Since tretinoin works by preventing dead skin cells from clogging pores, it's effective at reducing all forms of acne, including comedones such as blackheads. By preventing clogged pores, tretinoin stops whiteheads and blackheads from developing in the first place.
Tretinoin can actually make acne worsen during the first 7–10 days of treatment, resulting in red, scaling skin, and increased pimples. Over time, the acne blemishes should disappear—this usually takes 2–3 weeks but can sometimes take more than six.
Many tretinoin users experience a “purge” during the first several weeks of treatment. During this period, acne — the very problem tretinoin is supposed to treat — often gets worse, resulting in everything from the occasional whitehead to severe breakouts.
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.
Remember, your skin is undergoing a more rapid cell turnover than it's used to. All of the substances that were clogging your pores get pushed to the surface layer of your skin, and because things are happening at a faster pace, you may experience light inflammation, contributing to breakouts.
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.
After 4-6 weeks, your skin will get used to tretinoin and will begin to be noticeably smoother and more even. A lot of the initial irritation will settle down and true “retinization” of your skin is in full force.
Tretinoin minimizes pore appearance by increasing cell turnover and boosting exfoliation, which clears debris in the pores and allows pores to shrink back to their normal size.
Deep blackheads should be removed by a medical professional — usually a dermatologist or medical aesthetician. They use a small tool with rigid metal loops on the ends (blackhead or comedo extractor) to apply even pressure to your blackheads.
For severe cases of blackheads, prescription retinoids might be your best bet (they're stronger,) but there are tons of excellent over-the-counter retinol remedies as well. This budget friendly retinol serum from The Inkey List uses squalane and glycerin to ensure minimal irritation.
Tretinoin speeds up the skin cell turnover process, causing some initial breakouts, drying, and peeling.
It's almost like steaming the face. 'Petroleum jelly dilutes the dried up oxidized oil, creating a hard-topped plug of oil in the pore which is then easier to squeeze out and clear. '
Complications from a blackhead
If pores are infected, the skin can become inflamed and cause acne, which is the inflammation that results from clogged pores. The pores can also become inflamed if the blackhead isn't treated.
Retinoids help mitigate those issues in a variety of ways. They thicken the epidermis through increased cell proliferation at the top level. They increase the production of natural chemicals (such as hyaluronic acid) in your skin that keep it plump and moist.
For the purposes of skin care, tretinoin can be thought of as a more concentrated version of retinol. This means that tretinoin is stronger than retinol. This difference in strength can help guide your decision-making when it comes to choosing a skin care product. Your skin is affected by more than what you put on it.
One of the most common questions related to tretinoin is whether or not it's okay to exfoliate while you're using a topical tretinoin cream, gel or solution. Tretinoin is a reasonably powerful exfoliant that produces its own exfoliating effects, meaning there's usually no need to use any extra exfoliating products.
"You can use tretinoin or [over-the-counter] retinols forever."
Generally, it is fine to use tretinoin every night, but you may not want to because of the initial side effects, especially when you first start. You should only use tretinoin as prescribed to avoid significant skin irritation, redness, and other side effects.
Tretinoin Does Not “Bleach” Your Skin
Contrary to popular belief, tretinoin is not a “bleaching agent” or medicine designed specifically to lighten your skin tone. While tretinoin can even out patches of hyperpigmentation and cause a mild change in your skin tone, it doesn't affect melanin synthesis.
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.
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.
A dilated pore of Winer forms similar to a blackhead pimple, where dead skin cells clog the pore (hair follicle). As a result, the dead skin cells in the pore create a protein (sebum and keratin) that collects and plugs up the pore, causing the pore to enlarge (dilate).
The skin in this area contains more oil glands than other parts of your face and body, which is one of the main factors why blackheads often pop up on your nose. Each pore has a hair follicle and sebaceous gland, which produces sebum that naturally moisturizes the skin.