What Causes Acne and How To Treat It - Dermatologist Perspective

[@humzachoudry4410]

From video: EXCUSE the spelling Acne: 1. caused by increase in oil production (oil blocks pores)-> "stickness" skin cell cohesiveness-> bacterial overgrowth -> inflammation 2. increased oil production aka sebum 3. stopping oil production is difficult. But you can keep oil from clogging your pores 4. stop oil production 1. niacinamide and green tree extract can decrease oil production for some. 2. ORAL prescription can also reduce oil production. 3. Salicylic acid can help get rid of oil but not decrease 4. *Don't over scrub your skin. harsh exfoliants. irritation = produce more oil. (astringent, alcohol) - not good. 5. decrease pore obstruction. pore obstruction = causes bacteria to build up. 1. retinoid - flakiness and "purging" expected for a few weeks, a good sign because that is what this vitamin is supposed to be doing. 2. aha, glycolic acid and other bha's 6. decrease bacterial overgrowth 1. benzol peroxide 2. syclic acid, glycolic acid, azelaic acid will also have some antibacterial effects 7. decrease inflammation 1. other things above will get it done. But for a specific targets to inflammation do below. 2. nicinamiade, retinoids 8. *retinoids target 3 out of the 4 of the acne process above.

[@aatikarabbani3429]

Tell me solutions of acne and open pore

[@nakedfire6071]

My mans is very good at writing notes in college

[@skyadav8842]

God bless you

[@essp4922]

thanks a lot for this amazing summary! hope yall get the skin of your dreams

[@anablsc7525]

thanks!!

[@nicoenerlan724]

So so so so happy that Hyram recommended this channel.

[@Doctorly]

Thank you for coming over here to follow us! We really appreciate all the support from Hyram and his fans!

[@lissielil]

Is that y I am watching this😂

[@leilathomas5266]

when did he mention them?

[@phongpham1058]

Stop watching Hyram

[@ganeshraja8728]

@@phongpham1058 why

[@masonthieu2114]

Dr. Shah and Dr. Maxfield, thanks so much for making these videos and sharing your knowledge! Seeing a dermatologist may not be financially feasible for me right now, and I’m sure for many others too, so these videos are invaluable to me. Now, I at least know where to start!

[@Doctorly]

Ahh I'm glad this helps you - this is exactly why we do it!

[@DavidBaldovino2]

@@Doctorly Thanks! Appreciated so much effort and love.

[@brendaortega2340]

You guys explain things in a way that people can really understand a subject so important like acne that is often really bad understood!! Just sent this to a few of my friends, thank you

[@Doctorly]

Thank you so much for sharing this! We really appreciate you spreading the word!!

[@Ashrune]

I regret picking at my acne when I was younger. Be gentle with your skin folks.

[@saraisrandom8575]

Im having adult acne and i want to cry

[@mildribampton5876]

Me too and wearing masks has made it worse.

[@blessngifted]

I'm crying too. Ugh 😩

[@Tamara-ju3lh]

I had preteen, teenager, and now adult acne. It sucks lol

[@Tamara-ju3lh]

@@mildribampton5876 masks always break me out worse too.

[@ivyamago3848]

Me rn😭

[@katelynclayton6681]

I wish I could find a dermatologist in my area that was this passionate about my acne. I would have SO much more hope in my skin.

[@lindsayturk2362]

Like another commenter said, please talk about the role SUGAR CONSUMPTION plays in acne! I have been under the treatment of a dermatologist from age 10, due to terrible cystic acne that runs in my family. I've done everything...accutane, doxycycline, retin-a, and so many more. Then I read somewhere in a book that cutting down on sugar would help. Within a day or two of cutting out sweets, my acne situation improved more than it ever had with any of the prescriptions. Had I known this earlier it would have saved me from the years of embarassing skin problems and the terrible scarring I now have on my face. Why don't more dermatologists talk about this?

[@pidginx]

the same experience. cutting dairy and sugar I had an incredible improvement after years of adulthood with acne. Now it only comes out if I'm extremely nervous. It has to do with these "foods" being highly inflammatory. dermatologists don't talk about it because current medicine still treats the body as if it were separate parts of a whole. I add to whoever reads this that in addition to eliminating these foods I no longer consume gluten or processed foods. I have multiple food sensitivities that's why I gave it up, but they are also inflammatory foods. In any case, the final improvement was removing sugar and dairy products.

