How can niacinamide cream cure acne

That's how simple the facial routine that made my hormonal acne disappear is

Skin a week before tablet and skincare regime.
While many take delight in experimenting with a range of brightly colored, shimmery products on their first foray into the beauty world, makeup for me meant putting on thick layers of concealer around my cystic blackheads, breakouts of white pimples, and inflamed red scars to cover my teenage skin.
"Pizza face", "Krater face" - I had all these names until I finally gathered my courage and visited my doctor when I was 13 - and it was anything but helpful. First came Epiduo, an over-the-counter surface treatment that uses adapalene and benzoyl peroxide to dry out the pimples (and every other inch of your skin, too). Then Acnecide, a gel cream that made my face fall off to the core.
Like many teenagers, I gave up, and by the time I was 18, when my raging hormones seemed more mature, the acne got just a tiny bit better. At least until I turned 25 and she came back in full force.
As a beauty journalist, everything seemed a lot worse than before.
I'm supposed to be able to offer advice on how to look and feel good, but I felt like a cheater - I could mine own Do not keep skin under control. I had to cancel dates, plans with friends, and even work meetings just because I was embarrassed to show my face.
Times of desperation have screamed for desperate measures and I did the only thing I knew about - I made an appointment with my GP - just to give me the option to take a birth control pill that could potentially make my acne worse (and, not to mention, interfering with my sanity) or taking Duac, another benzyl peroxide antibiotic cream.
I couldn't really believe doctors were still treating acne with this stuff. It turns your skin into sandpaper, burns like hell, and even bleaches your clothes if you're not careful enough. However, what is worst about it is that it doesn't fix the cause. It doesn't even touch the surface.
I went to Skin 55 on Harley Street to see dermatologist Dr. To consult with Anjali Mahto in a last-ditch effort to improve my skin forever - and it's the best I have ever done.
Skin a week before taking tablet and beginning skincare regime.

Polycystic Ovaries (PCOS) and Hormonal Acne

When I got to Dr. Mahto, who inspected my face under a microscope, rewound my medical history, she concluded that most likely my polycystic ovaries - a hormonal disorder that affects around every tenth woman in Germany - were the culprits behind the blackheads along the cheeks, chin, chest and back .
Other symptoms of PCOS include extreme hair loss, oily skin, irregular periods, and weight gain to name a few, but it was the annoying red pimples that pulled me down the most.
Amazingly, after the visit, I felt for the first time that there was still hope that I wouldn't have to go without dairy products or ruin my clothes with over-the-counter medicines in order to achieve my goal. It was, in fact, quite simple.
The first thing I was introduced to was spironolactone. Some refer to this pill as a real "miracle cure", especially for women, mainly because the treatment of acne is an off-label use of this medicine, which is commonly used to lower high blood pressure. It helps people with hormonal acne as it has an anti-androgenic effect that counteracts the male hormone testosterone and excessive oil production, both of which can be responsible for the development of acne. It's a lot less aggressive than Accutane and a lot more efficient than antibiotic treatment Nothing against hormonal pimples.
I started with a six-week dose of 25mg daily and was very impressed with the purity, smoothness and dull feel of my skin - after just seven days of use. The second week I increased the dose to 50mg, later to 100mg, and I haven't had a single massive outbreak since then.
Clear skin: day 6 and day 7.

My new facial routine

It's practically my job to test every newly launched beauty product that lands on my desk. But if there's one thing I've learned about problem skin, it's that less really means more and that you should choose your ingredients carefully.
Dr. Mahto gave my skin care routine - in collaboration with spironolactone - a complete overhaul.
As soon as this cleansing gel turns into a foam, it dissolves any trace of oil to leave the skin fresh, dull and sparkling clean, without leaving any uncomfortable firmness or irritation. Massage it into damp skin for a minute, then rinse off.
I've dumped my luxury moisturizers and "miracle" serums for more glow. Niacinamide, the main ingredient in Effaclar Duo [+], normalizes pores, regulates oil production and over time, red spots are completely forgotten, while leaving the skin feeling dull. It doesn't skimp on moisture and makes a great make-up primer.
Acne-prone skin needs a mix of AHAs and BHAs to keep it under control, which is why medic8's foaming facial cleanser comes into play. The contained L-mandelic acid keeps the formation of oil in check, while salicylic acid works its way through the sticky mixture of excess sebum and skin cells to prevent constipation. It dissolves on contact with damp skin, but keep massaging it into your skin nonetheless. It works!
The 5% glycolic acid removes dead skin cells that have become trapped in excess sebum and lead to pimples. Just soak a cotton pad and off you go. After six weeks, you can then incorporate a stronger glycolic agent into your routine.
Every other evening you have to bring up the heavier guns. A few drops of this retinoid applied after cleansing the face in the evening,
supports your cells in regenerating at lightning speed - that means fewer clogged pores, fewer breakouts, fewer scars and all around softer and more radiant skin.
I'm not saying this routine will work for everyone. I still get annoying pimples every now and then, especially when it's my time of the month again (or when I forgot to wash my makeup brush). However, my skin finally feels "normal". I no longer hold my head down in the subway, I no longer collapse in front of the mirror and I no longer say no to my friends.
My advice? Discuss your options with a dermatologist. Mention spironolactone when talking to your family doctor. And stop wasting precious time and money on an astringent or 10 step skincare routine that does more harm than good. Just give this one a try.