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Azelaic acid and tretinoin are the things that worked for me, with 0.1% A-Ret tretinoin gel being what cleared my skin entirely. Azelaic acid was freaking amazing, but I dropped it when I moved up tretinoin strength and... haven't needed it since.
Tretinoin is a big commitment to make for newbies though, so it's not for everyone. Azelaic acid is much more accessible and new user friendly. And on that note, I really, really love and recommend Cos De BAHA 10% azelaic acid serum, available on Amazon for less than $13 with free shipping and free returns in the US. I was one of the first people to ever find it and try it and it experienced a big surge in popularity, for good reason. 10% azelaic acid, no acne trigger ingredients, with a pleasant serum texture and first ingredient skin soothing aloe extract. Highlyyy recommend. It's amazing for skin redness and it's even more amazing for breakouts. I swear, azelaic acid is one of the few legitimate miracle ingredients out there as far as very rapid, visible results.
Going to mention an AB product as per sub rules and say that Cosrx's AHA 7% glycolic acid didn't do much for me. In general, AHAs aren't really that helpful for breakouts in my experience. BHAs are even less effectual. Tretinoin number one for me, but azelaic acid a close second that I think everyone should try if they haven't yet!
I would’ve use the glycolic acid from the ordinary 2 times a week and add Azelaic acid. Amazon sale a very good serum with a very affordable price
Azelaic Acid 10% Facial Serum with Niacinamide - Fast Rosacea Skin Care Product + Reduce Cystic Acne Scar + Redness Relief Face + Pimple Pigmentation Blackhead, Alcohol Free, 1oz (30ml) [link]
You can add it to your routine slowly until your skin get use to it. Preferably with your PM routine.
I use this from Amazon. I think I picked it after browsing through r/SkincareAddiction recommendations and getting some advice from a friend who is way more knowledgeable about skincare than me. A drop or two just rubbed into the affected area after washing my face and before putting moisturizer on. I am def not an expert but anecdotally it has been good for me.
Okay then azaleic acid ! I had to stop the tub too . This is what my fave exactly looked like and the SA cleanser rough and bumpy took it away and then I was left with scaring and then I used azaleic acid to remove scars! Now all I use is miceller water .. followed by this epic moisturizer I found on Etsy I can send. For 13.00 .... it’s hard because everyone’s like try this try this try this and it can be so overwhelming to buy all these products and still be left confused and worse than before.... so if you could the azaleic acid from Amazon [link] ...... I would seriously try. My face looked same down to a T
I use this one. I just ordered my second bottle. I like it
Azelaic Acid 10% Facial Serum with Niacinamide - Fast Rosacea Skin Care Product + Reduce Cystic Acne Scar + Redness Relief Face + Pimple Pigmentation Blackhead, Alcohol Free, 1oz (30ml) [link]
Hi, I've been lurking on this sub for the past few months! I've gotten my basic routine down and have been consistent with it since early November and now I would like to add in an active. My skin is combination and sensitive. My skin concerns are redness and mild acne. I usually only have a few small blemishes at a time, and 1-2 large blemishes a month because hormones.
After researching actives on this sub, I'd like to try azelaic acid because it seems like the least irritating option and I'd rather try something more mild first to see if it works rather then go straight to BP or SA. So my questions are:
Is azelaic acid the right choice, or should I be considering a different active?
This is the product I'm looking at, is it a good option?
What is the best way to incorporate this into my routine so as to not cause irritation?
Current routine: AM- rinse with water, Neutrogena Oil Free Moisturizer SPF 30 PM - Krave matcha hemp hydrating cleanser, CeraVe moisturizing cream. Sometimes I cleanse twice a day if I work out in the morning.
Thanks in advance for any recommendations!
The redness has been harder to get under control than the pustules. It kinda depends on the day, my emotional state, what I'm doing, etc. I'm noticing that the Aveeno Ultra Calming moisturizer with sunscreen makes my face a appear more white because it is mineral based and hard to fully absorb into the skin, which makes my face appear less red (but is it still red underneath that layer of moisturizer/sunscreen? Perhaps 🤷♂️). But I feel less self conscious on my work Zoom meetings because it makes me appear less red. The Mirvaso seems to be hit or miss in if it actually reduces my redness.
This is the azelaic acid serum I got. It's only $12 and has cleared up my pustules but not redness. [link]
Has anyone tried Cos de BAHA's AZ Serum? Amazon link here
I am not sure whether to buy this or The Ordinary's Azelaic Acid suspension. Trying to clear up my acne.
So when you break out from a product, first thing to do is to stop using that product. Hopefully you have a safety net routine where you have established products that don't break you out. So fall back on those. You could try using azelaic acid to clear up the breakout, but it's usually not locally and immediately available. This 10% azelaic acid serum from Amazon is what I swear by though. Haven't seen as drastic and immediate results from any acne treatment as much as azelaic acid has done for me. I'd recommend staying away from benzoyl peroxide as that often dries the skin and makes makeup look terrible. Perhaps a gentle AHA would help somewhat, but don't expect it to work any miracles.
