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How do you cope with it ? I'm 28, I have oily skin, acne as white pustules, it's horrible.

I'm dependant on cream and shit. But they only work for a while then the acne comes back. It's a curse.
>>
You can Russian roulette it with Accutane, but it has many bad side effects, some that subside for years.
>>
Same age and also have acne. Erythromycin 4% helps
>>
>>77216309
I did Accutane years ago back in college. Back then my acne was way worse for sure so Accutane did its thing. But as you can see, the problem is still here

Honestly, if I could reduce my sebum production, my acne would go away. But it's "hormonal", what the fuck does that even mean

>>77216314
>Erythromycin 4%
So it's like benzoyl peroxyde ? My derm give me a similar cream and it did work but when I ran out the acne slowly came back.
>>
>>77216321
Check out youtube videos, my ex gfs feed was filled with dermatology slop, all kinds of creams and acids and whatever..

I remember something called Glycilic or Glycolic Acid maybe that she would always rave about
>>
>>77216321
>So it's like benzoyl peroxyde ?
No idea, my doc gave it to me and it worked really well. It's not a cream, more like water
>>
OP you seem certain that you know the solution so I don't gwt what the problem is? If your skin is too oily, you need to wash your face more regularily.
>>
>>77216304
I just recently improved my skin by a ton using zinc pyrithione 2% soap. I bought it for sebhorreic dermatitis but it also got rid of most of my acne.

Wish I had figured it out sooner.
>>
>>77216352
But it doesn't work like that, I use an expensive Cerave face wash twice a day, a wash adapted to my skin.

It calms the acne but it's still here. Plus, I don't want to live my entire life off this fucking thing like a fucking HIV patient

The issue is inside my body somehow, but what is it exactly I don't fucking know
>>77216356
>zinc pyrithione 2% soap
I'll look it up, thanks.
>>
Drink water, eat healthy, get exercise, get sleep. These should be obvious, but it must be said.
Every time I use the restroom, I splash my face with water and pat dry with a towel. Helps to gently remove some oil throughout the day. (No crazy tv-facewash splash required, lol, I just cup my hands into a bowl and lower my face into the water to prevent a big splash and water getting on my clothes.)
I change my pillowcase every day. It's just part of making the bed every morning now. My face is smushed against the pillow for at least six hours every night. That's a lot of gunk buildup, even showering before bed. Pillowcases are cheap and easy to wash with the rest of my laundry.

Couldn't do accutane, that shit made me want to kill myself.
>>
>>77216321
>if I could reduce my sebum production, my acne would go away
Don't retinoids reduce sebum production? I have oily skin, and tazarotene seems to have significantly reduced that.
>>
>>77216404
You saw improvements really or was it just placebo
>>
>>77216396
>twice a day
Could be too much, ironically causing your breakouts by removing your skin's natural barrier (which causes sebum production to spike). Reduce the facewash use to once a day, but rinse your face with plain water more frequently throughout the day.
>>
>>77216304
37 with acne here:
shower before bed
change my pillow case every night
buy 7 pillowcases right now
avoid harsh cleansers, acids, etc

it will take a month or 2 to notice a change with changing pillowcases but its an extremely underrated hack

also pay attention to what touches your face: your hands, a dirty hoodie, a dirty blanket all makes shit worse. Even resting with your hand on your face.

An for hormonal acne, pay attention to your diet, stress, and sleep. IF youre a man on the juice make sure you have Arimidex on hand.

topical products literally do nothing for me but make shit worse
>>
>>77216304
I just made homemade soap with coconut oil, vitamin E, and lye, and it went away.
>>
>>77216304
It’s a gut health problem mostly. You should try more fiber, whole foods, red meats, probiotics and prebiotics. You’ve got bad bacteria in your gut causing trouble because it feeds on bad diet, and your good bacteria that would fix it can’t survive on bad diet.
>>
>>77216437
If you have acne why should we listen to your advice?
>>
I used to have real bad acne, then I spent 6 months as a stoner and it literally cured it. I get it on my shoulders and back now, but that's probably more a hygiene issue than anything.
>>
isotretinoin
Retinoids
Salicylic acid
Benzoyl peroxide
Azelaic acid
Anti inflammatory ingredients (panthenol, cica, ectoin,)
Zinc
Have you visited a dermatologist for further treatment?
Peace and love <3
>>
>>77216309
my wife did it twice, once as a teen once as an adult and shes fine. Altho she does not drink or smoke and watches her diet obsessively
>>
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>>77216304
It's hygiene and diet. I had really bad acne till I was like 28. I was a dirty degenerate who only showered like once a week until I finally got a girlfriend and she pretty much forced me to wash. She made me actual food too, not the McDonald's and microwave slop i was living off before. My skin probably fully cleared up within 2 months, never had any issues with acne since. I don't even get the occasional pimple, skin is perfect. didn't take any drug and didn't use any special face creams, just started eating real food and showering every day
>>
>>77216773
I have a normal diet and I shower everyday

