Social media often showcases people claiming clear skin through various skincare routines, ranging from elaborate 10-step processes to the use of single transformative products. Dr. Amy Wechsler advises that if you're considering new skincare products, introduce them one at a time, particularly if you have sensitive skin. Test a product on a small area of your face for three days before a full application to ensure it doesn’t cause irritation.
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For those struggling with super-congested pimples, Dr. Wechsler notes that 92 percent of teenagers experience some form of acne. She recommends Differin for congestion, along with products containing salicylic acid. Begin with two or three uses per week, and if there’s no irritation, gradually increase frequency. However, cystic acne typically requires professional treatment that is beyond what over-the-counter products can offer.
Stress can also exacerbate breakouts, as it affects sleep and increases cortisol levels, which hinder skin healing. Dr. Wechsler emphasizes the importance of getting eight-and-a-half to nine hours of sleep per night for teenagers and suggests stress-reducing activities such as walking, exercising, and socializing.
Regarding Accutane, Dr. Wechsler supports its efficacy despite potential side effects. She prescribes it cautiously, starting with low doses to minimize issues such as dry skin and lip irritation, which can be managed with moisturizer and sunscreen. If suitable, Accutane has an 80 percent chance of resulting in lifelong acne relief.
While some may wonder if all skincare products should be from the same brand, Dr. Wechsler stresses the importance of compatibility rather than brand loyalty. Testing products individually can help you avoid negative interactions. For individuals with significant acne issues, consulting a professional in acne treatments is highly recommended for prescription options.
Face masks and eye patches can offer a moment of relaxation, reducing stress that contributes to acne, though they may not provide real skin benefits. Dr. Wechsler warns against the practice of sleeping in makeup, as even if it doesn’t currently cause breakouts, it could lead to skin issues later.
Determining skin type is often a trial-and-error process, as many people have combination skin with oilier T-zones and drier sides. For those concerned about vaping, while research is ongoing, it’s known to have negative effects on skin health, similar to smoking.
Dr. Wechsler advises against popping pimples, explaining that improper techniques can lead to scarring and infections. If you must pop a pimple, she recommends using Q-tips instead of fingers for cleaner pressure application.
She cautions that teenagers and those in their early 20s should avoid retinols, as their primary purpose is anti-aging, which is unnecessary for younger skin.
Lastly, while peptides are popular in skincare, Dr. Wechsler does not recommend oral peptide supplements, citing a lack of FDA approval and skepticism regarding their effectiveness. Instead, she suggests a gentle cleanser, a good noncomedogenic moisturizer, and sunscreen as fundamental components of skincare.