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When considering various plagues and epidemics in recorded history, adult acne does not exactly spring to mind. The Black Death was widespread and devastating; measles is airborne and highly contagious. (Conveniently, it is also easily avoided with vaccine.) Acne, by comparison, seems like a walk in the pus-filled park. And, fine, labeling it an epidemic or a plague borders on the hyperbolic (though it wouldn’t be the first time it was said). Yet a whopping 85% of people between the ages of 12 and 24 experience some form of acne. That’s easy enough to write off as par for the course of adolescence, but the same can’t be said for adult patients — particularly women, who are reporting breakouts in record numbers.The American Academy of Dermatology states that the rates of acne in adults are increasing; information presented at AAD’s annual meeting in 2012 found that acne affects more than 50% of women between the ages of 20 and 29, and more than 25% of women between the ages of 40 and 49. Women in all age groups were disproportionately impacted compared to their male peers.While there is a lack of consensus on just how much those numbers have risen since 2012, both anecdotal accounts from dermatologists and a 2018 review show an overall increase in adult female acne patients in recent years. So, have we finally done it? Is our uniquely horrifying modern brand of stress, pollution, beauty-product abuse, hormonal shifts, and inserting our faces directly into our palms every time a Republican politician speaks bringing about the demise of clear skin?> People feel a massive lack of control, and then they internalize that and beat themselves up over it.> > Matt Traube, MFTIt’s hard to say. Fluctuating hormones are, and always have been, a major factor for women, and environmental variables are very real, says dermatologist Ainah U. Tan, MD, who estimates that over two thirds of her acne patients are women over the age of 18 and has published a review on the subject. “One reason for increased prevalence is due to living in a developed area,” she says. “Studies have shown that industrialized nations have higher rates of acne.” At the same time, adult acne cases — like all skin conditions — have historically gone underreported, says licensed psychotherapist Matt Traube, MFT, who specializes in psychodermatology, or the emotional aspects of skin conditions.Couple that with the fact that we’re more hyper-aware of our appearance than ever, and you’ve got a generation of women not only grappling with bumps and breakouts but severe psychological scarring that can linger even after it clears. “Social media and reality TV stars all contribute to the impossible standard for people to look ‘perfect,'” says dermatologist Dendy Engelman, MD. According to Dr. Tan, these factors cause people to “agonize over every blemish,” and therefore plant the seed for the symptoms of acne to transcend far beyond mere blemishes. Women are also increasingly reporting clinical depression, anxiety, and even social isolation as a result of their acne — and they’re far more susceptible than adolescents.“While teenagers are vulnerable to depression and anxiety stemming from the condition at this developmental stage, studies show that as a group, it’s the adult population that experiences it the most,” says Keira Barr, MD, a board-certified dermatologist whose practice, the Resilient Health Institute, is dedicated to what she calls the “intimate and intricate brain-skin connection.” Indeed, a German study from 2002 suggests that adult dermatological patients have a 40% prevalence of psychiatric overlap; acne, it goes on to say, “is the most common skin disorder of the second and third decades of life.” And, Traube says, “Because the societal bar is often unrealistically high, it tends to create a lot more damage for women than it does for men.”> A lot of women feel that in addition to dealing with everything else that happens with womanhood, acne is the last thing that they want.> > Ainah U. Tan, MDOf adult female acne sufferers, Dr. Tan reiterates: “A common thing that I also see is that women try to blame themselves for why they are developing acne, whether they think it’s due to bad diet or not exercising enough.” When you’re 13 and your forehead is covered in pimples, it seems “normal.” But when you’re 35 and your chin is a minefield, things are understandably a little different. Says Dr. Tan, “A lot of women feel that in addition to dealing with everything else that happens with womanhood, acne is the last thing that they want.”There is a culture of shame and stigma around acne, and though adolescents can and do face bullying and stigma of their own, there are different social factors at play when your skin erupts later in life. “It’s hard enough to talk about your experience when you’re a teenager, but it’s intensified for adults because in many cases you’re high-functioning, you’re in control of your life, you’re used to finding solutions for your problems, but acne is not always easy to solve,” Traube says. “It doesn’t always respond to treatments the way that it ‘should,’ so people feel a massive lack of control, and then they internalize that and beat themselves up over it and think something’s wrong with them and they’ve caused it.” In turn, he adds, those thought patterns make people less inclined to do things that could actually benefit and enrich their lives in the long run, like going on a first date or pursuing a job opportunity.