Dermatologists aren’t sure why azelaic acid is so effective at clearing up inflammation, but it’s often used as an option for sensitive skin or pregnant patients. The ingredient is good at treating malasma, acne, and rosacea, Dr. Linkner says. Your dermatologist can prescribe products with high concentrations of azelaic acid, and you can also find over-the-counter options with lower concentrations of this active ingredient.
What's Going On: Do you tend to get these at the same time every month — say, just before you get your period? Because these are the work of fluctuating hormones, says Joshua Zeichner, a dermatologist and the director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City. Hormones can put oil production into overdrive, and having an excess of it means that it’s more likely to settle in your pores and cause zits.
Oral isotretinoin is very effective. But because of its potential side effects, doctors need to closely monitor anyone they treat with this drug. Potential side effects include ulcerative colitis, an increased risk of depression and suicide, and severe birth defects. In fact, isotretinoin carries such serious risk of side effects that all people receiving isotretinoin must participate in a Food and Drug Administration-approved risk management program.
If you find that acne appears around your hairline, commercial hair products may be to blame. Shampoo, conditioner, hair spray, gels and mousses contain acne-causing ingredients, including petroleum, parabens, silicone, sulfates, panthenol and other chemicals. Try my Homemade Honey Citrus Shampoo that is void of harmful chemicals and leaves hair soft and manageable. Follow with a touch of coconut oil or my Homemade Conditioner made from apple cider vinegar and essential oils.
It’s especially good for cystic acne in women and body acne in men. “Oral vitamin A basically shuts down your sebaceous glands. If you suppress [them] for a long enough period, you can cure someone of their acne, and about 50 percent do hit that cure rate,” Dr. Linkner says. A course of isotretinoin can take about six to nine months. Sometimes patients need to repeat the course at a higher dosage in order to truly eliminate acne.

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It's a common misconception that those with oily skin shouldn't moisturize. Be sure you're treating your entire face to a full routine and not solely relying on spot treatments to battle your breakouts. If your acne comes with a side of oil, this is your best bet for a daily moisturizer. It contains panadoxine, a vitamin B6 derivative that improves skin’s overall healthy balance by visually minimizing pore size and shine.
Dermatologists aren’t sure why azelaic acid is so effective at clearing up inflammation, but it’s often used as an option for sensitive skin or pregnant patients. The ingredient is good at treating malasma, acne, and rosacea, Dr. Linkner says. Your dermatologist can prescribe products with high concentrations of azelaic acid, and you can also find over-the-counter options with lower concentrations of this active ingredient.

Retinoids and retinoid-like drugs. These come as creams, gels and lotions. Retinoid drugs are derived from vitamin A and include tretinoin (Avita, Retin-A, others), adapalene (Differin) and tazarotene (Tazorac, Avage). You apply this medication in the evening, beginning with three times a week, then daily as your skin becomes used to it. It works by preventing plugging of the hair follicles.
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