When it comes to acne scars — especially difficult to treat indented or raised ones — the best offense is a good defense. If you’re still struggling with active acne and want to avoid future scarring, Avram likes this drugstore-staple Neutrogena wash because it contains salicylic acid, a beta-hydroxy acid that he says “exfoliates the skin, softens the appearance of the acne itself, and has some antibacterial properties.”
To get a good nights sleep, use melatonin, which is a natural supplement. Our bodies make natural melatonin when we are in darkness, which prompts tiredness and deep sleep. In today’s lifestyles, we often are not in darkness before heading to sleep (tv, computers, phones, etc.). If you take one melatonin tablet before bed, you’ll get a restful sleep, and wake up feeling very refreshed. Only take one tablet. Taking two can leave one groggy the next morning. Melatonin is NOT a prescription. It can be purchased at most health food stores or pharmacies. It is very affordable … less than $10 a bottle. To find out more, just Google ‘melatonin’ …. there is a lot of information about it.
When you sleep, oils and dead skin cells from your face transfer to your pillow case, and then when you lay your head down again the next night, those same oils and skin cells are transferred back to your skin. After too many nights, this process becomes bad for your skin and could cause more acne. If you can wash your sheets once a week or once every two weeks at the most, it could help reduce acne.
Considerations: THERE IS AN EXTREMELY HIGH RISK THAT A DEFORMED INFANT CAN RESULT IF PREGNANCY OCCURS WHILE TAKING ACCUTANE IN ANY AMOUNT AND EVEN FOR SHORT PERIODS OF TIME. FEMALES WHO ARE PREGNANT OR WHO MAY BECOME PREGNANT WHILE UNDERGOING TREATMENT SHOULD NOT TAKE ACCUTANE. There are many other warnings as well.1-3 Side effects of Accutane are many, some of which include dry and cracked lips, dry skin, dry nose and mouth, mild to moderate muscle or joint aches.1-2,4-7

Benzoyl peroxide attacks the P. acnes bacteria. However, one of its main side effects is dryness: If you’re going to use anything with benzoyl peroxide, make sure to moisturize afterwards. Sulfur and azelaic acid are less common and less severe alternatives to benzoyl peroxide. Dr. Peter Lio, assistant professor of clinical dermatology at Northwestern University, says sulfur-based treatments are “a good fit for patients who can’t tolerate the side effects of benzoyl peroxide.”
Old marks still sticking around take patience and consistency to treat. One way to even out skin tone over time is with regular exfoliating. "[Exfoliating] is important in treating acne scars at home as it lifts dead skin and allows new skin to grow and proliferate," Dr. Moy explains. This exfoliator contains papaya enzymes to break down dead skin cells and microderm crystals to buff away acne scars. Aloe vera, coconut, and vitamins E and B nourish the skin simultaneously.
Niacinamide: Niacinamide, a B vitamin, is a darling of topical skin care formulations lately, with good reason. It can decrease inflammation caused by acne and improve skin texture. Nazarian has also prescribed oral niacinamide in a prescription supplement preparation called Nicadan. It’s not usually covered by insurance, and she cautions that it’s by no means a home-run treatment, but some patients do respond.
Unless Anubha is claiming to be a healthcare professional, I don’t see any reason why she needs to list citations for her blogs. Those people who are interested in learning more can easily google for more information. Those who obviously have no interest in furthering their knowledge can choose whether or not to believe her, and then post nasty comments.
At first, this may make the rash worse, but it’s important not to start using the cream again. If it doesn’t start to fade after a few days without the corticosteroid, you should speak to a doctor. Perioral dermatitis can often be treated at home by discontinuing the use of potentially problematic skin products or creams, but sometimes an antibiotic from the doctor is the best solution.
Those surface-level brownish spots that typically yield more gunk than you expected (aka blackheads) and those tiny white dots of bacteria stuck in your pores are not in the same category as hormonal acne. “These painful cysts manifest as deeper bumps that are under the skin’s surface and cannot be extracted with normal manual extraction either by an individual or an esthetician,” says Dr. Jegasothy. “These bumps are usually tender to the touch because they’ve accumulated oil over a period of days or weeks that then causes an inflammatory reaction.” These painful cysts tend to pop up in the same place over and over, becoming subacute or chronic. Because they have an inflammatory component, they require a more clinical approach to treatment that starts from the inside out rather than treating topically.
There are in-office procedures available that insurance sometimes covers. Chemical peels “shrink down oil glands and help clean the pores,” says Nazarian. She also uses a treatment called Isolaz. “It’s a little vacuum, and during the suction mode, it also zaps the skin with heat and red light, then blue light, which help kill bacteria and decrease inflammation,” she explains. One treatment costs between $125 and $350, depending on where in the country you live. Patients usually require a treatment every two weeks for four total sessions.
As the name suggests, ice pick scars are very deep acne scars that look like the skin has been punctured with… an ice pick. When the body produces too little collagen in response to an injury, depressed scars such as ice picks can form. “Ice pick scars represent the result of infected sebaceous gland openings on the skin. They are usually the most difficult to correct,” says New York City plastic surgeon Gerald Imber, MD.
The inflammation caused by your breakout can cause more than just the pimple you see on the surface, it can also cause damage below the skin. "The inflammatory response produces a loss in collagen and the overlying skin will collapse and leave a depression," Howard Sobel, M.D., a NYC dermatologist and founder of DDF Skincare, tells SELF. To get rid of these tiny pockmarks, Dr. Karolak relies on a TCA Cross chemical peel. TCA stands for trichloroacetic acid. "We use a little applicator and go into the hole with chemicals to cause a burn. That causes the wall of that ice pick to heal itself and close in on itself," explains Dr. Karolak.

I have to comment on this article, I came here via Stumbleupon, which I just discovered, late to the party, I know. This is a great article, I myself am a Holistic Nutritionist and constantly talk about how what we put into our bodies reflects on our skin or in other forms. This is our body trying to tell us something and we need to listen as there could be bigger problems ahead. I loved this and passed it along to my sister who has problems with acne along her jawline. As for the naysayers, I am on a couple of holistic nutrition blogs and I am sure these same people troll these sites as well, some people really don’t have anything else to do but harrass other sites on their views, I think it’s their late night kicks to spread their hate around. I “I like it” this site, will come back.


