Sarah Vaughter answers questions about OwnDoc products

Forums => Dermarolling / Microneedling => Topic started by: Cheeky on January 12, 2012, 06:13:38 AM

Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 12, 2012, 06:13:38 AM
Hi there,

I am a newbie here, I am so pleased I found this site :)

I have been derma rolling for the last 4  or so months (once every 4 weeks with a 3 line 1.5mm Roller (Dr. Roller) I roll quite aggressively and get lots of blood.  However I am yet to see any results. However reading the boards and info on this site I believe that it’s still early days and changes won’t come about for a while yet?  

However my concern is that for a week or so after rolling my skin looks worse, all the issues I am trying to rectify seem more prominent, the texture is dreadful!. To give you some info on me and my issues…..I am 34 years old and for the last 4 years have been battling with my skin as literally within in a matter of weeks it went for being OK/average to many many fine lines everywhere, orange peel skin texture and HUGE almost scarred pores all over my face.  The most distressing thing for me however is that the pores on my cheeks turned huge and then collapsed into lines!, so now my cheeks have many fine lines which are actually large pores which have wrinkled/collapsed.  I have seen a dermatologist and they were not able to determine any specific cause of such quick skin deterioration but said most likely it’s from use of sun beds from a teenager, not wearing sun screen and smoking until my late 20’s. For the last 4 years I religiously wear sunscreen, don’t use sun beds and quit smoking….too little too late maybe?

Anyway I am desperate to try and repair some of the damage done as I have honestly never seen anyone with skin like mine even people twice my age, you know if it were just a few fine lines, zits and crows feet that are in keeping with my relatively young age of 34 I can deal with of course! But not the severe textural skin issues I seem to have now, it seems completely abnormal compared to others.  Over the last 4 years I have tried many things from Fraxel Repair, Laser Genesis, Chemical Peels but finally I decided to quit using lasers and peels as they were not giving me any results and in fact gave my skin some more textural damage as well as costing thousands of pounds.

For the last year I have been using Retin A 0.5 (Renova) and lots of moisturizer/squalane oil and gentle natural face washes.  My skin hasn’t not gotten any worse and there may be slight improvement in some aspects but nothing outwardly visible unless you look closely. So I really want to work out the best routine for my skin issues and this is where I would really appreciate some advice please as maybe my skincare routine and method of derma rolling is not ideal. I have just ordered a derma stamp (1.5mm) and also a new 1.5mm roller as well as some Vit C Powder and a tube of Infadolan.  

I have some questions if I may ask:

1)    How to incorporate the Vit C serum I will make into my skincare routine which already includes Retin A each night?  Which goes on first and can they even be used together or will it be too irritating? Can the Vic C Serum be used in the AM?

2)    Is rolling pretty aggressively once every 4 weeks the right method for my skin issues, in fact do you think the derma rolling can really help my skin issues I describe in the first part of my post?

3)    Do I use the Infadolan only post rolling for a few days afterwards when I am not using the Retin A?  Or should I use the all the time as part of my skin care routine? Can it be used along with Retin A?

Thanks so much in advance for any advice or words of hope/wisdom that I can improve my skin over time


ps.  I don't know if its possible to post/email a picture but I would be happy to do that if it gave you a better idea of my skin issues?
Title: Newbie with severe skin issues - please can I have some advice
Post by: Firefox7275 on January 12, 2012, 09:07:43 AM
It is normal for skin to look worse before it looks better, microneedling causes quite a lot of damage to the skin barrier and means the skin is less able to hold water. The skin can sacrifice lower living layers to make a new protective stratus corneum (dead horny layer). Collagen remodelling takes many months in several stages so results are not overnight. Have you sought a second opinion from another dermatologist? It does not seem usual for skin to deteriorate so quickly: were you under a lot of stress, unwell or not eating properly around about that time?

Much of your medical history, current techniques and treatment you have tried on your skin are aggressive/ destructive;  given how long collagen remodelling takes perhaps too many crammed into a short period of time. Did you adhere to the wait times advised by the dermatologist who treated you each time? What are you doing to repair the skin barrier, reduce inflammation, encourage healing, hydration and collagen production? What do you mean by a gentle wash, which product and does it contain sulphate surfactants and what is its pH? What moisturiser are you using other than the squalane? Are you exfoliating as well? Are you consistently meeting or exceeding ALL your government's recommendations for healthy eating and lifestyle?

Sorry more questions than answers! I am sure Sarah will be along to share the benefit of her experience on dermarolling soon.
Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 12, 2012, 10:26:16 AM
Ok that’s reassuring to hear that skin generally looks worse after a derma rolling session for a while.  My skin does bounce back after a couple of weeks but I thought I would ask if that’s normal seeing as I have found this site now.

To answer your questions I did seek 2nd and 3rd opinions from various skin specialists and they said my skin wasn’t so bad and yes I was showing signs of premature aging a little more than usual it was nothing to worry about and put it down to my lifestyle in my younger years. However I am not happy about this because as I said in my first post I simply cannot believe that my skin changed so badly when people all around me live the same lifestyle and much worse and their skin is fine. Anyway my protests fell on deaf ears and I have just accepted that this happened and how can I fix/reverse it as much as possible  They all advised about the use of sunscreen and healthy diet etc…which I have adhered to since these derm visits around 4 years ago.

Your right it does sound a lot of treatments, but they were over a 3 year period so actually it’s not as bad as it sounds and all done within correct/acceptable timelines of each other.  However I do completely agree I was so panicked and distressed I just threw anything and everything I could to try and fix the problems a.s.a.p.  I now know that was never going to happen.  I needed to be kind to my skin and let it recover and heal.  So that’s why for the last year I have not had any treatments and just concentrated on skin care and Retin A, then throw derma rolling into the mix around 4 or so months ago.  

