Ayurveda for Acne and Rosacea – part II

The word Ayurveda translates to “the science of life” (Ayru – life and Veda – science). Ayurveda has brought true health and wellness to millions of individuals throughout the ages with simple changes in daily living practices. Incorporating just a few of these proven methods into your lifestyle can bring about radical changes in your life.

It is currently considered a form of complementary and alternative medicine (CAM) within the United States of America, but this ancient art of healing has been practiced continuously for over 5,000 years.

That said, there are some specific treatments that many recognize as effective treatments for skin conditions. For starters, regardless of the skin condition, Ayurvedic practitioners suggest staying hydrated. Ayurvedic practitioners believe that water helps to naturally stabilize dry or oily skin. Drinking enough water also helps prevent the loss of moisture through the skin, which helps to promote overall wellness.

Ayurveda also recommends adhering to a daily regimen for proper skin care, including the use of a natural soap and the use of natural skin moisturizers. This is true whether a person has naturally dry skin or suffers from a more serious condition such as psoriasis. The key is to make sure that the moisturizer is, in fact, natural, containing only substances such as aloe vera—a natural antibiotic that many believe is particularly helpful in the treatment of many skin conditions. Unfortunately, many commercially available moisturizers contain preservatives and other chemicals, and do not fully absorb into the skin, instead remaining on the surface and sometimes clogging pores as a result.

In addition to proper hydration and skin care, Ayurvedic medicine has identified three natural supplements that appear to help treat a wide range of skin conditions—neem, haemafine syrup and khadir. All three of these are widely prescribed to treat acne, psoriasis, and eczema, although many believe they can be used to treat any skin condition. The tree stem, root, and bark of neem, a large evergreen tree, have antibacterial properties. It is used in supplement form to treat skin conditions. In addition, many Ayurvedic soaps contain neem extract. Haemafine syrup is a natural solution made up of more than a dozen herbs. It is used as a remedy for all types of skin diseases through its natural blood purification properties. Khadir, also known as the acacia catechu herb, is another natural blood purifier used to treat skin conditions.

Besides supplements, some Ayurvedic sources also suggest that a person with a skin condition receive an abhyanga, a traditional Ayurvedic massage that uses herbalized oils to draw toxins out through the skin.

Is Ayurveda Safe?

Ayurvedic practitioners argue that their treatments have fewer side effects than prescription drugs and other traditional medical therapies, since Ayurveda is a completely natural approach. However, certain treatments, such as herbal supplements, should be taken with caution, since they can interact with other medications or even produce side effects such as rises in blood pressure. So as with any new medical treatment, consult your doctor prior to beginning any Ayurvedic therapies. This is especially true for people with pre-existing conditions such as diabetes, or for women who are pregnant.

Acne Symptoms and Treatments

SYMPTOMS

Acne is often not apparent to an observer. Inflamed pores, however, can cause pain or itching. The most troubling aspect of acne for many people is the scarring that can occur. And, while acne may not be very noticeable, individuals tend to be sensitive about their appearance. Teenagers especially may become concerned about the way other people react to them.

DIAGNOSIS

People with acne are often treated by family doctors. More serious cases are referred to a dermatologist (a specialist in skin disorders) or an endocrinologist (a specialist in hormonal disorders).
Because of its appearance, acne is not difficult to diagnose. A doctor takes a complete medical history, which includes questions about skin, diet, medication use, and other factors associated with risk for acne. He or she conducts a physical examination of the face, upper neck, chest, shoulders, back, and other affected areas. The doctor determines the number and type of blemishes, whether they are inflamed or not, whether they are deep or near the surface of the skin, and whether there is scarring or skin discoloration.
Laboratory tests are not done unless the patient appears to have a hormonal disorder. In that case, blood tests and other tests may be ordered. Most insurance plans cover the cost of diagnosing and treating acne.

ANTI-ACNE DRUGS
Brand Name (Generic Name) and their pssible common side effects:

Accutane (isotretinoin) > Dry skin, dry mouth, conjunctivitis
Benzamycin > Dry and itchy skin
Cleocin T (clindamycin phosphate)    Dry skin
Desquam-E (benzoyl peroxide) > Itching, red and peeling skin
Erythromycin topical (A/T/S, erycette, t-stat) > Burning, dry skin, hives, red and peeling skin
Minocin (minocycline hydrochloride) > Headache, hives, diarrhea, peeling skin, vomiting
Retin-A (tretinoin) > Darkening of the skin, blistering, crusted, or puffy skin

Ayurvedic overview for Acne and Rosacea

Many of you may be curious, what is Ayurveda and how’s it going to help my acne?