“People isolate with skin conditions more so as adults,” Traube says. “It’s a very tough thing to talk about with other adults. Kids have better resources — parents, school counselors. Adults don’t have that, so they tend to isolate, and when people isolate it can distort their perception of reality and turn small concerns into much larger concerns because it’s just them with their own thoughts. I might have an adult client say something like, ‘My acne is terrible,’ and that can turn into, ‘Oh, my skin is terrible,’ then, ‘No one will love me, my life is hopeless, my future is hopeless.'”Perhaps the strongest case establishing the link between acne and depression is a damning analysis published in The British Journal of Dermatology early last year. Investigators parsed through data from the UK’s Health Improvement Network, one of the largest electronic medical records databases in the world, and found that, in the first year after acne diagnosis, sufferers showed a 63% higher risk of major depression than individuals without acne. The assessment deemed the importance of mental-health screening in acne patients “critical.”“The relationship between acne and depression has been known for some time — dermatologists and patients with acne are very familiar with this, but there had never been any specific study to document it,” says the study’s lead author, Isabelle Vallerand, MD, PhD, a dermatology resident and epidemiologist at the University of Calgary’s Cumming School of Medicine University. “So while we weren’t surprised that our data confirmed this relationship, we were surprised to uncover how large the risk of depression is among acne patients.”> Our self-confidence is intimately connected to our complexion.> > Keira Barr, MDIn another study published this past January, researchers surveyed a sample of roughly 20% of all US pediatric and adult hospitalizations, and found that patients with acne were much more likely to report mental-health conditions than those without an acne diagnosis — 43.7% vs. 20%, respectively. This, then, is why Traube and Dr. Barr have built successful careers around helping people of all ages see past their skin. The services they offer aren’t superficial — they’re needed. As a dermatologist, Dr. Barr focuses on creating treatment plans that incorporate coordinating care with a mental-health provider to manage the physical and emotional aspects of the condition. Traube deals directly with the psychological side, specializing in cognitive behavioral therapy and recovery from the inside out.In some cases, both the cause and effect come down to self-confidence — which may well improve if your skin does. “Our self-confidence is intimately connected to our complexion,” Dr. Barr says. “When your skin looks better, your sense of confidence improves exponentially. When it is riddled with red, inflamed, painful acne lesions, one’s sense of self and self-esteem can plummet.” She points to a study that highlights the fact that the psychosocial effects of acne on quality of life are influenced more by the patients’ self-perception of their acne vs. their objective appearance, and the effects are relevant more to adults than adolescents.So there’s an upside to this. Short of some earth-shattering innovation, people will always have acne — men, women, 34-year-olds, 14-year-olds. But the way we handle it is progressing, both in terms of treatment and, somewhat improbably, in the way society perceives adult acne as a whole, which has the potential to make it a little less depressing. “Acne acceptance” has entered the lexicon. The Bachelorette talks about being on Accutane. A-list celebrities, a class of people historically known for being unrealistically good-looking, show off their breakouts on Instagram. Even Dr. Vallerand’s study found that the risk of depression goes back to baseline after five years. The clouds are clearing; there’s light at the end of the tunnel. Nobody ever said that about the Spanish flu.Like what you see? How about some more R29 goodness, right here?The "Acne" I Fought For Years Wasn't Acne At All16 Celebs Who Got Real About Their Acne StruggleIs My Obsession With Perfect Skin Ruining My Life?
First things first: stop picking at that pore.
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"I will admit I am def proud my skin lately and feeling myself!"
If your forehead, nose and chin tend to shine like a diamond while your cheeks flake like a pastry, you probably have combination skin. And while multi-masking can be a fun way to tackle disparate patches on...