I am using an organic natural oil cleanser I buy from a health food shop and just oils (squalane and coconut oil) as much as possible and sometimes an Aveeno skin cream for dry skin.  I also use Retin A most nights but sometimes take a break if my skin feels dry.  My diet is good (I am a veggie, so lots of fruit and veg) I don’t tend of exfoliate but sometime use a damp micro derm cloth very occasionally.
Title: Newbie with severe skin issues - please can I have some advice
Post by: Firefox7275 on January 12, 2012, 12:30:48 PM
Lifestyle is only one part of the equation, genetics is another. It is also extremely difficult to compare one lifestyle with another without doing a full case history as medical professionals and researchers do. You are not present when your peers eat every meal, you do not know how restful their sleep is nor to what extent they internalise stress, what their childhood diet and sun exposure was. Sorry to sound cheeky but I did not ask if your diet is good, I asked if you consistently meet or exceed all your government's recommendations for healthy eating and lifestyle - fruit and veg is just one of the many guidelines. Are you taking in plenty of long chain omega-3s from a marine algae supplement, 2-3g per day of combined DHA and EPA? Plenty of low glycaemic index whole carbs, a source of complete protein at every meal or snack and a balance in favour of monounsaturates over omega-6 polyunsaturates? I am pushing this angle because it is what I do for a living BTW! :innocent:

Recent research on the skin shows that the lipids in the stratus corneum are ceramides, cholesterol and long chain saturated fatty acids (stearic and palmitic). Some of us produce our own and have a healthy skin barrier, those of us with pre-existing dermatological conditions, who are older or who undertake aggressive skincare regimes may need support - unfortunately many plant oils supply unsaturated fatty acids which *may* cause abnormal changes to the epidermis, unusually coconut supplies short chain saturated fatty acids and is thus considered comedogenic (great for hair tho). Some of us also need to replace the skin's water-soluble Natural Moisturising Factors which are humectants like urea, lactic acid and glycosaminoglycans. You might also consider topicals proven to promote collagen production without any irritant or exfoliant properties. Bear in mind that much irritation/ inflammation takes place at the cellular level, IMO dryness or flaking on the surface is not mild it is a sign the skin is no longer functioning optimally.
Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on January 12, 2012, 05:55:00 PM
Please email me a photo. It would make everything much easier. Let me know whether we are allowed to include the photo here.


  I was thinking about your case and I find it very peculiar that your skin got so rapidly worse, although I did receive a couple of emails the past years with similar complaints - the skin rapidly aged and developed big pores, absent any obvious reason..
Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 13, 2012, 07:17:25 AM
Hi Firefox7275,

I don’t know about meeting government guidelines for healthy eating and lifestyle as I don’t know what the UK government recommendations are (I live in the UK).  What I can say that I am healthy, not over weight at all in fact some may say I am underweight but I am very small/petite build., I do exercise and eat well and I drink at least 2 litres of water a day if not more, fizzy drinks once in a blue moon, I try to avoid caffeine so I only drink decaffeinated tea. No salt on my food.  I take the following vits and supplements daily: 1000mg of Vit C (tablet form), Vitamin D, Omega 3,  Vitamin E and finally a high quality broad spectrum multivitamin/mineral supplement for Vegetarians/Vegans. I am afraid I don’t know about long chain Omega 3 from Marine algae, I have never heard of this.  What is DHA and EPA? Sorry for sounding so clueless! I would be very grateful for any advice/help you can give me.

Can you recommend any particular topicals I can use to promote collagen?  It’s interesting that you say that about dryness/flaking at cellular level  being a sign that the skin is no longer functioning properly as my skin is always so tight and dry yet very oily too.  This is I believe dehydrated skin type? My skin used to be just oily but since my skins sudden deteriorated years ago its turned dry and tight yet still oily.  I try to moisturize it as much a possible and do the right things in my mind to hydrate internally too (so lots of water, no salt on food etc…) I am not sure what else to do.

Dear Sarah,

I am not sure how to email you, can you tell me your email address and I will send you some close up pics for you to look at, I would really appreciate any help and advice as my skins condition is really affecting me and making me so self-conscious for the last 4 years, it really is bad…as you will see in the pics.

Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on January 13, 2012, 08:16:50 AM (
Title: Newbie with severe skin issues - please can I have some advice
Post by: Firefox7275 on January 13, 2012, 07:16:33 PM
I am from the UK too so you are making it easy for me! What does your GP have to say about your skin issues?

First official recommendation is eat the right amount to be a healthy weight! I am a small build too as are some of my clients, but you still should have a Body Mass Index of 20-25 (Google for a BMI calculator) OR if you prefer a body fat percentage of 20%+ as you exercise regularly. The older we are the more weight/ bodyfat is recommended, only a modest amount every few years. If you weigh too little or your body fat is too low this stresses the body out just as being overweight does. Your body will preserve the fat it has in case you fall pregnant or there is a famine (evolution has not caught up with modern life!) so it will starve your skin and hormones, if this carries on long term your fertility and bone density *may* be affected. Be aware that those who exercise regularly do not just need more calories than average but they need more of every nutrient, this can be double for someone training five times a week!!

Healthy eating ... Omega-3 is a big one because it is critical to the health of every cell in the body; guidelines are at least three portions of oily fish a week but obviously as a vegetarian you cannot do that. DHA and EPA are the two long chain omega-3s that are essential for humans and they will be labelled on any fish oil or marine algae supplement. Seed oils supply only short chain omega-3s which are healthy but not essential: these are converted to the useable long form at a rate of ~10%. Basically you need MASSIVE doses of raw seed oils to hit 2-3g EPA and DHA. Therefore vegetarians and vegans should take a marine algae supplement - these are available from health food stores, Amazon or eBay. No special brand, just look for the DHA and EPA essential fatty acid content. It is safe to go higher than 3g and you may wish to do so if you think you may be deficient. On top of omega-3s we need other healthy fats: as a vegetarian you may well already be meeting the target of 70g+ per day (female who is not dieting) from nuts, seeds, avocados, coconut and olive oil.  

Fruit and veggies: UK recommendations are for a minimum of five 80g portions a day BUT the research actually supports nine portions. This should be from the full rainbow of colours - red , green, yellow, orange and purple/ black and can include beans/ lentils. Again you may well already be hitting this target. Don't get stuck in a rut, eat a wide selection over the course of a week.

Protein: recommendations are to choose reduced fat animal products and to limit portions of meat, both of which are not an issue for you! One of the biggest mistakes my female and my vegetarian clients make is not eating enough protein early in the day, our bodies cannot store spare so ideally we would eat some every three to four hours, especially if we are exercising regularly. If you like maths you are aiming for 1.5g-2g of pure protein per day per kilo of bodyweight and this helps to repair every cell in the body including the skin. Beans, lentils, eggs and soft cheese are super healthy but they contain half the protein of meat and fish - so you need to combine with another protein source or eat larger portions - hard cheese and nuts are much higher in protein. Whey (milk protein) powder is another good option for those who exercise; it should not replace real food, but is ideal if you cannot eat before or after a workout and can be added to fruit smoothies or vegetable soups to round a meal out. Makes a rubbish tasting shake unless you mix with powdered milk! Dairy: UK recommendations are at least three portions a day - a portion is 200ml milk OR 30g hard cheese OR 150g yoghurt/ cottage I think. Again you could well hit this target.