Plus we all know that dude who eats like shit and has an almost flawless skin
>>
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>>77216304
I too have had hormonal acne. I had it my late 20s. I'm a couple years away from it being bad. I'm working on reducing scarring and pigmentation now. Acne itself is a sign of inflammation which can be driven by many things. Mine was health issues driven by histamine and other sensitivities. I used a 5 ingredient 10% benzoyl peroxide solution for about 6 months but honestly addressing my underlying health issues was the biggest difference. Lots of food were triggering acne as it became clear, like chocolate. Nowadays I use a Bromelain cleaner for 2 days and then a sulfur cleaner for 1 day and only have occasional pimples. I don't mind relying on these creams as unlike a lot of acne solutions they are reducing acne in a way that also benefits my skin.
>>
>>77216304
Carnivore with an emphasis on getting plenty of iodine from seafood. Eliminate any products with fluoride or bromide in them. I have great skin and only wash my face and shower once a week.
>>
>>77216304
Yeast and other bacterial overgrowth causes acne. Cut sugar and carbs and it will disappear. Stop feeding the problem.
>>
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You still get acne cause you are pale and didn't get enough Vitamin D

Stopped getting acne once i got a tan
>>
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I want to try quitting diary products but milk is like 30% of my diet.

Already removed 90% of my sugar intake, didn't help at all with my acne. I don't sleep with a pillow so do you think that I should try changing the bed sheets every day?
I'm sure I'm vitamin D deficient as well but I didnt go to a doctor in 15 years.

I have always had acne but now that I care about myself I want to get rid of it. To make it worse right now is the only moment of my life that I'm proud of removing my fucking tshirt but I have acne all over my body.

My life could be so much better if I cared about myself like 10 years ago but I still have my 30s to enjoy right?.. I'll be able to get prime pussy soon right, lads?...

Fuck. I have so many stuff to fix at my late 20s.

If you are wrong please do yourself a favour and take care of your appearance and health. Life will only get harder.
>>
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>>77216304
>>
>>77217800
>If you are wrong
Nice, now I have mental retardation as well. I meant "if you are young".
>>
not sure if this is helpful but i've been struggling with moderate acne since early 20s weirdly and only a couple of years found out that if i stop taking b12 every day, i get clearer skin. look into whether you're sensitive/oversupplementing with it as there's data to suggest that it can cause excess sebum production
>>
>>77216803
>Plus we all know that dude who eats like shit and has an almost flawless skin
and? are you him? fucking cope necked lying loser. eat better, bathe, clean your room, and go outside you disgusting goon troll.
>>
>>77217923
he's saying that just because you were an unclean caveman who got acne solely because he lived like an indian it doesn't mean that your advice is useful to the already hygenic people that still have an acne problem despite already living like well-adjusted human beings.
It's like if someone asked advice about a weird rash and someone said "I also used to have rashes when I was homeless and sleeping on concrete and rusty nails but ever since I got a home it went away, so try sleeping on a bed"
>>
>>77216304
I still have acne at 34, but it's always been relatively mild, with small numbers of pimples, but often large. I've started doing skincare and it helps. Retinol speeds up the life cycle of pimples. Niacinamide and zinc PCA control excess sebum. Hydrating agents like hyaluronic acid, urea, panthenol and glycerin can help the skin to not make a ton of sebum by already feeling properly moist, especially with a non-comedogenic sealant like squalane or jojoba oil. Glycolic and salicylic acids can serve as a spot treatment for active pimples, but don't use glycolic acid every day and not on the same days as retinol.
I've recently started using azelaic acid 15%, which is said to be an excellent "acne killer" in the long term, but it's still too early to tell. I'm hoping it's what finally ends the nuisance.
>>
Stop eating sugar.
>>
>>77216304
Parasite cleanse. The outside is just a symptom of whats in the inside. Deworm.
>>
>>77216304
only people i know who still get it eat like shit
are you eating fast foods and supermarket snakcs?
cut them out in favour of homemade stuff
>>
>>77216689
because acne is for life
but as long as you do what i say you will keep it under control and avoid pimples
>>
>>77218227
i'm op and i wasn't me asking
but to answer your post, i'd rather die than live my life like this