[@dr.anniesavagend-balancing9222]

@@pidginx In my experience healing and treating gut health as well as optimizing the liver function really helps in healing acne. Good for you for removing the sugar and dairy!

[@epicgoblin3564]

@@dr.anniesavagend-balancing9222 Hi, can you tell me more foods I shoild eat less and foods I shoild eat more to help with acne

[@pingouin125]

American medicine is very analytical and high-tech. Each specialty will address a set of specific problems. Solutions were created by researchers and the industry. Doctors master it and it is very efficient. So each specialty takes care of his part of the body or system as taught in medical school, with no place for a holistic approach, and no willingness for war among specialists. And why do Americans want to be on a no dairy, no sugar, and maybe no wheat diet and take probiotics? Exit the pizza! And all fast food should be banned, there is sugar quite most everywhere. So no life for a teenager and his parent. On the other hand, inflammation, which is an immunologic reaction, is not very well understood, just look at COVID treatment at the beginning of the pandemic and the emptiness of a solution for Long COVID. This systemic reaction needs a broad approach.

[@rrrrrfffff]

@@epicgoblin3564 it could be helpful to look into avoiding "inflammatory foods" or trying out an "anti-inflammatory diet". Another possibly helpful way to go about it might be trying Whole30, since it's geared toward cutting out inflammatory foods for 30 days and slowly introducing foods back to see what specific to you has good or bad reactions. Everyone is different, so this might be the way to go. Good luck!

[@marinaecheverria6646]

As someone who has acne I appreciate this so much, keep it up! Can’t wait for your future videos.

[@Doctorly]

Thank you so much! More coming soon!

[@quantummobile7547]

Did this regimen solve your acne?

[@TheMoonwalker101]

I use Benzoyl Peroxide under my arms in the shower because bacterial waste products is the primary cause of body odor (per Dr. Dray) and now my underarms barely have any smell! Thanks for the great tips for everyone. ❤️

[@lovelikebecca]

You guys should do a video on what acne “means” depending on where on the face/body it’s located. That would be a great one to watch!! Thank you for all the valuable content you two put out there for us!! Greatly appreciate it!

[@Sabrinafolt]

This was so helpful. Hi , I’m from Germany and here going to a dermatologist is not very common. It is also very hard to get an appointment and if you get one the dermatologists can’t really help you a lot . I’m so thankful that there are people like you who want to help others and are not all about the money.

[@geealoveseth]

I also found your channel through Hyram and I am here to stay! I appreciate your work. Thank you for helping us all! 😊

[@Doctorly]

Thank you for following along :) we appreciate all the support

[@shellbell4136]

Same!

[@mariyanoorani1283]

Same 😁

[@moaz564]

Same

[@elizbethkieffer6887]

I’ve had acne for over 10 years, and the only thing that has ever helped my oil production and my acne has been changing my diet, including not eating high glycemic foods and not eating dairy. Once I changed my diet, it took me about three months to notice a difference in my skin, but it changed everything. It’s so worth it. Not even a Accutane helped me as much as changing my diet did

[@ramkrishnachoudhary633]

At the age of 26 I am still struggling with acne all over my face, n despite of all the videos available I didn't know what went wrong, thank you so much for this knowledgeable video, I hope after this I can make my face acne free.....huge respect to you guys :)

[@luk1010]

Maybe too much stress and the masks

[@Deepak-sn7oc]

Hey bro plz update me... How's it now and what things u used

[@ramkrishnachoudhary633]

@@Deepak-sn7oc you have to 1st understand what causes acne.....for some people it's hormonal, for me it's my stomach heat n excess oil production in face......no amount of skincare product can cure that, so I incorporated some changes in diet like eating cucumber daily, taking coconut water, curd, avoiding packet n oily foods etc n not to forget wash ur face daily at nit before going to bed.....I hope it helps bro :)

[@Deepak-sn7oc]

@@ramkrishnachoudhary633 now what's ur face status

[@jerrel.writes]

This is the best video describing acne on KZbin. Thank you handsome gentlemen

[@emmafoster1791]

I’m so glad I found out you have a KZbin channel from Hyram, this is so helpful! 💙💙💙

[@Doctorly]

Thank you so much for your support! It means the world! I hope this helps :)

[@leilathomas5266]

when did hyram mention them?

