By Kate Moore
Scroll down for the full story
Videographer / director: Marcus Cooper
Producer: Kate Moore, Ruby Coote
Editor: Alex Lubetkin
Madeline Roberts, 25, has suffered with skin problems since she was a teenager.
When her acne turned severely cystic at the age of 14, she became insecure about the way she looked and stopped participating in beauty pageants because she didn’t feel “beautiful” anymore.
Madeline, from Utah, told Barcroft TV: “When I first got it, I was trying everything.”
“Then it became apparent that it was going to be pretty hard to get rid of as different treatments weren't really working.”
“At my lowest point, I would look in the mirror and just feel like I was too far gone, I felt like I would never have the skin that I want.”
Trusting that someone would see past her skin in a romantic relationship became difficult for Madeline and she was “afraid to date”.
She said: “I desperately wanted love and I thought, I will never get that, as long as I look like this.”
Madeline is now married to Trevor after they met through friends at their church and “instantly clicked”.
Trevor told Barcroft TV: “We can be ourselves around each other.”
“And when I felt that I was like, I think this this could be the one.”
She now feels accepted by her husband, but when they were first dating her insecurities made her anxious that he would leave her.
Madeline didn’t have acne when she first met Trevor, having just come off the skin medication Accutane.
But her skin grew worse a few months into their relationship and the cystic acne came back.
“I was afraid that he would think I had catfished him,” Madeline said.
“I was really scared; I didn't want him to know that I was insecure.”
“I thought he was in this oblivious dreamland, and I was afraid that he would wake up one day and be like, ‘Her skin is ugly.’”
“I felt very unworthy of Trevor's love and I felt like he was crazy for finding me attractive.”
For Trevor, her skin was never an issue.
He said: “It wasn't until after a few months where she kind of admitted to me that she was concerned that her acne was something that was going to hinder our relationship, or cause me to break up with her.
“It kind of floored me because that wasn't even on my radar”.
But Madeline eventually realised that it was her own anxieties that were getting in the way of their relationship.
She explained: “I was the one saying that I'm not worthy of love.
“I gained true confidence because he showed me that he doesn't love me because I have great skin, he loves me because of my personality and my heart.”
Madeline started posting no-makeup selfies online two years ago, because wanted to inspire others to not only see the ‘perfect’ filtered images on social media.
“I was tired of hiding my skin”, Madeline said.
“Instagram has really helped normalise acne for me, I've found a community there.”
“Most of the reaction I get are people saying, ‘Wow, I would never have the confidence to post a picture like that.’”
However, she still finds it difficult to use this new-found confidence in real-life and go out in public with bare skin.
“I used to not leave the house without lots of makeup, it was almost like an addiction.”
In Barcroft TV’s film, Madeline goes to her church, leading worship and singing in front of the congregation for the first time without makeup.
She said she found the experience “nerve wracking”.
“I typically cover my skin with makeup because I feel like that's just what you're supposed to do when you have acne”, she said.
Her husband Trevor was there to support her through the experience and spoke about why this was a big step for her.
He said: “I'm very proud of Maddie, to see her courage to go out there and do it and she felt she looked comfortable.”
Coming off stage Madeline said she found the experience “freeing”.
She said: “I think it’s a long time coming, building up the courage do to something like this.
“True confidence comes from within, and not from what your face looks like.”