DR SAM BUNTING ON...HORMONAL ACNE | CAROLINE HIRONS | FEBRUARY 2015
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- Опубликовано: 26 фев 2015
- Thank you for the great feedback on our first video - here if you missed it: • DR SAM BUNTING ON...SK...
In this post, Dr Sam describes the typical female hormonal acne and what your first crucial steps of attack could be.
We are trying to answer as many comments as possible so please bear with us. :)
Topical Retinoids are next, followed by hyperpigmentation and rosacea.
Dr Sam's (not Caroline's) recommendations for some products are....
Cetaphil Gentle Cleanser
La Roche Physiological Cleansing Gel
Bioderma Sensibio Water in a pinch (eg for gym/plane)
LRP Effaclar H or Toleriane Riche
Bioderma Sebium Hydra
Obagi Hydrate
Then anti-inflammatory leave-on product AM:
Effaclar Duo
Epionce Lytic Lotion
Some form of BPO 2.5-5% e.g. Dermalogica Special Clearing Booster
Then retinoid for evenings
Avene Triacneal
LRP Redermic R
'If this fails, you probably need a prescription.'
Where to find Dr Sam Bunting: www.drsambunting.com/
Music used with permission:
© James Hirons
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This post is not sponsored. This post contains affiliate links. I do not use affiliate links on products belonging to brands that I work with on a professional basis.
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The views expressed on this site are the author's own and are provided for informational purposes only. The author makes no warranties about the suitability of any product or treatment referenced or reviewed here for any person other than herself and any reliance placed on these reviews or references by you is done so solely at your own risk. Nothing on this site shall be construed as providing dermatological, medical or other such advice and you are always advised to seek the advice of a suitable professional should you have any such concerns. 
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She is spectacular! Thank you Caroline for having her on your channel.
Thank you Caroline for introducing Dr Bunting to our lives. Because of your vids I have now booked an appointment with her. You have helped me understand a hell of a lot about skin care routine, products etc which have really helped me with my adult acne. I have booked the appointment because I'm desperate for Dr Buntings help with my pigmentation issues and what seems to be overly sensitive, adult acne prone face. Again if it weren't for your blog, RUclips vids I wouldn't know what to do! I would continue spending all my earnings on purchasing expensive products out of desperation in the hope that it would cure my acne/pigmentation face. Thank you for sharing your knowledge, you are truly appreciated! xx
This was great. Very clear and simple. Thanks for the suggestions too. I possibly have a combination if acne and rosacea. Who know! I think I'm doing so well for a while and then awful breakout and suffering from the aftereffects for weeks afterwards!
Love this series already! Thank you!
Since starting to read your blog I have really been kinder to my skin when I get hormonal breakouts - I used to attack my spots like some sort of military operation lol! Much more gentle now and use oils to promote healing.
Off topic but loving the animal print! Sam looks amazing :)
Great video ladies! Thank you for listing so many products and when to use them. I'm eager to try Dermalogica BP, as previously I have used medicinal tubes of BP 2.5 or 5% bought online (amazon), but recently many brand either got discontinued or had production problems with sourcing ingredients here in UK apparently? I ended up buying a tube of Benzacne which is a Polish version of BP, different to Quinoderm or Panoxyl that's for sure. It has grains in it! So can only use at night....a bit annoying as I then have to miss on vitamin A ingredients...Here's hoping some of the recommended products in this video work well for my mild hormonal acne :D
Dr Sam Bunting Thank you very much for this great advice. And yes you and Caroline Hirons have barely scratched the surface of this topic! Could you recommend any tips on moisturizing or moisturizers while following this regimen. Hope to hear from you soon.
How beautiful is this Doctor?!
LRP Effaclar is the only thing that has worked for my hormonal acne so watching this was REALLY validating, but I’ll be sure to add retinoids to my routine as well!
I've always known it was hormonal, the fact that she said the comment about two triangles made me look at my face and yup, she knows her stuff! Like her, like her alot!
Thanks for the great advice and product recommendations, I'm a fan of La Roche Posay and I use the toleriane cleanser and moisturiser, so I'm going to expand and get the retinol cream and effeclar duo.. Hopefully I can clear up my adult acne once and for all, or at least make it a little more comfortable.
Thanks so much for this series Caroline! It's so useful to have a mix of your and Dr Sam's opinions! Do you think the retinol containing products you linked have a strong enough level? I have Adapalene on prescription but it doesnt seem to be doing much!
Excellent advice, I think. I had a few months of mild but persistent adult acne and I put it under control with Avene Ystheal which is slightly weaker than Triacneal in terms of retinaldehyde.
