Unsolicited Acne Advice & Why I Am Done Apologising For My Skin

Anyone with acne I’m sure will agree with the pain that is unsolicited advice or unwanted attention because of their skin. I honestly don’t know what compels people to dish it out as some comments are downright insensitive. I appreciate they’re trying to help but I find it really difficult the number of people that make the condition of my skin their business. Particularly as acne varies so much from person to person and it can be incredibly complicated to overcome.

For me personally it isn’t as simple as some of the suggestions I’ve had in the past from strangers, friends and family. Ultimately no one would ever choose to have acne hence me trying topical prescriptions, diet changes, supplements, birth control and lengthy antibiotic treatments whilst riding an emotional roller coaster spanning 6 years and I still don’t have clear skin. It’s so complex and far from easy which people don’t seem to understand – all the things I’ve tried to clear my skin can be found here and I’m still trying.

Over the years without asking and sometimes out of the blue I’ve had products suggested, generally skin care but once this included laundry detergent along with a suggested sheet washing regime from a stranger in a supermarket. I’ve had people suggest I just give up dairy, eggs, caffeine, alcohol, anything. I’ve had a housemate randomly announce if I stopped washing my face with all those products then surely everything would regulate itself and I wouldn’t look like this anymore. Others without being close to me have criticised my diet for being too sugary and unhealthy or that I simply don’t drink enough water or poke my face too often. I’ve lost count of the number of random people who’ve offered miraculous solutions to me. Unsurprisingly unless they’re really out of the box I’ve probably come across them when hopelessly Googling “how to clear acne” or “how to get clear skin” and here we are still without 100% success.

The trouble with unsolicited advice is it can come across as insulting, as though we’re lazy and not trying hard enough to look better or that we’re dirty with poor hygiene for not washing our faces with the Clearasil someone recommended. It can easily make me feel like a failure for not winning the physical war with acne. Part of the problem with unsolicited advice is that unfortunately lots of people think that having a smattering of pimples in your teens, which is very normal, qualifies them to dole out acne advice – it doesn’t. Most normal, considerate people wouldn’t walk up to someone they didn’t know with dandruff and tell them to buy Head and Shoulders because it worked for their sister in law. Just like they wouldn’t approach someone overweight and suggest meal replacement shakes that worked for their twice removed cousin. So why do so many people often make my skin, or acne, their business?

Is it that people are that horrified at the sight of blemishes and scarring that they feel the need to try and impart some wisdom to correct it? Or that they feel sorry for me? It has crossed my mind. Nowadays I can leave the house without make up on which is something that would once have been impossible for me aged 20 and this is not out of vanity it was largely out of self-preservation. Yet if I were to bump into someone I know until very recently I’d feel like I had to apologise for my un-made up face thinking that if I didn’t acknowledge “I looked awful” then they’d do it on my behalf which always hurt that bit more. I’d say sorry for not having air-brush perfect skin when my foundation-mask was removed just in case the shock of my real skin offended them.

It’s been 6 years since the condition of my skin took a nose dive for the worse. The older I’ve got the closer I’ve shifted towards some sort of unwilling acceptance of my acne because I’ve realised as much as I might will it to clear up it may continue to affect me for quite some time as opposed to just “growing out of it”. Honestly I’m tired of carrying around the shame, self-hate, disgust and misery I’ve felt because of my acne. If I can learn to look in the mirror every day at blemishes of all varieties and scarring knowing that it can be upsetting and is something I’d never have chosen but at the same time that I am so much more than the condition of my skin, why can’t those who have to look at for a tiny fraction of time always just bite their tongue and accept it too? It’s my face, if I can learn to live with it then I’d sure as hell hope others can too as opposed to having strangers say things like “she’d be pretty if it weren’t for her face” or relatives saying “oh you’ll look ok when you cover it all up”.

I decided this month that I am done apologising for my skin from here on out? I came to the dramatic realisation that why should I apologise for something that isn’t my fault and for having less than “perfect” skin when I’ve given this everything I’ve got without ever quitting? I will no longer say sorry for having a bare face on days I decide I not to wear make up for whatever reason. I won’t text friends an advanced warning anymore that I couldn’t be bothered to put on foundation and “look like a troll” because I can appreciate now that acne doesn’t make me ugly. Those who cannot accept my skin are people I don’t need in my life and the ones making rude remarks are the ugly ones. I am determined to do my very best to win the emotional war with acne so me verbally insulting my skin will be a thing of the past. To those who said years back “she’d be pretty if it weren’t for her face” I would now be inclined to say that they’d be pretty if it weren’t for their personality as their insults say a lot more about them than me.

