The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:
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Anyone have unusual advice for salvaging bad skin?
I have had terrible, borderline life-destroying bad skin since high school. I've fought it for over a decade with every treatment option under the sun (including copious amounts of SPF to block out the sun), and it's still awful, albeit in a more "beat up, scarred, leathery" way now than a "covered in pimples way" it used to be.
I think I'm totally fucked and just have to accept that. But might as well ask if anyone has any unusual or hail mary methods for improving skin texture/quality, fighting acne, reducing scarring, reducing redness, etc.
Just for the hell of it, here is a list of skin treatments I currently or have formerly used:
Niacinamide
Retinoids (Accutane and Tretinoin)
Azelaic Acid
Urea repair
Vitamin C (topical and oral)
SPF (million sunscreen variants, applied every day, applied every two hours outside)
Snail Mucin Power Essence
Oral collagen supplements
Fish oil supplements
Vitamin D supplements
Daily cleansers
Hyaluronic Acid
Ferulic Acid
Toothpaste (actually a pretty good short term pimple reducer)
Glycolic Acid (exfoliator)
Korean facial masks
Slugging (putting a layer of vaseline or a similar substance on at night to trap in moisture)
Eliminating hot showers
Silk pillowcases
Claritin (to reduce general inflamation)
Rhofade (weird, controversial short-term treatment for redness that restricts blood flow to the face)
Ivermectin (fight skin mites associated with rosacea)
No sugar consumption
No dairy consumption
Black head removal tape
Botox
Dysport (similar to Botox)
Microneedling
Radiofrequency microneedling
Fraxel non-ablative laser
And I'm sure there's a whole bunch of random smaller treatments from when I was young that I forgot
I have become something of an amateur expert on this shit, feel to ask anything if you're curious.
Have you tried any corticosteroids class skin creams? I didn't see any on your list. I use them daily to keep my skin in decent shape. I found a nice strength chart here for all of the specific types. The weakest - hydrocortisone - is available OTC at pretty much any drug store. I was prescribed a class 6 on that chart for a while, but I eventually discovered that the OTC hydrocortisone worked just as well for me.
Dermatologists really don't like prescribing the stronger variants long-term, but it might be worth a try to see if it helps if the OTC stuff doesn't help much. It helps if you find a friendly one who is willing to experiment with unconventional things.
I have used OTC corticosteroids on my hands and have found it very effective. But the reputation of corticosteroids in the face is that they work in the short term at the detriment of the long term. They thin your skin, and thin skin is already the reason why facial skin tends to be so much worse than regular skin.
Have you been prescribed facial corticosteroids by a dermatologist?
Yes I was, and I have kept using it and getting fresh prescriptions for I think like 15 years. They kept talking about "skin thinning", but nothing noticeable happened to me. They kept making me try other things, but nothing else worked (I don't remember most of the things they got me to try unfortunately). Personally, I'd rather take my chances with "skin thinning" than live with terrible itchy flaky skin on my face. I actually found that chart I linked when I was thinking about trying to order some prescription stuff from one of those sketchy overseas places that doesn't need prescriptions because I was getting seriously tired of them trying to push other things that didn't work on me. I didn't go through with that because all I could find was the ridiculously strong class 1 ones that might actually do something bad, but it did give me the idea to try the weaker OTC class 7 stuff since it's basically the same thing, just less potent. That seems to work, so I figure I both solved my problem of keeping my skin decent without dealing with annoying dermatologists and also somewhat went along with their fears by going with a weaker non-prescription version.
Obvious disclaimer, I'm not a doctor at all and haven't examined you, if you follow my example you're doing it at your own risk. I'd say try it for a week though with the OTC stuff. If it doesn't work, you're no worse off. If it works a little, consider trying to get some of the stronger versions by prescription. If it works great, then you get to decide if having something that actually works is worth possible long term risks of skin thinning. It sounds like mainstream medical advice hasn't exactly served you that well anyways.
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