Thanks to this video this is the first time in YEARS that my skin is completely clear. Thank you so much for the time and effort that you put on you channel, it is so awesome and helpful!
For the record I am using the La Roche Posay Effaclar purifying foaming gel in the morning + Effaclar Duo+ and a cleansing oil or Cetaphil + the Avene Triacneal expert at night; it has been 4 months.
I finally feel good in my own skin, thanks to you both!
oh wait, I also use an acid toner and that makes a great difference ! :)
So much brilliant informasjon ☺️👍
This video is God sent! I have this one cyst thingy under my chin that's been driving me crazy for a week now and it's the third one of the kind I get in two weeks. So I'll try what the wise doctor said and see how it goes!
Try a hydrocolloid bandage!! Works wonders on draining cysts.
www.reddit.com/r/SkincareAddiction/search?q=hydrocolloid+bandages&restrict_sr=on&sort=relevance&t=all
Thank you for another great informative video!
In case you are open for a video idea, I hope you do one about skincare during pregnancy. What products to avoid, what is controversial and what still can be used during pregnancy and breastfeeding. You're the best!
By the way, I took your advice on instagram where you replied me and my rosacea is gone!
Thank you again!!
I'd love a video on that too. I'm not preganant at the moment but plan to be at some point in the future and I've heard all sorts about what you can and can't use.
As I too have gotten older (33) and of course after the birth of my son I've seen a real change in my skin all around. I have normal to dry skin, although I've never asked my dermatologist to look me over just to find out what skin type I fall under. Being that my skin leans toward the drier side I never would have thought blackheads and congested pore would be a problem of mind but they are. After all I do get a blemish once on a while and it's usually a monster of a thing. Where as my blackheads are always there, mostly clustered on my forehead, by the corner of my mouth and then I get a blackhead / whitehead here and there that come out too. What really gets me is that I do have lines on my forehead that sit under my blackheads. My pores are also a lot bigger then they've ever been but very noticeable across the mid face (straight from hear to hear) I need a facial beauty regime and do not know where to even begin I just know that whatever I'm doing now is not working to address any if these issues. I know yiu love your acids and I'm really wanting to get started with an acid since I've never tried. Caroline do you have any advise on where I start?
Thank you so much for this video. Sam - The Dermalogica special clearing booster has been discontinued. Could you suggest an alternative stronger BPO to use after moisturiser in the am? I have been using the Effaclar Duo in the am and occasionally Dermalogica Overnight Clearing Gel at night but want to switch the ingredient to the morning as you suggest. Thanks very much
Thank you so much Caroline and Dr. Sam! I do not understand the Clarisonic or harsh scrub craziness. I am a life long hereditary acne sufferer. Unlike men, Accutane solved my severe body acne but did not give me complete relief for my face. My father, who I inherited my acne from, had problem skin until his death at 75. I am sure that I, too, will always have to address it. I am on an antibiotic, spironolactone and Epiduo (retinol/benzoyl). I must be very compliant to keep my skin under control. Acne skin is sensitive and should be treated gently. Apparently it is not unusual for skin like mine to have other sensitivities. Caroline, when you talk about how a product smells, I have to avoid it. I cannot tolerate perfumes at all nor sunscreen on a daily basis. I am also 55 years old and menopausal, lucky me, and so I have more issues now in my "muzzle" area. So what I am really saying is that my skin is a cluster @&$+ and my dermatologist is my best friend. I think this series is important because acne can be debilitating and good advice is needed to counteract the crazy voodoo that is circulated as legit skincare.
Melanie Saldana I'm so sorry you're going through that. So annoying. And amen to avoiding the Clarisonic. Sending you lots of calming skin thoughts! :)
Thank you! Though my skin looks like I have no issues, and little scarring due to the medical care I have given it for years, I have to be vigilant with my skincare. Even at my age, if I miss any part of my regimen, I will be a bumpy mess in 48 hours! I guess the lesson for those in my situation is to stay the course and accept that like any other chronic ailment, it isn't going away. I had to shed lots of tears to get to this place, so hugs and calming skin thoughts to everyone here!
please tell me you talk about black heads in one episode with her because the struggle is real :(
Thank you so much for this video Caroline!
Although I love products by Emma hardie, biologique recherche, sunday riley and ren it's too expensive for me as I'm still studying and I cannot afford all of it (I'd be in heaven if I could :D) so I'm gonna give a try to products Dr. Sam recommended and see how that works for me since it's much more affordable for me as a student :)
Roaccutane literally changed my life. The side effects are of course serious, but they were certainly worth it in my case.