Fair disclaimer that I live in the US, so since I have no experience regarding Canadian orders, I'm just going to recommend products that are affordable and are well reviewed by the reddit communities.
Your concerns are pigmentation and acne and you want a minimalist routine. So I figure that you'd best benefit from just two products to incorporate. And I'd heavily recommend that you look into both a lactic acid and azelaic acid product. Lactic acid is an AHA, a chemical exfoliant, which is both hydrating and exfoliating. It gives your skin hydration, which your routine noticeably lacks and it fades pigmentation by ungluing the uppermost layers of your skin and it also helps resolve acne by this same exfoliating mechanism. Try The Ordinary's 5% lactic acid. Azelaic acid is by far the most commonly reported best acne treatment on reddit. In research, it performs just as well as benzoyl peroxide but it lacks benzoyl peroxide's notorious irritation. It also is remarkably good for people with rosacea as well as for people with general skin redness. It reportedly helps with pigmentation as well, but its biggest claim to fame is how well it deals with acne. Highlyyyy recommend to you the Cos De BAHA 10% azelaic acid serum, available on Amazon at least in the US. Far superior to any other azelaic acid product I've tried, including the horrendous azelaic acid in dimethicone by The Ordinary, the terrible pasty, grainy cream by Melazepam, and it's extremely affordable, unlike prescription only Finacea.
I've been using this azelaic acid and it has made all the difference. I just bought The Ordinary azelaic acid for after I use up that bottle because the company has such great reviews.
That’s good that you are keeping it to just water. It was the same for me, washing and moisturizer were irritating it more. Sometimes I even use distilled water rather than the water from my sink. I do like the Avene tolerance no rinse cleanser as well, you can gently wipe it clean with cotton pad instead of rinsing it’s off. It’s so gentle and non stripping.
Other things that have helped me are healing the skin from the inside. Taking probiotics, fish oil, grapefruit seed extract, and multi vitamins. All of which helped reduce inflammation for me over the last few weeks.
The only thing I use on my skin to reduce the redness and improve texture is Azelaic Acid, I will link the product I use from Amazon. If you do try it, patch test to see how you react! It itches a little while it dries down and don’t apply too much. It has helped my skin tremendously, but as always YMMV! Hope this helps you.
I've never had this issue with it but on their Amazon page ([link]) it says this is normal and due to low winter temperature. It says you should soak the product in warm water for 10 minutes and typically should store in room temperature.
Cos de baha Azelaic Acid 10% Serum 1oz with Niacinamide - Rosacea Skin Care Product + Reduce Cystic Acne Scar + Redness Relief Face + Pimple Pigmentation Blackhead + Vitamin B3 + B5, Gluten Free, 1oz (30ml) [link]
I use both! Currently using this 10% azelaic acid serum and 0.05% cream tretinoin (Retino-A), although I'm switching to 0.1% gel tretinoin (A-Ret).
I actually use both of them on a daily basis, at night only. No irritation whatsoever, but my skin's moisture barrier is extremely healthy, so I would advise caution if your skin tends to sting or otherwise get irritated.
My nightly routine is:
>Kose Softymo Deep Cleansing Oil
>Vanicream Gentle Facial Cleanser
>Cezanne Skin Conditioner High Moist
>Naruko Taiwan Magnolia Brightening and Firming Toner EX
>Cos de BAHA 10% Azelaic Acid Serum
>Wait 20 minutes
>0.05% Tretinoin Cream
The addition of azelaic acid was almost magic. It's really incredible just how much it healed my acne and calmed redness overnight. So glad I finally found an (affordable!) azelaic acid product free of all my acne triggers. What a godsend. It has a pleasant liquidy texture with plenty of slip. I was worried about it potentially irritating sensitive skin such as under my eyes since I apply tretinoin there. But surprisingly, my undereye area has been just fine. I wouldn't attribute any apparent anti aging effect to azelaic acid though. It just healed my existing acne by a good at least 50% overnight, calmed my skin redness (including my PIE!), and made my skin so much brighter and radiant in tone. Oh and it made my skin ridiculously smooth. Not chemical peel smooth of course. But I could tell the morning after my first application when cleansing my face how the texture from my closed comedones just wasn't touchably there. It visibly reduced my closed comedones too, but I expect fully getting rid of them will take time as it usually does for me. Currently have a single active pimple on my face when I had hm, twenty-thirty (now just PIE marks) thanks to neglecting self-care. For just one week, I'd say that's as close to instant magic in skincare as we can get.
gw cwk kulit berminyak tp tinggal di climate yg musiman, kl summer panas humid kl winter dingin kering tp selalu pake moisturizer, yg gw pake azelaic acid serum,purito unscented serum,hyaluronic lotion,sunscreen dan cek bahannya di cosmily.com
There’s Cos de Baha’s azeliac acid serum.
