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It's refreshing to read something useful mirinBiomaxxes full guide to clear skin
isotretinoinmodifies keratinization and barrier function in the lips. The vermilion becomes drier, but also thinner in the stratum corneum, which can make vascularity more visible and appear as bigger, fuller lips
View attachment 53986
Starting of with a personal favourite
Isotretinoin works by-
Reducing size and activity of Sebaceous glands*, drastically cutting sebum* production, also indirectly killing bacteria
Induces keratinization*, reduce formation of microcomedones*
Lowers inflammation, reducing irritation and future scarring
What else does it do ?-
View attachment 53985
In areas where this glandular density is high (nose, nasolabial folds, central face), this reduces volume and surface oiliness, making contours appear sharper.
Side effects -
Dry skin-
The gaint drop in sebum production means the skins main natural hydrator is lowered, dry skin then causes breaks, flaky skin and it just looks bad
Dry lips-
Again, the drop in sebum elimates that natural layer, lips crack and become raw.
This looks unhygienic
Dry eyes-
Something really bad for myself, meibomian glands in the eyelids are shrunk, meaning that the protective oil layer is reduced
Photosensitivity-
Isotretinoin makes the skin very sensitive to ultraviolet rays (the sun), your skin burns twice as easily
Initial acne flare ("purge")
accelerated turnover and normalization of the follicular epithelium* meaning Microcomedones and existing clogged follicles are pushed through the skin
Tips and fixes-
Taking Isotretinoin with a fatty food-
Isotretinoin is fat soluble, meaning a higher absorption rate when digesting with a fat.
Antihistamines during the purge-
This drastically lowers inflammation and the potential runny noses
Sunscreen-
Due to the increased Photosensitivity, sunscreen is an absolute MUST, "muuhh goatis said.. " , you will burn, you will burn horribly, you will get skin cancer
Copious amount of vaseline and moisturiser-
The skin and lips completely lack oil, you need to be carrying both things with you at all times
Dosing-
0.5 mg/kg/day
Do not go above
1mg/kg
The traditional goal is a cumulative dose of about 120 to 150 mg/kg over the entire course
I give it a 9/10
topical estrogen
Femboymaxxing
View attachment 53987
how does it work ?-
activates fibroblast estrogen receptors, increasing collagen gene expression and reducing collagen breakdown via MMP* inhibition
Upregulates hyaloronic acid synthase enzymes in fibroblasts and keratinocytes, increasing dermal water binding
Reduces transepidermal water loss
Enhances keratinocyte* proliferation and differentiation and supports growth factor signalin in dermal regeneration.
Resulting in-
Improved elasticity Improved skin hydration Thicker dermis "Youthful" skin
side effects-
really not much, some skin irritation upon application
Haven't tried it myself so im not sure
Topical minoxidil
View attachment 53990
Started using this recently js to test, less of a "aggressive" acne look, less redness
how it works-
Opens ATP sensitive potassium chanels, promoted blood flow and hyperpolarization* in the dermal
Increases vascular endothelial growth factor expression in dermal papella and surrounding skin
Minor modulation of dermal fibroblast activity
Side notes-
May cause unwanted hair growth
Not the most effective on this
I give it a 4.5/10
botoxside effects-
Commonly used in a cosmetic sense (mesobotox, microbitox)
Temporary (<6 months)
View attachment 54007
how it works-
Blocks acetylcholine* release at neuromuscular nerve endings
Decreases acetylcholine caused sebum production
paralysis of dermal muscles and reduced sebum output leads to decreased pore visibility and smoother surface
Inhibits sweat gland activity, leading into reduces swelling and oil mixing
reduction of neurogenic inflammation via decreased release of substance P and CGRP*
Pain, burning, or stinging at injection sites
Dermal muscles paralysis
Repeated use can cause slower facial wound healing and infection response
I give it a 7/10
how does it work-side effects-
Reduced lipogenesis and triglyceride synthesis* through AMPK inhibition
Downregulation of NF-κB* activity, lowering pro-inflammatory cytokine production
how to make-
you will need-
Raw metformin (as fine as possible)
water
Mix at a 1:8 ratio
Incorporate some type of skin safe gel (moisturiser)
Mix with water solution
Dermaneedle mixture into skin
Temporary Irritation and redness
Barrier disruption
Peeling (keratinocyte turnover)
I rate it a 6/10
(Need more info, pro:Con isnt great)
Tazarotene
View attachment 54028
how it works-
Selective retinoic acid receptor RARβ/RARγ agonist*
Normalizes keratinocyte life cycle (proliferation and differentiation)
Increases dermal cell turnover
Reduces inflammatory signaling in acne lesions
improvemnt in dermal collagen synthesis and mediated MMP collagen loss
results-
reduced comedones Reduced inflammation Smoother skin Improved scarring pigmentside effects-
dry skin
Redness
peeling
Photosensitivity
I rate it a 8/10
very nice
Azelaic acid
10% or more
View attachment 54034
how its works-
Inhibits mitochondrial oxidoreductase* enzymes, reducing cellular proliferation in hyperactive keratinocytes.
