What is the best skincare routine?

Hello Aaron Thank you for your question. In addition to what Dr Winston has mentioned, you can consider changing the topical retinol (usually over the counter) to a prescription based retinoid such as retin-A. It can be applied every other night initially and you can gradually increase it to 5 to 6 times per week as tolerated. You can also consider doing 20-30% salicylic acid (BHA) peels fortnightly. This is a safe chemical peel which is effective in treating oily skin, acne skin and comedones. Oral antibiotics can also be given if you are not responding to topical treatments.

Thank you for your question. In managing facial dermatitis or eczema, it is important to ensure that you use gentle products like soap free cleansers and moisturisers on the face. Sometimes, less is better, so avoid using too many products on the face if possible as that may sometimes cause more irritation. As for the rashes recurring after discontinuation of the steroids, it could be due to a relapse of the eczema or a condition known as perioral dermatitis, which is steroid induced rash on the face.