Carbohydrates: UK guidelines are a minimum of half of all grains to be wholegrains, for your skin this should be all of them and preferably all low glycaemic index (keeps blood sugar stable). Low GI carbs include sweet potatoes, boiled new potatoes with skins, most fruit and veg, beans and lentils, barley, jumbo/ steel cut (not porridge) oats, wholemeal pitta bread, granary stoneground bread, brown pasta and brown basmati rice. You may already know these supply minerals which are just as important as vitamins and of course fibre. You will need larger portions or to eat more frequently if you exercise regularly, always eat an hour before a workout and again within twenty minutes of finishing (enzymes that repair, regenerate and refuel are most active). Whenever blood sugar drops too low the body releases stress hormones, which can contribute to various health problems, including skin complaints.

Fatty and sugary junk food should be no more than 10% of daily calories. IMO this is a toughie because a cereal bar or packet of crisps can easily swallow this up. Bad news is that I count *some* vegetarian convenience foods/ meat replacements as junk, great if has a high pulse or nut content not so if the recipe is bulked out with breadcrumbs because it will be low in protein and high in empty calories. You may be wise to this supermarket scam already but, if not, Quorn is a better bet than most. Note that the sugar naturally found in milk officially do not count towards sugary foods and fruit is a grey area (it's healthy so don't count it). As long as my clients are not overweight I don't count the sugar or fats in small portions of good quality 70%+ cocoa dark chocolate either because it's full of antioxidants!!

I am sure you are closer to a balanced diet than the average Brit, but hopefully something in this essay will give you a :eureka: moment. I will respond to the collagen topicals question at a later stage if necessary, Sarah is more experienced than I so I think it best she responds when she has seen your photos.
Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on January 15, 2012, 01:22:50 PM
(Posted with permission)

Cheeky, I have some questions for you:


 Have you ever been on Accutane? Before your skin texture turned bad, did you have dermabrasion or a very deep acid peel done? Any other skin treatment you remember?


The reason I ask is because it almost seems like the top layer of your skin is "missing". In some cases, deep ablative methods can enlarge pores. The diameter of skin pores is usually larger in the deeper skin layers. If you abrade layers of skin, it can uncover a wider diameter of the pores.


  A mild acid peel on the contrary often temporarily improves the appearance of skin pores.


Unclogging pores can slightly shrink their size - because then they are not dilated by debris - nevertheless, clean pores may also appear deeper because the debris basically fills in the pore and makes it flat.


  Can you tell me what the origin is of the larger scar beside your lip?


  The scar on your cheek that looks like an acne scar, have you always had it?


  What kind of textural damage has appeared after your laser treatment?

                      Attached files
Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 16, 2012, 04:04:56 AM
Dear Firefox7275,

WOW you have given me lots and lots to think about with regards to my diet as reading this I realize there is a lot I can probably improve upon even though I think I eat pretty healthily.

Firstly let me tell you what my GP said about my skin went I went to see him after the sudden deterioration….he said there is nothing majorly wrong with it, the thing is in some lights my skin does not look so bad, if I could have showed him in natural daylight maybe he would have been more supportive…who knows?  The thing is I realize this is deemed as a cosmetic issue I suppose rather than a medical issue so the doctors are not interested. Hence why I saw a dermatologist privately.  In fact I got so distressed about my skin the doctor advised I might be a bit depressed and therefore my mind was magnifying my perceived issues about my skin and tried to put me on anti depressants, he is right I was very depressed but about the sudden deterioration in my skin not about life in general.

I just worked out my BMI using NHS calculator online and it comes out as  19.55 which is within healthy weight range according to the result summary. I am 5ft 2” and weigh 7st 9lb – 7st 10lb. (usually 7st 7lb but put on a couple of pounds over Xmas).  I am a size 6/8 depending on the store. Even though I am this weight I feel I should lose more as I seem to have a lot of fat around my tummy and and lumpy bits in general :-S (I am what is known as an apple shape I believe).  Even 2 -3lb weight gain is very noticeable on me as I am very small boned I guess.  So I would like to try and lose the 2 -3 lbs to get back to my usual weight.

 A typical days eating for me is:

AM: 3 x Wholegrain Ryvita crackers eaten over the course of the morning (no butter or spread) (never hungry in the morning) (37 cal per cracker but realize I need to eat something) = 111 cal ttl, 2 – 3 cups of weak de-caf tea with skimmed milk and one sweetner and 2 – 3 glasses of water. I have to confess that this is during the week when I am at work, at the weekends I will normally skip breakfast as just not hungry until lunchtime.

Lunch: Salad box consisting of: Mixed salad leaves, tomatoes, whole can of drained butter beans or chick peas and some grated low fat cheese (maybe 30g approx.) = 450  - 500 cal? 2 more glasses of water

Snacks PM – Apple/pieces of fruit and couple of cups of weak de-caf tea and couple of glasses of water.

PM – Homemade vegetable, quorn and lentil (or some kind of pulse)  soup or goulash with whole meal pitta bread or 2/3 x Ryvitas again (no spread) OR bowl of wheat free/gluten free pasta with small tea spoon of organic pesto sauce mixed though and a sprinkle of low fat cheese on top OR jacket potato with a small piece of half fat butter and mixed salad on the side with small covering of balsamic dressing.  A piece of fruit for dessert. = 450 cal? A pint of water during the evening and I take a pint of water to bed with me to drink through the night.

Snack for me are unsalted nuts such as cashew nuts or some olives and occasionally I do have the odd naughty thing such as a chocolate bar or a packet of crisps but this is maybe once a week no more frequent than that.

Now the above is based on a good day.  But lot of my socializing is based on food, so going out for dinner etc or dinner parties round at friends so I tend to eat out at least twice a week with friends or with my husband and I have to be honest then I just eat whatever I fancy, being vegetarian (and no eggs or fish) a lot of my meals out are based around pizza and pasta dishes and a fair bit of wine too. We also sometimes have the odd Indian Takeaway (once every two weeks on average)

Exercise wise I use an exercise bike 3 times a week for half an hour at quite a high resistance level will and be trying to up this to 4 times a week soon.  I am also planning to get back into jogging maybe once a week in the near future.

