Agreed, although I would politely edit that comment by saying OVER THE COUNTER ingredients because there are some absolutely extraordinary prescriptions and laser treatments (and some clinical chemical peels) that can be life-changing for people with acne vulgaris that is cystic. Accutane Spironolactone Retin-A (I do not recommend tetracycline, minocycline, etc. because they eventually destroy your gut bacteria and that's a whole can of worms you do NOT want to open or learn the hard way like I did) Then, there's also unbelievably effective laser treatments like... IPL combined with photodynamic therapy w/levulan (a miserable 10 day recovery in the dark, but beyond worth it: better than Accutane). Microlaser treatments There's something else called Isotaz, which I haven't personally tried (I've tried all the above excepting this one), which is said to be amazing and effective, but that needs to be discussed with a dermatologist (as well as everything else above). However, I was shocked to hear it requires 6-10 treatments, but the upside is there is zero pain, no downtime, and no sensitivity to sunlight afterwards (very much unlike Photodynamic therapy combined with IPL). Honestly, as someone who has had to deal with treating acne for the last 40 years (and new treatments have been made available as years turned into decades), there is no reason that anyone should have to deal with acne today unless they don't have access to medical treatment where they live. This isn't every treatment, but just examples of how much more is available than just the slow, tedious process of over the counter ingredients which tend to be far less effective on moderate to severe acne (especially cystic acne).
@@03flyboi4unfortunately, there's more to it than just cleaning your face. Otherwise I personally wouldn't have acne. I consume zero dairy, drink plenty of water 💧, exercise, eat fruits and vegetables etc... I have a yearly visit to my dermatologist..sometimes up to 4 times a year. (Not all acne related.) Ance scars, for me, is very hard to treat. Prevention is the key. I won't stop trying. ❤
Also, I know yall are actual doctors but I could totally watch like 2 more full videos a week. It's nice to hear the science which even my fave guru's don't really delve into on the level my mind loves. You are appreciated!!
This format is AMAZING.! You should do this for various common issues like hyperpigmentation, scarring, dry skin, oily skin, dull damaged skin, forehead bumps, blackheads/white heads, etc etc.. Love y'all!
I've finally cleared my acne and I'm so so happy about it. I just changed my skincare routine to something simple which is double cleansing at night, using naicinamide, retinol and then moisturise after. I don't wash my face in the morning as well, I just use Hyaluronic acid, moisturiser and sunscreen. Also I recently found out I'm lactose intolerant so I cut out milk and it did really help with my acne. I just have little scarring from past acne but my skin is completely smooth, clear of cystic acne and glowy! Edit: I also use 2% salicylic toner in my night time skincare routine
@@user-hg7bo5ln3c I used to use skintitut (aussie brand) gel retinol but now I switched to the ordinary retinol squalane since it has 1% retinol while skintitut only has 0.05%. I might have to go back to my skinitut one since my skin love it more than the ordinary retinol
@@parsakhan4446 i don’t know their exact reason but it can be drying and depending on your nighttime routine it can be unnecessary. if you have dry skin (in the morning specifically) it may be better not to but oily skin is a different story.
@@1rismono by now you would see a difference. Sometimes, dairy or sugary food is not the cause of your acne. Could be hormonal, maybe hygiene or a mix of things. In my case, taking less sugar, more antiflamatorry tea like green tea and a lot of water and fruits/vegetables, did help my acne to not appear.
The fact that you guys are constantly learning about the effectiveness and science behind the product AND are willing to (instead of being right) admit when information shared in the past is no longer accurate shows where you stand in your values and it is highly appreciated. Also reassuring that you can be trusted . Nobody is perfect and well, treating acne is all about trial and error regardless so thank you for sharing what you know and learn about everyday.
Cutting out dairy changed more than my cystic acne, I wasn't lactose anymore and now I think eat cheese without getting sick, it's like my stomach was restored after a 1-year break from milk.
