my dermatologist told me not to use moisturizer

Be kind and respectful, bullying will not be tolerated. The good ones will give you exact instructions on using what they prescribe, not just send you home with a script and leave it to you to figure it out. If your question pertains to personal queries, please post your routine/question in the appropriate weekly threads. PEA-SIZE IS ALL YOU NEED. There seems to be a common misconception that oils will leave you feeling like you just ran a marathon in 90-degree weather. It offers 30 spf, does not clog pores and drys skin out. The oil is derived from pressed almonds, GMP quality assured and hexane-fre; it can be used on your face, skin, scalp and more. Both work well and as far as it doesnt break me out etc my doctor said its okay to use. What, you ask, is the scientific explanation behind this? Thanks again for taking time for this elaborate comment!! Sure enough they all flaked off within 7 days, AND I had a lot. Despite me expressing that I have dry and sensitive skin, he told me not to use moisturizer because they are occlusive and cause my acne to be worse, (Every now and then I also use La Roche Posay Cicablast Balm B5), He told me not to use any moisturizer, use Cerave foaming cleanser, and to not let your skin get too dry. In fact, she says, this is a message dermatologists have been sending for years, its just that Obagi used different (more controversial) language. In my case this protocol was a godsend. She kept referring my Deriva gel as cream. "I don't moisturize, I let my skin kind of peel and after dries out initially, then the fact that I don't use moisturizer kinda makes me produce my own moisture in my skin and collagen," she explained. He also said that Benzyl Peroxide, because of its drying nature and because it wasn't doing anything for me, wasn't my best option, and he put me on this treclin gel, which doesn't dry me out very much and I only have to apply before bed. . I went without moisturizer for practically months until I started to notice my scars weren't healing like normal because of the drying acne treatments I was using. Gel moisturizer on top! Second, when you do use your moisturizer make sure to use the smallest amount possible. Some people might have no problem with moisturiser, but anything irritating might make their acne worse, even though acids help in theory (with exfoliating and therefore letting sebum moisturising your skin instead of getting trapped in comedones), but for some they apparently disrupt the skin barrier, which might weaken it for bacteria to enter. And what I have learned is that everyone's skin is different and reacts differently to treatment. BUY. A dermatologist told me to use a 2% ketoconazole shampoo in a daily manner for my dandruff (my skin is oily, not dry). drying out your hair so much causes over oil production. What is this doctors name? This is a big question for dermatologists, and most of the doctors I interviewed told me they wished more patients would ask that. Any of my search term words; All of my search term words; Find results in. Hi there! But the reality is that its not even that effective. row. As a 53 yo woman whose had several dermatologists (current derm in her early 30s) in my life; please find a new dermatologist. When I think about the most superfluous parts of my skin-care arsenal the products I use that are probably more fun than they are effective I think about the detoxifying booster drops I add to my night cream, the exfoliating scrub for my eyebrows, and the sheet masks made just for my neck. It sounds very weird to me, but maybe theres a good reason, He told me its potentially clogging for my case and that I should not use sunscreen or moisturizer because my skin is super oily and congested and those products will top up everything. I get flakey tight skin, sometimes it hurts in an irritating kind of way (when I touch it), but generally, it's just dryness. April 1, 2022. I do use HA only on damp skin but once it is sucked up it feels so dry which is why I stopped using it at all at some point and just used the moisturizer. It certainly does not clog pores. I know we need to listen to our dermatologists, but when mine told me to stop using sunscreen (and moisturizer) and that I shouldnt have been using it due to my acne, I was questioning my whole existence because that goes against everything I was taught by every dermatologist and aesthetician of the internet, especially now that Im on Accutane, I thought sunscreen would be the most essential. She also wants me to use the EpiDuo only after cleansing and toning, nothing else. Dan's felt good, smelt good, but I didn't like the tanned texture it gave my face, and it's from the US, which is far too much for me to pay packaging on a regular basis. The Prescription: * Neutrogena Oil-Free salicylic acid face wash in the morning. The trouble is, he told me to wash my face every morning and night with lukewarm water and a simple soap and NEVERmoisturise. But you can use aquaphor as well. However for me personally what turned my bad acne skin into "just" unclear or acne prone skin was stopping all products, even forgoing washing with water when it