Applying retinol is a long-term treatment which promotes fresh skin, fewer blemishes and reduction in acne breakouts. Whereas in the short term, it can lead to acne breakouts, skin peeling, dryness, and a range of other frustrating temporary outcomes. The purge phase usually lasts for two to six weeks.
Skin purging happens when new ingredients, like retinol, promote increased cell turnover, which causes clogging and worsening breakouts. This is particularly the case as oil and debris that is trapped deeper underneath the skin comes to the surface.
You might also get more breakouts once you start using retinoids. Keep calm and stick with it. “It's common to see acne get worse before it gets better, as the retinoids can cause a mass 'purge,'” says Robinson. Basically, as skin cell turnover increases, new clogs rise to the top.
That's right: It may be tempting to stop using said retinoid or exfoliating acid altogether, but resist. “If it's an Rx retinoid from your doctor, they gave it to you for a reason,” Mraz Robinson says. “Stick through this 'it gets worse before it gets better' phase.”
6: Myth: If you have peeling or redness, you should stop using the retinoid. With retinoids, it's often a “worse-before-better” type of situation. Typical side effects include dryness, tightness, peeling, and redness — especially when first starting out.
Remember, that 'retinoid uglies' are likely to be temporary, and it will take time before you see the end result. You have three skin layers—the epidermis, dermis, and subcutaneous tissue. Your epidermis is your visible layer, and renews approximately every 28 days.
Dermatologist Dendy Engelman, M.D., considers whiteheads and blackheads “mild” and therefore, “over-the-counter products that contain ingredients such as salicylic acid, benzoyl peroxide, and retinol should do the trick.” According to Dr.
Purging is slightly different, appearing on the skin mostly as blackheads or small skin-coloured bumps just under the surface of the skin. But it is also possible for purging to cause similar spots to a breakout, too.
Peeling, redness, and irritation are common onset reactions for some people when they first start to use retinol. Some reactions get so bad that the common term used to describe the list of effects has been dubbed the “retinol uglies”. Note from a skincare expert: Many things in life get worse before they get better.
Keep Your Face Clean
Touching your face or allowing oil or bacteria to build up can also increase the side effects of the tretinoin purge. Only touch your face with clean hands and leave your skin to do its thing. Also try not to pick at flaky or dry skin caused by the purge.
“If you're overusing your retinol, or if you're using a retinol that's too strong for you, it can lead to peeling, irritation, and excessive dryness, which may have led to retinol's association with skin thinning,” she says.
Retinoids work best if you use them daily. Specifically, they should be used at night because some types are deactivated by light and air. It's important to start slowly and allow your skin time to adjust. Using too much too quickly can cause redness, dryness, and irritation.
Despite dermatologists describing retinol as a skin-care star, it can come with an unpleasant side effect: retinol burn. Also known as retinol irritation, it's essentially what happens when your face can't tolerate the powerful ingredient and subsequently devolves into a flaky, peeling, red mess.
Sudden acne breakouts can be because of numerous reasons, including hormonal changes or hormonal imbalance, an unhealthy diet including lots of deep fried and junk food, release of cortisol hormones because of excessive stress, excessive production of sebum and much more.
It can range from minor pimples to cystic acne, as well as dryness, redness, and peeling. Also, it is important to remember that retinol isn't the direct cause of acne. Acne breakouts which occur during the purge phase would have developed on their own and retinol only speeds up their appearance.
Pending potency, OTC retinol can take up to six months to see results." That's not to say you won't see any benefits upon the first few uses. Nussbaum explains that in the short term, the benefits are that your skin will be exfoliated of dead skin cells and your pores will be unclogged.
Some people have noticed acne breakouts after using retinol, though this is a rare side effect. Eczema flare-ups, skin discoloration, swelling, and stinging are also rare occurrences. Side effects are likely to disappear after a few weeks of regular use, so it's important to give your skin time to adjust.
Skin purging occurs because newly introduced skincare ingredients increase the rate at which your skin cells turnover, causing you to shed more dead skin cells than usual. This, in turn, pushes layers of dead skin off and also brings clogged pores to the surface, Chang says, resulting in more breakouts.
As your skin starts getting accustomed to the retinol, in the first two to four weeks of use, your cell turnover will increase and your pores will... well, purge, and all breakout hell will break loose.
So what's the difference between a skin purge and a breakout? Skin purging is when your skin is adjusting to the new product. Spots appear where you frequently get them and they go away faster than a normal pimple. Purging is a sign that the product is working and you should continue with the treatment as prescribed.
Best ingredients for treating blackheads
Retinoids are a “great option” to regulate cell turnover and prevent the pores from becoming congested, noted Garshick, who added topical retinoids work on all types of acne, but “are especially helpful” for blackheads and whiteheads.
Skin purging typically looks like tiny red bumps on the skin that are painful to touch. They are often accompanied by whiteheads or blackheads. It can also cause your skin to become flaky. The flare ups caused by purging have a shorter lifespan than a breakout.
Use Exfoliants Sparingly After the Adjustment Period
After two to six weeks of using tretinoin, it's usually okay to start using an exfoliant. However, it's best to use exfoliating products as sparingly as possible while using tretinoin to avoid potentially irritating your skin.
Who should skip retinol? “Retinols can be a beneficial addition for most skin types, but it isn't a one-size-fits-all approach,” Panzica says. Board certified dermatologist Zenovia Gabriel, MD, notes that “people with sensitive skin conditions like rosacea cannot tolerate really strong topicals like retinols.”
Generally speaking, I recommend most people start using retinol in their mid to late-20s, anywhere from 25-30. This is when collagen and elastin production starts to slow down, so it's the perfect time to start reaping the preventative-aging benefits retinol has to offer.