Hi thanks for the videos. So useful! Can I ask, what do you do once acne has cleared? Do you continue to you benzoyl peroxide? Or will that be damaging to the skin? Thanks so much!
Dr. Sam is soooo gorgeous!!
For me the benzoyl peroxide is the only thing that really works on acne,no doubt. But it´s very strange (and sad) that I went to almost all the doctors in my city and no one as prescribed it to me, and all the stuff they gave me never worked...I just discovered BP in the Internet really,and since then my face got a lot better... got to love internet!
Thanks to both of ya'll for doing these videos. One quick ? If you can .what do you think of bio jouvance clarifying line ? Thanks
Excellent thank you much! Is it ok to use a facial oil on these cystic type spots? I use Manuka rebalancing oil all over, only 1-2 drops and I hope it isn't clogging them
thank you so much for this video! just what i wanted to hear and learn about :)
you mean lrp redermic r and not retriderm, do you? because i can't find it in the name of retriderm. lrp describes this serum as being an anti-wrinkle treatment, but you say, it's also good for hormonal acne. why doesn't lrp name it as being an adult acne treatment as well? that's what i'm confused about.
I work in a pharmacy in the UK and BPO products are virtually impossible to source at the moment (other than some POM), it's really frustrating!
Crossing my fingers and hope it works for me! Just ordered some of the products mentioned and I need this to work! I get hormonal cystic acne that are soo painful that it even hurts to eat. It gets a lot better with BC, but I become bats**t crazy on them, so not really an option for me.
Hi Caroline, great post as usual, I have been waiting for this! For those of us with skin that can't wait to peel off as soon as it sees any BPO or retinoid, is there any serum that you feel would help hydrating and taking down the redness when paired with the other steps of this routine? Thank you :) Diana
I understand the concept of pairing down, but when using BPO and retinoids my skin went wild and I got a little worried for all this peeling. Not knowing whether peeling can damage the skin in the long run (can it?) I just changed routine altogether (Cetpahil gentle cleanser, at night Caudalie Vinosource serum and Sorbet, and over day same serum plus Embyolisse lait creme concentré under the makeup). No peeling and no dehydration anymore but all the red bumps are right back there, driving me nuts O.O Maybe there is a good compromise?
CeraVe is also very good for sensitive skin and something most dermatologists recommend... (it's like Cetaphil, around the same price, but with some anti-aging goodies like Niacinamide)
Really helpful video. I am 31 and suffer with adult hormonal acne. Does Dr Sam advise a serum or just cleanse and moisturise? Thanks
TriAcneal is really good. It has both retinaldehyde and glycolic acid.
Regarding the second step - using an anti-inflammatory - is salicylic acid another option or is BPO the one and only?
Great video :) Can you tell me do you use the AM treatment and PM treatment before or after your moisturise?
So is it AM..... Cleanse, treat, moisturise
PM..... Cleanse, treat moisturise?
Thank you 😊
Melissa
MsLittleapplesHi Melissa. yes, treatments are normally first.
Caroline... this video makes me want to cry (in a good way, I guess! Relief that these products may help). I recently went off of BC and my face has broken out like crazy(if you drew a line from where my top lip is across my face, everywhere below that line on my face is broken out in a perfect U shape. That part did make me giggle "from the T zone to the U zone" perfect description). It looks worse than it did when I was a teenager. I don't even want to put make up on right now because I feel like "what's the point?" Anyways.... In the description bar you say "Dr. Sam's recommendations, not Caroline's" where do you disagree with her/do you have other things you would recommend? Would you recommend the other products one should use while dealing with this issue, such as the face cream? Make up? What about hydrating serums and sun screen, do you still use those? I've been lucky to have fairly good skin up until this point, so I'm at a loss of what to do. As Dr. Sam points out, there is a ton of information online so people often just slather products left and right. Your opinion is the only one I trust. Thank you for your help!
I want to try some of the recommendations from Sam. Do the moisturisers go on before or after the am and pm treatments? Or should they be applied at completely separate times? Many thanks, Kate
Along with using a retinoid, is there anything else she would recommend to help fade hyper pigmentation spots that are few years old?
I can't see either of the suggested retinoids anywhere, does anyone have a link?
Dear Caroline
I am 44 and suffering from eczema all over my body but also on my forehead which i am keeping under control with medical intervention. i have heard retinoid is not recommend in my case. would you agree? or do you think it could use it but avoiding my forehead?
Thank you in advance for your help.
