I have struggled with hormonal/cystic acne and hyperpigmentation for the past 2-3 years. I had some improvement as I focused on skin care as most of my cystic acne clusters were primarily located along my chin/jaw and not on my cheeks as was the case when the acne originally developed. I also NEVER intentionally pick at my pimples, and I usually only pop pimples by accident (touching my face too often/accidentally over-exfoliating, etc.). I want to preface this review with all this information because I had high hopes for this product when my acne flares up and I get real pimples/whiteheads instead of the usual red bumps. I really wanted them to work for me, but even leaving them overnight I don't get anywhere near the same results as the others posted here, even on acne. However, I feel that using these patches has helped some people manage the inflammation and reduce the redness of acne. As I said before, my pimples come in clusters, so unfortunately I found that I was using at least half a pack - so at least around 12 patches - per night, so I had to deduct another star. I'm glad they are so successful for others but wanted to write an honest review for anyone with cystic/hormonal acne.
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