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What can be done about this skin texture? (Photo)

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notalis1970
I'm 51, I don't get sun, don't smoke or drink. I've had 2 facelifts, recently had meso botox. I've done several rounds of Accutane over the years and microneedling once. My skin is oily and red and I can't wear foundation. I don't have rosacea, just ugly skin. What the least painful way to help this? My skin is super sensitive.

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