Thank you so much for the scientific, no bs, evidence based advise. I have struggled with hormonal acne for 20 years and after following your advise, I finally feel like I am getting control of my acne. I use CeraVe 4% benzoly perozide, La Roche-Posay Adapalene gel 0.1%, Elta UV clear SPF 46 and La Roche-Posay Toleraine ultra eyes (definitely feel you Dr. Shah on those sensitive eyelids). Thanks again for all that you do!
Really appreciate what you are doing with the channel compared to other dermatology RU-vidrs. Your content is always professional, well researched, and well presented in a concise and helpful manner. There is zero sponsored content (thank goodness! Really hard to take other channels' advice when there are hints of kickbacks to promote certain products). I try to watch every RU-vid ad on your videos to the end, hopefully that helps to support the channel! I can tell a lot of behind the scenes work goes into each of your videos, just want to say thank you for all your hard work!
Thank you so much for your support! It means the world - watching straight through definitely helps the channel :) As far as sponsored content, we haven't done any yet but we are not opposed to it. So far, we've turned down all sponsorship requests but are open to brands sponsoring educational content where we control the narrative. We think that our subscribers are brilliant and they can tell the difference between what is legit and what is forced by a company. Therefore, we will always stay "on brand" with recommendations that fall in line with everything that we preach here!
I'm so happy to hear you brought up B12. When going vegan, B12 gave me the WORST acne in my life and since I did not break out at all growing up until that B12 attack in my mid 20s, I did not know how to treat it properly and sadly resulted in permanent scars. Knowledge is so important and thanks for shedding light on the topic!
what did you do for intake then? B12 is pretty dang important for the body so I’m curious if you started eating animal products again or took B12 in another form
I’d also like to add an ingredient to your acne tier list: harsh cleansers. Growing up and even into adulthood, I thought the harsher the cleanser, the better it will work for my acne. I would even leave the cleanser on my skin for 20 minutes or more to really try to degrease my skin and pores. My acne just stayed the same or often, got worse. A couple years ago I decided to try a very gentle cream cleanser with no soap or detergents/surfactants added. Before switching to a cream cleanser, I had been on Retin-A for a couple of years so my facial skin was not too bad but I was still experiencing breakouts here and there, but what was worse was that I constantly had these cysts form in my neck and I ent years with always having at least a couple in my neck all the time. When I switched to a cream cleanser, within days my face was so smooth and the small breakout I was still having went away. Yay! But what I couldn’t believe was that these cysts in my neck that I had been getting since my children were born went away and has never come back. I went from having at least a couple big, red cysts (angry looking but deep) on my neck to nothing. And to this day I have never had another cyst on my neck. IMO, harsh cleansers damage the skin barrier. Even the gentlest lathering cleanser can irritate some people’s skin if it’s really sensitive. So although harsher cleansers is something most people experiencing acne will reach for, in my experience, it made my acne much worse.
I would love a video of what ingredients can or can't cause purging, or if there can be an induction breakout phase with non-active or non-exfoliating ingredients! Love all your videos!
Purging isn't bad, it makes you break out all the acne that was going to appear over the coarse of a month, in 2 weeks. Which makes it faster. So imagine Having a dirty closet, you take out a small portion of the mess everyday to clean and throw out. And you do that for a month. Versus taking out a big portion in one week, yes it will make the room look even worse, but that's only because a lot more is coming out, meaning you get rid of more of it faster. And then you sort that out, throw it away, and guess what, you have way less of a mess left in your closet. Hope this helps. (:
I’ve just hit 12 weeks, purge is over. But my acne wasn’t too bad to start with so maybe that’s why hahahha. Still get breakouts from shaving tho ugh! Good luck xxxxx
Have been using azelaic acid for the past 7-8 weeks.. Definitely been seeing good results. But must use it religiously if possible don't miss it even for a single day. You may experience a little stinging but that's normal according to the dermatologist as that's an indication that is working on your skin. It takes almost 3_4 months to show results but it works beautifully . Also please wear sunscreen everyday because whatever you do won't work will go to waste if you don't wear a Sunscreen.