So reading this back I can see that there are ways to improve my diet for sure. I would be interested to hear what you think of my food habits from a nutritional point of view and if you think there is any way I can improve it which would help my skin from the inside?

I am going to look into purchasing DHA and EPA supplements today also.

Thanks a lot

Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 16, 2012, 04:26:56 AM
Dear Sarah,

Let me answer the questions you ask me:

1)   I have never been on Accutane.  And before my skin suddenly deteriorated I had never had any skin treatments such as peels/dermabrasion or laser.  All I had ever done was cleanse and moisturize my skin in the usual manner as I had done for many years prior.  In fact I distinctly remember when my skin started to change.  One day I noticed for the first time ever that the pores on my nose where looking larger and sunken so looked for ways to cover them up and bought some Clinique Pore Minimiser.  I didn’t think too much of it but little did I know then that within a matter of weeks my whole face would dramatically change too ***sigh*** The picture you posted is of my skin at its worst BUT before any laser or chemical treatments, when I took the picture I hadn’t started my quest to try to resolve the issues.

2)   The larger scar above my lip is the result of a dog attack when I was 3 years old so I have always had it.  In fact I should mention that this scar to date has changed, in that its significantly filled in and much more closed and smaller since I started my quest to fix my skin, this gives me hope the rest of skin can be improved.

3)   I have always had the acne scar on the side of my face since I was a teenager.  I have never suffered from acne but was your average zitty teenager who couldn’t help but pick!, this cleared up once I was out of my teens.  I have always been prone to the odd spot every so often as my skin is oily but never acne.

4)   The textural damage I have sustained from the laser is isolated to just below my right eye, you can see if you look closely the laser track marks from the Fraxel Repair laser and also slightly by the side of my nose on the right hand on the inner part of my cheek.  These  are fading a lot and not noticeable to anyone but me, but it was enough to make me realize that lasers are not the way to go and in most cases can do some damage and at best do nothing, well that is my experience anyway.

If you have any other questions please let me know and I look forward to any advice or hearing if in fact you think derma rolling can help my skin texture in the long run.

Kind regards

Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on January 17, 2012, 05:10:41 PM
I am trying to figure out what caused the deterioration of your skin texture. Another factor that can affect skin pores is sex hormones (as almost all of us experienced in adolescence when the levels of these hormones shoot up). Did you have any hormonal problems or changes before or at the time of your skin worsening - missing periods, pregnancy, hormonal contraception? Email me your answer if you do not want to answer this question on the forum.


  Concerning dermarolling, I am not sure what to expect because you underwent a Fraxel Repair procedure, which is a very intensive treatment. It vaporizes fractions of the skin and can go up to 1.6 mm into the skin. It works on the same principle as dermarolling - causing very small skin injuries not serious enough to become a scar but big enough to trigger healing/regeneration processes that result in improved, rejuvenated skin.

  Lasers injure the skin by heat, dermarollers do it mechanically.


  Since you underwent a treatment that is based on the same principle and did not get any results, I do not think you can expect miracles from dermarolling.


  We have a customer who had a similar problem as you - her skin texture quickly deteriorated and I contacted her some days ago to ask whether dermarolling helped her. She replied and said she would post here to describe her experience. Her skin texture improved a little.  If she is too busy to post here, I will ask her permission to post here anonymously her last email.
Title: Newbie with severe skin issues - please can I have some advice
Post by: Firefox7275 on January 17, 2012, 11:58:32 PM
Cheeky that restrictive diet could explain why the aggressive treatments have not worked for you, there is not nearly enough overall food nor enough of a host of nutrients given that you exercise regularly. Your 'apple' shape may be partly down to genetics, partly what you are doing exercise wise and partly your diet. If you don't eat enough and/ or don't eat enough protein your body will break down your muscles for energy, this slows your metabolism. Gaining weight in the abdominal area can indicate a stressed body, but the main problem is probably the eating out and drinking - alcohol cannot be converted to energy so goes to fat, particularly in the abs area. Ditto the food because your body is stuck in a feast and famine cycle. However research suggests we CAN spot reduce fat from our abdominal region  with the right diet and the right physical activity. What happened around the time your skin first deteriorated, was it preceded by any changes in your eating habits, physical activity, stress levels or lifestyle?


You should not need to be hungry to eat any more than you should need to be thirsty to drink, train your body to accept a substantial meal first thing. Your current breakfast is too low in overall calories, low in protein and low in essential fats, so stop filling your stomach with six zero calorie drinks and start filling it with fruits and a source of protein. A homemade smoothie made with ~160g mixed frozen berries, a large banana, a scoop of whey powder and a little milk tastes delicious and is liquid enough to go down easily. Quick to make with a stick blender and often popular with partners and/ or children!!

Eat stacks daily! Always include protein plus healthy fats if you know your breakfast or lunch are short. Make this your second breakfast if you eat something light first thing.


Lunch is low in essential fats and low in complete protein - combine pulses/ grains/ nuts remembering the body cannot store spare, it will rob from your muscles (including the heart!). Salad leaves are not the best for daily use simply because an 80g portion is MASSIVE. A bean salad is an opportunity to eat brightly coloured veggies - one green, one red, one yellow and one brown/ white looks good.

Again: eat snacks! Always include protein plus  healthy fats if you know your lunch or dinner are short. Especially snack if you are doing intense exercise or eating late in the evening.


Low in essential fats and low in protein. What is in the wheat-free pasta? Often these are refined, high glycaemic index carbs.

I love wine - really struggling with making January a dry month - but it is hell on my skin: I experience dehydration, dullness, rebound eczema, enlarged and clogged pores. IMO pick between the drink OR an unhealthy meal on social occasions. There are a couple of healthy eating dinner party books for when you are on cooking duty: Gordon Ramsay 'Healthy Appetite' and Michel Roux 'Marathon Chef' that might have some meat-free choices, or Simon Rimmer's 'Accidental Vegetarian' and 'Seasoned Vegetarian'. You may already know that anyway! You also might be sneaky and research local restaurants online that get great reviews and offer a selection of healthier veggie options? Chances are some of your friends are also keen on weight management. In a restaurant I often ask for extra vegetables instead of half the carbs in my meal and if I have an Indian takeaway I choose daal and/ or brown chapattis instead of white rice and/ or naan. Another thing to do is steam your own brown basmati rice (Delia Smith method or a rice-cooking gadget) and keep it in the freezer. Reheats great in the microwave with a splash of water.

