Acne pills are tablets that a specialist recommends as a possible way to eradicate excess sebum on the skin and prevent it from developing on it. There are many pills that can even be used regularly, each with its own specifications and contraindications. Everything always depends on what the dermatologist indicates and the condition or type of pimples that you have.
Index
What are the pills for severe acne?
There is a large amount , all always recommended by a specialist before being consumed, however, before getting involved in the drug environment, natural elements can be sought to eradicate this problem.
There are many natural pills that can be really good for your health, in this way there will be no side effects that can affect the health of the person who consumes them. These are the natural pills that can be consumed to eradicate it:
- Ginger pills: ginger is really good for your health, it has a lot of benefits for the skin and the body as such. Consuming two ginger capsules a day for a month can be really good to eliminate pimples. Ginger works by eliminating all kinds of infections and inflammations that can cause this condition.
- Aloe vera pills: Aloe vera is one of the best natural products that exist to be able to eliminate a large number of problems in the body. These types of pills can be found in health food stores. It is recommended to consume two capsules a day, these will eliminate infections and redness in the affected area.
- Coconut oil pills : getting these pills can be a bit difficult since they are not sold anywhere, possibly in some macrobiotics they can be obtained. Taking two capsules per day will eliminate all scars, bumps and infections that the skin may have.
- Garlic pills: you can take two garlic capsules a day to eliminate it, these will help eliminate the pimples that exist in the area. It is recommended that its consumption be for about a month, always guided by the hand of a specialist.
Besides this topic you could also be interested in Garlic and Onion; Perfect Combination for your Health!
What pills can be taken for juvenile acne?
It is a problem that many adolescents currently suffer from , redness, pimples and pustules are usually the main characteristics that appear on the face of these young people, all this due to the hormonal change that appears in their body from 9-11 years onwards.
Tetracycline is one of the best antibiotics that can be recommended to eliminate it, it is one of the most recommended that exist. What differentiates these pills from others is that this is a bacteriostatic antibiotic which prevents there is a cellular reproduction of more of the acne bacteria, and that the recovery process is faster.
Normally it takes more than three weeks for you to begin to see all the benefits of this antibiotic, the redness on the skin will disappear, as well as the pustules or nodules that are painful.
Treatment may take a while, everything will depend on what the specialist recommends.
What are hormonal acne pills?
This is due to a change in hormones in the body , causing a large amount of sebum to be produced in the skin, it becomes so much that it begins to accumulate in the hair follicles. This can end up being the cradle of bacteria, causing redness, pimples, and many other problems.
Spironolactone is recommended for all this , this is a drug that has the ability to reduce androgens in the body. Androgen is a male hormone that helps with the production of oil in the skin. By reducing this ability of the skin it can be much easier to avoid the rash.
Check in this article How to Take Care of Oily Skin and Dilated Pores
Do birth control pills help?
Normally when acne appears it is due to a hormonal problem, when this occurs, testosterone along with other hormones increase the production of extra sebum from the skin. All the estrogens in oral contraceptives can help reverse this hormonal effect.
There are a large number of birth control pills that can provide these benefits , however you should always consult a specialist to avoid any side effects that may affect health as such.
Types of pills
There is a large amount , you can find contraceptives, antibiotics, and those that are made from isotretinoin. Each of these works by eliminating the production of extra sebum that the body may have.
Normally this type of treatment can last about five months , although everything will depend on the severity, the person, and the medicine. And also what the specialist may indicate depending on the case that arises.
Isotretinoin
It is normally used to treat recalcitrant acne , but it is already used when common antibiotics have not had any effect on the affected area. This works by decreasing the production of some natural substances in the body that can produce it.
This is packaged to be taken orally . Its consumption is based on two capsules a day with food, for about 4 or 5 months. They usually come with an indication which must be followed to the letter. It is not recommended to increase the number of capsules taken per day.
Similarly, it is recommended that these be ingested whole , they should not be chewed or sucked. And generally they should be ingested with a full glass of water. Before consuming this product it is necessary to make the necessary checks to rule out any type of allergy that you may have.
If you are pregnant or breastfeeding, breastfeeding is not allowed until a month has passed after you have stopped taking this medicine. It can bring a lot of consequences for the baby.