My acne has gotten much worse since starting with Differen benzoyl peroxide wash. Skincare still seems like such a tricky puzzle and I have no idea what I'm doing wrong. I do know that these videos slowly but surely help me piece that pizzle together 🙏
I am currently using differen gel and benzoyl peroxide but I know you are really trying to get rid of your acne but if you could really put on a little bit of effort and put differen gel all the time and pray everyday that your pimples should go and stop popping your pimples then I have hope that your pimples will heal by GODS grace
Another factor besides diet is that acne can be an allergic reaction! I thought I'd just share my experience since it seems to be an uncommon one - I had pretty severe acne for 5+ years that I thought was hormonal/genetic but after seeing an allergist it turns out it was actually caused by hereditary allergies in the form of skin allergies (not dairy/gluten allergy which was suggested in the diet section but more like... I was allergic to 30+ things including humidity and spices haha)! I also had symptoms besides acne (dermatographia, "goosebumps" etc) so probably if you just have acne it wouldn't be this type of allergy but just sharing in case it helps someone else! I'm halfway through taking immunotherapy medication and it's done miracles for my skin.
This video is for me. I use prescription benzoyl peroxide and adapalene. I keep my routine simple (advised by my derm). Cleanse, treat & protect. I also get scheduled microdermabrasion sessions. My skin has improved greatly since partnering with a professional over 3 yrs ago & I’d recommend everyone to do so.
I have a routine like yours! Benzoyl peroxide and Adapalene. I have scarring so I was considering doing microneedling but kinda scared to do it. Plus the person said they would recommend going off the Adapalene and Benzoyl peroxide while going thru those sessions, and I don't want to give up products that have been working. What's the microdermabrasion like? Can you keep using your routine to treat acne?
@@kimbercakes16 hey routine twin 🙋🏽♀️! Whenever I get microdermabrasion sessions, my dermatologist always advises me to take a 2 day break off both products before my sessions & wait another 2 days after my session before starting back on them. Hope this helps 🙌🏽.
@@janeenwehr6403 hey Janeen, my dermatologist has me using them at the same time (@ nights) since Adaplene plays well with benzoyl peroxide. I know some Vitamin A forms don’t play well with benzoyl peroxide (not sure the science behind that). I don’t use either in the AM (prescribed by my derm). Hope this helps!
Breaking down the roles of molecules for a specific targeted treatment was BEYOND helpful!! Please do this for mature skin/ dark spots- that would really help my mom
Changin your diet could really change your skin for better by 40% , when i changed my diet my skin got so much better and i was using tretinoin at that time which helped alot my skin wasn't 100% clear for some reason, but im still working in it hopefully i will find the perfect skincare routine one day
@N A to be honest, avoid consuming dairy or cut it completely, maybe replace them with almond milk, vegan cheese yogurt... , same for big quantities of sugar like chocolate, sweets, eat it in minimal quantities no need to cut it out but be mindful about it , eating lots of veggies and fruits , replace sugary drinks with green tea(you could add mint cinnamon and ginger while heating the water it gives it a nice taste ,but be careful of how much ginger and cinnamon u put) ,coffee (you could add a vegan milk if u don't like plain coffee) and drink enough water , make sure to get enough sleep 8+ , personally my acne got better while i was cutting bread from my diet , so maybe I have a problem with gluten, i advise you , for example look at your diet and think about the food ... and try to cut out and see what happens , also I forgot to mention I barely eat fast food but when i do i feel like my skin reddens so yeah , I guess that is all , hope i helped u a little
This is the best acne video I’ve seen in my life and I’ve been struggling with acne since I was 13! I’m so grateful for you guys ❤️ another video suggestion: how to pick within these ingredients and what can or can’t be used together. Because honestly after this video my instinct tells me to use a benzoyl peroxide cleanser then a salicylic acid toner then Azelaic acid cream and differin at night 😂 all while I take zinc supplements and avoid dairy and sugar
I appreciate how this video is organized! A lot of other videos list all these ingredients as good for treating acne, but they list them as if they are all equally effective.