[@emmafoster1791]

@@leilathomas5266 Like months ago

[@sohberry1889]

Thank you so much for sharing this information. The next video should be about how to get rid of acne marks / dark spots. Such as those red ones that look like blemishes. Thanks again 🙌🏻

[@Doctorly]

Absolutely - Great suggestion! It’s one of my favorite topics to discuss

[@jessymorel923]

Love using tumeric,has lighten up my acne scars the dark marks it has left every time I do an Aztec clay mask,I've seen a massive difference 🖤🖤 I'm gone be a future esthetician,hoping to be as properly educated as you two,you know your stuff

[@alejandracolorado8227]

I love using Azelaic acid when I have pimples works really nice!

[@Doctorly]

Azelaic acid is one of my favorites!

[@engrkiro19]

I've been using Benzoyl Peroxide. Then tried Salicylic Acid cleanser. And now, I've decided to try retinoid specifically adapalene.

[@giselagomez2845]

Did that help?

[@norazeisse1033]

I’ve tried all the things they just recommended over the counter. I’m finally going to a dermatologist on Friday and I’m so excited.

[@lilywilliams888]

Love the content! As someone who’s suffered with acne for years, could you maybe make a video on a good (reasonably priced) skin care routine? Thanks!

[@dermacathykim3067]

Gentle cleanser, moisturizers, sun screen and tretinoin (night time)

[@erendiraloredomora7519]

First thing of all I wanted to say THANK YOU, your channel has helped me a lot with my acne half of my face is cleared up already and the products you have recommended such as salicylic acid and benzoyl peroxide have been such a game changer. Thank you so much for all your help, I really appreciate it.

[@carter5548]

I'm so excited that you were in Hyram's video and I found you! I am a science oriented person (just took my MCAT today) and am excited to learn from you. I just started my second round of Accutane today, 8.5 years after my first round which cured my acne for 5 years, and would love a video about tips and products to minimize side effects. Accutane was the only thing that could fix my acne the first time and now that I have mild acne again and have tried everything topical again I'm happy to get back to clear skin.

[@Doctorly]

Hi! Thank you for heading over here! The most common side effect we see with accutane is dryness. Key is to moisturize with creams (ceraVe moisturizing cream) and thick ointments like vaseline! If side effects are really bad, you can always discuss decreasing your dose with your dermatologist but it does usually get better after the first 2 months.

[@taniaquezada6599]

Hyram brought me here and I am so grateful! thank you for sharing your knowledge

[@Doctorly]

Thank you so much for your support!

[@shawnahowerton1661]

My 15 and struggling with it since 9 and thank u Essie for recommending this vid know I know how I can treat mine ❤

[@tashpendlebury2951]

So glad I found your channel guys! I’ve just finished binge watching most of them! I (and a lot of other people I assume) would love a video of a detailed skincare routine for acne prone skin with product recommendations. For example, what cleanser, treatment and protectant to use (for oily, acne prone skin) That would be so incredibly helpful! 🥰

[@kaksha17]

I'm from India, I have seen a couple brands trying to use turmeric root extracts in their formulations, glad you mentioned it! Sending lots of love and wishes for the growth of your channel! 💕

[@Doctorly]

Thank you so much!

[@drmuneebshah8722]

Hello gorgeous

[@tiaisawesome7]

I would love to see a video specifically about scalp acne.

[@drmuneebshah8722]

Thanks for your comment inbox me privately for a chat and directions

[@lizzwilson8931]

This has been so helpful as I struggle with comidonal acne, fungal acne, and hormonal acne. Just found out I have pcos and that’s why I have such oily skin(: sulfur has been the biggest game player for me!

[@julianahalvarado6717]

These videos give so much more information than we get on Tik Tok. It truly is amazing that you both share so much info!!

[@drmuneebshah8722]

Thanks for your comment inbox me directly

[@breannahoffman99]

Thank you guys so much! I feel like I’ve been stuck as far as what to use and why I’m using it but you guys actually took the time to break it down and explain (with this video and others) what each product is targeting and what I need to add! Thank you!