This absolutely should help your skin if your commit to the change, you will be supplying the right nutrients and antioxidants for repair and maintenance, helping it to hydrate from the inside. It will also take your body firmly out of a state of stress, and reduce the chronic inflammation that is a major cause of ageing. Will it resolve your skin texture completely? I don't know, it depends whether the structure of your skin has been permanently altered by the laser. I would combine this with super babying and nourishing your skin from the outside, give it a couple of months before you dermaroll or do any peels.

Cripes another essay, sorry I type fast! :duh: Will comment on exercise/ weight management/ body shaping next if you wish.
Title: Newbie with severe skin issues - please can I have some advice
Post by: Firefox7275 on January 18, 2012, 12:12:42 AM
Hi Sarah: Sorry to see churlish but I am not comfortable with my new title as it does not accurately reflect my work background. I actually hold qualifications in a couple of biological disciplines but currently work in lifestyle healthcare. I have stated categorically on other forums that I am not a nutritionist because dietetics  is only one aspect of my role, and do not want to lose credibility by appearing to claim the opposite here. Hope that makes sense, if you think a title would help I would prefer something using the word health or healthcare. :confused:

Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on January 18, 2012, 05:32:40 AM
Sorry :-) I put it back to forum-generated stuff - you'll be "junior" again from now on :-)
Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 18, 2012, 05:37:18 AM
Dear Firefox7275,

Thanks so much for taking the time to provide me with such comprehensive advice.  I had my suspicions about my diet maybe was not quite as healthy as I  liked to believe. And I am more than willing to change it if it will help my skin and health in general.  I suffer from tiredness and lack of energy a lot and I wonder if it’s down to my diet, it’s hard for me to gauge as I have eaten this way for many many years now, it’s a way of life. I have felt tired for as long as I can remember. What my diet consists of currently does more than fill me up and so I felt like it was an acceptable diet as I wasn’t starving myself of anything like that, obviously I was wrong…whoops! Around the time my skin suddenly deteriorated I cannot recall anything significant that might have triggered this deterioration.  In fact I was in a very good place, I was just married, very happy, my career going well.  My eating habits didn’t change as far as I can remember.  I really wish I could pinpoint something, anything that may go some way to explain why my skin changed so drastically but I just cant 

The breakfast is an issue for me but I am liking the sound of some kind of smoothie/shake.  I could stomach that. Time is a big issue in the week, especially in the mornings  so would a ready-made smoothie be sufficient such as the one’s Innocent make?  Or what about one of these meal replacement drinks you can buy? Or could I make the night before and refrigerate to have the following morning?

 Can I ask you what sort of snacks (that include protein/healthy fats) you would recommend for me to eat during the day bearing in mind I am a veggie?  Only thing I can come up with is nuts. I LOVE avocado’s I believe this are a very good food to eat, would you agree?  If you can point me to a website or something that explains and lists foods that are: complete protein,  essential fats, high glycaemic index carbs etc.. Sorry to ask but this is new territory for me and I am quite clueless as to what foods are good/bad or fit into the categories you mention. Oh the wheat free pasta is made from brown rice or something, will have to have a look when I got home tonight.  I buy it in the Wheat/Gluten free section in  Tescos.

So am I right to  summarise overall that in your opinion I am not eating enough in general and definitely not enough essential fats/protein?  I to confess I have some concerns that if I increase my calorie/fat/protein intake my weight will increase!

I will amend my meals based on the information and advice you have kindly shared with me and I hope this will help me internally and my skin also.  If I add such things as Quorn pieces, avocado’s and maybe toasted pine nuts to my lunchtime salads would that be an improvement nutritionally? Also vary the beans and pulses over the course of the week rather than just the same thing every day.

I have looked up DHA/EPA supplements and there are many to choose from but I can’t see any that have a daily dosage of 2 – 3g (assuming this means grams), the ones I have seen are providing 200mg EPA and 400mg DHA per daily dose of 2 capsule. I think I would need to take much more than the recommend dose to get 2 – 3grams a day.  Or did I misunderstand your comments regarding DHA and EPA supplements.   Do I need to take a general Omega 3 supplement as well as the DHA/EPA supplement? I currently take a Omega 3 supplement for Vegetarians/Vegans (300mg tablet per day) is this OK to continue with?

Sorry for all the questions!, I would like to hear your opinions on my exercise and how to healthily manage my weight as well as body shaping.  If I stay at my usual weight of 7st 7lb then my tummy/abdominal area is fairly lean and flat BUT even with an extra 2/3lb’s as I am carrying now it all goes on my tummy area, hence why I believe I am an apple shape.

Best regards

Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 18, 2012, 05:53:34 AM
Dear Sarah,

Thank you for your reply.

As far as I know I have not have any hormonal problems, no issues with periods and no pregnancies yet. I had been on the contraceptive pill for many years with no problems.  The ONLY thing I can think of is I noticed a slight increase in facial hair, it went from being practically none existent to more of a soft downy feel and the odd courser hair on my chin which I needed/need to pluck…I put it down the hitting the 29/30 year old mark and just an age thing as some of my friends who are similar age to me complained of the same thing too.

With regards to the Fraxel Repair procedure I only had a very very light procedure, I later found out(lucky I took a picture of the Fraxel Repair setting when the doctor left the room)  the doctor did not perform even a relatively moderate Fraxel Repair on my skin,  let alone an aggressive one which my skin issues would have needed.  It was quite superficial so I don’t count it as a true Fraxel Repair when it comes to results.  According to another derm I later saw and showed the photo’s of the settings  I should compare my session to that of an aggressive Fraxel Restore apparently.

I would really appreciate if you can post what your customer said were her experiences of Derma Rolling and if she found anything else to help skin texture if she is too busy to post and doesn’t mind you posting.  

Man thanks

Title: Newbie with severe skin issues - please can I have some advice
Post by: Firefox7275 on January 19, 2012, 02:45:17 PM
Stop apologising, I am a sad eternal student type who has lived and breathed the biological sciences since my early teens. I don't see too many vegetarian clients so you are good practice!