Thank you! Would love to see the same video covering how these same ingredients impact/help (or don't help) with "anti aging" (wrinkles, fine lines, elasticity, collagen, etc)
I took a break from coffee this week (which i usually drink with skim milk) and I've noticed my acne has improved! i haven't even changed my skincare routine at all interesting!
Growing up have oily/acne prone skin and hyperpigmentation I wish so bad I had access to videos or information like this it would of help out so much my acne held me back preventing me from living my best life I really never got to do so much as a teen because of my acne and how bad it was how it affected me emotionally and spent lots of nights just crying I know it seems so minimal but it really hurt me in a lot of different ways hindered me. All I wanted was advice or reliable information and help on acne. Just glad there is a plethora of helpful options and info!
Your history in education is apparent in videos like this. I am a visual learner and your color-schemed chart does wonders for my learning!! I can't say enough great things about your channel. Thanks so much!!
My two favourite Doctors in the world!! I am a newly licensed aesthetician. I been following you for a while now . I appreciate your Doctorly knowledge ! It helps me a lot !! Thank you !
I am hopefully waiting for them to make a "seborrheic dermatitis skincare reccomendations" video or "seboreic dermatits safe & unsafe ingredients" video. They've never touched on that skin issue.
Please do a video for hormonal acne and skin issues (relating to hormones) because the struggle is real. Also i love the idea of separating the supplement vs the topical.
You guys are the best, love watching your videos! Could you do a video on eczema? I had a flareup last summer and now I have a huge scar on one of my legs that still hasn't gone away
A clear and informative summarisation to help treat acne, it’s been years long concern of mine and probably almost everyone. Hope you could do one for acne scars, blackheads etc. But huge thanks for this video!
Very informative video as always! Could you make a video on treating body acne, like back acne or post-inflammatory hyperpigmentation on the back for the people who may have this issue. I feel most don't talk about it. Anyways, love the videos Keep it up!
This is actually the best video I have ever seen related to medication. I was always confused between tretinoin and benzoyl peroxide n niacinamide products. But thanks to you guys now i know. Thanks for solving my ambiguous problem.
Hey guys! Love the videos, thanks for everything you share here, it's all awesome! I'd love it if you'd consider doing a video focusing on skin care while pregnant/nursing and maybe share some tips on how to help with the hormonal acne most women experience during and after pregnancy.
anecdotally, I find that my zinc pca serum works great as a spot treatment quite consistently, especially with inflammatory acne, so I'd give zinc its credit, it's a tier 2 in my books
I wish you guys had been around when I was a young teen. One time my mom put bleach on my face to “sanitize” it. Needless to say, it didn’t clear up my acne. 😖
Congratulations guys! Fantastic video. Very informative and well structured. I'm sure this will help so many people who are struggling to understand what they need. So many products on the market are all hype and no substance. What you've done here is a game changer. Thank you for taking the time to do this. We appreciate you more than you do us! Personally your advice has changed my life. I can now look people in the eyes instead of bowing my head because of breakouts. Sending you blessings and love from England. xx THANK YOU
@@ssood5838 I have in fact seen that but I would like Dr Shah & Maxfield to do it as well.. It's a brand working only because 'The ordinary and Paula's chalice ' is unavailable her in india..and bought by a HUGE chunk of the population like India..
@@mishasharma1126 do you know the price of that? It's three time it's worth..let's not get carried away here..shall we? Also it's not come to India as a brand..it's impoted from the US which makes it unaffordable to "genral public"..hence the minimalist is using that gap and making money out of it..that's my point.
@@101RIDHIMA Nothing wrong on minimalist's part on doing that. In fact, they've blatantly copied a lot of products from the ordinary, but at the end of the day they're accessible and affordable.
I love how you break down the timestamps in this video, it’s so easy to replay to the parts I need a repetition on! Just thought you should know that your extra effort is paying off for viewers like me😊
I struggle so much trying to figure out what would be good for my skin. The layout of this video was amazing thank you I really appreciated the chart!!
Thank you for this video! I'd love to know more about the treatment of hyperpigmentation of all sorts, as Dr Shah once mentioned. There's a lot of confusing actives out there and it would be great to have more clarity oh the issue. Thanks once again!