Are there any specific tips for an 11 year old girl? My daughters skin has gone a little crazy recently, so just wondering does she just follow a spimple cleanse and moisturise routine? Also are there any specific treatments or is she too young for that?
Hi Caroline, if a product had alcohol as its second or thrid ingredient, but it does not drying me out, does that mean it's okay then? Also, could you recommend some toners for sensitive skin? Quite a few of them break me out I found. It's so annoying. cheeky me asking two questions, thank you!
Great info...thanks for sharing! Wondering how long you suggest waiting between skincare routine steps. Might seem like an obvious thing but I always wonder how long I should let products set on my skin before moving on to the next step (i.e., between acid toner to spray hydration or serum to moisturizer). Thanks, Caroline...love your videos and blog!
Can you please give some advice,I have quite dry skin and even though its dry I keep getting spots around my cheek/chin area and its not just around tom,I've spent a fortune on skincare and I'm still unsure if its right for me,it's really getting me down as I was lucky in my teens not to suffer from ache etc now in my 30's its hit me :( x
Hi, do you think there are huge benefits to using an all natural skin care routine like the oil cleansing method, for example? And I always hear people talking about this 'acid mantle' that you have on your face, that you have to protect. Is that real or bollocks? Xxx
acid mantle is very real! google it and read about it in a scientific context. i know a bunch of people for whom oil cleansing saved their skin. really depends on the oil though... those with acne-prone skin only want to be using oils high in linoleic acid like safflower seed oil (best), mineral oil, sunflower oil, passionfruit (marajuca) oil, or chardonnay grapeseed oil. safflower oil makes my oily skin amazing. i get mine from Garden of Wisdom. janky site but good products imo
Not sure agree with use of BP, personally I think the cons outweighs the pros. Interesting to learn about Retinaldehyde being used in some over the counter products though, I thought it was only pro brands that used it x
I believe that it's LRP Redermic R, not Retriderm.
I can almost see my reflection in glow off Dr Sam's face :O xx
What if you have both T-zone + jaw-line acne that's cystic?
You have written down Dr Sam's recommendation, What are yours? Thank you. Xx
Is cetaphil cleanser good? Are it's ingredients harmless for a teenager?
oh wow it is so true!! I just turned 20 and my acne has changed from a T to a U !!! However, I don't only get it just before my period...I have this acne all year round :( I hate it so much and I have tried retinol as prescribed by my derm however, it burned my face and aggravated the situation :( My skin is EXTREMELY sensitive and I haven't found anything that can help it :(
Hurrah! X
Where can I find BPO in the UK?
What's made a huge impact on my hormonal acne is cutting out milk. I was drinking a latte every morning and getting one huge zit on my chin after the other. One day I quit milk cold turkey (I'm still having cheese and yogurt in moderation), and they stopped immediately when I did that. I truly think these things come from within -- I kept blaming them on products I was using but now I'm using those products again with no problem. Hmm.
sega10028 Yes in some people dairy is the key.
The only thing that helped me was regular consumption of green juice / smoothies.
I love you guys for this video!
Hormonal acne is the bane of my life, I can have lumps all along my jaw for weeks.
I've been using PanOxyl gel cream and it's really helping. As well as Retinol Reface by Indeed labs - to be honest I think I could be doing with a stronger Retinol product, but I'm not sure which (affordable) brands carry it.
I will look into the French Pharmacy brands for skincare and makeup from now on.
I have noticed some diference in my skin since starting to use this regime - and Caroline thanks to your advice I've not been using foam cleansers for years now, I use hot cloth ones, balms or oils.
benzyl peroxide does absolutely nothing for me, something with salicylic in it works better for my spots at that time of the month. I went on the contraceptive pill for a few years which really helped my skin, When I came off it I was scared my skin would go crazy again but actually it has stayed much better than it used to be in my early 20s (I'm now 27). I had tried the technique of pairing everything back and honestly at the time the pill was the only thing that made a substantial difference.
Benzoyl peroxide seems to be like gold dust in the UK - does anyone know anywhere it's s available? I used to use Quinoderm, have managed to find a couple of products on American websites but need to see if they can ship here!
Charlotte Beaumont There's some restrictions at the moment - I'll ask Sam what's going on when she's back from the States.
Hi,
I really hope you can answer this question, my skin is going crazy - Could I use the Avene Triacneal as I'm pregnant? I thought it was safe to use over the counter retanoids when pregnant?
The effects have not been fully studied on pregnant women so I wouldn't risk it.