Bad news first ... you may well gain weight before losing or maintaining, if this is going to freak you out hand your scales to a friend or relative, seriously. Firstly remember if your body is deprived of nutrients and if you are lacking energy the muscles are probably depleted in their carbohydrate fuel glycogen. Since 1g of glycogen is stored alongside 3g water you may be unknowingly chronically dehydrated which also affects energy levels. As you replenish these stores, you will gain healthy water weight. You also have to reeducate your body to understand all the nutrients are going to be available at regular intervals so it can safely kickstart your metabolism. As you slowly gain muscle mass, your weight may stay the same but your body get smaller, this is because muscle is denser than fat - think of the size of a pound of feathers compared to a pound of lead. Change your diet first and as soon as you feel more energy make changes in your exercise regime to help you build muscle (=toning not bulky) and burn fat. You may genetically be an apply shape but you CAN change this through your diet and exercise regime. Fat gain in that area is encouraged by anything that stresses the body out, from smoking to skipping meals to binge drinking to foods high in fats or refined carbohydrates. Research proves fat loss in that area is encouraged by high intensity exercise - particularly cardio intervals and strength training using the large muscle groups - which you are not doing at present.

Breakfast: You can use purchased smoothies proving they contain plenty of protein source and whole fruits NOT fruit juice, but adding whey protein powder yourself is fine. Meal replacement drinks are not wholefoods and do not contain the many antioxidant phytonutrients important for skin and general health. Making your own smoothie in the morning with a stick blender can be super fast - you can purchase ones with a beaker attachment so you can whizz up the smoothie in it's own container, rinse the stick blender under a running tap, lid your smoothie and eat/ drink on your commute. Unfortunately you cannot blend it the night before because the antioxidants deplete (this is why some cut fruits go brown). However you can make it super easy using a mix of canned fruits (peaches/ mandarins/ pink grapefruit in juice, Tesco even have ring pull lids!), frozen fruits that need ZERO preparation (berry mixes are the most nutritious but there are tropical mixes for variety), easy peel/ no chop fresh fruits like bananas or avocados (both give a lovely creamy texture) or do a little chopping the night before (= fruit salad) and preserve with a little lemon, lime or grapefruit juice (vitamin C prevents oxidation). BTW only peel fruits that are inedible otherwise, there are nutrients in the skins of green apples and black grapes. You can freeze halved skinned bananas and you *may* even be able to use frozen defrosted sliced carrots, because sweet carrots work surprisingly well in a fruit smoothie and freezing softens them slightly. NOT recommending this specific product, just an example of what I am talking about

Complete proteins contain all the amino acids (building blocks of protein) are all animal proteins (eggs and dairy and whey powder for veggies) and I think Quorn is too. Protein quality is graded by how 'useable' the protein is - known as the biological value - with eggs being the gold standard, closely followed by meat and fish and dairy, then plant sources. Otherwise you can create a complete protein by combining a pulse (bean or lentil) with a grain, or a nut/ seed with a grain or a pulse with a nut/ seed. As long as you are eating protein little and often all day, it's not the end of the world if you combine two sources at, say, your morning snack and your lunch, as these should only be a couple of hours apart.

Essential fatty acids: we need omega-3s and omega-6s and these are polyunsaturated fats. Long chain omega-3s (DHA and EPA) are only in oily fish or marine algae (which oily fish eat!). Short chain omega-3s (ALA) are found in flaxseed/ linseed oil, and to a lesser extent rapeseed oil, walnuts, hempseeds and pumpkin seeds. Omega-6s are widely distributed in plant oils so you should not need to think about or supplement these but GLA is the one we need most and the ONLY omega-6 that is anti-inflammatory. The richest sources are borage oil and evening primrose. Healthy fat sources include olives and olive oil, avocados, any nut or seed, high cocoa content dark chocolate, wheatgerm and creamed coconut. Assuming your current EFA supplement is based on plant oils, stop using this when you run out because you need tens of grams of raw plant oils to convert to 1-3 grams of DHA/ EPA. Instead concentrate on eating omega-rich nuts and seeds to get protein and minerals too. These are the best I could find on a quick Google, no reason not to bump the dose up initially as the ingredients are safe, then drop down when you feel like your skin quality has improved after a few months. The important thing is to be taking steps in the right direction and giving your body something.

Forgotten if you eat eggs or not, sorry. If you do you can purchase omega-enriched eggs from supermarkets - Columbus and Goldenlay brands - which contain ~150-200mg long chain O-3s per egg. Eggs are also rich in lecithin, which is a precursor of ceramides, a key lipid (fat) in the skin barrier. Wyke Farms make a vegetarian approved cheddar which is in the supermarkets called Super Light made with veg oil instead of animal fat and Lo-salt instead of regular salt. Only short chain O-3s but it does provide protein and calcium.

You should find unbiased, sound nutrition advice on vegetarian charity websites or a government of any English speaking country

Wikipedia also has some useful information on individual micro and macro nutrients.

If you get into more serious body shaping, Human Kinetics publish 'Vegetarian Sports Nutrition' and 'Power Eating' which has some advice and recipes for veggies, both are evidence-based readable textbooks from a highly respected publishing house. These are not aimed at bodybuilders, they are for amateur and professional sports or fitness enthusiasts. If you want to concentrate on the nutrition route, much more commercial but still scientific are 'Feed Your Face' by dermatologist Jessica Wu or 'Wrinkle Free Forever' by dermatologist Howard Murad. They are not aimed at the vegetarian market unfortunately but there is an emphasis on plant foods IIRC.

Will get onto snacks later or tomorrow!
Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 20, 2012, 12:06:06 PM
Dear Firefox7275,

This is great! Thank you for sharing all of this all this information.  I take time over the weekend to read it all.

Kind regards

Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on January 20, 2012, 05:11:07 PM
The customer who has been dealing with a similar problem as Cheeky allowed us to post her emails and photos.


  Email and a photo of the right cheek from Sep. 12, 2011.

 Thanks for your response Sarah, I'm going to get the .5mm soon. My hopes

  with the 1.5 was for the lines connecting the pore to plump back up and that

  would hopefully make the pore seem smaller. You are right, when I pull the

  skin back the pores are much less visible but I have a bunch of horizontal


  My skin was amazing 5 yrs ago. I did nothing special for it. Then just got

  extremely stressed, started smoking then went to dermatologist for

  congestion, one after another sold me stuff and gave me treatments that

  didn't work and maybe made it worse. After my first peel I noticed a ton of

  lines I didn't have before, I trusted her and went back for more and it

  became increasingly worse:( not very smart.

  I think the pigment you are seeing may be that I was still healing from the

  last time I rolled about two weeks prior to the picture but I will use the

  retin a twice a week.  Well, I just rolled again for the 4th time with the

  1.5 last night and may take a long break from that one and reevaluate in a

  few months.


