b/c i forgot to hit "save copy to outbox"
hey, ****!
i don't know that you'll get this before your sister's party-- or that i could turn your skin around in time, anyway-- but take heart: breakouts do heal, and although it's perfectly understandable that you're upset, know that this won't be your skin for the rest of your life!
1. your breakout seems primarily hormonal, but perhaps are also aggravated by product.
2. you were on the pill for 10 years, many of which were years of fairly major development in your body-- as you "became a woman," so to speak, your skin-- like any other organ in your body-- was learning a new sort of normal. external hormonal control was a part of that. when you get off the pill for the first time in all that time, you pretty much have to expect your skin to go haywire on you as it tries to find and establish a new norm for itself (expecting it doesn't make it suck any less, i know!)-- and this period of wackiness as your whole body tries to adjust to the change in the hormonal situation can last, sadly, for months. you say you got off the pill around easter? that would put it somewhere in late april, this year-- so it's been about a month. that sucks, but when you look at what you're asking your body to do, it's pretty much par for the (unfortunate) course. people generally say that it takes 1-3 months for your body to adjust to a new pill, or to get used to going on it or getting off it.
3. trying different products is a challenging thing to do when your skin and body are adapting to such huge changes-- not necessarily b/c trying different things is BAD for your skin during these times, but b/c it becomes really hard to pin down WHY your skin is flaring up. is it the product or your body's adapting to fluctuations? *rashes* are almost always the result of product (or external/topical things like poison ivy, contact allergies, reactions to food you've developed a food allergy to, etc). *breakouts* tend to be much harder to solve. if the proactive made you break out in a rash, i'd skip it-- or, if you want to see if you'll resume the good results you achieved with proactive before you got off hbc, i'd at least try it in patch tests before using it on my whole face. use it in a small, relatively discreet but equally sensitive/breakout prone area, like your neck or your jaw, for a week or so. if you don't break out in a rash or pimples from it, i'd say it's probably safe to try resuming normal use of that product. otherwise, i'd just be conservative-- skin that isn't irritated by external things like product heal up fro breakouts and other issues faster and more thoroughly than skin that is. if conservative just means a gentle wipe-down in the shower with a washcloth, and jojoba cleansing at night (or whatever you were doing), stick with it until your skin calms down. once your skin calms down, you can test the success of various products a lot more accurately.
to treat the current breakouts if you're not ready to go back to proactive, but you're not sure the jojoba thing is really going to help, here are a couple of options:
1. use a mild mask (look for white clay or white kaolin clay) once or twice a week to gently draw without drying out your skin too much (dry skin doesn't heal as well as normal or oily skin). keep the fragrance or essential oil quotient in whatever mask you use on the low side if it's minty, citrusy or medicinal-smelling (save these types of products for spot-treatments. more on that soon)-- for a face that's mid-flare-up, milder masks are the best idea. rose, cucumber-- follow your nose toward milder scents (especially if they're from natural sources-- distillates, essential oils, etc) to find masks that will reduce irritating your skin further. you could make a mask at home with oatmeal, milk & honey, too-- cook the oatmeal with milk and add a dollop of honey, and apply it when it's warm, not hot. the oatmeal contains softening oat protein as well as mild exfoliation when you eventually rinse it off; the milk contains dairy enzymes that act as natural, gentle exfoliants, also, as well as nutrients that will benefit your skin, and the honey both contributes trace minerals and moisture that keeps the mask from drying onto your face.
2. if you use a cleanser, use an appropriate toner afterwards to balance the pH of your skin's surface layer again. proactive has its own as part of the kit. if you use a cleanser or facial soap-- opaque or glycerine-- know that it's going to be slightly basic in nature, and you should have a slightly acidic toner to neutralize the cleanser (i skip it a lot-- but my skin lets me. normally.). witch hazel is great. very diluted apple cider vinegar is great. water with a bit of citrus in it is great. etc.
3. don't feel you NEED a cleanser. if just doing a variation on the oil-cleansing method w/ jojoba works for you, do it. i go weeks with using nothing on my face but warm shower water and a washcloth, and, apart from the days on either end of my period, things generally feel perfectly clean and good. just be sure-- ESPECIALLY when you're very broken out-- that you exfoliate *gently*. no apricot scrubs, no walnut or almond scrubs. nothing that feels like it is scratching your skin or causing it to sting. rely either on enzymatic exfoliation (AHAs, BHAs) (oh, hey, i think aveda has a good one-- they used to, anyway. i think it was called a "botanical exfoliator" or something. i used it for years.), or very gentle washing with a nubby-but-not-scratchy washcloth. the reason for this is pretty simple, and i'm sure you've read it or heard it elsewhere: when stuff is trying to heal, you just don't want to tear it open with sharp edges or a lot of forceful scrubbing. why? b/c every time you do that, you scrape away cells that your body has tried hard to knit back together, and you're also opening up the possibility of bacteria getting in and causing infection, or getting out and spreading it around. this is related, by the way, to the reason i think it's best to avoid minty, citrusy, and strongly medicinal products on sensitive skin on the mend (possible exception: tea tree oil-- again, we'll get to that). basically, if it's not something you want getting in your mouth, vagina, eyes or nose (sensitive openings of your body), you want to be very careful with how much you apply to damaged skin.