I use a sulfur prescription wash first, metro gel next, Azeliac Acid next (https://www.amazon.com/gp/product/B07QM5KGDK/ref=ppx_yo_dt_b_asin_title_o06_s00?ie=UTF8&psc=1) and last use a moisturizer with a sunscreen in it (https://www.amazon.com/CeraVe-Facial-Moisturizing-Lotion-AM/dp/B00F97FHAW/ref=sr_1_3_sspa?dchild=1&keywords=moisturizer+with+sunscreen&qid=1617199264&sr=8-3-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUEyVlQyVlFSS1U2RlgwJmVuY3J5cHRlZElkPUEwODMyOTk3MTkxWDRIWUhLWDUySyZlbmNyeXB0ZWRBZElkPUEwNzQ3NTI2R0szRVE0UUVUMkVHJndpZGdldE5hbWU9c3BfYXRmJmFjdGlvbj1jbGlja1JlZGlyZWN0JmRvTm90TG9nQ2xpY2s9dHJ1ZQ==). This routine does seem to help. Sometimes I am mostly indoor and need a heavier lotion. On those days I use this something pretty heavy (https://www.amazon.com/gp/product/B000NWGCZ2/ref=ppx_yo_dt_b_asin_title_o05_s00?ie=UTF8&psc=1).
I usethis one from Amazon. The consistency is really nice and it doesn’t dry out my skin.
Out of the recs from the azelaic acid wiki (pasted below), Garden of Wisdom 10% Serum should be easy to get! Others might be too, I just know that GoW 10% is on victoriahealth :)
Garden of Wisdom 8% Azelaic Acid Serum (8%)
Garden of Wisdom 10% Azelaic Acid Serum (10%)
The Ordinary Azelaic Acid Suspension (10%)
Paula's Choice Azelaic Acid Booster (10%)
Cos De Baha 10% Azelaic Acid Serum (10%)
Ecological Formulas Melazepam Cream (20%)
Maybe you’d want to look into Azelaic Acid? According to this article, prescription strength Azelaic Acid proves to have comparative effects with BPO in treating acne sans the irritating side effects.
AzA is known to be an antimicrobial, anti-inflammatory, and comedolytic (inhibits formation of comedones) ingredient that also works well with treating PIH. Best of all, it’s actually recommended for treating rosacea :)
I’ve only really tried generic prescription strength (15-20%) Azelaic Acid and don’t have any experience about OTC AzA (10%). The only AB product I know with AzA is the one from Cos de Baha. Really really hope I’d have more AB AzA on my shelf soon. ☺️
i use this: https://www.amazon.com/Azelaic-Acid-10-Serum-1oz/dp/B07QM5KGDK/ref=sr_1_5?crid=33G6OOBY2S0ZX&dchild=1&keywords=azelaic+acid&qid=1603768582&sprefix=azelaic+%2Caps%2C245&sr=8-5
i like it better than Ordinary
Not the person you replied to, but I also use their azelaic acid. Not sure where you're located, but I'm in the US and bought it on Amazon (sold by Cos De BAHA).
It really looks to me that you just have closed comedones, blackheads, and some minor papules. Millia are bumps that form due to keratin under the skin and based on my amateur five minute internet research, they apparently should have defined very obvious white heads, which yours don't seem to have to my eyes. But I'd err on the side of a dermatologist's opinion rather than random internet strangers.
For what it's worth, my skin looked like yours once. I did embark on a tretinoin journey, going from 0.05% cream to 0.04% microsphere gel to 0.05% cream to now 0.1% A-Ret gel. I think I've been using tretinoin... a bit over a year now? And my skin is smooth and glowing and just totally different from how it used to be.
I'd warmly encourage you to stick to tretinoin, but the way to use it right as many of us on /r/tretinoin preach is: cleanse your skin, apply your moisturizer, apply Vaseline to where you don't want tretinoin to touch (e.g. around the nose, around the mouth), wait 20 minutes, apply tretinoin, apply Vaseline all over your face.
This is the best way to acclimate your skin to tretinoin, and it takes a full 3 months for most people for their skin to get used to tretinoin and get past the irritation, dryness, flaking, peeling, and potential purging. After that point, benefits from tretinoin are cumulative, such as increased type I and type III collagen production in the dermis.
But no worries if tretinoin isn't for you. You can always stick to a basic skincare routine of cleanser, moisturizer, and sunscreen and try less irritating acne remedies such as azelaic acid. I adore this 10% azelaic acid serum from Amazon, 10/10 would recommend. Of all the things I tried for my acne before tretinoin, azelaic acid was the best. AHA, BHA, benzoyl peroxide, nada, not working for me. Tretinoin was the one that got my skin freaking amazing though and would recommend it to everyone who can push past the transition period.
