For example, if you use a salicylic acid-based cleanser, make sure that this ingredient isn't in your toner or moisturizer. Using the ingredient in each step of your routine can dry out your skin and worsen your acne. It's also important to wear sunscreen every day.
Dr. Shah notes that the concentration of ingredients in your acne product doesn't always affect how well they work, but it can. If you're having continued issues with your skin, it's possible the concentration of an ingredient like salicylic acid or benzoyl peroxide could be contributing.
Acne treatments — especially those that contain active ingredients like benzoyl peroxide and salicylic acid — are drying and a bit harsh on your skin. If you use too many treatments at the same time, your skin may become irritated, and you may actually suffer more breakouts as a result.
Which ingredients cause skin purging? It is usually triggered by active ingredients that are used to treat the acne. It gets worse before it gets better. Some of these ingredients are retinoids, vitamin C, AHAs and BHAs (glycolic, malic, lactic, and salicylic acid).
“Don't use products that will excessively dry it out, either,” she adds. Since many spot treatments are actually exfoliating agents (like salicylic acid and benzoyl peroxide), keep them faraway from purging skin. It's already in the midst of cell turnover.
Skin purging is a process that happens when certain skincare ingredients increase skin cell turnover. This encourages shedding of old, dead cells and growth of new, healthy ones. Unfortunately, this process often makes the skin look worse before it looks better.
From pads to spot treatments and lotions to face cleansers, it's in just about every kind of acne treatment these days. Salicylic acid clears pores, reduces swelling and redness, and exfoliates the skin when applied topically. It's considered to be one of the best treatments for acne scars.
Signs it's not working: Your acne isn't going away and your skin is damaged. Why it might not be working: Not all acne is created equal — and if your acne is severe, salicylic might not be strong enough for you. “Cystic acne will need something stronger than salicylic acid,” says NYC-based dermatologist Debra Jaliman.
How to treat skin purging. “If the skin barrier is compromised when you see purging then start ingredients which help with barrier repair, such as ceramides and hyaluronic acid in a non-comedogenic formulation. If you are using a treatment or product continue with a slower approach.”
During the first few weeks of using adapalene, your acne might appear worse because the medication is working on pimples forming inside the skin. It may take 8 to 12 weeks to notice results from this medication.
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.
According to Dr Godse, excess sebum production (seborrhea) — meaning, your skin produces an oily substance in excess mainly due to hormonal disturbances — not following a skincare routine or even a genetic predisposition could lead to the onset of recurring acne. Why Is Your Skin Oily?
Experiencing a few more breakouts is totally normal when starting a new acne treatment. The reason is that acne medications cause rapid destruction of acne bacteria, which can cause more inflammation and sometimes result in an initial "worsening" of the condition (sometimes called a "purge").
Salicylic acid can help unclog blocked pores by breaking down and removing dead skin cells and oil. Salicylic acid may produce mild side effects, such as skin irritation or peeling. If people experience more severe side effects, they should stop using the product and contact their doctor.
The purging of the skin starts after a few days of using a new product. In a breakout, the appearance of the acne and blackheads can be concentrated on any area of the face. Purging appears uniformly all over the face.
Though some people do report experiencing irritation and breakouts after using the ingredient, niacinamide is unlikely to cause purging.
“Facials stimulate the skin and 'turn it on,' ” she says. “The skin's response is to function, and that's healthy. It can result in breakouts, but it should be rare.” In most cases, these breakouts will calm down in a day or two.
If you have blackheads and whiteheads, salicylic acid alone should work well to clear out your pores. If your acne tends to be inflammatory, such as papules and pustules, opt for benzoyl peroxide to stop outbreaks at the source. For sensitive skin, start with salicylic acid, since it's less likely to cause irritation.
Do you apply salicylic acid before or after moisturiser? Generally speaking, the most potent skin products containing salicylic acid are those such as serums, spot treatments and cleansers, all of which are applied before moisturisers.
“You can use a salicylic acid–based cleanser in the morning to unclog pores and avoid acne and a glycolic acid–based cleanser at night to exfoliate your skin and get rid of dead skin cells,” notes Jailman.
It is safe to use products with salicylic acid every day, unless it is specified otherwise on the product usage guidelines or by your health care professional. CeraVe's SA Smoothing Cream and SA Smoothing Cleanser are suitable for daily use.
"If salicylic acid is an ingredient in your cleanser, it is fine to use it every day." However, if you are using an exfoliant that salicylic acid in the formula, Dr. Hu advises only using the product three times per week, to avoid over-exfoliating the skin and drying it out.
5. Do spot treat with the right products. Like I mentioned earlier, salicylic acid and sulfur won't help cystic acne. It can make it even worse if it dries out or irritates your skin.