Acne Body Wash deep cleans to eliminate breakouts all over the body. Glycolic and salicylic acids combine to penetrate deep into the skin to control and prevent breakouts, data seed powder exfoliates, keeping pores clean and clear, and green tea and licorice root extracts protect and help soothe inflamed skin. Pair Acne Body Wash with Clarifying Body Spray for clear, healthy skin from head to toe. It is formulated to help keep the body free of acne as part of Dr. Murad’s Inclusive Health® system of care.
Acne scars, on the other hand, are formed when there is damage to the skin which leads to abnormal collagen production, and usually appear raised or bumpy. "There are two types of acne scars: depressed and raised. Depressed scars may look like pits or craters, and raised scars may be firm and tender," explains Dr. Zeichner, who notes that unfortunately, these are permanent.
When it comes to acne scars — especially difficult to treat indented or raised ones — the best offense is a good defense. If you’re still struggling with active acne and want to avoid future scarring, Avram likes this drugstore-staple Neutrogena wash because it contains salicylic acid, a beta-hydroxy acid that he says “exfoliates the skin, softens the appearance of the acne itself, and has some antibacterial properties.”

The point isn’t that he/she should have looked it up themselves, its that anyone making a scientific claim should back it up with evidence, or cite someone who can. If you made it through highschool, you should know this. Simply stating vaguely where it came from, AFTER someone asks, is not a citation. Any kind of medical claim is a big issue to tackle, and needs to be taken seriously. People believe everything they hear or read…a good reason to be careful. I’m glad this advice is harmless.
Hormonal activity, such as occurs during menstrual cycles and puberty, may contribute to the formation of acne. During puberty, an increase in sex hormones called androgens causes the skin follicle glands to grow larger and make more oily sebum.[12] Several hormones have been linked to acne, including the androgens testosterone, dihydrotestosterone (DHT), and dehydroepiandrosterone (DHEA); high levels of growth hormone (GH) and insulin-like growth factor 1 (IGF-1) have also been associated with worsened acne.[41] Both androgens and IGF-1 seem to be essential for acne to occur, as acne does not develop in individuals with complete androgen insensitivity syndrome (CAIS) or Laron syndrome (insensitivity to GH, resulting in very low IGF-1 levels).[42][43]
Not only should you always shower after a sweat session, but it’s important you actually pay attention to your skin back there while you do it and cleanse with an antibacterial soap or benzoyl peroxide wash like Neutrogena’s Clear Stubborn Acne Cleanser. Some other tips: Make sure you wash your hair first and body last so the dirty suds from your scalp won’t drip down and clog your follicles. When your skin is clear (so, before any zits arise), remember to exfoliate regularly to remove dirt and bacteria, the same way you would for your face. And after you shower, steer clear of thick, heavy body lotions that may do harm than good. Before any pimples arise, you can also take preventive measures by using a product with glycolic acid, like Glycolix 18% Extremity Cream

The recognition and characterization of acne progressed in 1776 when Josef Plenck (an Austrian physician) published a book that proposed the novel concept of classifying skin diseases by their elementary (initial) lesions.[162] In 1808 the English dermatologist Robert Willan refined Plenck's work by providing the first detailed descriptions of several skin disorders using a morphologic terminology that remains in use today.[162] Thomas Bateman continued and expanded on Robert Willan's work as his student and provided the first descriptions and illustrations of acne accepted as accurate by modern dermatologists.[162] Erasmus Wilson, in 1842, was the first to make the distinction between acne vulgaris and rosacea.[163] The first professional medical monograph dedicated entirely to acne was published in New York in 1885.[164][165]