there must be a way out
>>
>>77218239
OP, what sort of changes would you like to try? It sounds like relying on using daily creams, nor intense hygiene/irritation avoidance are out. What about dietary? What lifestyle changes would you be willing to try? I'm the one that posted pictures of my before and after. I've become quite interested in skincare and dove deep into learning about acne to resolve my own. I'm up for exploring options with you if you are. You mentioned hormonal, is it right before your period that you get a flare?
>>
>>77218239
>id rather die than change my pillowcase every night

you cant handle reality

that said my acne went away when i went to prison, so environment has a lot to do with it too
>>
>>77216304
Daily swimming in a chlorinated pool cured my acne. Also great for fitness.
>>
>>77216304
I was prescribed accutane for mine 20+ years ago but I suffer from gerd now. It took care of the acne.
>>
>>77218454
more proof that a lot of acne is cause by bacteria reproducing on your skin

people don't realize that the skin has probiotic bacteria on it as well
it takes time to kill off the bad bacteria and have mostly healthy bacteria on it

thats why changing pillowcases and letting anti-fungal shampoos like nizoral sit on your face every now and then are goated

also wash your sheets every weeks
do your fucking laundry
stop touching your face
and get sunlight because UV rays are antibacterial as well
>>
Adapalene
>>
>>77216304
This woman is beautiful in my eyes.
>>
>>77216352
>you need to wash your face more regularily.
God shut up
>>
what dose of Accutane? and for how long?
>>
>>77216304
I just mix lotion with Hibiclens.
No issues for years.
Although I only get acne on my ass
>>
>>77216304
this woman is actually very pretty. her acne isn't that bad, either.

I was an ex-pizza face, I took pills in the morning and evening, had a special shampoo, and had to use 2 different Rx-level facecreams and washes depending on the time of day. idk if it did much, but once I finished going through puberty, the acne went away, but the scars remained (I'm a guy). the scars faded over time, and most of them completely disappeared by my mid 20s.

there are so many products out there, but I think if you're serious about it, go to an actual dermo and shell out the money for actual Rx shit. the one thing I wouldn't do is take pills (mine was an antibiotic) because they can mess with your gut health and body (I didn't know any better, I was just a 14 year old kid doing what the doctor said).

and especially dont go on accutane, it fucks up your body and mental health and that's not worth it (I never went on this, and desu stopped the pills after a few months anyway and just stuck to the hair washes and creams).

make sure you do your sheets and pillow covers a lot and use zero fragrance, gentle washes. I think a lot of people dont wash their pillows enough at night. dont put your dirty hands on your face. shower after working out or after a day outside (which you should be doing anyway).

finally, dont worry too much about it. girls obsess over this, but except in extreme cases, I don't think women become significantly less attractive with acne. OP's pic might be +0.5 with makeup covering it up. big deal. as for guys? girls don't care about guys with acne either unless it's ridiculously bad. girls criticize each other, guys will criticize each other, but girls dont care about guys with it, and guys dont care about girls with it.

you'll be fine.
>>
>>77219307
also forgot to add, I started dating girls in junior high, and this continued from then until, well, the present. only had a handful of girls comment on my scars later on during university, by running their hand over the part on the sides of my head near my ears (seborrheic part) after sex, and saying it felt manly (has bumps and stuff there, but like i said it's gone from basically everywhere else on my face). so i dont think it's something that's a huge negative, and this was also with me being a pizza face in junior high and some of high school.

so I never had a single bad experience with the opposite sex with it. thats something I think gen alpha looksmaxxers overlook, is that imperfections are human. millennials and then zoomers like myself realize bodies aren't perfect. do you care if you get a girl's top off and she has a 0.25cm diameter freckle on the side of her torso? maybe, but probably not.

improve every other aspect of your body that you can more easily control, like your athleticism, muscle, clothing, knowledge, and make it such that any remaining acne is the last thing that someone even bothers to think about.
>>
>>77216773
i still cannot believe the glow up this guy had lmfao
>>
>>77218416
>>77218431

I'm not saying that having basic hygiene is too much for me. But I'm not a caveman, I take showers, I wash my hands and my face, I change my pillowcase.