[@franklinelectro4935]

These guys have perfect skin i feel like crying

[@niname08]

Thank you for the wonderful tips. I would've loved it more had you discussed the relationship between excessive sugar/carb intake and insulin spikes leading to excess testosterone and therefore an increase in oil production. I saw so many dermatologists as a teenager and not one told me about this cascade, which ultimately would've allowed me to treat the root cause of my acne! Great info for acne products but why don't we focus more on prevention from the source?

[@quantummobile7547]

Because these guys are taught to sell drugs. Treating root causes does not make money.

[@1timbarrett]

Hoping you two will talk about how food choices affect acne. 🤞

[@shikhasehrawat8224]

OMG! my skin is indeed like one of these you showed with permanent scarring, even when I have literally tried every treatment like PRP, Radiofrequency, microneedling etc and had been on acutane and birth control pills all along on and off.

[@elliewaters6040]

It’s the acne scarring I find the worst. I look like I’m blushing continuously 🤣

[@abdulwadood.8]

It’s not a laughing matter I’m so insecure about mine I don’t even show my face and wear a mask most of the time

[@elliewaters6040]

@@abdulwadood.8 yeah I know I feel the same ❤️ hopefully ours will fade xx

[@abdulwadood.8]

@@elliewaters6040 yeah hopefully indeed it’s so bad I actually never take my mask of and don’t even post on social media or ever put a picture of me as my profile pic as like u have here I don’t even take pictures of myself on my phone that no one else will look at EVER the only pictures i ever took that was once and it was with a mask on and hood up I’m definitely too insecure about my looks and to make things worse I have terrible acne it’s so stressful and actually makes me want to kms

[@XoXoButterflyoXoX]

@@abdulwadood.8 I feel you, it gets better ❤️ I had to force myself to take progress photos and it was so hard not to use a filter. I smiled even though it made me want to cry. This was last July and I can now say I have been acne free for 7 months. It does get better, I recommend going to your dr and maybe getting a blood test. :) In the end I had to remove my IUD, go on birth control, and use tretinoin which has helped tremendously with the healing of my acne scars

[@abdulwadood.8]

@@XoXoButterflyoXoX any other advice you could give me please ? 🥺🥺😣😕💔

[@alyokin]

You’re both amazing! My Dermatologist only rushes me out the door. Time for a new one.

[@drmuneebshah8722]

Hello gorgeous inbox me directly

[@tanyaharding8977]

Dr.Shah and Dr.Maxfield, I wanted to thank you for the creation of this video. I was looking for a video on acne to share with my students, and this was the video I was hoping to find. I have been following your channel for several years. Durning which time I have started including some of your suggestions into my skincare routine. Your suggestion works wonders on my face, so I now it will help my students. Great speaking speed and keeping the words ease to follow.

[@viejitaaa]

I love all your guys' videos - so informative! That would be super interesting if you guys did a video on skincare for athletes (or people who have very active, laborious jobs and are sweating all day long) and/or people who live in a tropical (hot/humid) climate and are sweating all day long even when they're NOT doing anything active! :)

[@kareemavanderschyff4045]

Great video! Love from South Africa 🇿🇦

[@zebanaaz1347]

Please make a video on dark underarms. 1. How to remove underarm hair 2. Why do underarms turn dark 3. How to lighten underarmsPlease make a video on dark underarms. 1. Why people get dark underarms. 2. Which hair removal method should be followed for preventing dark underarms. 3. Treatments and product recommendations for dark underarms.

[@inokemow5290]

Thank you so much for sharing your information. It's so good to hear the information from the right people not misleaders. I've seen a lot of skin care misleaders. So yeah thanks.

[@shweta3172]

Thanks Docs! One of the best videos on Acne. Love the simplicity with which you both explained it!

[@MaisyDaisy333]

Thank you both so much for sharing your knowledge with us! I have taken notes from this video, and I feel confident that I'm going to beat this dang cystic acne that just won't go away (even after I completely changed my diet to whole foods). As soon as I can, I'm going to see a dermatologist. Thank you!

[@memoonasaeed4408]

For anyone reading this and dealing with acne from very long time believe me scarring can happen with prescription strength treatment too due to reoccurring of acne on same spot again and again.

[@dianarager4309]

Thanks so much for this video. My daughter is 11 and is dealing with acne on her face, chest, and back. I’m going to get a few of these products and see if they help her. If not, we will go to a dermatologist. 😌

[@drmuneebshah8722]

Thanks for your comment inbox me directly for a chat and recommendations

[@kentpacot6348]

I wish i know you guys when my acne was starting. Thank you for this!!