Acne cream is a skin care cream which is used in the treatment and management of acne. Some acne creams are designed to be used during an outbreak, while others are meant for routine usage to prevent the appearance of acne. Depending on the region, many creams may be available over the counter, while others may be prescription-only. Some people have to experiment with several before they find a cream which works for them.
The other downside to Proactiv+ is that the bottles are small — like, half the size of Paula’s Choice small. Combine that with its recommended two or three-times daily application, and you’re going to be going through a lot of kits, which ultimately means spending more money on your treatment. If Proactiv is the only thing that works for you, it may very well be worth the investment, but we recommend starting with Paula’s Choice to see if you can get the same results at a cheaper price.
Rosacea (pronounced roh-ZAY-sha) is a common but poorly understood disorder of the facial skin that is estimated to affect well over 16 million Americans -- and most of them don't know it. In fact, while rosacea is becoming increasingly widespread as the populous baby boom generation enters the most susceptible ages, a National Rosacea Society survey found that 95 percent of rosacea patients had known little or nothing about its signs and symptoms prior to their diagnosis.
After individual treatment goals have been met, oral antibiotics can be discontinued and replaced with topical retinoids for maintenance therapy.2 Topical retinoids are sufficient to prevent relapses in most patients with acne vulgaris, especially if the disease was originally classified as mild or moderate. If the patient's acne was initially classified as severe inflammatory, benzoyl peroxide with or without an antibiotic can be added for maintenance therapy.2
Hi Camille, that’s actually exactly what I am researching right now so will have a more detailed answer for you soon! Till then, I believe that if you only break out on your back and chest, it could be from clothing (synthetics trap body heat and cause breakouts – pure cottons or silks will help if this is the case) or perfumed soaps. But if you break out there and on your face, it could be lung and respiratory issues. Have you had a cold or other respiratory infection? If not, try to get some fresh air and breathe deeply a few times a day. And let me know if this helps!
You now have amazing knowledge to make choices moving forward. Is that cheese really worth a pimple on your chin when you have a special event coming up? If you can’t bear to give up dairy completely, try slowing introducing it back into your diet. If you start getting acne again, you then have an understanding of your body’s tolerance level. For some people, they can consume a little dairy but not too much. For others, they must avoid it completely to keep their skin clear.
P. acnes also provokes skin inflammation by altering the fatty composition of oily sebum.[44] Oxidation of the lipid squalene by P. acnes is of particular importance. Squalene oxidation activates NF-κB (a protein complex) and consequently increases IL-1α levels.[44] Additionally, squalene oxidation leads to increased activity of the 5-lipoxygenase enzyme responsible for conversion of arachidonic acid to leukotriene B4 (LTB4).[44] LTB4 promotes skin inflammation by acting on the peroxisome proliferator-activated receptor alpha (PPARα) protein.[44] PPARα increases activity of activator protein 1 (AP-1) and NF-κB, thereby leading to the recruitment of inflammatory T cells.[44] The inflammatory properties of P. acnes can be further explained by the bacterium's ability to convert sebum triglycerides to pro-inflammatory free fatty acids via secretion of the enzyme lipase.[44] These free fatty acids spur production of cathelicidin, HBD1, and HBD2, thus leading to further inflammation.[44]
Here I am again-sorry for so many posts-but I am new here and have been reading all the other older posts. I do believe in the face mask. But, what I am hearing is that most of you are earnestly seeking the CAUSE of your affliction. Not to repeat myself from an earlier post, but after a year of trying to figure it out…when I had kinesiology (muscle testing) done on me, a CAUSE was identified in 5 minutes, he was spot on and a natural herbal remedy cured me. No, insurance will not pay for this, but all in all I spent less than $400 when I had spent over $10,000 in the past year with different doctors-including Mayo-and no Diagnosis! My heart goes out to all of you who are suffering from these skin problems.
Prevent them: Rev up your treatment the week before your period: If you regularly use a cleanser with an acne-fighting ingredient such as benzoyl peroxide or salicylic acid, apply a leave-on treatment with that same active ingredient, and treat your chin, jawline, neck, and the rest of your face just to be safe. ("You can't predict exactly where the zit will erupt," Dr. Zeichner says.) If you get super-bad breakouts at the same time every month, you might want to see your dermatologist or primary doc for a prescription treatment like birth control pills or another kind of hormonal therapy, which can level out your hormones to prevent the surges that lead to breakouts.
I sometimes just forget to drink water for days and then it seems my body will simply not accept any water, so I know what you mean. I have found that it helps to ease in with half a bottle of chilled sparkling water (or seltzer) and then move onto regular drinking water. Don’t know why this works but I just end up being able to take water after a dehydrated patch this way!
I hate nothing more than skin care products that are scented/fragranced. i.e. face lotions, face sprays, items like this spot treatment. They do not need to be and can irritate skin by having fragrance. Which is very unhelpful for people with more sensitive skin or allergies to fragrances. This could have been a useful product for me, but I made the mistake of forgetting to check before hand whether it had a fragrance. I honestly didn't expect a product like this to have that in it. So I can't use it. Ah well. The scent also gave me a bit of a migraine. It can suck being sensitive to scents like this one. Please, skin care companies, drop the product fragrances. I know not all of them have it, but far too many still do.
An acne face map can be an important clue in helping you to determine what is causing your outbreaks. Depending on where your acne is located, you may be able to narrow down what’s bringing it on and how to help eliminate it, as well as prevent more of it. The more you can learn about what may be leading to acne outbreaks, the better position you will be in to clear up your skin. Once the acne is gone, you can turn your focus to having smooth, beautiful skin that you will love.
The lower part of the face is governed by the earth element (Kapha). Earth is responsible for growth and reproduction. Break outs on the chin and jaw line are often deeper and cystic. This hormone-related acne is the most difficult to clear up. Excess hair growth in this area is also due hormonal imbalance as many women with PCOS and women going through menopause see excess hair on their chins. Decreasing foods with high earth is extremely helpful. Heavy foods like dairy, heavy starches, and fats should be avoided. Stimulating earth with cardio exercise also will help clear up the chin and jaw line.

Inside this shot glass-sized bottle is an acidic-smelling liquid made of salicylic acid to fight acne-causing bacteria, sulfur to disinfect, and calamine to reduce redness brought on by those just-come-to-surface breakouts (you know the ones). Word of warning: Because of its pink hue and pasty texture, this lotion may be better suited as a nighttime treatment than a quick, daytime fix.
Regular exfoliation is key when it comes to butt acne treatment. Body washes and wipes with ingredients like benzoyl peroxide (Benzac AC Wash $16.99) and salicylic acid (Philosophy Clear Days Ahead $42, Clearasil Ultra Rapid Action Pads $15, Dermalogica Medibac Clearing Skin Wash $57) can help remove bacteria and dead cells that could be sitting on your skin’s surface. A sulfur-based cream (Kiehl's Breakout Control Targeted Acne Spot Treatment $46) also works as a great spot treatment overnight, drying up a zits fast.
Baking Soda: Application of baking soda paste can also work wonders to eliminate acne around mouth and nose. Baking soda is very effective to make the skin softer and capable enough to considerably reduce the size of big ugly pimples. Make a paste by adding 2 tablespoons of baking soda into 2 cups of warm water. Apply it for a period of 10 minutes and then wash it off with tap water. Baking soda may cause a slight burning sensation, but definitely helps to make the skin better.
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I win....love it...overall one of the best acne treatments I've tried, acne was diminished and more healed the next day after trying it, still works on dryer patches of acne without any flaking for me personally but could have a more drying affect upon someone less oily than me, overall really good product...I tried EradiKate on a whim, for most acne control lotions flair my roseca to scary proportions & although the multiple spots on my face scares my daughter, having a breakout lasting for a mere couple of days vs weeks is worth her shock.
It's likely you'll need a prescription medication to get your moderate acne cleared up. With so many good prescription acne treatments available, it doesn't make sense to stick with OTC products for just so-so results. You'll be a lot happier with the results of a prescription medication, and your physician will probably start you off with a topical treatment first.
So, colloidal silver and essential oils are what I recommend. They may not CURE the acne from inside, but you know what….if it alleviates the problem and makes me look good and feel good with no side effects, at this point, that’s all I want. And it’s budget friendly. I no longer feel like hiding in my house or wearing makeup to run to the store, or avoiding social situations based on how my skin looks.
If even a trace of sodium lauryl sulfate is left on the skin for more than an hour, however, the upper layer of living skin cells is irritated and dies. Tiny flakes of skin make the texture of the skin look uneven, and they can clog pores. The scent of sodium lauryl sulfate also causes your nose and tongue to be less sensitive to sweet tastes and their associated odors, so you will crave sugar.

Summer is here (!!), which means warm weather, hanging at the beach, traveling, and rosé on repeat. However, hotter temps can also mean new breakouts that oftentimes crop up on your chest and butt, especially since your sweat glands are working overtime to cool your body down. Dealing with buttne for the first time? If you're going to be baring your bum in a bikini — or before that in front of your significant other — Shereene Idriss, M.D., a board certified NYC-based cosmetic dermatologist is here to literally save (the skin on) your ass.


