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    Acne and combination skin
    bloomingrose38711 posted:
    Hey im 19 girl ,i oily skin when i was 13 bt nw mt skin has becoe combination, when winters start my facial skin becomes patchy dry ,and i also have acne esp blackheads ,im using neutrogena deep clean wash .and clinamycin for acne .Any advice? plz thanks
    bloomingrose38711 responded:
    oops there are tons of spelling mistakes plz dnt mind
    Mary Ruth Buchness, MD responded:
    Dear bloomingrose 38711,
    It sounds like you already are seeing a doctor for acne. Ask the doctor to prescribe a retinoid (some choices are Retin A, Ziana gel, or Differin) for your blackheads. For your dryness, I would switch to a more gentle cleanser, like Cetaphil or Cerave, both drug store brands, and use a moisturizer on the dry areas. Some examples of moisturizers are Cetaphil (for extreme dryness I have my patients use the body lotion on the face), Cerave, Neutrogena, or Aveeno. Remember that when treating acne, treat the whole affected area, not just the spots. The medications can prevent you from breaking out in new spots.

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