The screenshot is of great help to me & im sure many others thanks a million for helping us out with all the right information that can actually help cure the acne battles.
You guys are hysterical. So 2 of my kids have mild acne. So how would all your recommendations fit into a routine? 1. Cerave SA cleanser 2.? Benzoyl peroxide? 3. ?Azelaic acid? 4. ?retinoid? 5. Moisturizer I'm not sure what order to tell them, or are some of these not to be used daily? And retinol should only be used at night right? So much information leads to more questions!!
My dermatologist gave me Tretinoin (apply in PM with lots of good moisturizer) & Benzoyl Peroxide w/ Clindamycin (in the AM with moisturizer & sunscreen) Both were great at stopping my acne and getting rid of the dark scars. When I was planning pregnancy, he took me off both and gave me Azelaic acid(PM) and Clindamycin in the AM (w/o the benzoyl peroxide) and it kept my face clear. It just take some time but my face definitely got so much better. Bonus part on retinoids, it keeps the wrinkles at bay too.
I would like an under/overrated video on ferrulic acid, rosehip oil, aloe vera, squalane, caffeine, charcoal or activated carbon and tea tree oil please. Thanks!
I love this video and I feel like that I have learned much more in those 20mins as in 4 years walking around in Sephora, trying to find at least something. Maybe next time you can talk about Hyperpicmentation or really dry skin?
I have acne and my dermatologist recommended that I use silk sheets for the pillow because it does not absorb my skincare products and a microfiber towel to use only on my face, just make sure you clean these often and you will see how good it is, it would be good that they talk about this in their videos because I think it is important also in addition to using the correct products 💕💖💞
Not gonna lie. Essential oils are the best thing that happened to my health in many ways. I have serious immune problems and it doesn’t seem like it because I try to eat healthy and be healthy and thankful. Thanks for the vid
I almost had a mental breakdown hearing hyaluronic acid and niacinamide doens't do much for your acne 🤧 btw what is the right age to include retinol in your skincare routine ( i'm 22 this year) P.s I so loved the fact that I invested 22 min 28 sec watching this video and definitely learned something. Love you guys
this is such a gem! damn i'm a man late 20's and have acne on my back, now i decided to do something about it, damn i'm lucky i've found you guys to guide me through. so far i've got tea tree oil wash and lotion, topical retinoids and salicylic acid, and oral zink. i think thats gonna make it for me.. Its really time consuming, but somehow i like it. its a nice to have more time to relax/destress, just putting on cream and what not
First thing I tried for my acne was salacylic acid and it didn't work ( i tried the ordinary one and some fresh salacylic acid products than the Paula's choice one ) , than i tried differin for 4 months and it didn't work my skin get even worst with it , than i started the benzoyl peroxide 2.5 cream it worked for my acne but my face became so red and inflamed and i stop it after 15-20 uses , than i saw a video about sulfur and i bought it , it worked for my like magic , after a week my mom told me what did you do for your face it's not red anymore and you don't have so much acne like always , I'm using it for 2 months , i use it at first 2 times per day as a mask i started with 10 min than 15 than 20 , after 5-6 weeks i use it just one time at night for 20 min and on top off acne if i have a new one
Low carb diet is tier 1. My son went zero carb, his skin totally cleared up in a week, after years of chronic acne. I have suffered from hormonal acne for 20 years, finally fixed by going keto. Insulin resistance is high insulin = acne. If spironolactone works for your acne, keto diet or Carnivore diet will work.
I have been suffering from malassezia folliculitis for a long time , Then I went to the doctor and watched your videos . Now I have clear skin. Thanx docs 💖💖 .
Hating coconut oil is also another extreme. It works great on many people's hair (not scalp) and it actually penetrates the hair shaft. It's been used for hair for generations in South Asian cultures but the whole trend of putting coconut oil on face and body, which is ridiculous, only started in the west
Sulfur is amazing. Only acne treatment that has ever worked for me. (Very sensitive acne and easily flushed irritated skin). I use the SLMD sulfur lotion.