Treatment of acne scars: For those patients whose acne has gone away but left them with permanent scarring, several options are available. These include surgical procedures to elevate deep, depressed acne scars and laser resurfacing to smooth out shallow acne scars. Newer forms of laser resurfacing ("fractional resurfacing") are less invasive and heal faster than older methods, although results are less complete and the procedures may need to be repeated three or more times. These treatments can help, but they are never completely successful at eliminating acne scars.
She continued saying, "The best way to determine if your acne cysts are directly related to your intake of dairy is to completely cut cheese, yogurt, ice cream, and milk out of your diet for at least three weeks. If you don’t develop any new cysts and you normally would have by now, then this might solve your problem! It doesn’t mean that you cannot eat any dairy at all. Slowly introduce dairy back into your diet, and the point you start breaking out again is your body’s tolerance level." Good to know. 
Physicians commonly prescribe oral antibiotics to patients with moderate rosacea. Tetracycline (Sumycin), doxycycline (Vibramycin, Oracea, Adoxa, Atridox), and minocycline (Dynacin, Minocin), are oral antibiotics commonly prescribed are presumed to work by reducing inflammation. A newer low-dose doxycycline preparation called Oracea (40 mg once a day) treats rosacea. The dose may be initially high and then be tapered to maintenance levels. Patients should consider common side effects and potential risks before taking oral antibiotics.
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Luckily, rather than have you spend an hour in the skincare aisle, scrutinizing labels while feeling totally overwhelmed, I went ahead and chose the very best, top-rated, gentle-as-hell cleansers to stock up on today. If you breezed past the higher-end recommendations at the beginning of this story, check out these equally excellent drugstore options, below, and please, for the love of good skin, throw that old face wash out.
How to Handle It: Pair two of the best-known acne-fighting ingredients, salicylic acid and benzoyl peroxide, in the week leading up to your period. (If you're feeling bloated, now's the time to do it.) The combo can help prevent hormonal acne from happening in the first place. Zeichner suggests following a salicylic acid wash, like fan-favorite Neutrogena Oil-Free Acne Wash Pink Grapefruit Facial Cleanser ($7), with a benzoyl peroxide spot treatment, such as Murad Acne Spot Fast Fix ($22). If you're still seeing zits, "visit your dermatologist to discuss prescription options, like birth control pills, oral spironolactone — which blocks oil — or topical Aczone 7.5 percent gel," says Zeichner. "It's shown to be particularly effective in adult women without causing irritation." Oral contraceptives level out those hormone fluctuations, keeping your oil production normal and your skin clear.
I just have to say thanks for this article. I’ve had acne since I was 13 and into adulthood (currently 31). I’ve tried a lot of different methods over the years with little success. Recently, I started to understand that I’m treating the symptoms and not the cause and wasn’t sure where to start. I’d been considering eliminating dairy, but I wasn’t even sure if that was a good place to start over other dietary habits, or if it was something that would effect my acne for until I read this article and the break downs you provided.
Inspired by the most sought-after treatment at the Kate Somerville Skin Health Experts™ Clinic, this resurfacing booster treatment is formulated with a retinol active ingredient combined with natural bio-retinols. It supports natural collagen production and healthy cell turnover to create the appearance of firmer skin with increased elasticity, reduced wrinkles, and more even pigmentation. Its unprecedented delivery system infuses skin with three powerful ingredients in the Advanced HydraFill™ Complex: wrinkle-relaxing PFC-oxygen carriers, fast-penetrating hyaluronic acid, and radiance-boosting rare botanical extracts. The result is a complexion that looks smoother, more hydrated, and healthier.
Many of the 11 studies listed in Table 14-1 are in vitro studies. Although an in vitro study is a good starting point, it does not mean the essential oil (or component) will be effective (or that someone will want to use it) in a human study. What is encouraging is the range of essential oils that have been tested. Of the human studies, Matiz et al (2012) is worth mentioning. This was a controlled study on 28 volunteers with acne. Treatment was applied daily for 8 weeks. The essential oils used were sweet orange (Citrus sinensis) and sweet basil (Ocimum basilicum). There was a 43% to 75% in reduction of lesions. This was thought to be a result of their joint antiseptic and keratolytic activity. Side effects (burning and redness) disappeared within a few minutes of applying the essential oils.
Evaluation of a patient with acne includes a careful medical and family history and physical examination. Although no special laboratory studies are usually necessary, signs and symptoms of precocious puberty, hyperandrogenism, or ovarian dysfunction warrant further investigation. A history of severe acne in a 1st-degree relative also serves as a warning for potentially serious disease.
I find this article incredibly informative & timely. My teen son has horrific acne on his scalp, shoulders and back.. It became so uncontrollable he was put on a course of Acutane. Diet was NEVER discussed by his dermatologist, even after I asked his opinion on it’s impact on my son’s skin. 1 year later, his acne is back, as if he had never been on the medicine. What do you believe acne in the areas he suffers from indicates?

