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 Post subject: Adult acne treatment?
PostPosted: Mon Nov 12, 2012 11:06 pm 
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Saggy Butt
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Joined: Thu Oct 21, 2010 2:05 am
Posts: 276
Location: Stumptown
I never had acne as a teenager, just a few zits here and there. But now that I'm 35, I am experiencing adult acne around my mouth, mostly on my chin and next to my lips. It's been about 8 months now that I always have at least one pimple, if not 3-4 in different stages of healing.

I'm not crazy about the way it looks but I'm more bothered by the discomfort!

I have health insurance but a high deductible so any trips to the dermatologist will come out of pocket.

I have been reading online and it sounds like what works mostly is prescription stuff. I can't use products with salycitic acid or benzoyl peroxide as I'm allergic, even if they did work for actual acne rather than zits. And I can't take regular combined birth control pills due to migraines, or sulfa antibiotics due to allergy.

What am I left with?

My current skin regime is approximately this: wash in the shower with Yes to Carrots moisturizing face wash and water, Acure oil control face cream during the day (just started using this a few weeks ago). I don't usually wash my face at night. I do use an Earth Science night cream every few days, and once a week I use Earth Science apricot facial scrub.

Thanks for your recommendations!

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"I'm just going to shake genitals instead of hands from now on. Cut out the middle man." - joyfulgirl


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 Post subject: Re: Adult acne treatment?
PostPosted: Mon Nov 12, 2012 11:16 pm 
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Has it on Blue Vinyl
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Joined: Tue Oct 19, 2010 8:40 pm
Posts: 2145
You might have rosacea! See if your GP thinks prescribing a sulfur-based wash (though it sounds like you can't use this?) and/or metronadizole gel/cream is a good idea. Minocycline is also a possibility. And don't use a scrub if you do suspect rosacea!


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 Post subject: Re: Adult acne treatment?
PostPosted: Tue Nov 13, 2012 2:51 am 
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Loves Carrots (in the biblical sense)
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Joined: Mon Nov 05, 2012 9:52 pm
Posts: 74
Location: U.S. Coastal West
I'm gonna cast my vote for no antibiotics, topical or otherwise. They're expensive and they can cause long-term problems. My own acne battles have been long-term (now in my mid-30s) with many highs and lows in treatment. I also have sensitive skin which makes things extra fun. Here's what works best for me right now:

- Wash 1x day before bed with a very mild soap and a washcloth (I use Home Health Facial Cleansing Gel)
- SPF moisturizer in the morning after rinsing face in the shower (DeVita Solar SPF 30; it's not cheap but can be found online on sale)
- Some sort of very pure toner if my skin feels dry
- Abra Alpha Enzyme peel 1x week or so -- this is a malic acid peel that exfoliates & is basically awesome
- Spot treatment: I use a 5% salicylic acid product; Suki products are pretty good and their spot treatment is zinc oxide based.

So my recommendations basically come down to changing your products... and talking to a naturopath if you have the opportunity... and changing your pillowcase frequently...


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 Post subject: Re: Adult acne treatment?
PostPosted: Tue Nov 13, 2012 8:29 am 
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Seagull of the PPK
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Joined: Tue Oct 19, 2010 6:46 pm
Posts: 7660
Location: Brasil
i have rosacea that manifests as pimples and pustules and what you describe sounds just like it. every year or so i also get perioral dermatitis, which is a related thing. oral antibiotics is the only treatment if it is diagnosed. it's also what i usually get when my rosacea gets out of control, topical and oral. i also use sulfur and a homemade herbal toner. my skin reacts to almost everything so that's the only way i can have a product i can use.
benzoyl peroxide, even if you could use it, won't do diddly for rosacea acne.

i have noticed that my acne is hormonal- and i mean stress hormonal, not female hormonal. i've stopped taking antibiotics and doing the rosacea thing, which honestly helps reduce the situation but never makes my skin "nice"- my cheeks are all small acne, all the time, and when it's bad my jaw is involved with large cysts too. instead what i do is extraction facials every other month, no added products, just ultrasound extraction, plain herbal soap, a hypoallergenic moisturizer and sunblock/foundation..... and exercise. The lady who does my facials noticed that when I'm running regularly my face is much better than when i'm not. I assume i'm burning up my stress hormones and they're not erupting out my face, no jaw acne. So I exercise regularly and it probably helps just as much as the antibiotics do when I take them.
just a thought!
PS- a few years ago the dermatologist (who i've given free rein to to try whatever he so desired) wasn't getting results from the usual super expensive and makes-me-sick antibiotics, and so he told me that oil was the problem, so don't use any cream whatsoever, and try to remove as much oil as possible. my skin went BERSERK, cracking and bleeding and i was so uncomfortable- he told me then that i should go on accutane to remove absolutely 100% of the oil from my face [i am 39 and there's no forking way i'm going on accutane. also no proof that it helps rosacea in adults, the only real guarantee is that i will need artificial lube...]. i ended up leaving his practice and doing oil cleansing method until my skin calmed down, and it was fantastic (and i still do it in the winter when my skin needs moisturizing). The anti-oil witchhunt really bothered me, i don't think that removing all oil from your face is an effective method. Especially if it's adult acne and not zits- after all, our skin is older, and we need those oils. I found myself a new dermatologist and thank goodness all that is behind me.

