I am a licensed esthetician in the State of WA and currently work for a high end spa in downtown Seattle. I know how frustrating it is to have skin problems and understand that the skin is a science. Learning how to read our own skin is crucial in maintaining balance. Our skin is constantly letting us know what is going on, whether we are dry, sensitive, acne prone, rosacea prone or have full blown inflammation there are so many factors that contribute both internally and externally and unfortunately, since the skin is our largest organ, most of the common skin related problems happens on the face. Usually it's caused by stress, hormonal issues, not eating properly, improper products being used, too much sun, cold, extreme temperatures, friction from hands or clothing... medications, illness... I can go on. It's hard to pinpoint exactly the cause but with some information, I am more than willing to help people online... Just ask and I will do my best to answer your questions. Perhaps together we can come up with a better solution for your skin and a good skin care regimen for home use.