Patients may apply non-irritating skin-care products as needed, and are advised to protect the skin from sun exposure using a sunscreen that delivers UVA/UVB protection with an SPF of 30 or higher. Mild or pediatric formulations are available for sensitive skin, and look for non-chemical (mineral) sunscreens that contain zinc or titanium dioxide. Rosacea patients should avoid any skin-care products that sting, burn or cause additional redness.
Retinoids. The term "retinoid" refers to retinol or other closely related derivatives, either natural or synthetic. Retinoids may or may not have retinol-like ( vitamin A–like) activity. Retinoids affect epithelial cells by binding to receptors inside these cells, inducing alterations in the transcription of genes. Retinoids enhance the synthesis of some proteins, such as proteins that serve as receptors for certain hormones and growth factors, and reduce the synthesis of others. Some of the most commonly prescribed treatments for acne—tretinoin, isotretinoin, and adapalene—are retinoids. (See Table 1.)
Aqua (Water, Eau), Glycerin, Triethanolamine, Sodium Laureth Sulfate, Propylene Glycol, Isopropyl Alcohol, Salicylic Acid, Dimethicone, Aloe Barbadensis Leaf Juice, Chamomilla Recutita (Matricaria) Flower Extract, Thymus Vulgaris (Thyme) Leaf Extract, Sodium Hyaluronate, Carbomer, Parfum (Fragrance), Diazolidinyl Urea, Methylparaben, Propylparaben, Benzyl Benzoate, Benzyl Salicylate, Eugenol, Linalool.
How frustrating! I don’t have a low carb diet, I take birth control, I exercise regularly, and there is no way I can minimize any stress until after I finish college. I have nasty acne (not cystic) and it spikes a week before my period, so by the time they finally begin to heal, they come right back. it’s really painful and embarrassing. I have VERY oily skin, do you have a moisturizer you’d recommend that isn’t $40?
Acne vulgaris is a chronic skin disease of the pilosebaceous unit and develops due to blockages in the skin's hair follicles. These blockages are thought to occur as a result of the following four abnormal processes: a higher than normal amount of oily sebum production (influenced by androgens), excessive deposition of the protein keratin leading to comedo formation, colonization of the follicle by Propionibacterium acnes (P. acnes) bacteria, and the local release of pro-inflammatory chemicals in the skin.[49]
While you can certainly benefit from a great skin-care regimen, "in cystic acne, usually you need internal treatment," he says. "Topical medications usually don't work. Accutane is a great miracle cure for really bad cystic acne, but most people with cystic acne will improve with oral antibiotics — sometimes for two weeks, sometimes for three weeks."
It is possible to use an over the counter acne cream for home management of acne, but going to a doctor can be a good idea in severe cases of acne. Dermatologists are often informed about the latest acne research and medications, and they may be able to provide tips for managing acne. A doctor can also write prescriptions for more intense acne creams which may be necessary for people with severe cases. It is also possible to take oral medications to manage acne, and to make lifestyle changes which may reduce breakouts.
The reason birth control pills are helpful for acne is because they enforce hormone regularity on a woman’s system.  The precise pill that is helpful for each woman varies by her particular condition– but in general, BCPs are comprised of estrogen and of progesterone. BCPs can for that reason 1) raise estrogen levels–which either corrects an estrogen deficiency or helps balance the activity of runaway testosterone–and they can also 2) restore proper balance between estrogen and progesterone, which is important for keeping progesterone levels within their proper parameters.
Is your medicine cabinet packed to the brim with organic beauty products? Then Mother Dirt’s cleanser is the blemish-banishing product for you, according to Dr. Goldenberg. Formulated without preservatives or fragrances, this wash is perfect for those with sensitive skin. “It helps wash away dirt and bacteria that cause acne, but is gentle,” he says.  

How frustrating! I don’t have a low carb diet, I take birth control, I exercise regularly, and there is no way I can minimize any stress until after I finish college. I have nasty acne (not cystic) and it spikes a week before my period, so by the time they finally begin to heal, they come right back. it’s really painful and embarrassing. I have VERY oily skin, do you have a moisturizer you’d recommend that isn’t $40?


Oral antibiotics are taken in the form of pills at least once a day. They should not be used for more than 6 months. At least half of the people who use oral antibiotics get moderate results. Some of the side effects of oral pills include diarrhea, dizziness, vomiting, lightheadedness and vomiting. You may also experience recurrent vaginal yeast infections given that antibiotics also kill the good bacteria in the body. After some time, your body will get used to it and the side effects should go away or at least decrease. You may also experience an increased sensitivity to light and get rashes, redness or sunburns. In such cases, use sunscreen or wear long sleeved clothes. Taking low doses of antibiotic may still be effective while eliminating the risk of the acne bacteria becoming resistant to the antibiotic.
I've tried every acne medicine out there and nothing has helped my skin. I started using birth control and that helped control my breakouts, but still didn't help 100%. I've been using this for about 3 weeks, and I've had like one zit the entire time! I've noticed a hug difference on my scars as well. I highly recommend trying this product! I feel so relieved finally finding something that helps my acne.
These are only prescribed for use in combination with another medical acne treatment to prevent bacterial resistance, reduce the growth of P.acnes bacteria and help to prevent skin infections.  Topical antibiotics are applied externally to the affected area, oral antibiotics come in tablet or liquid form. . You can find out more about P.acnes in the development of acne and behind the science of micro-inflammation.
First and foremost, clean up the area. "Washing regularly with benzoyl peroxide (like the Murad Clarifying Cleanser, which is formulated with breakout-busting salicylic acid and green tea to soothe), helps keep pesky bacteria at bay, decreasing your chances of developing a bacterial folliculitis," says Idriss. "Folliculitis, however, is not always due to bacteria alone; it can also be caused by a fungus."
While our goal is to create the most efficacious natural products, we place an extreme importance on safety as we believe your beauty routine shouldn’t be something to worry about. That is why we research the safety of every ingredient, natural and synthetic, to ensure there are no known health concerns and that our products remain free from harmful ingredients.
Some people use natural treatments like tea tree oil (works like benzoyl peroxide, but slower) or alpha hydroxy acids (remove dead skin and unclog pores) for their acne care. Not much is known about how well many of these treatments work and their long-term safety. Many natural ingredients are added to acne lotions and creams. Talk to your doctor to see if they’re right for you.
In addition, there are strong signs that ethnicity is a factor in one's potential to develop rosacea. In a separate survey by the Society, 33 percent of respondents reported having at least one parent of Irish heritage, and 26 percent had a parent of English descent. Other ethnic groups with elevated rates of rosacea, compared with the U.S. population as a whole, included individuals of Scandinavian, Scottish, Welsh or eastern European descent.

Keeping the follicles from becoming blocked will help you skin stay baby-bum-smooth. To do this, regular exfoliation is key. Exfoliating creams help speed up cell turnover while keeping the skin moisturized, and they're especially helpful for keratosis pilaris. Look for over-the-counter creams that contain glycolic acid, lactic acid, or salicylic acid. Prescription creams containing tretinoin can be used in more severe cases.