4. for spot treatments, it's okay to take stronger steps at first to force a situation to come to a head, have its cathartic, painful moment and let it all out-- because then you can work on the healing process. if a zit looks like it's ready, in fact NEEDING to spill its guts and void itself on you, it's therapist, feel free to help it along with a hot compress and careful, gentle-but-firm fingers. if it's ready, you'll be able to empty a zit without much coaxing. if you find yourself digging it with your nails or breaking the skin to try and clear it out, it's not ready, and you're doing more harm than good. some will just never surface, but swell, sigh and be digested somewhere in deeper layers of your skin-- these can only heal from the inside. your skin literally has to digest whatever has caused the zit, by normal cellular activity of bringing in good nutrition and carrying out toxins and wastes like defeated bacteria and the old pus that helped defeat it. once a zit has been voided, or for a zit that simply won't void, you can fight surface infection with over-the-counter spot treatments with salicylic acid or benzoyl peroxide, which are anti-microbial and drying (when skin tissue dries out, it can't host bacteria) (unfortunately, it also can't heal, so it dies and peels), or with antibacterial essential oils like tea trea, rosemary, and lavender. these three oils can be applied neat (straight), but the tea tree and rosemary may sting and burn and still cause some drying, depending on the sensitivity of your skin-- so be careful. they also have powerful, lingering smells-- you will smell medicated. if you're okay with that-- enjoy. if not, consider it. you can also dry out zits with toothpaste-- but that seems so ... i don't know. it makes me think of Full House, or something-- maybe it just reminds me of being 13, broken out, and not clued into so many other, better suggestions. it's good when you're traveling and don't have anything else, but that's about it (but note: tooth GEL = practically pointless, and when comparing toothpastes for their anti-zit qualities, the ones w/ actual peppermint oil instead of synthetic flavor are slightly better.). better than toothpaste is applying a straight baking soda + water paste. even better than THAT is baking soda + crushed aspirin + water paste. the baking soda is very alkaline, and inhospitable to bacteria for that reason. the aspirin contains salicylic acid. it's a pretty solid one-two punch. but yeah-- either paste WILL dry out the spot to which you apply it-- so use it only where it's needed.
once a zit has spilled its guts and/or started drying out, you want to play the very delicate balancing game of dryness and healing. as i mentioned, skin that is dry is skin that is getting rid of bacteria, b/c bacteria need moisture to live. but skin that is dry enough to be bacteria-free is DEAD skin, and will peel and flake and look unattractive. so you don't want to thoroughly dry your skin out, either. what you want to do is tip the balance of your skin's moisture very sharply toward the dry at first, and then carefully use moisture to keep your skin healing and looking alive. spot treatments + GENTLE cleansing + GENTLE masks + continued moisture (both in form of water drunk and moisturizer) should help you do this.
you're a nutrition-lady, so you know how important it is to eat well any time your body is going through changes and/or stresses. good diet-- like good water, good sleep, good exercise-- will show up in your skin. and when your body is in a period of upheaval, as yours is, good diet/water/sleep/exericse are the best ways to help your body normalize as quickly as possible b/c it won't be fighting on all these different fronts at the same time. take care of your body's basic survival needs, and it will be able to address the hormonal thing specifically. once it adapts to the hormonal thing better, your skin will improve without a doubt-- b/c you'll already have the good nutrition, hydration, rest and circulation it requires to look perfectly healthy.
i don't know-- this is really long, and there are no quick-fixes in any of it. but i hope it helps-- either just to calm you down and remind you that it will get better, or to help you understand your skin better in some way, or to give you a couple of tips about how to care for stressed-out skin. good luck with your skin-- and keep me posted. i've been struggling with my own, lately, b/c i still haven't found a sunscreen that doesn't break my face out and i'm kind of at my wits end on that one. totally a product thing. but i'm stuck. i won't NOT use sunscreen, so i'm stuck tending to these awful zits that result from my effort to be responsible! i'm at such a loss as to which sunscreen will work and not cause my face to break out in huge lumps everywhere. sucks!
ps i kind of do want to start experimenting w/ a sunscreen. for personal use, of course-- but yeah. i am dying here trying to find a sunscreen that will work for my face. i mean, i sell SOAP, for crying out loud. who will buy soap from a woman with a face that looks like it needs some serious cleaning??