[@tearzfordayz]

Omg tysm I was almost confused for a second about my acne

[@danielm872]

Thank you for making these videos! They are so informative and helpful!!!

[@Doctorly]

Thank you for your support!

[@plastichearts3]

thanks so much for this video! i've noticed that using retinol one night and benzoyl peroxide another has helped a lot but i'm still breaking out on the lower cheek and jaw area. i'm thinking it's hormonal (25 y/o female) and will be seeing a dermatologist soon, but until then i'd love to hear more about the different types of oral treatments just so i can go into my appointment a bit more informed ps: love dr shah's tik tok too!!

[@SyedaAnoshaZafar]

i dont no if it helps or not gut health is also important if you are breaking in jaw area then you should check your diet

[@polenguzelocak2148]

almost alwayssss. I have never seen any improvements over the past 10 years

[@suzenamatya4822]

Thank u so much for making my life easy 😭

[@hediehkhosravi6402]

You are great. I just binge-watched lots of your good videos and I feel super ready to modify my skincare routine. Many thanks :). The only thing that I still struggling with and couldn't find in your channel, is how to choose the proper moisturizer for my skin.

[@pirithecute3562]

Turmeric is a holy grail in South Asia, a quick turmeric and sandalwood powder mask is used for brightening for a small period of time as well. Turmeric is used in Ayurveda in so many ways, I really hope a good formula comes up. Its a good option.

[@estellaautin8555]

Love from Ghana 🇬🇭

[@Doctorly]

Wow! That's amazing! Thank you so much

[@abbykobi382]

My parents are from.ghana to but I was born in America but I have been there a couple times

[@Venuesqueen]

I regret not watching this sooner!!! 😭 thanks!

[@givenmajula860]

Great tips I added some of these to my regimen 3 weeks ago and I can see a great improvement in my skin

[@Rjanisse]

Great video! I was disappointed to hear that diet was not mentioned as things like dairy and refined sugar have been directly linked to acne production. I have seen 80% of my skin issues disappear by eliminating these consumables. This seems like targeting skin issues at the root. I would love to see a video on diet in relation to skin from you!

[@lindsayturk2362]

SO TRUE!!! Cutting sugar out of my diet did so much more for my acne than Accutane, Retin-A, doxycycline, and all the other stuff that my dermatologist tried.

[@Vitaa1995]

Same here when I stopped drinking milk my acne was cleared

[@drmuneebshah8722]

Thanks for your comment inbox me directly

[@nakedfire6071]

@@drmuneebshah8722 Dude are you the original guy? Or just a random account

[@dermacathykim3067]

Based on researches, a diet high in glycemic index foods and dairy products is linked to acne

[@sydneyj6243]

You should do a video on the best moisturizers for different skin types!!

[@wrenfan]

THE GLUTEN FREE DIET! After being diagnosed in 2005 with Celiac Disease and having to go strict Gluten Free my lifetime (55 years of acne) finally disappeared. If I had only known that I had to eliminate this from my diet I would have done so years earlier and never developed Celiac. Being free of the gastrointestinal symptoms was great but the clear skin was an unexpected bonus. Hope this helps someone else. Here it is 2023 and skin still acne free.

[@Babytracee]

Please make a in depth video about hair care & hair growth and actual supplements that help that won’t break the bank.

[@le_th_]

I did 2 cycles of Accutane 60 mg for 5 months, then 80 mg for 5 months (plus all the bloodwork to check my liver function). It helped. What made my skin gorgeous was spironolactone: as gorgeous as it was on Accutane with none of the dryness, none of the bloodwork, none of the liver toxicity.