A plastic surgeon or dermatologist applies an extremely acidic solution (phenol or TCA) to the skin, thus removing surface layers as well as deeper layers of skin, allowing the skin to grow anew. Deep peels are serious medical procedures, requiring full cardiopulmonary monitoring and intravenous hydration; phenol in particular can be toxic to the kidneys.
Tazorac (tazarotene, also sold under the trade name Avage) is derived from vitamin A and used as a cream, gel, or lotion applied to the skin. It’s normally found in concentrations of .05% to .1%. The gel form is the best for acne. Applied once a day, it begins working immediately and lasts about 36 hours, with very little absorption into the bloodstream. Creams and lotions can clog pores and cause whiteheads and blackheads, however. It cannot be used by people who have eczema, it should not be used after a sunburn, and it should not be used for more than 10 days at a time. Some people who use this drug are more sensitive to sun after they eat celery or celeriac or after they take St. John’s wort. Up to 30% of people who use this experience side effects including peeling, dryness, redness, itchiness and burning.
Clean & Clear Advantage Acne Spot Treatment works fast to help reduce the visible signs of acne. Clinically proven to show clearer skin in 100% of testers in just one day, the oil-free acne medication dissolves oil quickly and works to reduce the size, redness and swelling of pimples. This rapid acne treatment is made with witch hazel, a natural ingredient known for its skin-soothing properties, as well as 2% salicylic acid acne medicine to penetrate pores for clearer looking skin. Clean & Clear Advantage Acne Spot Treatment won't over-dry skin and is oil-free so it's suitable for normal, oily and combination skin.
I def break out on the sides of my chin every month during ovulation. Just as one side is clearing up, the other side is breaking out. Your description of the area under the nose fits quiet well also. I was teased a whole lot in my teenage years for my acne. And there are always people who decide to point out how bad I am breaking out even as an adult. There is no amount of looking someone directly into their eyes that will prevent comments being made to me. I appreciate the information you gave here.

With a blend of potent antioxidants, this serum is loved by beauty editors and dermatologists alike. Vitamin C plays a leading role: "The powerful ingredient has been shown to brighten dull skin and lighten brown spots. It may also be helpful in lightening a dark scar," says Joshua Zeichner, the director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City. The formula also includes vitamin E. "Vitamin E is a fatty vitamin that has both antioxidant and skin-protecting properties. It helps seal cracks in the outer skin layer and may help repair a damaged skin barrier and improve the appearance of scars after the initial wound has healed," Zeichner says.
Acne cream is a skin care cream which is used in the treatment and management of acne. Some acne creams are designed to be used during an outbreak, while others are meant for routine usage to prevent the appearance of acne. Depending on the region, many creams may be available over the counter, while others may be prescription-only. Some people have to experiment with several before they find a cream which works for them.

An expert committee assembled by the National Rosacea Society explicitly defined and classified rosacea into four different subtypes (erythematotelangiectatic type, papulopustular, phymatous, and ocular) based on specific clinical signs and symptoms. Although didactically successful, the subtype designations were widely used individually and construed as distinct disorders, ignoring the frequent simultaneous occurrence of more than one subtype and potential progression of one subtype to another. In 2016, the global rosacea consensus panel recommended a new classification: at least one diagnostic or two major phenotypes are required for the diagnosis of rosacea. [3] Currently, the therapeutics of rosacea empirically target the signs and symptoms of the disease because investigators do not understand the details of its pathophysiology. The classification systems aide clinicians in treatment by highlighting the preponderance of one or more of the clustering signs of presentation and, thus, help to specify which therapeutic approach to initiate.

Dermatologists aren’t sure why azelaic acid is so effective at clearing up inflammation, but it’s often used as an option for sensitive skin or pregnant patients. Linkner says the ingredient is good at treating malasma, acne, and rosacea. Your dermatologist can prescribe a foam product with azelaic acid, and you can also find beauty products with very small amounts of this active ingredient.
Always remember to keep your skin clean, especially when covered with acne. Please do not try any topical medications without prior consultation and if any of these products work adversely on your skin, please visit a physician or dermatologist immediately to get the required help. In case of allergies, please only use non-allergenic creams and washes to protect your health.

Foods rich in zinc: shellfish, chicken, sunflower and pumpkin seeds, nuts, and pulses. Zinc kills acne-causing bacteria, decreasing the inflammatory response, and reduces keratinocyte activation (cells that produce keratin, a tough protein that binds skin cells together). It's also a powerful antioxidant, protecting your skin from environmental aggressors like pollution.
HAHA! This is kind of funny actually because I usually get minor breakouts in the 9 and 10 area and it’s been driving me crazy. I have VERY bad allergies. I just realized (because of this) that I haven’t been outside too much lately (busy with work- I work from home) my face over the last few weeks has been SO clear! Then my husband and I went out this weekend- windows down enjoying our lovely California weather, my allergies have been going insane and hello breakout. (Just minor but hey I can see why it would be allergies making my skin mad) Sometimes I have little spots by the end of the night but they’re gone by morning. This is really interesting, though! Thanks for sharing! I’m going to send it to my sister who has been complaining about her forehead breaking out. 🙂 Maybe eating healthier will help her out~

Fast-acting benzoyl peroxide is the star of PCA Skin's Acne Cream. We know first-hand that this power ingredient stops acne in its tracks, and we absolutely recommend it for anyone struggling with breakouts. To avoid any dryness associated with the acne treatment, PCA infused this cream with a potent blend of botanicals to ensure skin stays smooth.
Thank you so much for this post! I’ve suffered from this exact issue for a long time, the persistent acne around the mouth. I’ve practiced a strict paleo diet including no dairy or sugar since January, and the problem has improved but not disappeared. I was very interested to see that you list insufficient carb intake as a cause of poor skin healing. What level of carb intake would you recommend, roughly, to improve skin health?