If it were that easy nobody would get acne


>>77218720
It has to be linked with bacteria, my derm prescribed me a benzoyl peroxyde cream and some antibiotics and my acne went away for a while until it came back

But from what I read, everyone have this bacteria on their skin, so why it only affects a few individuals and not the rest

I'll probably try to get some benzoyl peroxyde cream at the drug store but I won't be naive enough to think this is a lasting solution


>>77218998
It was 10+ years ago so I don't remember, but it probably was like for a few months. But it worked the first week, it was impressive

Honestly if I'm too tired of living an autistic lifestyle trying to cure my acne the "healthy way" without result, I'll just hop back on Accutane and hope for the best


>>77219307
Well I did type "cute girl with acne" for clickbait purposes. That chick is a model actually. Trust me, you wouldn't be this cool with some girl with severe acne

But thanks for the input, and I get that it didn't stop you from getting laid but for me it's not about that. First because I didn't have any pussy even during my "clean skin" phases, but it's more about my own mental health and not being pissed off looking at your face in the mirror and discovering new pimples even though you did everything right
>>
Wat u don't want to hear but i am the same. Wash every 8 hours max 10, with gentle cleanser. Wash more frequently if ur ever going to stretch beyond 10h otherwise (sleeping, being out, etc)
>>
>>77219430
what do you use as a "gentle cleanser"
>>
>>77219423
>But thanks for the input
you are welcome. after that, you answered your own question. your premise was "how do you cope" in your OP, and then you do realize that it is a mental health issue and that you have some sort of dysphoria about your face. so the "how do you cope" is that there isn't a cope, it's that your mental health is poor and that fixing your mental health will do much more wonders for you than obsessing over every imperfection in your face.

I know that "fix your brain" is about as helpful as "just be good looking", especially if you have an actual chemical imbalance, but my advice to you is to try to stress less about your face and focus on other things. allow yourself 5 minutes a day to yell at yourself in the mirror and obsess over your preening, and then that's it. cut it down to 2 minutes a day, then to zero. meanwhile get out and active, do more cardio, make more friends, get sunshine and vitamin D. if you're still mentally fucked after this, you might need to see a shrink and temporarily get something like bupropion to break your dopamine spiral (which is the addictive obsessive cycle you are in).

good luck, you'll get through it.
>>
>>77219423
as for >Trust me, you wouldn't be this cool with some girl with severe acne

trust me, yes, I have been. mid girls can also be sweeties, friends, fwbs, some are even, gasp, date-able as well. even when going "all out" on acne treatment, it's something that is basically out of someone's control, so it doesn't bother me. things that bother me are things that are well within the control of people, such as levels of fitness (barring some severe metabolic disorder or disability, which are exceedingly rare). being fat and out of shape or not showering or not even attempting to dress properly is indicative of a person's character. having acne when going through puberty or for a few years after puberty? big deal, that's just a natural process like the color of your eyes.
>>
I got a woman to pick out what I should use cause I told her no more than three things; I'm not doing a 1000000 step routine she got me two face cleansers (am/pm) & a face lotion
couple days post shave I use a sugar salt scrub to exfoliate
also lots of water & changing pillow cases every few days
>>
>>77216304
Go carnivore with foods high in retinol (liver, oily fish, eggs) and it will go away. I know this will trigger that ketoschizo spammer here but it's just the truth. Retinol (animal/real vitamin A from which many skincare treatments are derived including accutane) is only found in animal foods and almost everyone is deficient. Carnivore is just a good thing to do to eliminate possible food reactions and phytoestrogens that might also be having an effect. I would stay carnivore for 2-3 months, and when it improves slowly introduce back other foods.
>>
>>77216304
Contrary to what most laymen might tell you, the first thing to review to solve adult acne is diet, not hygiene, and the point isn't to eat "healthy" or go on a meme fad diet, the point is to identify potential trigger foods. Dairy, fried foods, spicy foods and high sugar intake are the usual suspects. Go to any derm and they will recommend starting with an elimination diet where you consume no food from a specific group at all for at least a month. If you see a difference, you can experiment with reintroducing in some capacity or accept your fate. If there are no results, eliminate another potential trigger for another month.

My triggers are dairy and high sugar intake, btw. Which are common, as milk is packed with hormones that are potentially inflammatory and high sugar is just inflammatory in general. No amount of skincare and pillow changing will save me from breaking out if i eat anything but trace amounts of dairy or pigging out on sweets.
>>
>>77219605
I may have the same issues

What did you do ? You cut dairy and sugar and saw improvements ?
>>
>>77219615
Yes, no dairy beyond trace amounts and reasonable sugar intake where I don't consume processed sweets more than once every few days works out for me and i have little to no acne. Consuming any dairy or pigging out on sweets several days in a row will inevitably lead to a breakout within a week of consumption, more or less, I reproduced it several times. Giving up dairy can be tough at first. It means no milk, no milk chocolate, no whey, no yoghurts, etc. some people are able to get away with away with cheese but i can't, so no cheese, no pizza, etc. If you're going to do an elimination diet you should start with quitting all dairy period, then after a month you can start experimenting with cheese and such. That said, we are living in the age of many products having dairy-free alternatives, so it was never easier that it is now.
>>
>>77219605
Same here.
Had loads of acne since I was a kid. Only stopped and got clear skin when someone told me to stop eating anything with milk in it.