The word Ayurveda translates to “the science of life” (Ayru – life and Veda – science). Ayurveda has brought true health and wellness to millions of individuals throughout the ages with simple changes in daily living practices. Incorporating just a few of these proven methods into your lifestyle can bring about radical changes in your life.

It is currently considered a form of complementary and alternative medicine (CAM) within the United States of America, but this ancient art of healing has been practiced continuously for over 5,000 years.

Where Ayurveda differs is in its approach. Unlike other treatment methods, Ayurveda is a comprehensive, holistic system that uses a variety of therapies in an attempt to bring about fundamental change in a person’s lifestyle.

Ayurveda states that each person is unique, exhibiting a distinct energy pattern that is a combination of physical, mental and emotional characteristics. These energies manifest themselves within three doshas, or regions within the body. The three doshas and their perceived locations are vata (colon), pitta (small intestine), and kapha (stomach).

There are more than 20 types of Ayurvedic treatments. These include herbs, nutritional changes, healing oils, massage therapy, meditation and breathing exercises, yoga and other forms of exercise, as well as inducing a person to sweat, move his or her bowels, or even vomit to cleanse the body of toxins.

According to Ayurveda, ojas is the source of the body’s immunity and the subtle substance that gives healthy skins it’s natural glow. When ojas is depleted, the immune response is weak and the skin becomes lifeless. Low ojas and low immunity result from the same cause: an overload of physical, chemical or psychological stress. Ayruveda describes this overloaded condition as an imbalance of the three doshas, and seven dhatus (or body tissues).

For example, acne rosacea is a blood disease and therefore originates in the second tissue. Whether the stressor is the wrong food or an undigested emotion, it takes a couple of weeks from the time the stress occurs for this type of type to break out. Cystic acne, on the other hand, is a disease of the fat tissue–or fourth dhatu-and takes as long as three to four weeks to appear on the skin. Cancer, a disease of the bone marrow and reproductive tissue –the sixth and seventh dhatus, may exist in the body as long as seven years before being discovered.

The basic premise here is one that western medicine is only now beginning to recognize–that every organ, tissue and cell in your body, are directly connected to each other. The skin and the mind form from the same embryonic tissues in the womb. Our skin can be seen as our second brain and the mirror of our thoughts and emotions. What you eat or drink can affect your mind as equally as how you think or feel can affect your body. This is experiential fact, for any of you who may have enjoyed too much alcohol at one time or felt your stomach turning the last time you were nervous or upset.

Ayurvedic practitioners believe that they must first identify which of a person’s doshas are out of balance before suggesting treatment methods. Symbiotically, whatever substance is absorbed into the skin will have an effect on the individuals’ body tissues and vice versa.

That said, there are some specific treatments that many recognize as effective treatments for skin conditions. For starters, regardless of the skin condition, Ayurvedic practitioners suggest staying hydrated. Ayurvedic practitioners believe that water helps to naturally stabilize dry or oily skin. Drinking enough water also helps prevent the loss of moisture through the skin, which helps to promote overall wellness.

Ayurveda also recommends adhering to a daily regimen for proper skin care, including the use of a natural soap and the use of natural skin moisturizers. This is true whether a person has naturally dry skin or suffers from a more serious condition such as psoriasis. The key is to make sure that the moisturizer is, in fact, natural, containing only substances such as aloe vera—a natural antibiotic that many believe is particularly helpful in the treatment of many skin conditions. Unfortunately, many commercially available moisturizers contain preservatives and other chemicals, and do not fully absorb into the skin, instead remaining on the surface and sometimes clogging pores as a result.

In addition to proper hydration and skin care, Ayurvedic medicine has identified three natural supplements that appear to help treat a wide range of skin conditions—neem, haemafine syrup and khadir. All three of these are widely prescribed to treat acne, psoriasis, and eczema, although many believe they can be used to treat any skin condition. The tree stem, root, and bark of neem, a large evergreen tree, have antibacterial properties. It is used in supplement form to treat skin conditions. In addition, many Ayurvedic soaps contain neem extract. Haemafine syrup is a natural solution made up of more than a dozen herbs. It is used as a remedy for all types of skin diseases through its natural blood purification properties. Khadir, also known as the acacia catechu herb, is another natural blood purifier used to treat skin conditions.

