Dear Sugar--
I am 23 years old and have suffered from moderate acne since the age of about 20. I have tried everything from Proactiv to homeopathic remedies, been on and off the pill, nothing seems to work. I feel like every day I wake up and there are more blemishes. It's really starting to lower my self-esteem. Next year I'll be done with school and will start my career as a teacher -- I'll be mortified if I have more acne than my students!!

I'm slowly cutting unhealthy foods out of my diet and I'm also attempting to quit
smoking
for the umpteenth time, basically trying to detoxify my body and my skin.
What can I do about this acne? Is is hormonal or what? --Zitty Zara

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Dear Zitty Zara--

Having adult onset acne can be very frustrating so I understand how you must be feeling right now. Have you given the remedies you have tried adequate time to work? Clearing up your skin won't happen overnight, so be patient. Have you spoken to a dermatologist about possible medications or face washes to help minimize your blemishes? Retin A and Tetracycline are often prescribed to help kill the bacteria that causes acne. They also have been known to help regulate sebaceous glands so that might be a great option for you.

Since you are about to graduate from college, are you under a lot of stress? Stress, poor eating habits and smoking will wreak havoc on your skin. Be sure to drink a lot of water and never sleep in your make up. Air quality can also play a big role in your skin's condition, so I would suggest getting a humidifier for your room.

You should aim to use products with salicylic or glycolic acids in them. These acids gets rid of dead cells on your face and are known to combat mild acne and oily skin. Exfoliation is key as well, as it is imperative to get the bacteria off your skin, but don't over-exfoliate, aim for once every other day.

Getting rid of acne takes time, up to 8 weeks depending on your skin, so once you feel comfortable with a cleaning routine, stick to it. If you choose to take the medication route, be prepared for your face to get worse before it gets better; annoying I know, but hopefully worth it in the long run.

I hope these tips help. Although you may feel like there is no end in sight to clear up your acne, rest assured that there are methods out there that do work; it just might take some time to find the right method for you. Good luck.

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