Everyone struggles with body image at some point, but it's typically something you can work through with some help. If you're in the habit of tearing yourself down, you first need to acknowledge that it's a problem before you can begin reflecting more positively on the parts you're so quick to criticize. With time and practice, you might even learn to love and respect your body. If that seems like an impossible task, these therapist tips can help get you started. They're simple but effective in helping you reframe those negative thoughts and get to a healthier place. Keep reading to see them all.
Here's how to protect your complexion.Originally Appeared on Glamour
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Chrissy Teigen revealed every product in her $824 daily skin routine, and why she believes these steps are key for glowing skin
Chrissy Teigen shared her extensive and expensive skincare routine via Instagram on Monday. "$$, I know I know but I gotta be honest," she wrote.
There’s no saying what Chrissy Teigen will post next, especially when social distancing measures are keeping most people close to home. From funny tweets to recipe breakdowns, and even a goodbye message to her breast implants, you can always count on the cookbook author to provide a wide variety of content. Now, the latest activities to join her ever-growing list: testing out makeup trends and breaking down her skin-care routine. In her most recent Instagram video, Teigen showed off an orange eyeliner look, noting her delay in testing out the popular makeup trend. “I’m feeling the colorful eyeliner trend that I’m very late on,” she said. But that’s not all: She also took the opportunity to share her go-to skin-care products in the caption, writing: “For you kind folks asking me to drop the skincare regimen, I will admit I am def proud of my skin lately and feeling myself.”> View this post on Instagram> > A post shared by chrissy teigen (@chrissyteigen) on Jul 6, 2020 at 8:56pm PDTFor individual products, which she says were recommended to her by celebrity esthetician Shani Darden, Teigen uses iS Clinical and La Mer products to cleanse and moisturize, along with The Concentrate from La Mer and sun protection from Control Corrective. Out of all her products, she credits the iS Clinical picks for helping her skin the most. “The iS clinical cleanser and the lotion is the only thing I use consistently and they’ve always been so good to me,” she wrote. Teigen also kept it candid by addressing the fact that her options are on the pricier side, adding in the caption, “$$, I know I know but I gotta be honest.”However, she does have some more affordable picks: The former swimsuit model shares that she uses Bioré strips for her chin and nose areas. Additionally, when her skin is out of whack or “feeling icks,” as she put it, she relies on Simon Ourian’s Epione Restorative Firm and Fade Cream (which is no longer available for purchase online). She also added her facials to the routine, which come courtesy of Jason Diamond, MD, Beverly Hills-based plastic surgeon. Teigen had one last edit, adding in a favorite that she initially forgot: the Dr. Dennis Gross Alpha Beta Peel Pads, which she rubs around her nose and chin. “You’ll notice a HUGE difference,” she wrote of the peel pads. Teigen now joins a long list of celebrities who are giving a look into their beauty routines during quarantine. Most recently, Hilary Duff detailed her makeup, skin, and bath routines, while Justin and Hailey Bieber shared their four-step product regimen. We’re here for all of this Hollywood beauty intel — now, it’s just a matter of who will be next to spill the deets.At Refinery29, we’re here to help you navigate this overwhelming world of stuff. All of our market picks are independently selected and curated by the editorial team. If you buy something we link to on our site, Refinery29 may earn commission.Like what you see? How about some more R29 goodness, right here?
Don’t panic! Help is here.
And, of course, La Mer.
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Summer is great for a lot of things - bright makeup trends, new skin-care products, fresh hairstyles - but there are a few things in the beauty space that are better left for the colder months. As the weather heats up and we're in the sun more, there are a few beauty rules and best practices to follow, especially when it comes to beauty treatments you should and shouldn't get in the summertime. While things like spray tans, dyeing your hair, and getting Botox go together with the warmer months just fine, certain beauty treatments - like those involving lasers - do not. Instead, these trips to the dermatologist or salon are best saved for the fall. If you're not sure what treatments are safe to get during the upcoming season, we tapped a few experts to go over the dos and don'ts of summer cosmetic procedures and skin-care treatments.
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