Thank you :-) :-)
Ask her about SPF!
would you use a retinoll the same night that you use Good Genes?
willingtootryYes
Hi, I am 23 years old and have very dry, senstive skin with moderate-severe excema. I can't use any kind of fragrance on my skin (essential oil included) and currently use Clinique take the day off cleansing balm, a Clinique eye cream and oilatum facial cream for my skincare, throughout my teens I had no acne at all but over the last 2 years I have started to develop angry spots that remain under the skin around my chin, cheeks and jaw line. The spots scar and return in the same place although rarely come to a head. I have ordered the cetaphil cleanser, effaclar duo and triaclene as recommended. Are there any additional products you can recommed for my skin problem/type? I am always wary of spot treatment because of the dry and sensitive nature of my skin
i have the exact same skin type you do (im 17) and i highly recommend the brands first aid beauty (no fragrance in anything and affordable), origins (most ive tried but not all), and josie maran (if you are sensitive to argan oil then i would ignore this but her products are a skin wonder. i use the argan cleansing oil religiously not only for cleansing but as an emergency face mask. put on for 10 min all over the face, wipe off with a damp wash cloth/flannel, and it will make all the dry flaky eczema patches disappear! (as well as the bumps) awesome for before makeup. hope that helps! :)
CeraVe! it saved my skin... most derms recommend it too. Cetaphil is good too (and like a more basic version of CeraVe) but the cleanser is way better than the moisturizer imo.
Thank you :) I have wanted to try first aid beauty products before but haven't as I didn't realise that they were fragrance free, I will give your suggestions a try.
I'm slightly scared to ask this but.. do any of you have any experience/thoughts about *APPLE CIDER VINEGAR* ?
(This is not the regular apple vinegar that you can pick up in the supermarket, but the kind with the 'mother' included - have a search for related videos ) - Applied diluted, so it's not so strong. I guess the theory is based around 'correcting' the PH level of your skin (alkalising?!).
I've been using it twice a day now (applied topically as a toner) and I have to say my skin is better, but other things could be attributed to its improvement. Would LOVE to know other people's thoughts on ACV. I want to love it, simply because it's a natural solution, which in turn is pretty cost effective. Even if it is a little challenging to track down ACV in the England (not the case in the U.S.)
*Good luck with your acne battles everyone xx*
Beatrice Myers If it works for you go for it. I prefer a more complicated formula personally. xx
Thanks for your reply Caroline Hirons *I'm slightly sick of smelling like fish and chips to be honest..*
I know what you're saying. I've also been using the *Eucerin* Demo Purifyer range, which I've been quite impressed with. I might go back and give *LRP* another go, as per Dr Sam's suggestions.
Thanks for all the info on acne at the moment. It's shattered my confidence in the past, but I'm learning to be happier (whilst still trying to banish it!) *xx*
They French are so much smarter about skin care. Every French line I have every tried has worked better for me..We are so behind in the U.S.,,, IMHO.
I'm so glad we are getting some acne related advice. Yay! Thank you!! My acne is on my cheeks and jawline (under the jaw but not on the neck area per se) its always red and bumpy however my skin is the clearest when im on my period...why is that? :-/
And how can we control hormonal acne internally (not through birth control)?
And what would you suggest is the next best thing for people like me whose face just swells up after using a pea sized spot treatment of b.peroxide ? Thank you both for these video s 😆
I know your daughter!!!!!
We did rockchallenge together!😘😘
How do you treat hormonal acne from within? Apart from birth control and roaccutane. Because I've tried almost every skin regimen and topical acne treatment including retin-A but nothing seems to help my acne in the long term.
go dairy free, or find out if you have any slight food sensitivities
My hormonal acne significantly began to improve once I cut out dairy/sugar from my diet. It still came up but it wasn't as aggressive and didn't happen as often. x
Thanks for all the suggestions! I'll be sure to check them out.
My dermatologist put me on spironolactone (a diuretic that helps remove excess androgens from the female body) and it worked wonders for me. It--in combination with a few topical creams--cleared my hormonal jawline acne in just 3 weeks.
ripluanne Hi, just wondering if you are still taking it? Or did you stop, and if so has it returned? I'm wary of taking a medication because I don't want to get stuck on something for life!
I seem experience bad reactions from most of retinol products b/c of other ingredients in the formulations that my skin can't tolerate. I'm wondering if Sunday Riley Luna is strong enough as a retinoid to help with female hormonal acne? It's one of the only ingredient lists I can get on board with. Can the trans-retinol ester have the same helpful effect as Dr Sam's talking about from other retinol products?