My wishes for change are that we all abide by the rule of never commenting on a feature of another person’s appearance unless it is something that can be changed within the space of a minute and that real skin, pores, scars, blemishes, redness and anything that isn’t air brushed are normalised instead of blurred filter edits.

Sensitive comments welcome.

Part 2 – The Cost Of 6 Years Of Adult Acne: The Emotional Price Paid

I recently wrote a post after seeing lots of content generated on Instagram for acne awareness month which I titled Part 1 – The Cost of 6 Years of Adult Acne: The Physical Price Paid which of course only tells half the story of having the skin condition which is where this post comes in. Having acne can be an emotional roller-coaster which is something I wanted to address, especially after seeing Instagram posts from the acne positive movement talking more openly and realising I’ve needed this validation for years. I’m keen to create this kind of content as I wish I’d found articles like this when I first developed acne at the age of 20. I’ve listed all the emotions I personally have felt over the years – not all are negative.

The See-Saw Of Hope / Disappointment

With every new product purchase or prescription or diet change or lifestyle adjustment came the feeling of hope thinking maybe this could be “the one” to change my life. It still does. More often than not I didn’t get the clear skin I wanted which has dealt some heavy blows of disappointment. If I count up all the things I’ve tried to clear my skin listed from my Part 1 post (one skincare brand is 1 count which is far less than a real total) I’ve stepped onto this seesaw 39 times. It can be exhausting. 3 or 4 out of the 39 provided notable positive results in the last 6 years. The rest came with feeling let down and like there was even more wrong with me as these “cures” were supposed to work.

Bravery & Determination

It takes guts to begin an acne-clearing journey as setbacks often go hand in hand like negative side effects from medication. I’ve had some medications leave me feeling so faint and sick that I had to take 2 weeks off work and a topical treatment that caused areas of my skin to swell, scab and weep painfully for about a week during which time I was constantly on the verge of tears. But it didn’t stop me. It takes serious determination to keep going when 1 thing doesn’t work. I admit this can be fueled by desperation but am choosing to see the positive. I have countless bizarre photos of angles of my face on my phone where one week my skin looked good, before inevitably breaking out again, to remind me it can get better and maybe isn’t always as bad as I think. I still look at the image below of my skin post 8 month antibiotic treatment in 2016. Sometimes it makes me sad that I don’t look like this anymore but it mostly comforts me that I won’t always have acne, that it can and will get better.

Frustration

Frustration is a big one. When I first developed acne I was angry at how unfair it was given I was 20. Nowadays I can get frustrated that I’m 5 / 6 years down the line and still dealing with this. This has particularly affected me this year having embarked on a journey to clear my skin for the 2nd time. As mentioned in Part 1, I’m extremely grateful that in the UK we have the NHS but sometimes its tricky to find a GP who can understand the full impact of acne to ensure we get proper help. I appreciate they’re General Practitioners and not specialists but in the last 6 months I’ve been asked by different GPs if a medication that has cleared my skin so it is around 1/3rd better is “surely good enough?” if I’ve tried drinking more water or using Clearasil knowing I’ve twice been through lengthy antibiotic treatments in the past. I’ve been made to feel as though I’m an inconvenience for wanting to rid myself of my acne. I’ve even been told when medication I’d heavily researched and asked for GP advice on didn’t work “didn’t you think this one would work?”. My 2016 GP experience was brilliant in comparison. I’ve often said I just want someone to understand and fully help me so it can be frustrating when it doesn’t feel like this is happening.

Depression, Anxiety and some sort of acceptance

Both can go hand in hand with acne. When I first got acne the idea of anyone apart from relatives I lived with seeing me without make up terrified me almost to the point of physical pain. This was something I grew out of and I am far less concerned with now. I’ve cried more times than I could count over the state of my skin. I’ve often been sad wondering why this has happened to me because surely if I knew why I could fix it but try to take comfort that it isn’t life threatening, it won’t last forever and that people close to me appreciate me for my personality not whether my skin is clear or not. It sounds cliche – yes I have acne, but I am so much more than the condition of my skin which I’ve learnt to accept.