I still do get some pimples here and there from mistakenly eating anything with dairy.

Also there was this time that I was taking some vegan protein daily with a different flavour that I usually take and that also triggered my acne.
>>
>>77219970
Forgot to mention that I barely apply anything as I actually found that whatever dermatologists or anyone recommends, whenever I touch my face I get acne. I only wash my face when I shower by letting the water go down on my face (I shower daily)
>>
>>77219970
I once tried to avoid lactose completely for a month and I saw zero changes. I was almost glad, because I love milk and yogurt and not consuming any was a pain for me. Still something that anyone with an acne problem should try.
I did see improvements significant improvements after reducing my sugar consumption, so in the end my issue was still mostly diet-related
>>
>>77220009
Can be true. The thing with avoiding dairy here where I live is that actually I inevitably avoid sugar as well (mostly pastries, yogurts, etc)
Also I do get lots of sun now from going fishing almost daily or just going out so idk if that helps.

I remember that last November when I went to Thailand for 2 weeks was when I had the cleanest face ever, even with daily alcohol consumption and not single care of what I was eating. To be honest idk what to make of that lmao
>>
>>77219970
Well I do have some sort of lactose intolerance so I might try that. Actually I did try but I always stop before because of discipline. I always end up eating out and failing

I need to try long enough
>>
>>77219423
>If it were that easy nobody would get acne
Exactly. All the ppl saying “wash your face” “drink water” “eat clean” have never dealt with chronic genetic/hormonal acne. I went on accutane and it ruined my eyes.
>>
>>77219445
Cetaphil gentle, but the non foaming usually, higher ph ones, prolly don't have to moisturize a lot of times either
>>
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The thing is, there are different types of acne:
>fungal
>bacterial
>hormonal
>food induced (which is often hormonal, triggered by foods).

Changing pillows won't do shit if you have hormonal acne (though you should still wash your pillow). Beach + sun combo definitely helps a lot for all types especially if you can do it regularly, but it won't "cure" it.
Rather than "fix" your gut, you really just have to avoid eating foods that trigger acne (like wheat-based foods or chocolate for me).
>>
>>77216304
You can fix it with diet and hygiene, also stop caking your face in makeup, you don't need to take drugs or expensive creams they treat the symptoms not the cause and have side effects

Your diet is probably garbage and full of sugar and low on clean simple water
>>
>>77216803
>I have a normal diet and I shower everyday
Translation: I eat like shit but it's normal for me and I shower once a day
>>
>>77220185
booba
>>
One must determine what type of acne condition is present:

1) Normal acne = acne vulgaris
or
2) Fungal acne = malassezia folliculitis.

Acne vulgaris is typically caused by excessive oil and dead skin cells that block pores. To combat it try:

Accutane
or
Mega dosing pantothenic acid (B5) <-- look into this online.

Malassezia folliculitis is typically caused by an overgrowth of yeast. Demodex mites play a part in this condition, too, as the mites feed upon the yeast on the skin surface causing both pimples and angry red pustules. Every adult has demodex mites living within their pores; but an overabundance can trigger fungal acne. Perfuse sweating can exacerbate it. I had this for 10 fuckin' years and received zero help from both GPs and dermatologists. I recently combatted it myself by lining my pillow with hygiene paper (so I didn't have to wash my pillow case every day) and washing my face, neck, and scalp with DESERT ESSENCE TEA TREE WASH each evening in the shower. I treated my dry scalp with C8 coconut oil as a conditioner (not regular coconut oil as that feeds the demodex mites). Once out of the shower, I used a fungal acne safe moisturiser and a sugarcane derived squalane oil (not squalene!) to hydrate my skin. Finally, I used a thin film of benzoyl peroxide every other day. My skin is now clear, smooth, and flat.
>>
>>77216304
Roaccutane saved me. First course hardly worked. Second course stopped the acne completely and it never came back
>>
>>77216304
>Have acne
Don't live in america
>>
>>77217800
>milk is like 30% of my diet
At some point you have to acknowledge most people don't do that and most people don't have acne. If you're you're getting bad results you've got to admit you're doing something wrong and find out what it is. It can be pretty obvious sometimes like if you do something weird like cooking your food in milk or eating sultana bran for 1/2 your meals. You just have to be like maybe I'll try replacing that with plain rice and fish for a month.



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