[misc] Another busy med students simple evidence based routine. Extremely sensitive skin edition. | Kr Laser

published on Jan 21, 2020



I am based in europe, northern europe to be specific, so not sure how much of this is available outside of where I live. But I will post the ingredients for all of it, there are probably several products out there with the same basic concepts. Its not really about specific products as much as ingredients for me.

I have atopic dermatitis, so a very sensitive skin type on the dry side. I have type 1 skin, so very pale. I am horribly allergic to phenoxyethanol, so all of my products are phenoxyethanol free. I am also easily sensitized to just about anything. I focus mainly on maintaining a healthy skin barrier, because most problems for me tends to accompany when there is a breech here. This includes acne, dermatitis and allergic reactions. I am more robust if I take care of the barrier. This is also why barrier repair and maintenance is the main treatment for people with dermatitis. So my skin is a huge dramaqueen *****, but with the right care it can be almost porcelain.


I only use sunscreen in the morning. I only cleanse at night. I also don’t use makeup beyond tinting brows and lashes. Sometimes I will use a tint on my cheeks (smashbox glow).

I use **ACO Ato-protect spf 50** every morning, wether I leave the house or not, rain or shine.

Ingredients: aqua, c12-15 alkyl benzoate, ethylhexyl salicylate, methylene bis-benzotriazolyl tetramethylbutylphenol (nano), bis-ethylhexyloxyphenol methoxyphenyl triazine, diethylamino hydroxybenzoyl hexyl benzoate, ethylhexyl stearate, ethylhexyl triazone, myristyl myristate, silica, glycerin, niacinamide, propanediol, diglycerin, butyrospermum parkii butter extract, panthenol, “1,2-hexanediol”, tocopheryl acetate, myristyl alcohol, cetyl dimethicone, stearyl dimethicone, canola oil, decyl glucoside, behenyl alcohol, vp/eicosene copolymer, carbomer, potassium cetyl phosphate, sucrose stearate, xanthan gum, polyglycerin-3, propylene glycol, sodium hydroxide, citric acid, potassium sorbate

Its great for dry skin, but at least on my skin its not greasy looking at all. I find most sunscreens for sensitive skin tend to leave a shine on my face, especially with the amount I use, but this one doesnt. I have liked the La Roche Posay sunscreens in the past, specifically shaka fluide invisible, but it actually tended to very slightly irritate my skin. Just enough to impact texture negatively. With this, its all baby smooth. But if your skin is less of a dramaqueen than mine, LRP shaka fluide is immaculate. The UV filters in all of these are pretty photostable and the sunscreens are long lasting.


I double cleanse. First I gently massage **Avene tolerance cleansing lotion** on my dry skin, and then jump in the shower. After I rinse it thorougly, I follow up with **Eucerin dermatoclean refreshing cleasning gel**. I will sometimes **gently** use a clean wash cloth at the end step of this, but not always. Eucerin is so efficient at removing my oil cleansers that even pure mineral oil as an oil cleanser has been taken off with ease.


Ingredients for Avene tolerance cleansing lotion:

Avène Thermal Spring Water, Glycerin, Caprylic/Capric Triglyceride, Squalane, Behenyl Alcohol, Acrylates/C10-C30 Alkyl acrylate crosspolymer, Carbomer


Ingredients for Eucerin dermatoclean refreshing cleansing gel:

Aqua, Glycerin, Coco-Betaine, Coco Glucoside, Glyceryl Glucoside, Acrylates-C10-30-Alkyl-Acrylate-Crosspolymer, Sodium Hyaluronate, Trisodium EDTA, Sodium Chloride, Sodium Benzoate


This removes all the sunscreen for me and leaves it feeling clean. I don’t use makeup, so I obviously can’t vouche for its ability in doing that, but I cake on quite a bit of sunscreen.

After I step out of the shower, I use **La Roche Posay toleraine ultra dermallegro serum** on wet skin. I never dry my skin using a towel. I have also used pure glycerin, I just put a few drops on my wet hand after I get out of the shower and smack it on my face. It actually works really well.

Ingredients for La Roche Posay toleraine ultra dermallegro serum:


After I feel that this has sufficiently absorbed in to my skin, after 30 seconds or so, I will seal it all with **Locobase repair special creme**. This is my holy grail product, and I don’t know what I would do in life without it. Its from a danish pharmacy brand.

Its a very greasy cholesterol type cream, so not suitable for oily skin types at all. But its absolutely immaculate to repair your skin barrier and keep it healthy for drier skin types. I also use it on my lips and hands at night, which would be great for anyone regardless of skin type. When I wake up in the morning I personally don’t feel greasy at all, just thoroughly moisturized and dewy, but keep in mind that I do have a dry skin type. I am acne prone at times, and this doesnt break me out. I find that the better my barrier is maintained, the less acne I get, but thats just a hypothesis. Acne often accompanies atopic flares for me, and it almost exclusively happens if I don’t moisturize or if I am exposed to allergens. I did try cerave, but cerave has phenoxyethanol and gave me severe allergies. This is a simpler cream with similar benefits, but greasier.

It has cholesterol, ceramides and just seales it all inside with a petrolatum base. It has a white creamy consistency, so not like vasline even if the ingredients list might seem like it.

Ingredients for locobase repair:

Petrolatum, Aqua, Paraffin, Paraffin Liquidum, Glycerin, Sorbitan Oleate, Copernica Cerifera Wax, Cholesterol, Ceramide 3, Oleic Acid, Palmitic Acid, Tromethamine, Carbomer


I’ll alternate the use of **airol tretinoin 0,5mg/g** and **finacea 15% azelaic acid** at night, but I need at least a couple of days between each tretinoin application because it does tend to go a bit drying and irritating if I dont. I put these on top of locobase because it massively decreases sensitivity to these products.

Collectively they do a lot to keep a nice skin texture, and as you all know they are among the very few active ingredients with a robust set of data supporting its use for combatting skin aging. Azelaic acid is also antiinflammatory. Both fight acne.

Not pictured is **decubal dry spots and lip balm**, which I use on my lips when ever I feel like it, and on top of locobase on my lips at night. I have never had a lip balm quite so effective. I also sometimes use it on my cuticles at night, on top of locobase on my hands. I have barely had dry lips since I started using this, despite dry cold climate up here. Its just amazing. I easily get dry lips, especially in winter, and this just cures it entirely for me.

Ingredients for decubal lips and dry spots balm:

Petrolatum, lanolin, paraffinum liquidum, cera alba, ricinus communis oil, tocopherol.

So there you have it. My routine mainly consists of maintaining my skin barrier with simple ingredients and as few irritants as possible, protecting against the sun with as little irritation as possible, and retinol and azelaic acid as actives. I aim to use as few ingredients as possible just because it reduces the likelihood of sensitizing my skin, and if it does its easier to single out the enemy.


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