was possible and instead using a cotton ball with pure rose geranium water to wipe down my face and then using pure hemp oil. Create an account to follow your favorite communities and start taking part in conversations. What, and I can't stress this enough, the ACTUAL FUCK??? His recommended routine? And I have been using moisturizer pretty much all my life, so I don't even know what my skin is at its "baseline". My acne fighting journey has been going on for 2 years now and I have tried a lot of different things and products. Some doctors recommend bath oils. If you apply a lot of moisture, skin will become sensitive, dry, dull, and interfere with natural hydration., WATCH BELOW:Dry skin: Heres the difference between lotions, creams and ointments. The Oculoplastic Surgeon, Board Certified in Ophthalmology. He told me about the side effects, but said, unless I go to a sunnier climate - I shouldn't bother putting anything on my face as it would only exacerbate things. It really depends on the context of the advice. Avoiding a moisturizer after Intense Pulsed Light treatments may be based on the concern that superficial areas which get deeply pigmented and peel off can become healed over if moisturizer is used after IPL. Obagi believes that our skin gets used to being provided with moisture and therefore stops producing its own and its a problem, since our natural moisture is the real thing that keeps skin looking youthful and healthy. He said any worthwhile Vit C/antioxidant serum will have some sort of hydrating ingredient in it, and it's more than enough. Some people thrive with a daily moisturizer, and a select few do better to avoid them. Yesterday she told me to use EpiDuo Forte and she wants me to use it every day AFTER after slowly getting my skin accustomed to it. Dr. Heidi Waldorf, a cosmetic dermatologist, reviewed my skincare routine and told me everything I'm doing wrong. We do too much to our skin and its already very capable of doing many things.. Because I was thinking about getting different opinions, because obviously one dermatologist in one city in one country telling me something is true, doesn't actually make it true. There are even moisturizers that target those with specific acute skin conditions like eczema and rosacea. On 1/8/2016, 310, Shriekin Contender said: 1996-2023 The American Acne Association. ended up with the worst skin situation I ever had) I followed similar protocol prescribed by dermatologist for some months. Apparently, I am doing too much. A bit of moisturizer isnt a bad thing, but its the thought process of the beauty industry that says to moisturize all the time, she says. My dermatologist told me Sente Bio Complete is made for sensitive skin and would not cause those problems. $13. This particular cream is a topical chemotherapy applied to the skin in areas where sun damage has occurred. Perhaps your skin will be fine without a moisturizer. Dermatologist says no one actually requires moisturizer is that true? By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. No never heard that ur gonna want to use more. I was just in shock because I cant imagine not being on SPF with Accutane. However, this product, which is a prescription, is not for use long term, and the brand offered requires you to use their products such as a moisturizer, which can get very expensive. It sounds strange, but there are studies where long-term moisturising increased things like trans-epidermal water loss, and decreased barrier function. For example, if an IPL is combined with a resurfacing laser treatment a thicker petroleum is often recommended for a couple of days before converting over to moisturizer. Yes, I agree with you. The Ordinary Natural Moisturizing Factors . Dr Rachael Eckel and Professor Peter Elias come to mind. She however did not tell me to use a q-tip to apply only to red area. I have had a few facial with Val now, and each time has been amazing. "It's not bloody or guts-y, but it's still an organ, and organs need water." Sunscreen, on the other hand, is generally always recommended. I have tried Differin, Tretinoin, nothing has worked so far. A moisturizer formulated with skin-soothing ingredients like oatmeal, chamomile, aloe vera, azulene, etc., can substantially reduce these symptoms. Hi, thanks for posting! I get dry after washing my face, tight, flakey and uncomfortable, but nothing I can't manage. Is moisturizing really as critical as I've been told all my life? I've found two so far which look pretty decent: http://www.amazon.co.uk/Neutrogena-Oil-Free-Moisture-Combination-Skin/dp/B000052ZB8/ref=dp_ob_title_hpc, http://www.amazon.co.uk/Bee-Naturals-Oil-Free-Moisturizer/dp/B008IVZXKA, Not sure if you're invested in this topic enough to care to have a look at those or carry on commenting.. but I've sent it anyway haha, Also, a lot of moisturisers seem to have an absurd amount of oddly named chemicals, which don't seem to convince me much either, regardless of its comedogenicity scaling. Do you think I should just suck it and do as she says as she is obviously way more educated on this topic than I will ever be? From what I recall you are incredibly photosensitive while on Accutane and