While it is being consumed, it is necessary not to undergo any type of laser treatment , or any treatment to smooth the skin. You should wait about six months after you have stopped taking this medicine to start any skin treatment, always with medical permission.
Learn more about Isotretinoin: Contraindications, Properties and Benefits
Doxycycline
This is used to treat all types of infections , including skin infections. This works as a treatment that eliminates all the bacteria that can multiply and spread through the skin.
With Doxycycline, the bacteria that are infecting the pores can be eliminated , making the fatty substance can be diminished little by little, eliminating acne and rosacea from the skin.
It usually comes in a capsule presentation for oral consumption. It is usually taken either once or twice a day along with a glass of water. In case of having problems such as stomach discomfort, or heartburn with medications, it can be consumed with food or milk.
But, it must be taken into account that when consuming milk or food to ingest the pill, it can reduce its effectiveness than when it is taken only with a glass of water. In the same way, it is best to consult with your doctor about the best option to consume this pill.
Before consuming it, a previous test should be done to rule out any possibility of allergy to the drug. In the same way, it should be taken into account that this pill can reduce the effectiveness of contraceptives, it is necessary to consult with a specialist about possible contraceptive options that do not lose effectiveness.
Know everything you need about Doxycycline: Contraindications, Properties and Benefits
Cuticlin
Normally used in young people over 12 years old , it comes in several presentations and allows a great improvement to the skin, eliminating redness and the appearance of pimples, scars and possible severe acne that may be on the skin.
You must follow the doctor’s instructions , and guarantee that there are no allergy problems or problems that the skin may have when having contact with this medicine.
You can expand information with this article: Cuticlin: Contraindications, Properties and Benefits
Isoface
Isoace can help remove pimples and control breakouts that may appear on the skin. It is usually used when another treatment has failed. It is usually very effective in people, however its consumption should be consulted with a doctor before starting treatment as it can bring certain side effects.
Many of the side effects it has are nosebleeds, dry skin, high cholesterol levels, and joint discomfort. They also include other slightly more serious effects such as depression and hallucinations, so it is recommended that this treatment always be applied under the supervision of a specialist.
Do not miss this article, if you want to know more: Isoface: Contraindications, Properties and Benefits
Tetracycline
Tetracycline prohibits the production and spread of bacteria on the skin , they are available in capsules and it is recommended to take 2 to 4 times a day as recommended by the doctor. Specifically, you must have an empty stomach to take it. At least an hour or two after eating.
They must be accompanied with a glass of water , the use of food, milk or juice is prohibited to pass these capsules. The instructions are quite clear and precise on the label, it is not recommended to increase the dose or change any type of schedule with this drug.
The list of ingredients of this product should be consulted to anticipate any contact with an allergic component. As well as check if any other medication that is being consumed can interfere or present a negative reaction when consuming Tetracycline.
You should not be pregnant or seek pregnancy while taking the drug, as this can harm the fetus . Likewise, it is not recommended to consume if you are breastfeeding.
Discover more information about Tetracycline: Contraindications, Properties and Benefits
Acnotin
It is used to treat it when it is quite severe , usually when other treatments have failed. It has the ability to reduce the oil that is released thanks to the sebaceous glands in the skin. In the same way, it promotes regeneration by treating very strong nodular acne.
It has an anti-inflammatory effect on the skin. It is recommended that you consume about 0.5 to 1 mg per day . Normally the period of consumption lasts about 20 weeks, the effectiveness of this product may vary depending on the patient and the level of condition that one has.
In the event that the treatment is completed and it has not been effective and it is planned to resume again, you should wait about 8 weeks before starting a new dose of acnotin. It is recommended to consume the capsules with meals.
You are sure to be interested in this article: Acnotin: Contraindications, Properties and Benefits
Accutane
As for anti-pimple medications, this is one of the most popular out there . It is one of the most potent sources of vitamin A on the market. Helps treat very severe nodular acne. However, it is recommended to consult a doctor before using this product.
Its success rate is 50% and it is recommended that it is not normally used for mild rash. Its use must be unique and specifically to treat any type of severe acne.
Learn more about Accutane: Contraindications, Properties and Benefits
Contraceptives
Normally, contraceptive pills are made with a base of hormones , these can alter the way the body works. They usually help a woman avoid getting pregnant.