Shame

I really struggled with this when I first developed acne as I realised it was so misunderstood within society that people often assumed I was dirty. Unsolicited advice, although trying to be helpful, to me implied I was lazy and not trying enough to clear my skin which was ridiculous given the huge list compiled in Part 1. I can now see that if someone chooses to react negatively to me because of the appearance of my bare skin they’re not someone I need in my life. The acne positive community on Instagram is fantastic for rewriting this incorrect assumption and I only wish I’d found them in 2015.

All Encompassing

In 2015/16 acne sadly did dictate a lot of my life in ways that I’m not sure clear-skinned people would ever realise. I obviously avoided photos and where this was impossible I insisted everyone pull silly faces so no one was supposed to look good in the pictures meaning I could cope with the end result. I’d cancel plans if I’d had really bad flare ups and throughout a day my mind would constantly revert back to wondering if my cover-up job was good enough or if people were staring at me. My biggest focus upon finishing university was to clear my skin so that I could graduate without feeling ugly as opposed to celebrating 3 years of academic achievement. The desperation lead to me quitting my favourite foods, I really concerned friends when they realised I’d given up cheese in a bid to have clear skin. This breaks my heart looking back but I could see myself slipping towards this again but in a less obsessive way if I were approaching a big life milestone.

Gratitude and Empathy

This was something I began to slowly experience with the rest of my body when my face was at its absolute worst in 2016. I was suddenly so relieved and thankful that other areas weren’t causing me grief on this level that it did help to somewhat even out my damaged my self-esteem. Whilst at the time I was made to feel like there was something “wrong” with my face I became less insecure about the rest of my appearance. For example although I had acne thanks to 2 years of braces I was really grateful for my smile and that was something that would stay with me for many years more than my blemishes. Acne made me more considerate to other people’s health journeys that I may previously have never been able to understand.

When To Get Help

It took me a long time to realise what options were available to me when over the counter products weren’t working and I was incredibly unhappy due to my skin. One day I came across the NHS website which outlines their suggested route to speak to a pharmacist, if this doesn’t prove successful book an appointment with a GP to discuss your options where you may be referred to a dermatologist. In 2016 this led to oral medication which helped me dramatically and I still rely on prescribed topical medications at present.

Sensitive comments welcome.

Part 1 – The Cost Of 6 Years Of Adult Acne: The Physical Price Of All The Things I’ve Tried

I recently saw a video from Lou Northcote, the creator of the “free the pimple” hashtag promoting acne acceptance, about the expense of acne. This, along with a clear-skinned friend recently advising against antibiotic treatment without realising the extent of my journey prompted me to put together this list of all the things I’ve tried over the years to clear my acne. I can’t bear to do actual calculations and see how much this has financially cost me. This post also serves to prove just how complex acne can be to try and clear for those who don’t understand the condition and wonder why we don’t “just fix it” or choose as a last resort to take medication with scary side effects.

I dread to think how much I’ve spent on skincare and all the un-exempt prescriptions costing around £9 each. Many of which were quickly unsuitable, ineffective or had short shelf lives requiring frequent replacement. Good supplements aren’t cheap. Diet changes often involved more expensive product swaps than my norms, I tried these in 2015 before free-from products were as accessible which made it even harder. Within the lists I’ve put into bold italics the things that made any noticeable difference but appreciate acne is such a personal journey. Obviously the physical cost is only one side of the story – the other being the emotional roller coaster that acne brings which I’ll cover in another post.

Skincare:

  • Drug store brands including but not limited to: Garnier, Clearasil, Clean and Clear, Neutrogena, Simple, Avon, Cetaphil & Avene.
  • Pricier brands including: Tropic, Clarins, Mario Badescu, Clinique & Estee Lauder.
  • The Body Shop Tea Tree & Seaweed ranges
  • Clinique Anti Blemish solutions 3 step system
  • La Roche Posay Effaclar range – designed for acne prone sensitive skin.