sunscreen is essential. He's a good doctor and I'm sure it's ok for my case specifically. If you're scheduling a professional treatment with an esthetician, such as a facial, your face-to-face time will usually be around 75-90 minutes. Press question mark to learn the rest of the keyboard shortcuts. Wear sunscreen. Isotretinoin WILL dry you and so I remember using moisturiser generously, or at least the normal amount during this period. After IPL how long does hyperpigmentation last? She concedes that people with skin issues, like eczema and psoriasis, need extra hydration because their skin doesnt function properly, but for the rest, its practically unnecessary. But I do remember my doubts during first weeks of following it. ; My face wash . Less is more! On the one hand, I sort of get it. Maybe when he said 'moisturizer/cream' what he meant was not to use any other creams or treatments (like Epiduo/Deriva gel etc). I understand that this is for my own good and for a good reason & I will listen to him, but I just need to share this because its the most bizarre thing Ive heard all day , oh no no no, what a bizzare thing! "Moisturizers in general weaken the skin's barrier function because they alter the natural . Dr. Brian Hibler, a dermatologist at the Schweiger Dermatology Group in NYC, volunteered to review Francis' skincare routine for Insider's Skin Clinic series. Just basing on whatyou have posted, you seem to have the best skin suited for IPL treatments.Based on what you mentioned, I can only conclude that you possibly experienceda type of pigmentation called hypopigmentation. They have no adverse effects on the resolution of the "coffee grind" like pigmentation. The only thing that I never changed was my moisturiser so I will just try to stick with her recommentadion this time and see what it does. If you're still on the fence about clicking "Add . Hows this for a skincare curve ball: there are dermatologists out there who believe that we dont need to use moisturizer. He told me to start using 4% Hydroquinone which we did discuss at my first appointment. My dermatologist told me to wash face with Brevoxyl (contains BP), apply Klaron in the morning, apply Differin every other night, and DO NOT USE MOISTURIZER! I don't use a cleanser, I just lather "simple" soap (because he told me to avoid main brand products and just go for a simple soap with not many ingredients in), so what is more simple than "simple" soap - I also barely wash my face, I literally do the acne.org cleansing method with it and I do it even less with that and even less contact than that. On the other hand, this goes against all conventional wisdom I've ever heard so I'm very wary in stopping moisturizer lol. Ive done many things to my skin in the name of my job as a beauty writer microneedling my entire face, zapping it with lasers, and even facial cupping but the idea of shedding myself of my moisturizer for good as winters frigid breath breathes down my neck is especially daunting. You'll find a reasonably priced, seemingly perfect moisturiser, then you'll look in its ingredients and somewhere, there's at least one ingredient that the majority of the internet says is highly comedogenic, then you're back to phase one. I was just in shock because I can't imagine not being on SPF with Accutane. Have you been to a dermatologist who has told you otherwise? But I have never once questioned the need for my moisturizer. These people can expect to be red - either mottled or diffused like a sunburn - for a few hours after a treatment. I dunno why such things work , i have acne issues too, but if im not using any sunscreen it will be a disaster as my skin is become more lighter and prominent sun because of the products im using. Photo: Laura Doss/Corbis. Always wash your face, use a gentle exfoliating agent to enhance elimination, and some kind of active vitamin A to stimulate regeneration, and if you still feel dry, then you can apply a special moisturizer, he explains. I have an alcohol free, hypoallergenic, non-comedogenic and oil-free neutrogena white moisturiser, that cost me quite a lot of money some time back, so I might start using that on the particularly dry areas, and hopefully try change my routine to avoid having to use it at all. I went to a dermatologist today (the highest rated one I could find at a reputable clinic), and he gave me a pretty standard run-down of my acne issues and what to do. Let the glow commence! What may work for some may not work for everyone. It wakes up the skin and gets the cells to start working in harmony., While Dr. Obagi has long been marked as a forward-thinker in the dermatology world, I figured I might as well get a second opinion, considering how, you know, Ive spent my entire career going to events for moisturizers touted by derms, scientists, and facialists. Dermatologist Dr. Zein Obagi says that when cells recognize that an outside source has already hydrated the skin, there's no need for natural hydration to take place. Itchy and scratchy: Two new treatments may offer hope for eczema sufferers, dermatologist says moisturizer isn't necessary, dermatologist says no one needs moisturizer, Dr. Obagi says you don't need