   Email and a photo of the right cheek four months later (Jan 14, 2012)

   Yes, my skin has improved some and I am hopeful for even more success.

I rolled with the 1.5 3x 4 weeks apart and then rolled w a .5 weekly 3x.

My last 1.5 roll was 9/11/11 and my last .5

roll was the first week of November I believe. At that point I decided to

  take a break and see how my skin reacted long term. I have changed up my

  skin care routine a bit since my last roll to include adding the anti aging

  lightstim(that i am not super consistant with)and some other topicals. I

  never made friends with vitamin c but am looking at another type. I have

  done some light peels. I think one of my skins issues is the barrier is

  damaged or not functioning right. I'm going to look into a niacimacide(?sp)

  nag DIY serum.  One of the most benificial things I have been able to do is

  de-stress a bit. I am pretty sure stress  caused major problems for my skin.

  I'm planning to restart with rolling in February. I would say yes definately

  rolling has helped. The healing process does take time and I felt at times

  like I was going backwards but I do believe it's helping. I have read cheekys

 post and know exactly how she feels. Unfortunately the stress she is going thru

 with her skin is probably adding to the problem.



Part of her email from Jan 20, 2012

  I believe that derma rolling has been helpful for sure.

It's been about 2 1/2 months since I rolled last and I feel like

  the new collagen is really developing and adding a bit of fullness around

  the pores which is helping them to look smaller, shallower. But I think it's

  a combination of things as well.

                      Attached files
Title: Newbie with severe skin issues - please can I have some advice
Post by: Firefox7275 on January 21, 2012, 12:07:01 AM
That sounds encouraging, Sarah! I am fascinated that your customer has been using an Anti-ageing LightStim with her dermaroller because I have recently purchased an AALS.
Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 23, 2012, 06:24:41 AM
Dear Firefox7282,

Well, it must have been fate as this weekend my scales suddenly stopped working…yes really! I have decided not to replace them for now as under my revised diet as you say I may gain weight initially and I don’t want to start weighing obsessively as that will stress me out which will be no good for my skin if I am stressed and anxious.  I have purchased the Opti3 supplement and am now waiting for it to be delivered.  I also bought a hand blender and some exercise water bottles so I can make my own smoothies,  I tried it out over the weekend using a combo of tinned, fresh and frozen fruits and it take less than 2 minutes, I can handle that.  I am surprised at how filling they are. I also ordered some whey protein powder too, will add that in once it’s here, any idea how much to add to say a 250ml smoothie?  I guess it will have measurement guide on the tub. I plan to have one 250ml smoothie a day in the mornings, is that sufficient or should it be more?  I adore Avocado’s and can find ways to include them in many meals.  Is eating one a day too much do you think?

I do eat eggs but its once in a blue moon, so I shall up my intake and look out for the brands you mention. I looked in my local supermarket (Tesco) for the Wyke Super Light Cheese but they don’t sell it.  So I did a search and it looks like Asda stock it.  I don’t have a local Asda near me but next time I do pass one I will stock up.  Would normal cheddar cheese be OK also?  Most cheddar cheeses are vegetarian these days (as in vegetable rennet and not animal) but I guess they are made with normal slat and not lo-salt.

One more question….today I have brought a salad and a smoothie to work.  My salad today contains: mixed beans, olives, tomatoes, cheese (30g), avocado, sprinkle of seed mix and also some toasted pine nuts and quorn pieces. I also have a portion of unsalted cashew nuts, a kiwi and blueberries but I am not sure what else I could snack on? So if possible when you have some time can you let me know your thoughts on snacks?

Dear Sarah,

Oh my goodness!  Thanks for posting the email and photo’s from your customer who had similar skin issues to me. I feel a HUGE sense of relief as for the first time ever I can see that I am not what feels like the only person in the whole wide world who has suffered this deterioration with such visible consequences.  Although my skin texture is a lot worse than this lady’s I can see our issues are essentially the same.  To be honest the different between this lady’s skin in each photo for me is like night and day.  If I just saw these photo’s without any background knowledge I would have said there is no way they are the same person as the skin is so markedly improved, it almost seems impossible to be the same facial skin?.  For the first time in over 4 years I feel a real sense of hope that I can improve my skin using the right tools, such as correct diet, skincare and rolling correctly.  I am not after a quick fix anymore as I know there is no such thing but rather take the slowly but surely approach.

I asked some questions in my first post would you be so kind as to give her your advice? I revised the questions slightly now I have received the Infadolan and have been using the last week on top of my Retin A and Moisturizer.

1)   How best to incorporate the Vit C serum I will make into my skincare routine which already includes Retin A each night? Which goes on first and can they even be used together or will it be too irritating? Can the Vic C Serum be used in the AM under moisturizer and sunscreen?

2)    Is rolling pretty aggressively (I get LOTS of blood) once every 4 weeks the right method for my skin issues in your opinion? Based on the lady’s experience and pictures  you posted should I also think about including a 0.5m roller a few times weekly? I also purchased a 1.5mm dermastamp to use in the place that the roller is hard to use (in between eyes, upper lip etc) is that going to be OK? Do I just stamp the skin several times in more or less the same place? I would just use the Infadolan for a few days post rolling of course.

3)   3) I have used the Infadolan as a extra moisturizer for the last week, my routine is Retin A first, then moisturizer and finally the Infadolan one top and rubbed in.  Is it OK to use the Infadolan and Retin A at the same time?  I have had no adverse reaction at all and in face my skin looks better already and doesn’t feel so tight. Although the Infadolan is undoubtedly greasy the benefits so far out weight the cons of a slightly shiny face! So I will continue to use as an extra moisturizer.

4)   I am going to keep a photographic log as to how my skin changes over the coming months, is it OK to post the images on this thread?

Kind regards

Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on January 25, 2012, 06:31:22 PM
1) You can apply vit. C before applying the A-Ret. First, let the vit. C penetrate into the skin and then apply the A-Ret.  Or apply vit. C in the morning, let it penetrate and apply the other creams.


2) I think you should combine the aggressive rolling (1.5 mm every four weeks) with a 0.5 mm dermaroller (twice a week, if it is too irritating for your skin, roll only once a week). Using a dermastamp is also a good idea. Try it on your cheeks too. There is a chapter in our instructions about how to use a dermastamp:

Start slowly, with just a few stampings and if the skin heals well, increase it.