Washing your hands with warm water and hypoallergenic, antibacterial soaps is the way to go before doing anything with your skin and makeup, however, if you’re outside and there is no bathroom available, wet wipes can also do the trick. Try to get hypoallergenic, antibacterial wipes, preferably with aloe vera or cucumber extracts, since those carry tons of beneficial properties for the skin.
Water, Sodium C14-16 Olefin Sulfonate, Cocamidopropyl Betaine, Disodium Cocoamphodiacetate, Glycerin, Sodium Methyl Cocoyl Taurate, Sodium Chloride, Propylene Glycol, Linoleamidopropyl PG-Dimonium Chloride Phosphate, Fragrance, Citric Acid, Aloe Barbadensis Leaf Extract, Anthemis Nobilis Flower Extract, Chamomilla Recutita (Matricaria) Flower Extract, Yellow 5, Red 33.
This top-of-line cleanser is one that really works amazingly for normal, combination and oily skin types. It’s a foaming face wash with 3% sulfur that makes your skin visibly clearer without drying it out. It removes blemishes, unclogs pores, draws out impurities all while calming redness and reducing excess sebum production. The sulfur in it helps to prevent future breakouts and tames even the worst acne breakouts.
I have been a licensed master esthetician for over 6 years now, and face mapping is something we learned about in school. It definitely is not an absolute- “if you have acne in this area, it is absolutely caused by _____”, but more of a “if you continuously break out in this area, try checking into these other reasons.” But it is definitely real thing! They have hand mapping and foot mapping too, so why not face mapping? Like I said, I was taught this in skin care school 6 years ago- it’s definitely real.
Dear acne, you suck. Seriously, we thought the breakouts would be over soon after AP Calculus. But it’s actually something that affects women and men in their 20s and 30s, and even well past their 50s. It’s just not fair (throws childlike temper tantrum). And if you thought blackheads and whiteheads were annoying, the deep painful pimples that often pop up in adult acne are much more aggravating—and harder to get rid of. So, we talked to dermatologists to find out which acne treatments are the most effective on all types of pimples.
The ears can also indicate that we are not drinking enough water. Dehydration can be caused by a diuretic such as prescription and OTC drugs such as coffee, alcohol, and water pills. A lack of hydration has other side effects within the body other than effects on our skin including raised blood pressure, fatigue, high cholesterol, digestive disorders, and allergies.
Pimples, sometimes known as skin abscesses, are the pockets of infection that normally develop just below the skin. They begin appearing like a pimple but may get larger than any other pimple does and they are normally painful, as well. In most of the cases, pimples on buttocks are very much uncomfortable but not serious. In very rare cases, however, the infection may go deeper and you may end up with a blood infection (or sepsis), a heart infection (or endocarditis) or even a bone infection (called osteomyelitis).
Face mapping can be useful in helping you to identify the root cause of your constant breakouts by offering important clues such as physiological imbalances. Obviously, a lack of facial cleanliness can result in blemishes, but if you’re experiencing constant and aggressive flare-ups, it’s most likely a must deeper problem. Sometimes, acne is caused by an internal problem and will only clear up after that problem is fixed.
Using alcohol-free acne products will be a little more comfortable for people with sensitive skin, Nazarian says. “Alcohol is drying to skin and since the other active ingredients are already somewhat drying, the combination of those ingredients and alcohol can be doubly-tough for skin,” she explains. “Dry skin becomes inflamed and can crack, making the use of these topicals difficult.”

Conversely, not using any facewash on your skin leaves you with the build-up of dead skin cells, dirt, grime and excess oils. While many others swear by using the simple combination of warm water and a facial cloth for their skincare routine, warm water isn’t always enough to penetrate your oil-clogged pores that have dirt and bacteria trapped inside. If you think you might disagree, imagine rinsing an oily, used frying pan with just warm water. Without a proper cleanser, you can’t cut into the grease buildup or eliminate harmful bacteria. The same applies for your skin.

"If you occupy the area [under the skin] with a cyst, it destroys fat around it. Once the cyst goes away, the loss causes indentation," Dr. Karolak explains. A boxcar scar is a depression that has hidden scar tissue, which acts like an accordion pulling the scar downward. Subsicion is one solution for these deeper scars. Subsicion uses a sharp needle to go under the surface and break up that scar tissue. Then, you can fill it in with fillers made specifically for acne scars like Bellafill. Or you can do a fat transfer. "One of my favorite treatments for volume loss is fat transfer, which allows me to take inject a patient's own body fat instead of synthetic filler," says Dr. Karolak. Another treatment for boxcar scars is punch excision where the indented area of the scar is removed and the edges are pulled together with a suture. These treatments are often followed up with a collagen-boosting laser treatment.
When topical and oral antibiotics fail to measure up against acne, using oral contraceptives or birth control pills can inhibit androgens from performing their tasks. Certain oral contraceptives prevent the release of sebum that fires up your acne by blocking the androgens that stimulate the oil glands. An antiandrogen is taken in combination with birth control pills in the event that the pill can’t handle the acne by itself, or if you have male symptoms like extra body hair or thinning scalp due to excess androgens. Learn more…
Feverfew – Commonly known as wild chamomile, feverfew is a plant that has been used for generations. It was once called “parthenium” by the ancient Greeks and is used to treat various ailments and disease. When it comes to your skin, feverfew is anti-inflammatory, reducing and preventing redness and swelling. It’s also high in anti-oxidants and can be consumed orally in the form of tea for added benefits, like healing your skin from the inside out.
Postinflammatory hyperpigmentation (PIH) is usually the result of nodular acne lesions. These lesions often leave behind an inflamed darkened mark after the original acne lesion has resolved. This inflammation stimulates specialized pigment-producing skin cells (known as melanocytes) to produce more melanin pigment which leads to the skin's darkened appearance.[34] People with darker skin color are more frequently affected by this condition.[35] Pigmented scar is a common term used for PIH, but is misleading as it suggests the color change is permanent. Often, PIH can be prevented by avoiding any aggravation of the nodule, and can fade with time. However, untreated PIH can last for months, years, or even be permanent if deeper layers of skin are affected.[36] Even minimal skin exposure to the sun's ultraviolet rays can sustain hyperpigmentation.[34] Daily use of SPF 15 or higher sunscreen can minimize such a risk.[36]
Active Ingredients Sandy Skotnicki, MD, founder of Toronto's Bay Dermatology Centre and author of the skincare book Beyond Soap, says people should look for body washes that contain active ingredients such as salicylic acid or benzoyl peroxide. “The best for body acne is benzoyl peroxide,” says Dr. Skotnicki. “Just make sure you wash it off well with a face cloth, or it can bleach your towels and even sheets.”
How to Handle It: Consider salicylic acid your secret weapon. "This beta hydroxy acid helps remove excess oil and exfoliate dead cells from the skin's surface to keep pores clear," says Zeichner. Try Clinique's Acne Solution Clearing Gel, a two-time Best of Beauty winner that packs both salicylic acid and sea whip extract — an ingredient with skin-soothing properties — to help counteract the dryness sometimes caused by salicylic acid. The formula does double duty: It works as a spot treatment for mild to moderate acne and as a nightly allover treatment for pimple prevention. And since it dries clear, you can wear it to fight zits whenever, wherever.

Retin-A is a topical retinoid used to clear up mild to moderate acne. It works by speeding up the cell turnover process and prevents pore blockage that causes breakouts. This tried and true prescription acne medication has been around since the ’60s and comes in various strengths to tackle all of your acne issues. Tretinoin, the acidic form of vitamin A, must be used with sunscreen and applied at night.