Diet / Lifestyle Changes:

  • Caffeine free for 2 months
  • Lactose / partially dairy free for 4 months in 2016
  • Unprocessed junk food severely limited for 3 months
  • Giving up alcohol for 6 months
  • Washing towels, pillowcases, flannels etc. weekly on 60 degrees with organic non-bio products
  • Dairy free from August 2020

Vitamins / Supplements

  • HRI Clear Complexion Tablets
  • Hair, skin and nails multivitamins – own brand drug store products
  • Nature’s Best B5 supplements (too early to tell results)
  • Nature’s Best Maxi Hair (high strength multi vitamins minus vitamin A as I am using topical retinoids derived from vitamin A at time of writing – again too early to tell results)

Topical Medication:

  • Zineryt
  • Duac
  • At least 3 others I can’t remember the names of as it was 5 years ago.
  • Adapalene (helped make my acne better with minimal side effects – Jan 20 start)

Contraceptive Pills:

  • Microgynon 30 – COC
  • Norethisterone – POP
  • Lucette – COC
  • Brevinor – COC (actually caused breakouts to spread)
  • Marvelon – COC

Oral Medication:

  • Lymecycline – Oral Anti Biotics 3-4 weeks
  • Oxytetracycline – Oral Anti Biotics 6-8 months (cleared my skin for 12-14 months in 2016 but I began breaking out again 6 months after stopping my course)

Make Up To Help Me Cope With Acne:

  • Drug store concealer and powders. Brands including GOSH, Revlon, Rimmel, The Body Shop
  • High end foundations: Clinique Anti Blemish, Clinique Beyond Perfecting and Estee Lauder Double Wear – loved so much I dedicated a whole post to it (these 3 alone total over £100)
  • American imports like Hard Candy tattoo concealer
  • La Roche Posay Effaclar Duo+ Tinted (sadly too dark for my fair skin – I love the un-tinted Effaclar Duo+)

I realise in the UK we are so lucky to have the NHS meaning GP appointments and dermatology referrals are free, albeit hard to come by and often with very long waiting lists. A quick search online resulted in some private clinic quotes of between £200-250 for 30 mins in my local area with tests needing further payment.

Seeing this list shocked me as I knew I’d tried a lot over the years but have never seen the full extent like this before. In conversation with a clear-skinned friend this week I mentioned I was at my wits end for the 2nd time in my life with acne and considering antibiotic treatment again this year. I was instantly told she thought it was a bad idea and whilst I appreciated the concern I felt very misunderstood as I’ve been trying so many alternatives to avoid this. After putting together this list I showed her and instantly had more support so perhaps if you are in a similar boat with friends or relatives something like this could help.

This list also explains why I dislike being given unsolicited advice, especially from non-acne sufferers, hence writing all the things not to say to someone with adult acne. .

Sensitive comments welcome!

Things Not To Say To Someone With Adult Acne

I read and related to a brilliant article in Elle magazine in 2014 called “My Skin But Better” by Katie Mulloy. It covered how adult acne can affect a person’s life, things not to say to someone struggling with it and how all encompassing the journey to clear skin can be. The article, which sadly…

Things Not To Say To Someone With Adult Acne

I read and related to a brilliant article in Elle magazine in 2014 called “My Skin But Better” by Katie Mulloy. It covered how adult acne can affect a person’s life, things not to say to someone struggling with it and how all encompassing the journey to clear skin can be. The article, which sadly I can’t find online, began with saying that one day the author would write a book on all the things not to say to someone with adult acne and I loved this idea hence finally writing this post.

It’s an accumulation of my biggest pet hates of dealing with the skin condition, some heavy sarcasm, small rays of optimism and my hope for acne acceptance within the media and beauty industry.

“Have you tried…” I know people mean well when offering product recommendations, lifestyle changes and advice but the reality is… I’ve been dealing with this for over 5 years and experience on-off major dislike for my face. I haven’t just sat idly feeling sorry for myself for more than half a decade. I’ve tried countless things from cutting favourite food groups out of my diet to £20 a month skin care regimes and hormonal medication that made me feel terrible to name but a few. I can guarantee unless its wildly out of the box I’ve probably tried whatever you’re about to suggest and your occasional teenage pimples don’t qualify you for doling out acne advice. I was ready to verbally destroy a GP I once saw who, after hearing I’d tried over 10 prescriptions in 5 years including 8 month antibiotic treatments, asked “have you used Clearasil? It works for my teenage son”. I nearly died with exasperation because yes, its normal for your teenage son to be spotty, but not so much for a girl in their mid 20s. Unless you’re an acne sufferer, a dermatologist or a sympathetic GP I appreciate the thought but I don’t want to hear it.