For the Niacinamide page, could you add that it also helps to repair sun damage? There are sources here: https://www.reddit.com/r/AsianBeautyAdvice/comments/815nxg/ingredient_how_niaciamide_helps_repair_sun_damage/
For the Azelaic acid page, could you add Cos De Baha 10% to the product recs? It's the only AA product that's a serum and available on Amazon: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/ref=sr_1_5
(I feel like you might have expected this from me) Could you add Urea to the Ingredients page?
The good thing is that this is likely a reaction just to the Pond's product! Breaking out a few days into using a new product is a great indicator that you found teh culprit. I also take 10,000 mg of biotin daily and I never had problems with it and I don't hear about it being an acne trigger much, but the timeframe means it might be a factor. Unlikely in my eyes though. Your acne is likely not hormonally related since you started it in late spring. Diet probably not the factor either since you've been eating healthi(er). And stress, sure, maybe, but you've been stressed plenty of times before this breakout and before your birth control and you haven't broken out.
So I looked at the Pond's B3 Dark Spot Lotion and jesus christ the ingredients list is a horrendous nightmare. In the future, try using CosDNA to look up products' ingredient lists to see what is an acne trigger. And this product is chock full of them. Isopropyl myristate is the worst one. Very common acne trigger and you rarely come across it. Stearic another bad one. And these two are both so high in concentration. Fatty alcohols (cetyl, cetearyl, stearyl alcohols) and silicones (dimethicone, simethicone, cyclomethicone) are both common acne triggers for people. You have cetyl alcohol and dimethicone here. Plus you have fragrance which is an irritant.
So okay, you chucked the likely culprit in the trash. Good! Now you need to heal your breakout. Sounds like your routine was working for you just fine in the past, so I wouldn't change anything there. I don't think Stridex in the red box is a sufficient standalone acne treatment. It never worked for me. The Ordinary's AHA you're using is 7% glycolic acid which is nice, but still pretty weak and probably not enough for healing acne by itself either. Since you're in the US, I really, really recommend you try azelaic acid. Specifically Cos De BAHA 10% azelaic acid serum! It's on Amazon for less than $13, free shipping and even free returns! Azelaic acid is a commonly hailed ingredient in this community and it's very often an option most people haven't tried yet, especially if they're a skincare newbie. The product itself should be soothing and anti inflammatory since aloe extract is the first ingredient and it does have some niacinamide. Even better, no acne trigger ingredients as you can see! So try that. If you hate it, return it, get your money back, easy peasy. I'd use it morning and night. Fingers crossed if you do try it that you see visible results within just a few days like I and other people did! Hope your breakout heals soon!
I have cosDeBaha Azelaic Acid 10% Serum 1oz with Niacinamide
I really like Cos de Baha It doesn’t sting my skin where’s TO’s felt like burning fire on my face 😥 I used Ecological Formula’s for a couple of tubes worth of time, then it started feeling really gritty & burny also.
Edit to fix link
For PIE, add Azelaic acid to your AM routine (before cleansing and after moisturizing). I recommend this one: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/
Most people don't react to mineral oil, so as long as it's not causing breakouts, I think you're fine.
Join r/tretinoin, they have a ton of useful advice.
This serum is getting popular: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/
Off Amazon! It was recommended to me as the best way to buy it. Just make sure it's the official seller. link here
Read my comment for product recs to fix dehydrated skin: https://www.reddit.com/r/SkincareAddiction/comments/a27s5k/routine_help_my_sensitive_skin_looks_terrible_and/eavz6n5/
When you finish The Ordinary Azelaic Acid, I recommend trying Cos De Baha: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/ref=sr_1_5
Cos De Baha is getting popular: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/ref=sr_1_5
You don't get extra benefits from using Vitamin C twice per day, once in the morning is enough.
At night, instead of using Vitamin C a second time, I recommend using Azelaic acid. This one is getting popular: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/ref=sr_1_5
Sounds like you have PIE: https://simpleskincarescience.com/pie-pih-acne-scar-treatment/
For PIE, try Azelaic acid. This one is getting popular: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/ref=sr_1_5
Try Azelaic acid for redness. This one is getting popular: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/ref=sr_1_5
If you're sure it's hormonal, I recommend trying Cos De Baha 10% Azelaic Acid: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/
Use a gentle cleanser.
Use 100% aloe and La Roche Posay Cicaplast Baume (available at Target, CVS, Walgreens) to heal your skin.
When your skin is completely healed, use azelaic acid. I recommend this specific product: https://www.amazon.com/Azelaic-Acid-10-Serum-Niacinamide/dp/B07QM5KGDK/