The chin is said to be linked to your intestines; the small intestine in particular. Breakouts here could indicate either a poor digestive system or a hormone imbalance. Sometimes the hormone imbalance is natural, for example, at the time of menstruation in females. At other times, this hormone imbalance in females could be related to PCOS or Polycystic Ovary Syndrome. Some solutions to acne on the chin:
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No! Avoid popping your own pimples. This practice can spread bacteria around; instead of getting rid of acne overnight, you may find you simply worsen your breakouts by attempting to pop your pimples. If you find you simply must pop a lesion to get rid of acne fast before a special event, be sure to use sterilized equipment and wash your face and hands thoroughly before and after.
Patients should be advised to avoid known exacerbating factors, such as hot or cold temperatures, wind, hot drinks, caffeine, exercise, spicy food, alcohol, strong emotions, topical products that irritate the skin and decrease the barrier, and medications that cause flushing. Patients should be encouraged to use a noncomedogenic, high-factor sunscreen when exposed to sunlight and wind.

If you've tried a product like this on your face and felt that it was a bit too harsh or drying, don't be too quick to write it off for use on the body. "Our bodies (with the exception of the neck, underarms, and groin) can tolerate stronger ingredients than our faces do. So even if your face does not tolerate exfoliation often (or at all), your back, shoulders, and probably your mid-chest typically should," Lortscher says.
Antiandrogens such as cyproterone acetate and spironolactone have been used successfully to treat acne, especially in women with signs of excessive androgen production such as increased hairiness or skin production of sebum, or baldness.[10][46] Spironolactone is an effective treatment for acne in adult women, but unlike combined birth control pills, is not approved by the United States Food and Drug Administration for this purpose.[1][35][99] The medication is primarily used as an aldosterone antagonist and is thought to be a useful acne treatment due to its ability to additionally block the androgen receptor at higher doses.[35] Alone or in combination with a birth control pill, spironolactone has shown a 33 to 85% reduction in acne lesions in women.[90] The effectiveness of spironolactone for acne appears to be dose-dependent.[90] High-dose cyproterone acetate alone has been found to decrease symptoms of acne in women by 75 to 90% within 3 months.[100] It is usually combined with an estrogen to avoid menstrual irregularities and estrogen deficiency.[101] The medication has also been found to be effective in the treatment of acne in males, with one study finding that a high dosage reduced inflammatory acne lesions by 73%.[102][103] However, the side effects of cyproterone acetate in males, such as gynecomastia, sexual dysfunction, and decreased bone mineral density, make its use for acne in this sex impractical in most cases.[102][103][104] Hormonal therapies should not be used to treat acne during pregnancy or lactation as they have been associated with birth disorders such as hypospadias, and feminization of the male babies.[46] In addition, women who are sexually active and who can or may become pregnant should use an effective method of contraception to prevent pregnancy while taking an antiandrogen.[105] Antiandrogens are often combined with birth control pills for this reason, which can result in additive efficacy.[106][35]

Systemic symptoms are most often absent in acne vulgaris. In rare but severe cases, acne vulgaris could lead to acne conglobata, with highly inflammatory nodulocystic acne and interconnected abscesses. Acne fulminans is even more severe than acne conglobata, with systemic symptoms such as fever, joint pain, and general malaise. Additionally, acne vulgaris may have a psychological impact on any patient, regardless of the severity or the grade of the disease. [4]
An expert committee assembled by the National Rosacea Society explicitly defined and classified rosacea into four different subtypes (erythematotelangiectatic type, papulopustular, phymatous, and ocular) based on specific clinical signs and symptoms. Although didactically successful, the subtype designations were widely used individually and construed as distinct disorders, ignoring the frequent simultaneous occurrence of more than one subtype and potential progression of one subtype to another. In 2016, the global rosacea consensus panel recommended a new classification: at least one diagnostic or two major phenotypes are required for the diagnosis of rosacea. [3] Currently, the therapeutics of rosacea empirically target the signs and symptoms of the disease because investigators do not understand the details of its pathophysiology. The classification systems aide clinicians in treatment by highlighting the preponderance of one or more of the clustering signs of presentation and, thus, help to specify which therapeutic approach to initiate.
I would go days without having a drop of actual water – honestly! Till the time I got the world’s most painful kidney stones and now I make sure to have at least 10 glasses a day. And my skin has clearly felt the difference. Don’t know if it will work for you but I just keep 2 bottles on my desk. It’s easy to drink when the stuff is on-hand all the time!
Interesting comment from Kaitlin, with whom I totally agree. Funny thing is, all my menstrating life I’ve had cycles anywhere from 28 to 38 days, this year I tried Paleo ( due to gluten intolorence) and besides ridding myself of bloating and discomfort, my period comes precisely every 28 days!! ( Starting February of this year)I have never been on the pill and am the mother of two and must admit that feeling great and knowing exactly when I’m ovulating and when I’m going to have my period makes me think maybe 28 days is the “natural” way. Also since eliminating wheat my period doesn’t bother me at all, I often run 8 miles on the first day of my period, whereas before I would have to rest for 3 days at least.

HAHA! This is kind of funny actually because I usually get minor breakouts in the 9 and 10 area and it’s been driving me crazy. I have VERY bad allergies. I just realized (because of this) that I haven’t been outside too much lately (busy with work- I work from home) my face over the last few weeks has been SO clear! Then my husband and I went out this weekend- windows down enjoying our lovely California weather, my allergies have been going insane and hello breakout. (Just minor but hey I can see why it would be allergies making my skin mad) Sometimes I have little spots by the end of the night but they’re gone by morning. This is really interesting, though! Thanks for sharing! I’m going to send it to my sister who has been complaining about her forehead breaking out. 🙂 Maybe eating healthier will help her out~
I have very nice skin at 52 years old and am thankful, however there are a few things I’d like to fix: a small broken blood vessel now resides on the right outer part of my nose ( how do you get rid of this?), A medium sized age/sun spot on the left side of my face near the top of my cheekbone, lastly, I have three very small brown spots on the bag under the eye. I’d really like to know how to get rid of these small nuances.
In September 2016, Acne Studios announced its Fall/Winter 2016 campaign, shot by British photographer David Sims. The series was photographed in three parts, and each was presented globally- from posters plastered on the walls during Paris Fashion Week and Hong Kong's Golden week, on streetcars in Milan, and to digital images at London's Harrods. [15]
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