central part of the canal to form a heterogeneous [diverse] mass together with sebum and bacteria. ... Thus the horny cells distend the pilosebaceous canal, first producing a microcomedone and then a clinical lesion. It is not known why some lesions remain closed comedones (whiteheads) and why other lesions progress to open comedones (blackheads). As the comedones enlarge, the sebaceous gland may atrophy but sebum continues to be produced until the glands are totally replaced. _In short, the hair of the face is too short and too fine to drain sebum (oil) effectively, which allows the follicles to retain its contents, including skin cells that line the hair follicle that would otherwise be shed normally. This forms a clumpy mass of sebum, bacteria, and shed skin cells, which turns into a microcomedone and from there, a closed or open comedone. Why this occurs is not very well understood, but it is thought to be due to hormones, abnormal lipid compositions, or microbial factors.In addition to this, it has been found that the follicular cells in patients with acne is more irregular. This favors retention of shed cells. As the lesions mature into a microcomedone, the walls of the follicle become patchy and thin. However, this has become the basis for retinoid usage, and has placed retinoids at the core of topical therapy for acne due to their comedolytic behavior, which allows them to resolve the precursor to lesions (microcomedones), as well as their mild anti-inflammatory properties.An Introduction to RetinoidsRetinoids have been used since the 1960s, when they were discovered to have tremendous effects on disorders of keratinization. They work by binding to specific receptors on the cells, and each retinoid binds to a different set of retinoic acid receptors. In tretinoin, they bind to alpha, beta, and gamma receptors, while tazarotene and adapalene selectively bind to beta and gamma receptors. This is what makes each retinoid's activity on the skin (as well as tolerability) a bit different.Again, to quote William J Cunliffe:The activation and inhibition of certain steps of gene transcription results in changes of different pathways. These pathways include proliferation, differentiation, inflammation, and sebum production. ... Some retinoids such as tretinoin increases the mitotic activity of the ductal keratinocytes ...In short, these ingredients are cell-communicators that can result in changes to the skin, such as increased cell turnover, reduced sebum production, and more normalized cell shapes.All retinoids are vitamin A derivatives. There are three major types of topical retinoids available today, which include:Tretinoin (Brand name Retin-A)The first topical retinoid and the gold standard.Available in gels or creams, and is now in less irritating microsphere formulations such as Retin-A Micro.Available in gel and cream .025% and .1% strengthsAlso available in combinations with topical clindamycin (.025% tretinoin/1.2% clindamycin phosphate)Adapalene (Brand name Differin)One of the best studied retinoids for combination treatments with BPO. Much better tolerated than tretinoin in most cases.Available in .1% gel over-the-counter in the USAvailable in .1% or .3% creams and .1% lotionAvailable as combination a with BPO (Epiduo, .1% adapalene, 2.5% BPO)Tazarotene (Brand name Tazorac)Potentially more efficacious than tretinoin at treating papules and open comedones.Stronger than adapalene (Differin)Can be used to treat psoriasisAvailable in gels, creams, or foams in .05% and .1% strengthsThey all carry many of the same side effects of peeling, dryness, erythema (redness), and irritation, and the higher the concentration of the retinoid, the higher the risks of side effects become. In 2016 Guidelines for the Management of Acne, the AAD also notes about combinations with BPO:Some formulations of tretinoin (primarily generic products) are not photostable and should be applied in the evening. Tretinoin also may be oxidized and inactivated by the coadministration of BP. It is recommended that the 2 agents be applied at different times. Tretinoin microsphere formulation, adapalene, and tazarotene do not have similar restrictions.Topical retinoids have also been associated with photosensitivity and all people who are using them should use at least SPF 30-50 every day to avoid burns and sun damage, which reverse many of the benefits of retinoids. You should also avoid the eye area, including lids and beneath the eye, as well as the lips and the areas next to the nasal passages. Dr Dray recommends using Vaseline on these areas and calls it "greasing the orifices," which I quite like.A Note About Antibiotics and Topical Antibiotic UsageSince many of the retinoid studies I am about to discuss are those which have been conducted in combination therapies (over 16,000 studies have been published around combination therapies), I think it is both