Besides supplements, some Ayurvedic sources also suggest that a person with a skin condition receive an abhyanga, a traditional Ayurvedic massage that uses herbalized oils to draw toxins out through the skin.

Take this quiz to check your skin condition

http://familydoctor.org/online/famdocen/home/tools/symptom/545.html

Skin Rashes and Other Changes

See complete list of charts.

The location, appearance and color of a rash will help your doctor make a diagnosis. Look for care suggestions on this chart for common rashes and other skin conditions.

SYMPTOMS		DIAGNOSIS		SELF-CARE
1. Is your face, chest or back covered in small, pus-filled sacs or pimples, blackheads or sore, red bumps?		This may be ACNE, a common skin problem that often begins in adolescence.		See your doctor if over-the-counter acne treatments, such as benzoyl peroxide, don’t help. Gently washing your face with mild soap on a regular basis may be helpful. Sometimes prescription medicines, such as an antibiotic, may be prescribed by your doctor.

What to know about skin care products

For you as a consumer in the billion-dollar skin care industry, lack of information about products is costly, and you have to bridge the gap between. Without accurate information, you are throwing your money away, because you are completely at the mercy of advertisers and marketers. Knowing more specific information about your skin needs, such as your true skin type, you can take control of your skin.

In 2001, the average American owned about five hundred dollars’ worth of cosmetic products, and this amount has surely risen dramatically as more and more expensive product lines have been developed since that time. Do you really need to spend that much to get quality skin care? No. What truly matters is not your skin cream’s price, but whether it’s right for your Skin Type. No matter how glamorous its packaging or delicious its feel, that four-hundred-dollar cream is not right for everyone. (In fact, some types don’t need to use any skin cream at all.)

Proper information – not hype - will save you the expense, trouble, and waste of buying the wrong products-while directing you to the right ones. Ingredients are the only thing that should drive your purchasing decisions and once you’ve learned what all the jargon and 14-syllable words mean, you too will be better able to read a cosmetic label and figure out if it’s appropriate for you.
Again, products should be chosen based on their ingredients first, manufacturing practices, and formulations.
Also try to research the clinical trial data of the products, when available, to choose wisely those that have proven effective.  Leading dermatologists recommend following these criteria before buying any skin care:

Make sure the product…

1. Contains the right ingredients for your skin type
2. Contains sufficient amounts of active ingredients to be effective
3. Do not contain counterproductive ingredients
4. Are formulated effectively for your needs
5. Are packaged to maintain stability of the active ingredients
6. Are cosmetically elegant (smell good and feel good)
7. Are Approved from those who’ve used them
8. Are easily available for purchase

Ayurveda Skin Remedies II

One of Ayurveda’s fundamental concepts is that health and disease are holistic-that is, whatever happens in one part of the body happens to the whole body. There are no isolated health problems. Any physical or psychological symptom of imbalance indicates an imbalance in the body-mind unit. Keep this holistic picture in mind as you look over the common skin problems below.

Listed below are external remedies for the most common skin problems. (Several of them are the contribution of Dr. Kirit Pandya, one of India’s foremost Ayurvedic physicians specializing in skin disease.) But please be aware, even a topical ointment or detoxification treatment is only a temporary remedy. If you continue with unhealthy lifestyle choices, new toxins will soon appear.

FRECKLES
Imbalance: Pitta.
Aggravated by: Sun.
Treatment:
•    To bleach, rub on cottonseed oil or crushed pumpkin seed kernels + olive oil.
•    Mix 1 tsp yogurt + 2-3 drops honey to make a natural bleach. Apply, leave on for 4 hours, then rinse.

W H I T E SPOTS AND LEUCODERMA
Imbalance: This condition is usually hereditary.
Aggravated by: Small white spots are caused by stress, excess salt. Leucoderma, or large white patches, is hereditary.
Treatment:
•    Internal cleansing.
•    Sunlight.
•    Apply a few drops each neem & bakuchi herbal oils directly to spots to reduce external symptoms.

AGE SPOTS
Imbalance: Vata or Pitta.
Aggravated by: Old age, cold weather.
Treatment:
•    Do internal cleansing treatment at change of season.
•    Massage with Vata-pacifying oils or Tej Saffron Oil.

