She notes a purge period can prompt allkinds of pimples. “It may look different from person to person, but you can get a mix of whiteheads, blackheads, papules, pustules, cysts, and even the tiny 'pre-pimples' that aren't visible to the eye, called microcomedones.” Dry, peeling skin is also common.
“Because purging is thought to be due to increased cell turnover, it's really going to bring preexisting microcomedones [small clogged hair particles] to the surface and will potentially turn into whiteheads, blackheads, papules, pustules, and cysts,” Dr. Shah explains.
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.
Purging can result in many different types of acne, including whiteheads, blackheads, papules (inflamed pimples) and pustules (inflamed pimples filled with pus). Cystic acne, which involves deep, hardened bumps under the skin that are often sore to the touch, is less typical with skin purging.
What causes cystic acne? Pores in the skin can clog with excess oil and dead skin cells, causing pimples. Bacteria can enter the skin pores and get trapped along with the oil and skin cells. The skin reaction causes swelling deep in the skin's middle layer (the dermis).
A blind pimple, also known as cystic acne, is a pimple that lives beneath the surface of your skin and doesn't come to a head. It is often in the form of a red, painful bump beneath the skin. Blind pimples are caused by oil getting trapped beneath the skin.
In the end, purging is a good sign and is just one step to better skin. Keep at it, persevere, and continue using those products to improve your skin.
Skin purging can last for anything between a few weeks to a few months. It is a faster paced cell turnover process. Cells are replaced in about four weeks in an adult around 30 years of age. As we get older, the cycle takes longer.
Generally speaking, dermatologists say purging should be over within four to six weeks of starting a new skin care regimen. If your purge lasts longer than six weeks, consult your dermatologist. It could be that you need to adjust the dosage and/or frequency of application.
Simply put, “skin purging describes the process of shedding dead cells, oil, bacteria, and debris that's underneath the surface of the skin,” explains Annie Gonzalez, M.D., a board-certified dermatologist at Riverchase Dermatology in Miami.
The good news is a purge typically passes more quickly than a traditional breakout. The reason being, your skin is already beginning to turn over -- a process that generally takes 28 days.
Anything that makes your skin cells turn over faster can cause skin purging, so generally those with exfoliating benefits, such as retinoids (Vitamin A), Vitamin C (a very gentle acid that can slough off dead superficial skin) and hydroxy acids (glycolic acid, malic acid and salicylic acid).
Though some people do report experiencing irritation and breakouts after using the ingredient, niacinamide is unlikely to cause purging.
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.”
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.
Important: You cannot speed up skin purging, but you can reduce its intensity, says Green. For example, you can use small amounts of the product or use it less frequently, says Chang. This may mean starting with a retinol serum once a week, then slowly build-up to every day.
Hormonal acne is also usually pretty specific in its location on the face: jawline, chin, neck. And it's appearance: big, often blind pimples under the skin's surface and cyst-like – they're usually painful to touch.
Pores relax or dilate in the presence of heat. Warmth and moisture help loosen the contents inside the pores and draw excess oil and dirt to the surface. People can treat large, inflamed pimples by alternating hot and cold compresses. To make a hot compress, soak a towel in hot water.
What Causes a Painful Pimple? Pimples hurt because the body is trying to get rid of the stuff that doesn't belong there. The redness, swelling, and inflammation cause the pain. The body knows that the dead skin, oil, and bacteria are supposed to be in the hair follicle (which is outside the skin).
Many have questioned whether skin purging is real. It may seem contradictory that continuing to use a product through breakouts and holding on through some serious bad skin days can result in your complexion eventually clearing. But purging is absolutely real—especially if you have acne-prone skin to begin with.
What does it look like? Distinct, acne-like bumps may be purging. However, if you're noticing welts, diffuse redness, or anything resembling a rash, stop what you're doing. Inflammation is a sign of reaction and generally appears as all-over redness rather than individual, blemish-like spots.