  Basically, you will have to improvise a little, trying different approaches because nobody knows yet what is the absolute best dermarolling approach regarding your skin problem, especially due to the unknown origin of the quick deterioration of your skin. Every now and then, give your skin a longer break from dermarolling. The customer who allowed us to post her photos here also allowed me to give you her email addresse, have you received it?


3) You can mix Infadolan with the A-Ret. They both contain vit. A.

  More details:


  4) We will be delighted to post your pictures. Thank you!
Title: Newbie with severe skin issues - please can I have some advice
Post by: Cheeky on January 27, 2012, 03:14:24 AM

Thank you for getting back to me, this information is very useful.

I didn't get your message with regards to your customer's email address.

I will send you an email now in case you sent to wrong person or don't have my correct email address.


Title: Newbie with severe skin issues - please can I have some advice
Post by: Lainey on February 02, 2012, 12:08:57 PM

My skin looks similar to Cheeky's, and I have had two deep dermabrasions. You are right that deep procedures can cause enlarged pores and changed skin texture. I wish I had discovered subcision and needling before I underwent those dermabrasions!

My question is about ReCell, a new spray-on skin treatment by Avita Medical that uses the patient's own skin. It is supposed to help improve skin texture. Unfortunately, it must be used after a procedure that injures the skin, such as dermabrasion or laser. I do not wish to undergo those procedures. Do you think the ReCell treatment could be beneficial if applied after and agressive needle-rolling session? And do you have any thoughts about ReCell?

Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on February 05, 2012, 06:21:32 AM
I have just answered your question here (it deserved a new thread):
Title: Newbie with severe skin issues - please can I have some advice
Post by: michaeldallas on March 25, 2012, 10:22:48 AM
I would highly recommend you see an endocrinologist.  You may have a much more serious issue.
Title: Newbie with severe skin issues - please can I have some advice
Post by: kalea on June 02, 2012, 05:20:01 PM
NEWBIE HERE.  i'm trying to figure out how to post a message but have not figured it out yet so i thought i'd just jump in here cause wow, MY skin sure is starting to fall apart.  some of it i suppose i should just accept: i will be 60 on july 3.  however, four months ago i was diagnosed with frontal fibrosing alopecia: there is a distinct pattern to it: everyone who has it loses their hair up to the midline of thehead.  i am very fortunate that i have curly hairl.  my hairdresser has been able to style my hair so that the remaining layer of it, not too thin or bad looking, cover what is happening underneath.  i am still, natrually, devastated that this is happening.  i am now taking Plaquenil for inflammation (i do have total systemic inflammation, inflammatory autoimmune disease....i'm doing all i can do to address the whole package...)but the disease keeps progressing.  i have a custom made wig on its way soon.....i just hope my hairdresser can style it to look like my hairstyle just a bit.......oh how i wish i wasn't having to deal with this.  it is just one of several autoimmune diseases i have.  and now it looks like i might have vitiligo....i've been noticing for several years that on both arms there are noticeable white spots...what looks like a loss of color on the skin.  now i see it has is going on all over my arms.  not very noticeable as i am fairskinned, but still you can see what is happening.

i have always had a high forehead but not i truly look freakish......what i am noticing are odd areas of "denting" almost; ridges and white patches occurring on the top of forehead, and there are seeming areas that look like they have been outlined or something...many of them.  over both eyebrows it looks as if there are actually ridges...very hard to describe.

i dont' see my dermatologist for a check up on the fibrosing alopecia for a couple of months.....and i started looking on the net for any kind of information i could find, with my lack of descriptors for the situation.   if there is anyone here who might be able to help, i would so appreciate it.   i am really feeling awful about all of's just been one thing after another for me...........................i've been as "strong" and positive as i can be all along...but this hair loss thing, m y body attacking the hair follicles and killing the, is more than i can take.

thanks for reading....blessings to all..

Title: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on June 04, 2012, 08:32:06 AM
I made a new thread to answer your question, Kalea:
Title: Re: Newbie with severe skin issues - please can I have some advice
Post by: TMV82 on August 28, 2013, 08:51:46 AM

the way you describe your skin is how I would describe mine!

I have experienced the similar skin deteriation, large porous skin and the pores create lines when I smile.
However I believe my skin problems were caused by four Fraxel Dual treatments( restore), and I feel the laser left holes behind, that look like pores and probably caused thermal damage as well. My skin really looks a lot like yours, not quite as bad but very similar!

I also had a short stint of acne between treatments , which I was given Obagi nu derm products, plus a night cream which I suspect may have had retin a.

I also swapped my pill and went to Yaz, I wonder if they could have contributed to this too. My doctor was quite adamant Fraxel can't cause this kind of texture and blamed it on natural ageing, however I have good genes and my skin was fine, only oily with acne scars but certainly no big pores. I have always been an avid sunscreen user and slathered my face with Invisible Zinc Sport Cream daily after starting lasers and I often found it was very hard to wash off, it could have contributed to my problem also. I am 30 and started treatments when I was 27

However the pattern of the pores/holes follow the laser so that is why I am certain they are from the laser or the laser made them pop up somehow?

Sarah, have you seen anyone who has had this kind of texture change from laser and what would you recommend?
I am very scared of doing anything drastic to my skin, but some people seem to have improvement with derma rolling.
I wonder if it would help me or should I stay away from it and try other methods?

All I do now is use Psoria Gold Ultra and eat lots of supplements and avocado, plus drink water.
I am 15 months post the last treatment but I believe I already showed signs two years ago, I just didn't realise it then.
Title: Re: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on August 28, 2013, 03:06:58 PM
I am certainly not against lasers. The problem with any method (a method that actually works) is that a few will get wonderful results, many will get good results, many will get no results and a few will get disastrous results.
For example, tens of thousands of people underwent IPL treatment without any effect on their pores and this unfortunate lady ended up with permanently dilated pores after an IPL treatment:
Of course certain methods have a much higher percentage of bad cases. For example, radiofrequency on the face resulted in many cases with an even more wrinkly
face due to diminished fat and the original method was more or less abandoned.
I will answer your other questions later.
A related forum posting:!-lines-dents-pricking-porous-pink-skin-a/
Title: Re: Newbie with severe skin issues - please can I have some advice
Post by: SarahVaughter on August 30, 2013, 10:08:35 AM
I suggest buying a 1 mm dermastamp (not a dermaroller) and trying it for many months on one small area of the skin to see whether the thermal damage will improve and how the skin reacts to it.