Normalizes keratinization within the follicle
antimicrobial activity against Cutibacterium acnes
Inhibits tyrosinase activity in melanocytes* reducing excess melanin production
Reduces inflammatory cytokine production
results-
Reduced acne and comedones Reduced facial redness Even skin tone and texture
sides-
Burning upon application
Dry skin
Overall Temporary Irritation
I rate it a 8.5/10
Easily one of the best Topicals
Arguably mogs tret
And speaking of....
Tretinoin
Hold the iso
View attachment 54036
how it works-
Binds to retinoic acid receptors, aaltering the gene expression
Accelerates dermal cell turnover
Increases collagen synthesis and reduces MMP mediated collagen loss
results-sides-
reduced comedomes Reduced inflammation Smoother skin brev Great healing factor
Dry skin
Peeling
Redness
Photosensitivity
"Purge"
I rate it a 6.5/10
Its not bad but very overhyped
"Mmuuuhh u rate iso higher"
Suck my dick faggot
Clascoteroneside effects-
Aas protection for @Includings
View attachment 54047
how it works-
Topical anti-androgen
competing with DHT and testosterone for androgen receptor binding in the skin
Reduces androgen driven sebum production
Decreases androgen driven inflammatory signaling
Acts locally in the skin with minimal systemic exposure.
Near completely corrects and stops all androgen driven skin issues
same as most topicals
Redness
Burning
Irritation
I give it a 4/10 for avg use
On AAS I give it a 8.5/10
Topical calcitriol
View attachment 54053
How it works-
Activates the vitamin D receptor in keratinocytes
keratinocyte proliferation, reducing excessive dermal cell growth
promotes proper keratinocyte maturation and differentiation
Modulates immune signaling by reducing production of pro inflammatory cytokines
Resulting in-
Reduced scaling and plaque formation improved skin barrier function reduced inflammation More dermal turnoverI give it a 5/10
Simply js improves skin structure and barrier
Copied directly of studies
Sebum-
The oily substance naturally produced by the skin. It helps lubricate and protect the skin and hair.
Sebaceous glands-
Small glands attached to hair follicles that produce and release sebum.
Keratinization-
The process by which skin cells mature, harden, and move toward the skin surface before being shed.
Follicular epithelium-
The layer of skin cells lining the inside of a hair follicle.
MMP (Matrix Metalloproteinase)-
A group of enzymes that break down collagen and other structural proteins in the skin.
Keratinocyte-
The main cell type found in the epidermis. These cells produce keratin and make up most of the skin's outer layer.
Hyperpolarization-
A change in a cell's electrical charge that makes it less likely to become activated.
Acetylcholine-
A neurotransmitter used by nerves to communicate with muscles, sweat glands, sebaceous glands
Substance P and CGRP-
Signaling molecules released by nerves that promote inflammation, redness, pain, and blood vessel dilation.
Triglyceride synthesis-
The process by which cells produce triglycerides, the main fats stored in tissues and found within sebum.
NF κB-
A protein complex that acts as a master switch for inflammation, turning on genes involved in immune and inflammatory responses.
RARβ/RARγ agonist-
A compound that activates retinoic acid receptors beta and gamma, altering gene expression involved in skin cell growth and differentiation
Oxidoreductase-
An enzyme that helps transfer electrons between molecules during metabolic reactions.
Melanocytes-
Specialized skin cells that produce melanin, the pigment responsible for skin, hair, and eye colour.

