Thank you all for taking the time to reply and give suggestions and advice. I really, really appreciate it.
I've been to the GP and dermatologist on and off for years, both NHS and private. Had a variety of creams and antibiotics, with no real progress made and the response has always been that really there is very little that can be done.
My skin is dehydrated, but with really big pores. My t-zone seems to have the amazing ability to be both dry and flaky but also feels reasonably oily!
I've been reading and following Caroline Hirons, around double cleansing etc. Sometimes my skin is so much better, but then I get these periods where it just looks dreadful.
The foundation I have on above is the new Bobbi Brown one btw.
I'm really scared of the idea of lasers etc, I also read reports that in some cases it can made redness far worse.
I'm really in a bit of a pickle. But, I find it so depressing to look at my skin and see it looking so awful.