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I'm just a drunk who likes fruit. -- Desdemona


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 Post subject: Re: Adult acne treatment?
PostPosted: Tue Nov 13, 2012 8:05 pm 
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Addicted to B12 Enemas

Joined: Thu Jun 14, 2012 8:34 pm
Posts: 260
I am going back and forth about seeing a dermatologist too. I have insurance, but the specialist copay is $25. I had whole body spaz-out back in May/June when I lost over 10lbs (not trying), had horrible indigestion and heartburn, my hair started falling out more, and my skin broke out. The vegan diet, along with prescription medicine fixed everything but the acne and hair issue. I get the really big painful acne along my hairline and jawline. My cheeks and nose are pretty clear. I have started moving away from natural beauty products as I don't think my hair and skin reacted well with them.

I have been told by drs and the lady that cuts my hair, that stress is most likely my problem, but I don't feel really stressed so I am not sure how to fix that.

In the past, during college and up until my pregnancies, I used a topical antibiotic called clindamycin, and honestly that worked better then anything else I have ever tried. High school I used harsher stuff that I will never use again. Caused me to burn in the sun. I mean I wore gloves in the summer to block my hands from frying.

Good luck!


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 Post subject: Re: Adult acne treatment?
PostPosted: Tue Nov 13, 2012 10:30 pm 
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Saggy Butt
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Joined: Thu Oct 21, 2010 2:05 am
Posts: 276
Location: Stumptown
Thanks for the advice!

I definitely don't have rosacea. The rest of my skin is clear and has normal coloring. No redness except where the actual pimples are.

I wish all I had were a $25 copay, but I'd have to pay the whole thing. I like the idea of a topical antibiotic rather than pills.

_________________
"I'm just going to shake genitals instead of hands from now on. Cut out the middle man." - joyfulgirl


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 Post subject: Re: Adult acne treatment?
PostPosted: Tue Nov 13, 2012 10:42 pm 
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Memorized Veganomicon
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Joined: Wed Aug 01, 2012 12:18 pm
Posts: 91
I had acne around the mouth for a while as an adult (perioral dermatitis), I really hated it because it always looked like cold sores. Various things helped - mostly oral antibiotics, but who wants to stay on those forever? Eventually someone working with the dermatologist suggested that I cut out sodium laurel sulfate and coconut oil from all beauty products from the neck up (shampoo, face soap, toothpaste). That seemed to really help the most, apparently I'm sensitive to SLS. The only problem is finding toothpaste I like without SLS. Shampoo and face soap aren't a problem though.


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 Post subject: Re: Adult acne treatment?
PostPosted: Sat Dec 22, 2012 7:01 am 
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Drunk Dialed Ian MacKaye
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Joined: Wed Oct 20, 2010 3:05 pm
Posts: 1944
Location: Copenhagen, Denmark
I would just like to chime in and say that migraines does not necessarily mean that hormonal birth control is out of the question. I have had pretty bad migraine issues since I was around 15 (I'm 23 now) and it's definitely hormonal - my mom is a chronic migraine sufferer, because her migraines got even more intense and they lasted longer every time she was pregnant, and after 4 times she is basically ill at least 2 weeks a month - so that totally sucks.
But I found out that some types of hormonal BC makes my migraine A LOT better. when I went off the Nuvaring, my migraines had gotten really really bad. I was bedridden with horrible migraines about 5-7 days a month. i was off hormonal birth control for about 1,5 years, with menstrual migraines that lasted about 3-4 days around my period (they were not as horrible, though..) + 1 day of migraine around ovulation. then I went back on hormonal BC, this time in form of a BC pill containing both estrogen and gestagen, and it helped my migraines (and my skin) so much. I went from expecting migraines and being scared of them, to having migraines around 2 days a month (or 2-3 days every two months!) - I found out that for me, it was important to take the pills continuously instead of taking breaks (which, according to planned parenthood and my doctor is totally safe). when I realized this, my life got way better. it sucks being trapped in migraine hell, and there is almost nothing in this world I wouldn't do to avoid them.

So, boring story even more boring, don't rule out birth control because of migraines. they might actually help you! good luck.


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