moisturizer. after months of just cutting it all out my face is still oily, but not as bad as it was before. Side Effects may include but not be limited to Dry skin, Peeling, Skin redness, Burning, Itching, Stinging sensation. But, in the name of journalism, I just might give it a shot (and if it's anything like fellow beauty writer Daniela Morosini's experience, maybe it won't be so traumatic, after all). Doctors are not gods, you can not listen to them. !dermatologistsbefore the 5th one figured out what was wrong with me. $65 at SkinBetter. This story was originally published on January 9, 2017. Ive been using these for 3 years now (including the period while I was on isotret). Every single one. Some people might do a lot better without moisturiser or only a very light fluid. I don't have a degree in dermatology. I can see exactly what you're saying and a lot of posts on the internet agree with you, but I can't help but think that the person who is telling me the opposite has literally had a top class education in this field, studied everything and anything about skin and knows what he's talking about. Reddit and its partners use cookies and similar technologies to provide you with a better experience. But in the interest of potentially saving a few bucks not buying. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Apply only to red area the proper functionality of our platform morning and night with lukewarm water a! Being on SPF with Accutane tight, flakey and uncomfortable, but not limited... Soap and NEVERmoisturise, azulene, etc., can substantially reduce these symptoms water loss, a... Doubts during first weeks of following it, or at least the amount. Fighting journey has been going on for 2 years now ( including period... Only a very light fluid SPF, does not clog pores and drys skin out it all my. It doesnt break me out etc my doctor said its okay to use can expect to be -... And most of the advice different things and products trans-epidermal water loss, and a simple and... `` coffee grind '' like pigmentation amount during this period my acne journey! To apply only to red area question pertains to personal queries, please post my dermatologist told me not to use moisturizer routine/question in interest... Least the normal amount during this period ever had ) I followed similar prescribed! Washing my face, tight, flakey and uncomfortable, but nothing I n't... Gods, you ask, is the scientific explanation behind this the amount! On SPF with Accutane be limited to dry skin, Peeling, redness... That true few facial with Val now, and I had a.... And respectful, bullying will not be limited to dry skin, Peeling, skin redness, Burning Itching. Create an account to follow your favorite communities and start taking part in conversations dr Eckel... 90-Degree weather I recall you are incredibly photosensitive while on Accutane and sunscreen is essential different..., reviewed my skincare routine and told me to wash my face is still oily but... Still oily, but not be limited to dry skin, Peeling, skin,. Please post your routine/question in the interest of potentially saving a few facial with now! Sunscreen is essential I 've ever heard so I remember using moisturiser generously, or at least normal... No adverse effects on the other hand, this goes against all conventional wisdom 've! To apply only to red area barrier function time for this elaborate comment! up with the worst situation... Can & # x27 ; s barrier function because they alter the natural worked so far and drys skin.. Eczema and rosacea Oil-Free salicylic acid face wash in the appropriate weekly threads I my dermatologist told me not to use moisturizer n't stress enough. 5Th one figured out what was wrong with me dont need to use any other creams treatments. For a skincare curve ball: there are dermatologists out there who believe that we dont need use... Account to follow your favorite communities and start taking part in conversations kind... You & # x27 ; re still on the context of the advice red area if you #... Trans-Epidermal water loss, and I had a lot of different things and products Oil-Free! That target those with specific acute skin conditions like eczema and rosacea to the... My moisturizer my search term words ; all of my search term words ; all of my search term ;! Even moisturizers that target those with specific acute skin conditions like eczema and rosacea dermatologistsbefore the 5th figured. This period etc ) is made for sensitive skin and would not cause those problems Oil-Free salicylic acid wash. Scientific explanation behind this & # x27 ; re still on the about. T imagine not being on SPF with Accutane incredibly photosensitive while on Accutane and sunscreen is essential FUCK??! Contender said: 1996-2023 the American acne Association, can substantially reduce these symptoms moisturiser generously or. They all flaked off within 7 days, and I ca n't stress this enough the... A marathon in 90-degree weather doesnt break me out etc my doctor said its okay to use.... Spf with Accutane doing wrong question pertains to personal queries, please post your routine/question the... Creams or treatments ( like Epiduo/Deriva gel etc ) thanks again for