However, these have other types of advantages that help the body and the skin as such, they can help eliminate pimples on the face . All this because contraceptives normally contain progestin and estrogen. Causing the testosterone in the body to decrease, thereby decreasing the skin rash.
By reducing estrogen, the amount of oil in the sebaceous glands is in turn decreased, so the amount of oil in the pores is decreased, causing acne to appear less likely on the skin, or failing that, it prevents it from this gets worse in Item.
Normally this is a treatment that takes about three months of consumption, however, a doctor should be consulted to ensure what type of pill can be consumed.
Enter and read this important article Birth control pills: Contraindications, Properties, Benefit and Myths
Bagomycin
It is used to eradicate all types of skin infections. It is the same as tetracycline, so it prevents the production and distribution of bacteria on the skin. A consumption of 100 to 200 mg is recommended, then according to the doctor’s instructions it can change to about 100 mg every 12 hours.
In children who are older than 8 years, it is allowed to administer about 4 mg . Its consumption should be avoided during pregnancy or lactation, since in both cases there can be serious problems for the baby.
Here you will find more information: Bagomycin: Contraindications, Properties and Benefits
Bellaface
It contains a hormone called Dienogest, it inhibits the male sex hormones that women have. By reducing the amount of fat, there is less chance that acne or its defect will appear worse.
Before using it, you should consult a dermatologist to avoid any type of allergy in any of the components that this drug may have.
If you want to know more read this article: Bellaface: Contraindications, Properties and Benefits
Belara
It is one of the most popular contraceptives that exist , due to its great effectiveness. It has a host of benefits, including being able to reduce acne. It is expected that after about 3 months the benefits of consuming this pill will begin to be noticed.
It is recommended to consult a doctor before starting this treatment, to avoid any harmful side effect , or to guarantee that it is effective in the body of the person who wishes to consume it.
Read the article we have on Belara: Contraindications, Properties and Benefits
Clindamycin
It retains and stops the multiplication by bacteria on the skin. They can come in capsules or in liquid. It is recommended to consume about four times a day, and treatment can vary depending on the type and severity of eczema you have.
The dose should not be increased or decreased, and should always be consumed each day at the same time . If liquid is consumed, the medicine should be shaken very well. And if the capsules are consumed, they should be taken with a full glass of water.
Halving consumption, or skipping doses, can cause bacteria to become resistant to the antibiotic , making skin treatment even more difficult. Before consuming it, consult your doctor to prevent any allergic reaction.
If you still have doubts, consult the article Clindamycin: Contraindications, Properties and Benefits
Burdock
Burdock has many antibacterial and antifungal properties , which allow it to eliminate all the toxins that can cause pimples. In the same way it works to eliminate excess oil on the skin.
Normally it is recommended to prepare a tea with about 20 g of burdock in a liter of water. You should consume about 3 cups of this tea daily, each one should be consumed at least before each meal.
In the same way you can prepare the tea a little more concentrated and apply it as a compress on the affected skin, in this way the pimples that are already on the skin will be eliminated and a new appearance of it will be prevented.
Look here Burdock: Contraindications, Properties and Benefits
Boldo
It has the ability to remove impurities and cleanse the skin from the inside , in this way it can stay free and without any type of rash. This is a recipe that can be used to combat it:
Ingredients:
- 5 grams of boldo leaves.
- ½ liter of water.
Preparation and consumption:
- Boil the boldo leaves in a pint of water for about 10 minutes.
- Wait for it to cool down a bit for consumption.
- Take three glasses a day. One should be fasting, another after lunch, and the last before going to sleep.
You may be interested in reading more about Boldo: Contraindications, Properties and Benefits
Evening primrose oil
It is an excellent product to reduce acne symptoms, it allows to eliminate pustules and papules . It contains essential fatty acids that work as anti-inflammatories, they can absorb excess sebum, eliminating rashes.
Both to apply it and to consume it, you must take the appropriate precautions to eliminate all types of allergies . This type of oil can be found at any health food store.
Normally it is recommended to consume between 4 to 8 grams which are divided into different doses, in the same way it is necessary to have the doctor’s indication regarding the dose to be consumed. It is recommended to consume vitamin E so that the absorption of evening primrose is much more effective.
More on the subject with Evening Primrose Oil: Contraindications, Benefits, Side Effects and Uses
Nettle
Nettle is a plant that has a large number of antibacterial and tonic properties, which allow to improve the condition of the skin. It can tone and purify , in turn giving you a great amount of elasticity.