unavoidable to discuss antibiotic resistance and its effects on how doctors are now prescribing topical acne treatments.As you probably already know, antibiotic resistance is a growing public health concern in virtually all parts of the world. While antibiotics have been considered a fantastic treatment for acne for a long time, primarily due to their anti-inflammatory effects, nonantibiotic agents, particularly BPO, has been advised for combination treatments due to the highly effective nature of BPO to kill p. acnes without creating bacterial resistance.Antibiotic resistance can change the outcomes of acne treatments, and in a 1998 review, there was a "clear association between poor therapeutic response and antibiotic-resistance propionibacteria [p. acnes]." (Source) The Global Alliance to Improve Outcomes in Acne (which I will be abbreviating to GAIOA from now on) also notes that resident flora has a "memory" "and retains resistance variants long after antibiotic therapy is discontinued." Worse, this can lead to other complications down the line:_Patients with acne are often treated with multiple antibiotics and their flora is exposed to a significant selective pressure for resistance development. Margolis et al found that patients with acne treated with antibiotics had 2.15 times greater risk of developing an upper respiratory tract infection compared with patients with acne who were not treated with antibiotics. In addition, there have been an increasing number of reports of infections caused by _P. acnes, _including arthritis, endocarditis, endophthalmitis, and adenitis. ... several researched have termed _P. acnes _infections 'an emerging clinical entitity' and 'an underestimated pathogen.' _To put this into perspective, one 12-week study involving 208 patients with acne treated with topical erythromycin showed erythromycin-resistant staph on the face increase from 87% to 98% while the density of the organism increased significantly.Because of this, it is suggested that most clinicians only prescribe short-round antibiotic usage - 3 to 4 months - and only if absolutely necessary. For the patients who do require antibiotics, especially longer term antibiotic usage, it is very important that your doctor monitor your progress in order to prevent resistances.Evidence for Combination TherapiesCombination therapies involving retinoids plus an antimicrobial agent have been used since the 1970s, with many early studies showing that retinoids, when used in addition to antimicrobials such as topical BPO, were much more effective than those who were using the antimicrobials alone. While early studies were mostly conducted with topical tretinoin plus oral tetracycline, 67% of patients vs 48% of those treated with tretinoin alone and 41% of those treated with tetracycline alone had "good to excellent" outcomes.Combination therapies are most broadly recommended for people with mild to moderate acne, as per the AAD.Most modern combination treatments combine clindamycin and BPO along with a topical retinoid. This combination not only increases the likelihood of a positive outcome, but also decreases the development of resistant strains of bacteria due to topical antibiotics.Treatment with Combination TherapiesFor all of the following therapies, I have included the prescribing information as provided by the American Academy of Dermatology (2016). You should always follow your doctor's instructions, but I also know some of you may be acquiring these prescription drugs without a doctor for any number of factors, and I feel like you have a right to this information. Please use it responsibly.Adapalene (Differin and Epiduo)In 2007, a study of Epiduo (0.1% adapalene and 2.5% BPO) was conducted. According to the GAIOA, "It is thought that adapalene and BPO have synergistic actions, because BPO is the most potent bactericidal agent against p. acnes and adapalene, like other retinoids, is comedolytic and anticomedogenic." A double-blind study of adapalene/BPO in 517 patients with moderate to moderately severe acne also showed significantly lower lesion counts than patients treated with the vehicle alone (the formula the drug is carried in) or placebo._The once-daily fixed-dose combination formulation of adapalene/BPO has also been evaluated during 12 months in 452 patients with acne. The fixed-dose combination had good safety with only mild to moderate adverse events that typically occurred in the first 1 to 2 months after initiation of therapy and resolved spontaneously. _The regimen of adapalene plus BPO and clindamycin products has also been studied, with reduction of lesions apparent as early as week two.Prescribing information for AdapalenePrescribing information for Adapalene + BPOTazarotene (Tazorac)While Tazorac (or "Taz") has not been formulated in a combination product like Adapalene (Epiduo), it has been studied in combination with BPO and 