BLACKHEADS
Imbalance: Kapha.
Aggravated by: Excessive oil secretions.
Treatment:
•    To loosen, add a pinch of Epsom salts to a cup water. Dip cotton ball in mixture and wash face.
•    ‘Apply a mask of ground fresh parsley on oily area. Lie down for 10- 15 minutes, then cleanse, nourish, and moisturize as usual.

PSORIASIS
Desrription: Silvery flakes mostly on scalp but may appear on any part of body. Characterized by chronic and excessive dryness and irritation.
Imbalance: Vata 8c Pitta.
Aggravated by: Liver dysfunction, anxiety, stress, ungroundedness.
Treatment:
•    Bathe with horsetail herbs wrapped in cheesecloth in your tub. After bath, apply neem oil + ghee or karanj oil twice a day.
•    Do daily self-massage
•    Do yoga or other non-aerobic exercise until you are sweating mildly (good for detoxification, stress reduction).
•    Supplements: Take recommended daily dosage of primrose oil, cod liver oil, lecithin, vitamin E, and zinc.

ECZEMA
Description: There are three types of eczema: Dry patches (dry eczema) or moist, burning, inflamed red patches (burning eczema) typically appear around the joints but may appear anywhere on the body. Pussy, oozing patches (wet eczema) or dry itchy patches typically appear around eyes, brows, nose, or scalp, but also may be anywhere on the body.

DRY PATCHES
•     Mix 10 drops sandalwood oil + 1 oz castor oil and apply to dry area.
Imbalance: Vata (dry). Pitta (moist, inflamed, red, burning). Kapha (pussy if moist, itchy if dry).
Aggravated by: Improper diet, blood toxicity, constipation, stress, undigested emotions, excessive sun, saltwater.
Treatment:
•    Mix equal parts neem + brahmi + basil herbal oils (all available from Tej), and apply.
•    Mix 1/2 tsp camphor + 2 tsp zinc oxide + 7-8 tsp corn or potato starch, and apply.
•    Apply a light compress of rose petals + nettle + comfrey in water.
•    Cut an aloe leaf and apply sap directly to skin.
•    Add a few drops of chamomile, geranium, juniper, or lavender essential oil to coconut oil, and apply.
•    Take baths with comfrey and nettle decoctions.
•    Massage feet and scalp at night with brahmi oil.
•    Supplements: Daily take 1-2 tsp cod liver oil or primrose oil, 800 units vitamin E, 30 mgs zinc, recommended daily dosage of vitamin B-complex and lecithin. Take 1/2 tsp triphala at bedtime as laxative. Avoid salt, sugar, fats, onions, garlic, radishes; eat carrots and musk melon.

Protect Your Skin From The Sun

Protective Measures

From the Skin Cancer Foundation:

Protect yourself from UV radiation, both indoors and out. Always seek the shade outdoors, especially between 10 AM and 4 PM. And since UVA penetrates glass, consider adding flat, tinted UV-protective film to your car’s side and rear windows as well as to house and business windows. This film blocks up to 99.9 percent of UV radiation and lets in up to 80 percent of visible light.

Outdoors, dress to limit UV exposure: Special sun-protective clothes with UPF (ultraviolet protection factor) indicate how much UV radiation can penetrate the fabric; the higher the UPF, the better. A shirt with an UPF of 30, for example, means that just 1/30th of the sun’s UV radiation can reach the skin. Laundry additives can also be washed right into regular fabrics to provide higher UPFs. However, you can enhance your sun safety simply by learning to evaluate everyday fabrics’ sun protection qualities and choosing those with the best protection. For instance, bright- or dark-colored, lustrous clothes reflect more UV radiation than do pastels and bleached cottons; and tightly woven, loose-fitting clothes provide more of a barrier between your skin and the sun. Finally, broad-brimmed hats and UV-blocking sunglasses help shield the sensitive skin on your head, neck, and around the eyes — areas that usually sustain a lot of sun damage.

More tips on sun safety can be found in our Guidelines.

Sun Protection Factor (SPF) and UV Radiation

Since the advent of modern sunscreens, a sunscreen’s efficacy has been measured by its sun protection factor, or SPF. SPF is not an amount of protection per se. Rather, it indicates how long it will take for UVB rays to redden skin when using a sunscreen, compared to how long skin would take to redden without the product. For instance, someone using a sunscreen with an SPF of 15 will take 15 times longer to redden than without the sunscreen. An SPF 15 sunscreen screens 93 percent of the sun’s UVB rays; SPF 30 protects against 97 percent; and SPF 50, 98 percent. The Skin Cancer Foundation maintains that SPFs of 15 or higher are necessary for adequate protection.