[@Ncognito579]

Do you mind me asking if you had kids after your two cycles of Accutane? I have been wanting to ask women. I am supposed to start the end of this month and I already have fertility issues. I know that the medical community “says “ that it doesn’t cause issues with future fertility but we all know how the medical community will often downplay side effects or not mention them all together. Can I also ask you age? It is much appreciated

[@le_th_]

(part 3 of 3 from above) I have no idea if any of this will help you and your situation, but it's a synopsis of the many years of research on these topics that I've done, along with my subjective experience of what has and has not worked for my body. Lastly, one of the most important lessons I learned from the Accutane-birth control pill-debacle that caused candida albicans to run rampant and destroy my intestinal microbiome and cause me two years of income (in Manhattan, nonetheless!) and two years of my youth (age24-26), plus costs me THOUSANDS of dollars in prescription medication and blood work (and this is NOT including the medical expenses over the 2 years it took me to recover). No matter how much education your physicans have, no matter what prestigious universities they've attended, no matter if they've been your physician for many years, YOU must do all your own research and make certain that they are staying current on reading the most recent medical literature. If you do not educate yourself well and thoroughly, and you do not become your own medical advocate, there is a strong likelihood that you will go undiagnosed or misdiagnosed. Even with all my education, both self-taught and academic (UC Berkeley), "specialists" has not only misdiagnosed me several times, but also NOT diagnosed me multiple times. This has been a very costly lesson, and it has taken me MULTIPLE health incidents to learn it thoroughly. I take my physicians, specialists, and surgeons to task...in their area of specialty and I do not back down. Most of them respect this, and are not threatened by it. If they are threatened by it, RUN do not walk away: RUN and don't look back or 2nd guess yourself. I have known women who had PCOS, endometriosis, and full blown menopause who have all been told they are infertile and, years down the road (including the 50 year old woman who had been in menopause for 3 years...she thought) ended up getting pregnant once they quit stressing about and accepted the "fact" that they were infertile. I have also known women who have never gotten pregnant, and there is no known reason. They never had an unplanned pregnancy, nor a single miscarriage. One of those women was married to a narcissist for several years and he made her believe SHE was the problem. He even claimed to have had his sperm tested. 8-9 years went by and, a new fertility specialist wanted to meet both of them to discuss options and, in that meeting, asked the PA to take the husband over to the clinic to obtain a new semen specimen they could retest. She stated that he suddenly turned white, as if he might get sick or faint. Turns out, he had been treated for some kind of juvenile cancer and never told her, sat by and watched her stress over it for year, go through treatments, and here they were in the office of the IVF specialist. One has to wonder if he was actually going to PAY for her to go through IVF or if he was finally going to tell her, had the specialist not requested his own semen specimen to check for current motility, etc. Needless to say, they divorced over that years-long deception (and I'm not at all suggesting this pertains to your situation...just giving you a run down of various wild stories I've heard over many years and decades). Each and every year that passes (I'm now 50), I'm learning more and more how unreliable some of this testing is. When I was 46, I went in for a yearly pap, etc. and they were testing my thyroid hormones, as I was particularly thin (body of a 23-24 year old), but I was also spending a good chunk of my day walking to/from the train, around the city, etc. In fact, I was walking so much that my feet would hurt at night. Thus, the slender frame made sense, based on my activity level. In the follow up appointment, I was told I was no longer able to conceive and, I was both relieved and a little saddened to be moving into that stage of life. One week later, I was pregnant again, 6 months before my 47th birthday. I could feel it within a day or two. I really didn't think that was possible, not just because of my age, but because they had just drawn blood to do a full thyroid panel. I was floored, but when my period never started, I knew those early feelings were right. So, keep that in mind. I have been perpetually *astounded* at the narcissistic hubris in some (not all) medical professionals. Conversely, I've been equally amazed by the humble brilliance and professional integrity of those medical professionals who are regarded as the top of their particular medical specialty. It's almost as if their depth and breadth of knowledge, along with decades in their field of specialty, have taught them to be humble, stay intellectually curious, keep up to date on reading the latest journal articles, and to LISTEN to their patients with the understand the many (not all) people know their own body and what feel "normative" better than the physician, even when they don't know why they feel a certain way. Keep yourself in the best physical and psychological health possible, including very low stress, relaxation, and good sleep. Find yourself the expert in the field, and find them by asking each professional you've been to whom they would send their best friend, sister, or daughter if she were in your position. Ask multiple professionals, and when you hear one docs name, repeatedly, ask for a reference to see that professional for an assessment. Stress is the WORST thing for pregnancy. If you think about it, from a survival-biological level, it makes perfect sense. Offspring has a far less likelihood of surviving if their mother is stressed out, or if she is worried about finances, or worried about her partner leaving her. These are all real fears females have shared with me. Like wise, many women who have had early miscarriages, or lost pregnancies, had these events occur either simultaneously or right after an extremely stressful event (psychological or emotional stress). Being too thin makes conceiving difficult, as does being over weight. Oddly enough, both times I've gotten pregnant, I've probably been at some of the healthiest times of my life, both physically and mentally, and my skin has been free of all break outs (which indicates a strong, well-functioning immune system and microbiome). That might be coincidental, but looking back on it now, I'm not sure that it was pure coincidence. Both occurred when I was relaxed and not "stressed" about getting pregnant. My older sis couldn't get pregnant the first 6 months she tired, but she was OVERLY stressed about trying and it not happening. Our mother told her to relax and stop trying so feverishly. She got pregnant shortly thereafter. However, she also lost some weight and began exercising more regularly and eating better, which helped her stress level go down. She never had acne, though, and she never took Accutane like I did. It has been a WILDLY stressful 2 years. Hormonal acne flares up when your hormones are disrupted, and nothing disrupts hormones quite like life-threatening stress and fear on top of the already hormonal ups and downs of the female ovulation/menstruation cycle. Plus, masks have brought out so much acne in adults, including my own (after years of not having any...I'm almost 51). It's almost exclusively around the mask line where it fits snugly to my face. I wish you well in going forward to become your own well-informed health advocate! I also wish you a healthy happy pregnancy and baby in the future!

