Skin purging is common, but doesn't necessarily happen to everyone. In fact some people don't experience it at all. For those of us who do suffer from purging, it can look like: breaking out in pustules (pimples), the appearance of flaky, peeling skin, irritation and dry patches.
“The symptoms related to tretinoin purging typically involve acne breakouts, severe skin dryness and peeling, redness and irritation, but it is important to know that this phase is temporary and once it's over, the skin will generally begin to improve, and you will be able to see the positive effects.
How long does a tretinoin purge last? Results will vary from person to person. The American Academy of Dermatology recommends waiting four to six weeks for any new skin care treatment to start clearing up skin. If you are experiencing purge symptoms after six weeks, talk to your provider.
Do not pick or squeeze the spots, as this can lead to inflammation or scarring. If this is Tretinoin purging or due to beta hydroxy acid (e.g. salicylic acid) or retinoid purging then you don't need to do anything else as these already treat acne breakouts.
What most people can expect during this time is that dead cells will rise to the surface, causing dry skin to flake off. New skin can become exposed and may appear red and irritated as it adjusts to this turnover. Whiteheads, blackheads, papules, and pustules may also appear in clusters and hard bumps.
Retinization is something everyone who uses retinol—more specifically and more commonly, prescription-grade retinoids—goes through when they first begin using their product. While some may experience very mild symptoms, others might go through something unflatteringly known as the “retinol uglies.”
Purging often results in whiteheads and small raised red bumps on the skin, known as papules. True breakouts are more likely to induce nodules or cysts - larger, swollen, painful pimples that feel like knots under the skin. Purging usually appears where acne is common, like the forehead, cheeks, and chin.
Believe it or not, this is actually a sign that the tretinoin is working! “Purging” is a (semi-scary) term for temporary breakouts, and though we know that breakouts are never fun, sticking with it for those first 6–8 weeks can pay off.
During the first 3 weeks you are using tretinoin, your skin may become irritated. Also, your acne may seem to get worse before it gets better. It may take longer than 12 weeks before you notice full improvement of your acne, even if you use the medicine every day.
If the skin purging stage is really troublesome, it can be helpful to decrease the frequency of your actives by alternating days of use. Stick with it - in time, things will likely improve. When the frequency of new spots starts to reduce, increase the frequency of your actives again.
Three inexpensive moisturizers that our physicians love are Vanicream Daily Facial Lotion with Hyaluronic Acid, Neutrogena Hydroboost Gel, and The Ordinary Hyaluronic Acid Serum. All three of these are affordable, non-comedogenic,and blend well with tretinoin.
Tretinoin cream works by promoting rapid cell turnover, which helps unclog pores, smooth the skin's surface, and fade discolorations.
The skin goes red, inflamed, and peeling because retinol has chemically burned away the upper layer of skin, the new exposed skin has not had enough time to build up its natural protection film to UV light and pollutants that a good UV moisturising oil can help with and reduce the exposure to skin cancer risk, ...
Some people may notice that this side effect goes away within a few weeks of use, while others may have flaky skin for up to two months. Regardless of how long it takes to subside, tretinoin peeling is temporary and will go away once your skin gets used to the product.
It can be tempting to pop pimples as they form or pick away at dry skin, especially during a breakout. During the purge phase, it's best to leave your skin alone and allow it to heal naturally. Stay hydrated. In addition to the acne purge, the first few weeks of using tretinoin can involve dry and irritated skin.
You should aim to use tretinoin every night, however, you must start slowly as your skin needs to get used to it. The first 2 weeks apply it 2 to 3 nights per week, after that try applying it every other day, and then if your skin can handle it, apply it every night.
Option one: The sandwich technique
After washing your face, apply a layer of moisturiser. Allow it to dry down for 5-10 minutes. Then, apply a pea-sized amount of tretinoin to your entire face. Allow this to dry down for 5-10 minutes.
Vitamin A can be unstable as an ingredient, and this can mean your skin will become more sensitive. There is often an initial phase when using retinoids for the first time, known by many as the 'retinoid uglies'. Essentially, your skin can see a decline before improvement during an adjustment period.
For those of us who do suffer from purging, it can look like: breaking out in pustules (pimples), the appearance of flaky, peeling skin, irritation and dry patches. Getting these symptoms can be demotivating, especially if you're already feeling unconfident about your skin.
“[Skin purging is] a positive sign that your skin is adjusting to the treatment and purging built-up impurities,” Dr. Yamauchi said. However, if your skin reaction doesn't go away or gets worse, it's best to stop using the new product.
In the long run, skin purging helps us shed dead skin cells more effectively which reduces pore-clogging build-up and breakouts, and it does settle down after a few weeks. But you do have to buckle in and ride out a few weeks of discomfort to see the best results.
✔️Apply petroleum jelly on corners if eyes, nose and mouth before using skin care actives. ✔️always start with a lower concentration of actives. ✔️if you are using a product for the first time , use it on the morning and check if you can tolerate. ✔️do not use actives if skin is dry, red, itchy or irritated.
When the skin begins to purge and get rid of excess oil and dead skin cells, it's preparing to clear what isn't needed out of the body. While it goes through this process, acne and breakouts improve over time. Avoid touching, picking, or popping pimples.