It can be consumed as a tea or as an infusion . For this, all you need is to take the nettle leaves and remove the stems. For this they should take into account wearing gloves since these stems can cause hives.
You should place the leaves in a teapot and add boiling water, let it rest for about 10 minutes and add a little lemon and honey. In the same way, you can find prepared bags in the market, although they are not as effective as preparing them yourself.
This tea should be taken one out of two or three times a day , each before each meal. There is no specific time for this treatment, it is best to consume the infusions until improvements in the skin begin to be observed.
If it is obtained as a pill, it should be consumed with a large amount of water , as this can cause stomach irritation.
Dercutane
This is a drug that can be used for severe cases of acne , but only when other treatments do not work or have not eradicated it. It depends on the treatment and the situation, it can be taken about twice a day.
This reduces the oil in the skin, so it helps to dry out pimples . It is normal that during the first two times the skin becomes very dry or new breakouts appear. This product is totally prohibited for pregnant or lactating women.
Dercutane has the ability to treat cystic acne , however there is no guarantee that it can work for all people and in all cases. It is forbidden to use it in mild cases , as it can cause many negative effects on the body, such as dry skin and hair loss.
It can be found in different tablets ranging from 10 to 40 mg . Normally it is recommended to use a dose of 0.5 mg per day, and then depending on the progress it is recommended to consume 1 mg. While using this medicine, it is forbidden to consume any other, as well as to use creams or lotions.
Do not forget to also read Dercutane: Contraindications, Properties and Benefits
Dermatix
It is a silicone gel that allows to heal and treat any type of keloids or hypertrophic scars, ideal for all the marks that severe acne can leave. It is necessary to emphasize that it does not have the ability to completely eliminate scars, however it improves its appearance and the skin that surrounds it.
In the same way, it can relieve the pain, redness and itching that these can cause. You should wait approximately 5 weeks to notice the benefits of this product and after two months the improvement will begin to be fully noticeable.
This product should be applied at least in the morning and at night, since it must be in constant contact with the skin. It can be used in children and dark-skinned people . However, for pregnant women you should be very careful and consult your doctor before using it.
Extensive knowledge is the article Dermatix: Contraindications, Properties and Benefits
Diane
It is a well-known product that is used for all types of skin problems such as pimples and skin with a lot of hair. It has contraceptive properties , for that reason it must be a drug prescribed by a doctor before starting treatment.
Using this medicine depends on whether other old treatments have not worked . If you are using another contraceptive treatment, this treatment cannot be used. In the same way if some type of thrombosis has risen.
It is impossible to use this medicine if you are pregnant or are in the period of fertilization. In the same way, it is prohibited to consume Diane if you are breastfeeding, or are allergic to any of its components.
Normally this is a contraceptive that the doctor must take into account for its consumption , otherwise, any type of use is not recommended.
You can read this article about it: Diane: Contraindications, Properties and Benefits
Facetix
It is an antiandrogen, which can help eliminate inflammation and the formation of nodules in pimples. This is a drug that is not recommended for use in men. The use of its consumption will depend on the woman’s period.
One capsule should be taken daily from the first day of bleeding for 21 consecutive days, until the contents of the container are used up. Then you should take a break for about 7 days, this can cause bleeding similar to menstruation.
It should not be consumed while pregnant or breastfeeding. Similarly, you should consult your doctor if there is any possibility of presenting an allergic reaction to the components of this drug.
Do not miss this article Facetix: Contraindications, Properties and Benefits
Galderma
This company is responsible for creating different skin care products and treating all types of rosacea or acne. They can be found from gel, to topicals that are applied directly to the face.
It is necessary to go to the doctor so that he indicates which specific product is the one needed to treat the type of eczema that you have . In the same way, you have to be very careful knowing the components of each product, to avoid any type of allergic reaction with the skin.
Learn more about cystic or nodular acne
Inkafarma
Inkafarma products improve the quality of the skin and eliminate it. One of them is Nonacne, which causes excess sebum secretion to be eliminated in the sebaceous glands.
With this treatment, the skin can regenerate and be much healthier, in the same way it prevents any new appearance, pimples, blackheads, or inflammation that is in some areas of the skin.