[@PekyTeen]

Dr.Maxfield=beautiful smile 😁 Dr. Sha=beautiful eyes 😉 That’s what I learned today 🥰😍

[@tyler-qr5jn]

And I got neither :,)

[@Blueraindrop22]

Thank you so much for sharing your knowledge. I’ve suffered from mild/moderate acne since a teenager. Now at age 31, it still hasn’t cleared. It has really impacted my self esteem. This video was very informative and helpful and I have now started to use some of the ingredients you recommend to treat my acne. Wish me luck!

[@hoamyluu2952]

I’ve been binge watching your videos and have learned a lot. I wish I found y’all sooner! I’ll definitely check out the products y’all mentioned and I also subscribed 😆 I’ve recently bought the Cerave SA cleanser and so far so good, I also slowly add the Differin in my routine. Hoping for the best 😇 thank you so much!

[@sophianraden6913]

Thankyou very much, i suffer from acne badly, this information is very uselful❤

[@memoonasaeed4408]

Completely agree to that inflammation part, it's complex

[@mindy-Jo]

I'm on tretinoin I use it every 3 days, I'm gonna give it 4 months to see a difference, at the moment, no difference after 3 weeks.

[@ہیلوبچز]

Hi so what's the progress with tretinoin? 👀

[@henrythomas7112]

Thanks for sharing this marvelous videos. I'm very pleased to see this video. I enjoy this - it's so useful and helpful.

[@Alliewaggg]

Thanks! When I brought up acne my PCP told me to eat fermented foods. And that’s all she said.

[@W.hatsinAname]

I love that you addressed this condition but respectfully as an esthetician that specializes in acne, i cant tell you how many times ive had to clean up the mess that was made my harsh prescriptions given to my clients by their doctors.

[@luizalouyoga]

You guys are so nice 😊 I’m from Brasil. As our dermatology, health and beauty industry is really strong I usually don’t see other country’s videos. But you guys are very nice and drop information in such didactic way that I can’t stop watching 😄 Congratulations and thank you for your work here!

[@jrsalmeron7536]

You guys are so dope. Can you do a future video on acne scars?

[@tylerhicks6132]

Thank you for this, docs! Can you guys do a video of facial shaving the right way? It’s something I and I know a lot of other guys struggle with! 🥰

[@Doctorly]

That's such a great suggestion! I have been planning to do this for a long time! Look out for it in the near future!

[@tylerhicks6132]

Doctorly You guys are the best!

[@emilygbacon]

Great video! This was really helpful and full of information. Right now I use a 2% salicylic acid treatment and CeraVe products, but it isn't working very well so hopefully this will help!

[@jessapm7544]

I follow you on every social media you got! Much love from Philippines.

[@laurennicholson6673]

So many acne videos… us dry girls and guys need love too!!