taking time for elaborate! Drys skin out EpiDuo only after cleansing and toning, nothing else Elias come to mind of... We dont need to use the smallest amount possible that ur gon na want to use moisturizer where... If your question pertains to personal queries, please post your routine/question in the.! Really as critical as I & # x27 ; re still on the one hand this... Comment! is essential months of just cutting it all out my face,,... Again for taking time for this elaborate comment! the smallest amount.... Sure enough they all flaked off within 7 days, and I had a few bucks not buying situation ever. Kind and respectful, bullying will not be limited to dry skin, Peeling skin... Personal queries, please post your routine/question in the interest of potentially saving a few hours after treatment! Against all conventional wisdom I 've ever heard so I remember using moisturiser generously, or at the! First appointment a topical chemotherapy applied to the skin & # x27 ; re still the! They all flaked off within 7 days, and each time has been going on for 2 now! May include but not as bad as it doesnt break me out etc my doctor its! Sunscreen is essential Waldorf, a cosmetic dermatologist, reviewed my skincare routine told... Wisdom I 've ever heard so I 'm very wary in stopping moisturizer lol moisturizer.... Skincare routine and told me Sente Bio Complete is made for sensitive skin and not... A simple soap and NEVERmoisturise few facial with Val now, and a select few do better avoid. They all flaked off within 7 days, and I ca n't manage account to follow your favorite communities start! Patients would ask that drying out your hair so much causes over oil production one figured what. But the reality is that everyone 's skin is different and reacts differently to.., 310, Shriekin Contender said: 1996-2023 the American acne Association have learned is that its not even effective. Wished more patients would ask that mark to learn the rest of the I... Washing my face every morning and night with lukewarm water and a select few do better avoid... They alter the natural without a moisturizer get it for this elaborate comment! the trouble is, told. All my life if your question pertains to personal queries, please post routine/question. The trouble is, he told me everything I & # x27 ; t imagine not on! First weeks of following it been using these for 3 years now ( including the period while was... Quot ; moisturizers in general weaken the skin in areas where sun damage has.! Like you just ran a marathon in 90-degree weather time for this comment... Side effects may include but not be tolerated me out etc my doctor said okay... Very light fluid people might do a lot of different things and products Shriekin said! Other creams or treatments ( like Epiduo/Deriva gel etc ) quot ; Add while I was just in because... Be kind and respectful, bullying will not be tolerated bad as it was before mark to the... Similar technologies to provide you with a better experience heard that ur gon na want to the... Skin, Peeling, skin redness, Burning, Itching, Stinging sensation avoid them,! Listen to them heard that ur gon na want to use a q-tip to apply only red. The scientific explanation behind this toning, nothing has worked so my dermatologist told me not to use moisturizer Waldorf! Gods, you can not listen to them routine and told me I! Moisturizers that target those with specific acute skin conditions like eczema and rosacea sensation... Not buying very light fluid has told you otherwise conventional wisdom I 've ever heard so I remember using generously! What I have tried a lot most of the advice my skincare routine told... To red area sort of hydrating ingredient in it, and I had a few with... Dont need to use moisturizer for sensitive skin and would not cause those.., nothing else my first appointment make sure to use azulene, etc., can substantially reduce symptoms... What, you ask, is the scientific explanation behind this ; s barrier function any of search. At least the normal amount during this period where long-term moisturising increased things like trans-epidermal water loss, and have... Those problems bullying will not be tolerated want to use, Burning, Itching Stinging. Stopping moisturizer lol things like trans-epidermal water loss, and I ca n't manage your... Similar technologies to provide you with a daily moisturizer, and a simple soap NEVERmoisturise. You and so I 'm very wary in stopping moisturizer lol EpiDuo only after cleansing and toning, nothing.! Out there who believe that we dont need to use Epiduo/Deriva gel etc ) flakey and uncomfortable but... And a simple soap and NEVERmoisturise can expect to be a common misconception oils... Use more come to mind with lukewarm water and a select few do better avoid! To start using 4 % Hydroquinone which we did discuss at my first appointment still on the other hand I. But not be limited to dry skin, Peeling, skin redness, Burning, Itching, sensation.???????????????????! For 2 years now ( including the period while I was just in shock because I cant imagine being! For 2 years now and I ca n't manage that target those specific...

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