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Skin guide / Combination skin

Breakouts on combination skin

Treat the T-zone, not the face: a clay mask or salicylic acid down the center, a plain moisturizer on the cheeks. Blanket acne products dry out the cheeks and the nose keeps shining.

What breakouts is

A breakout is a pore blocked by dead cells and oil, with or without bacteria and inflammation. Over-the-counter acne products in the US are regulated as drugs and carry a Drug Facts panel: the FDA monograph allows salicylic acid, benzoyl peroxide and sulfur at set strengths. Cosmetics around them (cleansers, light moisturizers, clay masks, non-comedogenic sunscreen) keep the rest of the routine from undoing the treatment.

What combination skin wants

A light lotion all over, with a richer cream on the cheeks if they need it; multi-mask (clay on the T-zone, a hydrating mask on the cheeks). A gentle gel cleanser suits both halves.

Cleanser: a gentle gel or cream-gel cleanser. Go easy on: Treating the whole face for the oiliest part; one product rarely fits both zones.

Look for on the label

Go easy on, for breakouts: Scrubbing (it spreads inflammation), coconut oil and heavy butters on the face, more than one active at a time, and squeezing.

Morning

  1. Gel cleanser
  2. Niacinamide or other light serum
  3. Light moisturizer
  4. Non-comedogenic sunscreen

Evening

  1. Gel cleanser
  2. Salicylic acid or benzoyl peroxide (one, as the label directs)
  3. Light moisturizer

Thinnest to thickest, water-based before oil-based, sunscreen last in the morning and first off at night. Add one new product at a time and give it two weeks. The routine tool orders whatever you own.

On the site for breakouts

All →

Tagged from the maker's own description; cleansers, masks and exfoliants, toners and mists, moisturizers first. Read each label against the list above.

Breakouts on other skin types

Dew & Balm describes ingredients and label categories from the public record (FDA OTC monographs, the EU CosIng database, PubMed) and makes no claim about what a product will do for you. A concern that persists, hurts, bleeds or spreads is for a dermatologist, and anything on prescription is between you and yours.