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.
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.
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.
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.”
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.
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.
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.
In theory, retinol makes your skin cell turnover faster. The increased cell turnover temporarily sloughs off more dead skin cells. This creates a lag time before new, healthy cells come to the surface of your skin. Your new skin is exposed before it's ready, and redness or discoloration, and irritation is the result.
Begin in Your Mid 20s or Early 30s
"Your mid-twenties are a great time to start using retinol," says Ellen Marmur, M.D. "Many patients who have used it for years swear by it."
Don't Mix: Retinol with vitamin C, benzoyl peroxide, and AHA/BHA acids. AHA and BHA acids are exfoliating, which can dry out skin and cause further irritation if your skincare routine already includes retinol. As for benzoyl peroxide and retinol, they cancel each other out.
Should you use retinol under your eyes? Yes, definitely. While it is true that retinol – a form of vitamin A – is a powerful ingredient and the skin under your eyes is delicate, there's no reason why you should miss out on the amazing benefits of retinol.
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.
Retinoids reduce fine lines and wrinkles by increasing the production of collagen. They also stimulate the production of new blood vessels in the skin, which improves skin color. Additional benefits include fading age spots and softening rough patches of skin.
Retinoids sink into your skin and stimulate the production of new skin cells, which speeds up exfoliation, increases collagen production, brightens scars and dark marks, smooths fine lines and wrinkles, and, yes, destroys acne. Oh, and it can also make you look 60 years old when you're 78, apparently.
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.
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.
If you have skin purging, you may experience whiteheads, blackheads, dryness, or even flaking. While skin purging and breakouts have similar symptoms, skin purging is temporary and lasts for a maximum of six weeks, while breakouts can last longer.
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.
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.
Niacinamide and retinol can be combined in one product, which may be easier and more convenient. But they're also available as separate products. If you're using these ingredients in separate products, it's recommended to apply niacinamide first and to then follow with retinol.
“Vitamin A derivatives help to clear acne, as they help to regulate skin cell turnover,” says Marisa Garshick, M.D., a dermatologist in New York City. Unlike salicylic acid, which exfoliates dead skin cells and dissolves clogs, and benzoyl peroxide, which kills acne-causing bacteria, retinoids work from the inside out.