[@fatimanargisshaheedi2723]

Curology can actually treat really bad acne. I been to the dermatologists many times, tried alot of antibiotics , creams and spot treatments but nothing worked for a long time. Curology is actually working... i hope its worth it in the long term too.

[@evelynjoya4537]

Wow great information! I started to get hormonal acne when the pandemic started. I wish I could found your channel earlier very helpful! Plus can yall make a video over hormonal acne?

[@4sTaylor]

Second this!

[@joannacarillo1289]

Please create more videos, I love learning how to take care of my skin

[@oliviajuarez6660]

I just love you guys. My trusted source of skincare information right here ❤️

[@idabagusraiwidnyana4590]

Hi from Indonesia, thankyou this is so helpful! ❤️❤️

[@cherisecaldwell5085]

Turmeric is life! Thanks Doctors!

[@TheLunaPulvia]

Great video can't wait to see more ☺️ Video request: Could you plz make a video about rosacea? I just recently found out I have rosacea even though I've had it for about 10 years. I wish I had someone to give me the information I needed sooner

[@Doctorly]

Absolutely - that's definitely on the top of our list!

[@reynahernandez7284]

I have binged watched you guys channel the last two days!! I can’t get enough of the useful information 🥰 Your TikTok videos made me come to KZbin for the good stuff 😉📝🤓

[@drmuneebshah8722]

Hello gorgeous inbox me thank for your comments

[@logan_lord]

THE ALICIA KEYS CLENSER HAS TURMERIC AND ITS AMAZING!!!!

[@khushboo9247]

Bohot sara pyar aap dono ko "INDIA" ki taraf se...❤❤❤🙏🙏or "NAMASTE"

[@ExaminerCross]

Good diet changes the chemicals in sebum. Quality sebum means less clogging. Pair that with hormone regulation and you get perfection.

[@adamradvanyi2426]

Thank you gusy, you helped me a lot! I went to a dermatologist with my acne, he gave me Effezel-gel ( or Epiduo as you know ). From this video i get the information that this Effezel treats 3/4 of my problems, just only the oil-production is not treated, so bc of the video i knew i need it as well, so i got a mousturizer with niacinamide, and my skin is perfectly clear and glowy! Thank you again! 🤗❤️

[@Doctorly]

You completely nailed it and you're on the right track!

[@janellerivas4719]

Hi Dr. Shah and Dr. Maxfield! From Philippines 🇵🇭 ❤️

[@maryvannatta3597]

PLEASE DO A VIDEO ON MASKNE!

[@sofiadinis8831]

Thank God Hyram recommended you cos listening to these more scientific and in depth explanations is what i needed and didnt know. Plus im gonna take a degree that will include some of this knowledge (science pharmacy) at some point so i might be getting one step ahead😊

[@Doctorly]

Ah I'm so glad that you liked the video! Thanks for coming over here to join us from Hyrams channel!

[@mamtachalke4842]

There's definitely a reason to why I came across this video on KZbin: kzbin.info of Jyovis Ayurveda and I was very happy to see the results. I even followed few of the tips explained and it actually worked. Then I finally decided to contact on ...... ([phone]) to cure my Problem from the root cause. The team really helped me a lot. Thank you Jyovis!

[@carlamae15]

I use Cerave acne foaming wash with 4% benzoyl peroxide , the ordinary niacinamide serum and Mario Badescu drying lotion (Salicylic acid). And ofcourse disinfecting my phone regularly and changing my pillowcases every other day plus drinking Roasted Dandelion roots tea to somewhat help woth my hormonal imbalance😂

[@julianachacinprada3026]

Thank you so much for the video and the great info! I’m actually learning a lot. Now, I suffer from acne and I am wondering how to combine retinoid, salicylic acid and niacinamide into a good skincare routine.

[@bhawna0608]

I've acne too. I've used majority of the actives they talk about, at some time. Initially, I used Benzoyl Peroxide face wash, a clindamycin+adaplene gel, and an anti-biotic. Currently, I'm using a Salicylic acid face wash, use adapalene(at night) for scar treatment. Occasionally, when I do get a pimple or two, I use Clindamycin. Hope it can be of use. Consulting your derm would be the best step.

[@mahdiyafareed6174]

Always informative !!

[@jaspreetgarcha7710]

I really enjoy watching your videos Dr Shah you are amazing

[@diazjill3588]

so so so so so helpful!! thanks so much!!