“Troubled Skin”


If you’ve been reading my blog for awhile, you may have picked up some of the new language I use to describe issues of the skin.

Here’s another term I like to use to describe one of the trickiest skin situations that is commonly encountered.

Dr. Neal’s definition of “Troubled Skin”:

acne-prone skin that is oily, sensitive, thickened, prone to flushing, prone to redness and flaking, prone to premature aging, prone to discomfort and often times intolerant to all types of topical preparations. (Although often times seen in post-accutane patients, this situation can occur in any chronically oily patient)

If left inflamed for decades, the uncomfortable sensation and premature aging can dramatically effect a patient’s emotional stability and wellness.

Anxiety is the norm in patients caught in this chronic situation.

Case Presentation:

This highly intelligent and likable guy suffered for 10 years despite the greatest of efforts to get past the beast of troubled skin.

He had tried and failed:

Alkaline Diet
multiple other food restrictions
All OTC combinations

When he arrived at The Acne Practice, he was very anxious and complained of acne, oily skin, uncomfortable skin, flushing, and redness.

Watch very closely as the most difficult type of Post-Accutane skin situation can also be completely transformed.

This case, and others like it to come, represent both the stuggle I myself went through for years and what is possible for ALL chronic inflammatory conditions of the human body.

If you listen to my bio, pay close attention to the time in my life where my skin could not even tolerate exposure to water. During this time, my skin was very “troubled” and it took some time to get out of that highly inflamed situation.

Patients who have already taken Accutane often times run into the situation of Troubled Skin because they are unable to remove the ever-present oil due to issues of extreme skin sensitivity. Any product they use to cleanse the skin can turn them bright red and flushed. It’s a very tricky situation to navigate as too little cleansing leaves them an oily mess and too much leaves them flushed, inflamed, and often times incapacitated by facial discomfort.

My hope is that this blog, these videos, and this practice will bring awareness to this real health issue.
(I call it “Troubled Skin”)

For awareness sake, I think its fair to say that most dermatologists, primary care doctors, and skin care experts fumble around with this type of ultra-sensitive, troubled skin. You may be handed a diagnosis of “Rosacea”, “Seborrheic Dermatitis”, or “Eczema”. And then may be handed guesswork from topical anti-inflamatories, metrodnidozole, tetracycline, tar, zinc, selenium, special diets, and the list of guesswork goes on and on.

The real diagnosis in this situation is usually Acne combined with Seborrheic Dermatitis, but this doom and gloom diagnosis will not help anyone whose face turns bright red with the immediate application of any topical preparation.

The new term “Troubled Skin” has a much more clear and optimistic plan as a patient can imagine that what gets troubled, can eventually get Well in time with the proper assistance.

The diagnosis Seb Derm or the common misdiagnosis of “Rosacea” for this situation will only enhance the self-victimization of those who will inevitably focus on the misconceived idea of “no cure”
(we’ll talk more about “no cure” for all chronic conditions in future posts)

I hope this video and blog will create global awareness and optimism for this relentless situation.

-Dr. Neal

©2010 “Troubled Skin” by Dr. Neal Schwartz

3 Responses to ““Troubled Skin””

  1. Jerrold Hoxie Says:

    This page is helpful for me to choose the correct product.

  2. lance Says:

    will the paste you sell help for minor seb derm

  3. admin Says:

    hey Lance,

    It does help but this condition often times requires a back and forth conversation as it is very tricky for some people. you can email on the home page if you’d like to start the detailed conversation.

    -Dr. Neal

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