3.0% erythromycin/5% BPO. In a study of 440, investigator-masked, randomized, parallel group study, tazarotene plus erythromycin/BPO was "significantly more effective" than other regimens including tazarotene, such as tazarotene and clindamycin.Prescribing information for TazaroteneTretinoin (Retin-A, Retin-A Micro, Veltin, Ziana)Tretinoin is one of the most widely studied of the retinoids, and has significant evidence to back it up in use with combination studies.Bowman reported the results of a controlled trial comparing three treatments: (1) clindamycin/BPO gel; (2) clindamycin/BPO gel plus tretinoin 0.025% gel; and (3) clindamycin/BPO gel plus tretinoin gel 0.025% plus clindamycin. In this study, the triple combination was most effective in reducing inflammatory lesions (69%) followed by clindamycin/BPO (66%), then tretinoin plus clindamycin (52%); non-inflammatory lesions also were reduced to the greatest extent by the triple combination (61%), then clindamycin (50%). All 3 treatments were well-tolerated, although there were more adverse events in the triple combination group compared with the other groups. (Source, page S15)Prescribing information for TretinoinPrescribing information for Tretinoin + ClindamycinMaintenance with Topical RetinoidsAt this time, Adapalene is the most well-studied topical retinoid for maintance therapy once the acne has been considered "resolved." This may be due to its reputation as one of the gentlest of the retinoids. In general though, retinoids are the preferred maintenance therapy due to their ability to prevent development of new acne lesions and resolve existing lesions quickly. In a study on the efficacy of topical retinoids in the role of maintenance of acne, the following changes were observed. In a 16-week, randomized, vehicle-controlled maintenance study, patients who enrolled all originally were diagnosed with severe acne and only 28% of patients had moderate acne and 72% had mild or minimal acne or were clear at the time of the maintenance study. By the end of the study, more than 90% of patients were able to maintain their clearing while on adapalene maintenance therapy. While the following graphs are a bit tough to read, they all should give you a general idea of the efficacy of retinoid maintenance therapies:Graph 1Graph 2Graph 3The GAIOA concludes that maintenance therapy is an important tool for minimizing the likelihood of relapse, given the chronic nature of acne, with topical retinoids considered the best tool for this. They go on to state:The majority of studies reported to date have lasted 3 to 4 months and show a trend toward continuing improvement with topical retinoid maintenance therapy and relapse when patients stop treatment. Clinical experience indicates that a longer duration of maintenance therapy is likely to be beneficial for many patients. Ongoing research will help to define the optimal duration of therapy and, perhaps, refine patient selection. Some patients with significant inflammation may need to be treated with a combination of retinoid and antimicrobial agent. This should be further studied.The fact that microcomedones are subclinical and not apparent to the naked eye underscores the need to apply topical therapies to the entire affected area. This, in turn, suggests that any agent used for maintenance therapy must be well tolerated. The current studies are well done and interesting; however, future studies should include comparison of several maintenance regimens in different patient populations.Some GuidelinesHere are some things to conclude from this post:Topical retinoids are very effective for treating acne, especially when used in combination with antimicrobials.Prescription antimicrobials and retinoids need to be used on the entire effected area for efficacy and should not be used as spot treatments.Adapalene is the most gentle of the retinoids.Retinoid use should be maintained after treatment for acne has concluded.Sunscreen should always be used with retinoids.BPO should only be used with microsphere tretinoin, tazarotene, and adapalene.Many generic forms of tretinoin are photo-unstable (break down in UV light) and should be used at night.SourcesNew insights into the management of acne: An update from the Global Alliance to Improve Outcomes in Acne GroupGuidelines of care for the management of acne vulgarisAcne: Diagnosis and ManagementAll of My PostsPurging, Irritation, and Gram-Negative FolliculitisDehydrated Skin: An Updated GuideA Guide to Your Dermatologist: When to go, picking a doctor, prepping for your first visit, and tackling shame and depressionPerioral DermatitisKeratosis Pilaris: An Updated GuideRosaceaRosacea: Recommended ProductsEvaluating Your Routine: Hydroxy AcidsEvaluating Your Routine: SunscreenEvaluating Your Routine: MoisturizersEvaluating Your Routine: Cleansers
Girls Blog 2015
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