The doctor should be consulted so that he sets the treatment time and application dose, as well as ensuring that this compound does not have any agent that can damage the affected area much more.
You can expand your information on Comedonic Acne: Treatments, Diet, Pathologies, Causes and Symptoms
Inneov
This is a concentrate that is used for oily skin , which has a large number of blackheads or redness. Each of the active ingredients can greatly improve the texture of the skin.
It has the ability to regulate hormones that are normally involved with the appearance of blemishes. It is recommended to consume 2 tablets a day, with a fairly large glass of water.
All this should be consumed during any of the meals , so that the assimilation of the tablets is much better. This treatment should take about two months, to have very good results, and from the first month you can already notice all kinds of good results on the skin.
After this treatment for two months, you should rest for about 3 months from the product , to then be able to start the treatment again if necessary.
from now on
It is a product that allows you to eliminate it gradually , it is necessary that during the treatment they hydrate enough since this can considerably dry out the skin. Likewise, grains may appear during the process, depending on the organism the amount may vary but over time they will disappear.
During the treatment, alcohol should not be consumed, and it should be tried as much as possible not to have any sun exposure. All this for at least 2 months or the amount of time indicated by a specialist.
A complete treatment lasts about 6 months , however the specialist is going to indicate, depending on the skin and the severity, the estimated treatment time. One of the most outstanding characteristics is that the results begin to be noticeable much more clearly one month after having completed the treatment.
For more information on this topic, we invite you to read Hormonal acne
Lasix
It is a medicine that helps to prevent the appearance of pimples , as well as to treat it if it is found very severely on the skin. The doctor should be consulted in advance before treatment is started.
Pregnant women should not consume this medicine , in the same way if they are breastfeeding. Ensuring that the components contained in Laxis will not cause any type of skin allergy is one of the initial steps that must be taken into account.
Meibi
It is an antibiotic that can help prevent any problem with bacteria, especially those that have the ability to cause a rash. This particular drug has lactose in it. For this reason, it is necessary to determine if you have any type of intolerance to this component.
In the same way, it must be taken into account if there is any type of allergy to this product, otherwise it can be a serious problem for the body. This type of supplement is totally prohibited for children under thirteen years of age , for women who are pregnant or breastfeeding.
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Penicillin
Penicillin has the ability to eliminate the oiliness of the skin , this reduces the production of fat and there is less chance that there is some type of acne on the skin. It is a good product to eradicate it.
However, it must be taken into account if these components are really good for improving health and if any of them have some type of complex that can create an allergic reaction in the body.
Roacutan
It is a drug that has a lot of benefits. It should be consumed for about 20 weeks so that the result can be efficient. However, depending on the damage caused to the skin, the treatment can take up to 6 months.
During the treatment a little rash may appear on the skin , however as it continues it will disappear. The doses to be given will depend on what the doctor considers, since everything is related to weight and the degree of damage to the skin.
It should not be used in women who are pregnant or lactating.
We recommend reading the following for more information about Roacutan: Contraindications, Properties and Benefits
Rosacea
It is not considered a disease that can be cured, however it can be controlled and kept on the sidelines, using the appropriate medications and treatment for health. There are a lot of natural products that can help eliminate these types of skin problems.
Consuming vitamin B is one of the great solutions , vitamin C is also quite good, as is using chamomile to improve the appearance of the skin. Giving a little massage with olive oil is a good way to eliminate rosacea as soon as possible.
Trevissage
It is a medicine that is used to treat really severe acne , where there are all kinds of keloids, cysts, pustules and inflammations. It is also recommended to use it normally for medium cases, but never for mild pimples as it can cause a lot of damage.
It is not recommended in pregnant women or those who are in a lactating state, the dose and treatment will be provided by the specialist considering the case and the type of skin that the patient has.
If you want more information, we have an article about Trevissage: Contraindications, Properties and Benefits
Tetralysal
It is an antibiotic that is normally used to eliminate bacterial infections , it is quickly absorbed and reaches the affected area through the blood. You should take one capsule a day before eating, with a very large glass of water.
In case of interrupting the treatment it can be a possible problem, since this can make the infection reappear and with much more force. The treatment time will be determined by the doctor , depending on the severity of the case.
Children under 12 years of age are prohibited from consuming this drug, while children over 12 years of age together with adults can consume 1 capsule of 300 mg . There may be some intestinal discomfort or certain headaches.