But you look fine with make up on” Yes, I might look passable with my £34-a-bottle foundation on but knowing the only way I can look, feel somewhat OK and socially accepted is to cover up my face can be pretty deflating. Don’t get me wrong, I’m grateful that Estee Lauder’s Double Wear Foundation works for me and gives me the confidence to face the world without wanting to put a paper bag over my head, but hearing someone say this further enforces that my natural appearance just isn’t good enough. I once woke up late and in a hurry to get to work on time I was faced with running out the door bare faced and the idea made me feel physically ill and I’m not a vain person. Needless to say I clocked in late.

Imperfections / anti imperfections” I wish cosmetic companies would just stick to terms like “anti acne” and “spot prone skin” etc. By plastering “anti imperfections” all over products you’re hammering home that my face doesn’t match up to the world’s perfect clear skin beauty standards and it’s not a reminder I need. Instead why not just stick with the more medical sounding terms that lessen the blow? Garnier almost broke me when I was shopping for a non-comedogenic anti blemish sun cream a few years ago when it was labelled for “greasy acne prone skin”. Greasy hit me hard and felt excessive. I wish for the sake of my imperfect self esteem they’d just written oily / combination.

“Your face looks so much better today” I’d always rather we just not acknowledge the state of my skin. By telling me its better one day as opposed to when you last saw me makes me think the time consuming cover up mission I embarked on was a total failure. Its a bumpy road as opposed to a linear journey of success – just ask my face, it can confirm it is often literally bumpy.

Best acne treatments… 33 Skin Clearing products that work” – This is a genuine title from Teen Vogue and I despise articles like this because I find them borderline offensive when having a particularly low self esteemed day. I get they’re trying to round up helpful products but I don’t need it implying that if I buy THIRTY THREE items like serums, brushes, patches etc for hundreds of pounds that I might actually have clear skin.

Beauty and skin care campaigns…Last, but not least, my complaint is with beauty and skin care companies advertising everything from miraculous anti blemish serums to full coverage foundations yet countless models used for advertising said products don’t look as though they’ve seen a spot or blemish in their airbrushed lives. Show me a before and after comparison of someone with a real skin condition as your selling point if you truly want me to believe in your product’s capabilities rather than just another faultless face which we’re forever surrounded by.

La Roche Posay – whose products I really rate but am unimpressed with their chosen face for promoting anti-acne products.
Vichy doing it right with their models and incidentally making me excited about trialing their products

On a more positive note – Boots Health and Beauty Magazine almost reduced me to tears earlier this year when I saw a generic article about make up looks. Within the glossy pages one model, beneath the even skin tone of foundation, had a small scattering of noticeable spots as their images aren’t edited or retouched. She looked beautiful and for once I saw an image in a beauty magazine that felt relatable, realistically attainable and in the short term it stopped me feeling like my skin was being shunned completely by the beauty world. The image wasn’t traditionally airbrushed “perfect”, like none us in reality are, and for me that made it so. It briefly it made me feel represented, more positive and accepting of my face and it made all the difference that the portrait wasn’t included in an anti acne article. I wish there were more examples of this – a heartfelt thank you to Boots, long may it continue.

According to an Elle article from 2019 10 million people in the UK say that a skin condition has affected their mental health and that acne sufferers are 63% more likely to experience depression. I have to say hats off to Elle for naming this article “Is ‘Bad’ Skin Affecting Your Mental Health” – I appreciate the inverted commas around “bad”, thank you. Reading stats like this aren’t the cheeriest but they give me a little comfort knowing that I’m not alone. The NHS page for acne prompted me to see a GP for my skin in 2016 which made a real difference for me, so despite me saying earlier how much I hated the acne-advise givers, this is the one piece I will leave you with as it has over the years changed my life.

Comments welcome.