Sunscreen Ingredients

Since both UVA and UVB are harmful, you need protection from both kinds of rays. To make sure you’re getting effective UVA as well as UVB coverage, look for a sunscreen with an SPF of 15 or higher, plus some combination of the following UVA-screening ingredients: stabilized a avobenzone or helioplexTM, ecamsule (a.k.a. Mexoryl™), oxyben-zone, titanium dioxide, and zinc oxide. You may see the phrases multi spectrum, broad spectrum or UVA/UVB protection on sunscreen labels, and these all indicate that some UVA protection is provided. However, because there is no consensus on how much protection these terms indicate, such phrases may not be entirely meaningful.

There are currently 17 active ingredients approved by the FDA for use in sunscreens. These filters fall into two broad categories: organic/chemical and inorganic/physical. Most UV filters are organic: They form a thin, protective film on the surface of the skin and absorb the UV radiation before it penetrates the skin. The inorganic sunscreens are insoluble particles that reflect UV away from the skin. Most sunscreens contain a mixture of organic and inorganic active ingredients.

FDA-Approved Sunscreens
Active Ingredient/UV Filter Name	Range Covered
	UVA1: 340-400 nm
	UVA2: 320-340 nm
	UVB: 290-320 nm
Chemical/organic absorbers:
Aminobenzoic acid (PABA)	UVB
Avobenzone	UVA1
Cinoxate	UVB
Dioxybenzone	UVB, UVA2
Ecamsule (Mexoryl SX)	UVA2
Ensulizole (Phenylbenzimiazole Sulfonic Acid)	UVB
Homosalate	UVB
Meradimate (Menthyl Anthranilate)	UVA2
Octocrylene	UVB
Octinoxate (Octyl Methoxycinnamate)	UVB
Octisalate ( Octyl Salicylate)	UVB
Oxybenzone	UVB, UVA2
Padimate O	UVB
Sulisobenzone	UVB, UVA2
Trolamine Salicylate	UVB
Titanium Dioxide	UVB, UVA2
Zinc Oxide	UVB,UVA2, UVA1

Right Now

To date, no criteria exist in the U.S. for measuring and labeling the amount of UVA defense a sunscreen provides. However, the FDA plans to introduce UVA standards within the next few years.

The FDA would demand that manufacturers assess the sunscreen’s ability to screen out UVA with a series of tests, then the FDA would assign the sunscreen a 1 to 4 star rating, with 1 star indicating the lowest and 4 the highest amount of UVA protection. Manufacturers whose products did not meet the minimum requirements would have to label their products “No UVA protection.” New labels with UVA and UVB protection ratings might look like this:

Meanwhile, for your skin’s sake, use a sunscreen with an SPF of 15 or higher every day to protect against UVB, along with some combination of UVA-shielding ingredients. And be aware that no matter what sunscreen you use, some UV radiation still gets through to your skin. So always follow a complete prevention program that includes seeking the shade and wearing protective clothing.

If you follow our comprehensive Prevention Guidelines, you can enjoy yourself outdoors while staying protected from both UVA and UVB year-round, whatever the weather, wherever your locale.

Prevention Guidelines

• Seek the shade, especially between 10 AM and 4 PM.
• Do not burn.
• Avoid tanning and UV tanning booths.
• Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses.
• Use a sunscreen with an SPF of 15 or higher every day.
• Apply 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside. Reapply every two hours, or immediately after swimming or excessive sweating.
• Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months.
• Examine your skin head-to-toe every month.
• See your physician every year for a professional skin exam.

Combination Skin

It can be utterly frustrating to deal with combination skin; one day it is dry and tight, the next it is oily and blotchy. Seasonal weather changes only serve to make matters worse. Your skin can wrinkle in some areas and flake in others. If that’s the case, then you may have combination skin - varying skin conditions in different zones of the face. But not to worry; combination skin is quite common. In fact, more people have this skin type than any other.

Combination skin is characterized by a mixture of oiliness and dryness. Typically, the oily areas tend to be the T-zone, consisting of the forehead, nose and chin. The cheeks are normal to dry. The degrees of oiliness and dryness can vary. Pores may be larger in the oily areas - with pimples, blackheads and breakouts sometimes occurring - and dry areas may feel rough and irritated.
The “tissue test” can help you determine if you have combination skin. Take a tissue and hold/press it against your face. If there’s oil on the tissue where it touched your T-zone, but no oil where the tissue touched your cheeks, you most likely have combination skin.