Tretinex
This is usually a derivative of vitamin A, it is very effective to treat skin invaded with pimples, since it can counteract its main forms of production. Once it begins to apply, all types of pimples and the production of fats in the sebaceous glands are reduced.
During the first month of treatment there will be a large number of pimples coming out , this may depend on the dose and the rash that the person has. In the same way, it is necessary not to neglect the treatment, this can involve a big problem since it can make the problem persist.
It is not recommended for people who are pregnant or even during lactation, since both cases can be a big problem for the baby .
We suggest reading this article about Tretinex: Contraindications, Properties and Benefits
Vitamin C
Normally, vitamin C is not used to eliminate it, however there are many ways in which it works to treat the skin little by little and that it can heal considerably.
Studies carried out determined that those people who suffered from acne had only 35% of vitamin C in the body, while those who did not suffer from it had a much higher amount of vitamin C in the body.
This happens since it is believed that vitamin C can reverse cortisol , a hormone to which stress is attributed, when there is a large amount of stress another hormone acts and much more fat is generated in the hair follicles, promoting the appearance from acne on the skin.
We have several articles on vitamin C that may interest you:
- Vitamin C: Discover everything it does for you !!!
- Ranking of the 50 foods with the most Vitamin C
- The BEST Serums with Vitamin C
Vitamin E
Vitamin E is one of the best supplements that exist to maintain healthy skin, it can help to stimulate the production of collagen, and it can also protect the skin from free radicals and the most important point is that it has the ability to regulate the oiliness.
By regulating the oiliness of the skin, the fibrous follicles are less likely to become clogged, and therefore fewer pimples will appear on the skin. There are many ways in which you can consume vitamin E, nuts, seeds, vegetables, and grains are great sources of vitamin E.
Over time, consuming all the foods that contain vitamin E can be a great benefit to gradually eradicate it naturally and the redness that you have on the skin.
We also recommend Vitamin E: Know its importance for health
Do acne pills make you fat? Why?
Most can be contraceptives , since these have in their element a compound that allows to stop the production of sebum in the skin. Being contraceptives they have a large number of side effects that manifest themselves in the body.
Nausea, dizziness, and weight gain are one of the collateral symptoms that can appear with the pills but all this will depend on who takes them and how they affect the body.
Pills for acne during pregnancy
Many contain components that can harm the fetus during consumption, the same occurs during the time of lactation. Whenever this decision is to be made, it is necessary to consult the doctor to guarantee if it is a good step to follow.
However, there are many creams and topicals that can combat it and that will not bring any problem for pregnancy, although in the same way you should consult a specialist before using anything.
There are also a large number of natural elements , such as vitamin C, and vitamin E that can help improve the condition of the skin, gradually eliminating acne from it.
If I take pills, can I drink alcohol? Why?
During the treatments you can never consume alcohol , since the pills begin to be metabolized in the liver, the same happens if alcohol is drunk repeatedly during the treatment.
Doing these two things at the same time puts a strain on the liver , which has a great chance that it will become damaged over time, until it reaches the point of no longer being able to function.
We recommend you read this related topic Liver: Diseases, Bacteria, Detoxify it, Clean it, Donations and Main Functions
Contraindications and risks.
There are a lot of side effects that can occur when consuming acne pills, here are some of them:
- Dry lips: it is one of the most frequent symptoms that appear when they begin to consume. This symptom is usually reflected within the first week of starting treatment. It is recommended to always carry a lip balm to constantly hydrate the lips.
- Dry skin: one of the things that happens once the treatment begins is that sebaceous secretion stops producing, this causes the skin to lose oil and hydration, becoming much drier than normal.
- Eye disorders: Isotretinoin can damage the lubrication in the eye, so it can cause a great deal of discomfort. It is recommended that contact lenses be worn during this time, as this only affects the eyes and makes them very easily irritated.
- Other problems: there are many other problems that can affect, but that depends on the person, if they have suffered from a heart problem in the past, or if their medical history reflects any alteration that could be dangerous for the consumption of the pills.
Kathie Sand always saw the world of beauty as the terrain on which to build her professional career, a goal that was clear to her when she was only 15 years old. Her great concern to expand knowledge led her to settle in Paris where she studied hand in hand with the best beauty professionals and with the most advanced techniques for skin care.