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Skin guide / Sensitive skin

Breakouts on sensitive skin

Sensitive skin that breaks out cannot take the full-strength acne aisle. Azelaic acid at cosmetic strength, sulfur, or a low salicylic acid leave-on used every other night is the gentler path; a dermatologist has more.

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 sensitive skin wants

Fragrance-free creams with short ingredient lists; soothing agents such as colloidal oatmeal, panthenol, allantoin and centella. Patch-test everything behind the ear for three days.

Cleanser: a fragrance-free cream or micellar cleanser. Go easy on: Fragrance and essential oils, high-strength acids and retinoids started without a ramp, physical scrubs, and alcohol denat. high on the list.

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.