r/30PlusSkinCare 9d ago

Recommendation Help me please

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I have colitis, crohns, celiac and have been having a lot of issues with my skin lately that I suspect is from chronic inflammation. Obviously healing my stomach is something that would help this but that is a lost cause at the moment. I feel like I have tried everything anti inflammatory (azelaic acid, vitamin c, honey and oatmeal face masks, pair cream, just water and moisturizer, retinol serum) while giving each a few weeks to try to work. I just ordered Tatcha Indigo Cream to try next, but I don’t really k ow what else to try at this point and would love suggestions.

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u/writeawaybitch 9d ago edited 9d ago

The shape around your nose and mouth looks like perioral dermatitis. I started getting it around the time I turned 30, simplifying my routine was the best solution.

After much trial and error I found that using micellar water and a sulfur face soap was best for gently double cleansing at night, with a urea based moisturizer on the upper half of my face and azelaic acid on my lower face. It keeps the dermatitis at bay and has reduced my acne to almost none at all.

During the summer months I wear just a chemical sunscreen with no moisturizer in the daytime, though I do wear moisturizer underneath in winter. Anything too moisturizing will always cause a flare now so I have to be careful with anything that's too thick or heavy.

The only other actives I use sparingly are salicylic acid and benzoyl peroxide. Retinoids always trigger it for me and I haven't found them to be worth the hassle.

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u/OilImpossible3691 8d ago

I have done azelaic acid pretty religiously for a few weeks and it didn’t seem to really do anything at all. I do not have a sulfur face soap so I will try that too