Causes
Many factors can cause combination skin, including hormones, age, genetics, the way in which lipids are organized in our skin and even the weather. Hormonal changes can lead to changes in skin’s oiliness or dryness. Teens and young adults tend to have oilier skin, especially in the T-zone, but with age, hormones change and the oil production may decrease (but unfortunately, acne is still an issue for many adults). Also, hormones change due to menstruation and the birth control pill, which can make skin oilier in certain areas. Lipids also play a role in combination skin: These proteins affect skin’s softness and feel. When lipids aren’t evenly spread throughout the skin, certain areas will feel drier and rougher, while other areas may feel soft but oily or greasy. The organization of lipids in skin is due to genetics and hormones. Finally, weather can exacerbate combination skin. Dry cold weather can cause skin to dry out and become irritated. Conversely, hot humid weather can increase oil production. This can affect your T-zone as well as your cheeks.

Care Plan
Combination skin requires special care to balance the oily and dry areas of the face. Proper cleansing, treatment, moisturizing and sun protection are all necessary.

•    Cleansing: People with combination skin often have difficulty finding a cleanser that works for their unique skin needs. Formulas designed for oily skin may leave combination skin too dry, especially in the cheeks, while formulas designed for dry skin may leave combination skin greasy, especially in the T-zone. It’s best to avoid products that are either too drying or too rich. Instead, use a foaming or gel cleanser to get rid of dirt and oil without causing irritation or dryness. A cleanser to try is one that removes excess oil and impurities while still being gentle and not drying out skin.
You should also exfoliate your skin regularly to remove dry, dead, rough skin cells. These cells may be particularly prominent on your cheeks. They can flake off and block pores, causing blemishes and blackheads. Try a product that might include papaya and pineapple juice, olive derivatives and Ginkgo Bilbao.
•    Treatments: Treatment products are another important skincare component, helping to balance your skin. One treatment to try is one which moisturizes dry areas but prevents excess oil, especially in the T-zone. This product also contains antioxidants to prevent aging. Another type of treatment is a mask, and you’ll find an array of products for every skin type. Some experts advise using a hydrating/moisturizing mask on dry areas (cheeks) and a deep-cleaning clay mask on oily areas (T-zone). While using two different masks is certainly an option, you can also use a mask specifically designed for combination skin. If you suffer from breakouts, which may occur around the T-zone, use acne treatment products with salicylic acid. For problem skin, try a blemish serum or a spot treatment.

•    Moisturize: Combination skin needs balance, and part of that balance means moisturizing your skin. Moisturizing is especially important for drier areas of the face, but your entire face needs moisture. Some experts suggest using separate moisturizers - a lightweight one for the T-zone and a deeper one for cheeks. You may choose to use separate moisturizers, but you can also use a single moisturizer designed for combination skin. Try a lotion which balances skin with witch hazel and aloe extract to help skin stay soft. Pay careful attention to dry areas, as they may require more frequent moisturizing than oily areas. Generally, experts recommend moisturizing dry areas twice a day and moisturizing oily areas once a day. Keep in mind that your individual skin has unique needs, so you might want to adjust your moisturizer - how often you use it, where you need it and how much you need.
•    Sun Protection: Like all other skin types, combination skin needs protection from the sun. UVA and UVB rays can damage skin, so use oil-free sunblock all over your face daily (and on any other exposed areas). Try an oil-free sunlotion or sunblock because it protects your skin from UV rays and won’t make skin greasy.

Natural Treatments
Natural treatments such as aromatherapy oils, home-made exfoliants and masks may help treat your combination skin. For example, try mixing essential oils like chamomile, lavender and ylang ylang (just a few drops) together with your oil-free moisturizer. These ingredients have antibacterial properties and may help to rid skin of dirt or bacteria. However, if your skin is sensitive or easily irritated, or if you’re pregnant, you shouldn’t use these essential oils.

Exfoliating treatments can be made at home by mixing and grinding nuts, seeds or oatmeal along with water. These will slough off dead, dry skin cells - especially common around the cheeks. You can add citrus peels from fruit - like orange or grapefruit - to the mix and apply it to the oily T-zone.
To make a mask for dry areas, use ingredients like yogurt, mashed bananas or avocados to moisturize. On oilier areas, try pureed strawberries and apples.