1. Wash your face with the HaleyMD cleanser in the morning and evening using lukewarm water. Gently massage the cleanser into your skin for 2 min with your fingers or a Clarisonic brush. Do not use rough cloths, or scrubbers as this will inflame your skin and may lead to scarring.

2. USING TOPICAL Retinol 1. Use the medication every other night for the first two weeks. If after two weeks there is no redness or irritation, increase slowly to every night. 2. Apply a “pea/pearl-sized” amount of medication to your index finger. 3. Gently rub a quarter of the medication into each quadrant of your face. 4. The medication should disappear into your skin quickly. If it doesn’t, you are using too much. Less is better, more will irritate. Avoid waxing as may cause the skin to strip.

3. Use the oil-free HaleyMD moisturizer over retinol nightly. Use spf sunscreen every morning to prevent skin discoloration.

4. Apply makeup products after applying the acne medications. All make-up products should state on the label “oil-free” and/or “non-comedogenic”.

A few Notes:

1. Occasionally acne will get worse when a new treatment is started. This is your skin purging the acne in the deeper layers and making them surface more quickly. Treat through this and results will be seen as the fresh layers surface.

2. Only movie stars treat a pimple and it goes away the next day. Treat the whole face as these medicines help in preventing breakouts.

3. A realistic expectation is 60% improvement at 6 weeks. These treatments are not magic; they take time and effort to see results. If you want quicker results, schedule an aesthetician appointment for microdermabrasion or chemical peels in a Dermatologist office.

4. These are general recommendations and are not personal medical advice – if your skin fails to respond to this regimen or you have scarring acne, see a Board Certified Dermatologist for a personalized treatment plan.

In general, acne has a number of causes: hormones, inflammation, clogging of the pores, and bacteria. Anything that can worsen one of these factors will predispose you to breakouts.

1. Choose low glycemic, unprocessed foods – The glycemic index measures how fast your blood sugar level rises after eating a certain food. Eating lower glycemic foods will help reduce the number and severity of acne breakouts by helping hormones to stay balanced and reducing inflammation. If your food comes in wrapper, it will worsen your acne.

2. Avoid dairy – dairy products tend to cause inflammation and throw off hormone balance. Good substitutes are almond, coconut, and flax milk. Choose the unsweetened varieties. Some people can tolerate small amounts of dairy or in different varieties (ie. Cottage cheese or unsweetened yogurt).

3. Drink enough water so that your urine is clear – water flushes out toxins and hydrates your skin from the inside out.

4. Zinc 25-30 mg daily may help reduce acne – careful not to take too much, as zinc can displace iron and copper from the body. Zinc reduces inflammation and in some studies proved to be as effective as oral antibiotics.

5. Vitamin A 5,000 mg daily and Vitamin D 2,000 IU daily.

6. Omega 3 Fatty Acids – supplement with 2, 000 mg daily to help reduce inflammation. Rich sources include walnuts, avocado, salmon, and flax.

7. Add a high quality probiotic once daily. 

8. Choose organic – pesticides are also endocrine disruptors and throw off the delicate balance of hormones in the body causing many problems, including acne.

9. Choose glass or stainless steel over plastic all the time – most plastics leech out hormone-like chemicals into your food and water.

10. Control stress – Positive thinking, deep breathing, and getting a minimum of 7 hours nightly are key. Stress causes the adrenal glands to produce corticosteroids, which can cause acne.

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