How do people have the clearest skin?!

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Genetics help. But it's not mostly genetics. It's mostly your diet. Maybe check out Dr Al Sears, he's an interesting dermatologist that helps make you get the best skin.

http://www.alsearsmd.com/

Although stress can have some influence over spots, it's mainly down to genetics. Some people really are just lucky in that they don't get spots, and have naturally clear skin. Unfortunately, not everyone is as lucky as that so you're just going to have to persevere with facial washes, scrubs and cleansers. Other factors which can really help clear skin are; drinking plenty of water, hydrated skin is happy skin! and eating right, plenty of fruit and vegetables. :)

It depends on alot of variables but over all 1) eating correctly 2) water - lots and lots of water (not coffee, not soda, nor tea-plain water) 3) keeping skin clean (I personally think the type of soap you use effects your skin- I use Clinique soap and toner) and 4) less stress. To much stress would break you out.

PHOTOSHOP. there's this thing were you can have your face permanently photoshopped... you should try it.

your mum

No. It is Mostly determined by Genetics.