Tretinoin purging: Tretinoin commonly causes a skin purge, characterized by acne breakouts, dryness, and irritation, especially when first used or when the dosage is increased.
Purge & Progress (Weeks 2-8): This period can see an uptick in breakouts as Tretinoin accelerates cell turnover. While disheartening, this is temporary and normal. Your doctor can help you get through this by adjusting your protocol.
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.
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.
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.
The only way to completely prevent a tretinoin purge is to avoid using tretinoin products. You can minimize tretinoin purge by starting your regimen slowly. Start using the products once or twice a week and gradually increase until your skin adapts to daily use.
Elise Griffin, PA-C, shares her clinical experience: “When tretinoin is first started, irritation, dryness, or burning can be normal as the skin adjusts. After a few weeks, these symptoms should start to improve.
“During the skin purge, your skin speeds up the cell turnover faster than it's used to so the substances clogging your pores get pushed to the surface of your skin faster, so you may experience slight inflammation, contributing to additional breakouts,” says Dr. Fernandez.
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.
Absolutely. I would apply your prescription products first and then the Mighty Patch as needed.
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.
✔️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. ✔️use a ceramide based moisturiser to repair skin barrier if you have dryness or itching.
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.
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.
After 4-6 weeks, your skin will get used to Tretinoin and will begin to be noticeably smoother and more even. Depending on how often you use Tretinoin, you may begin to see full benefits by this point. A lot of the initial irritation will settle down and true “retinization” of your skin is in full force.
The retinol uglies can last anywhere from 4–8 weeks. The exact length of a retinoid purge depends very much on your skin type and sensitivity. The amount and strength of your retinoid product can also play a part. Some people experience a purge flare-up for only a few days, and others don't get it at all.
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.
Skin purging is a supercharged cleanse for your complexion. It is usually caused by an active ingredient in a skincare product or a process that speeds up the skin's cell shedding and renewal phase. These ingredients stimulate cell renewal turnover rate leaving behind clearer, smoother skin.
You might notice the appearance of whiteheads, blackheads, papules, pustules, and hard bumps in clusters. These combined effects can make the skin look rough and uneven. The term “purging” reflects a process of purification or cleansing, which is exactly what your skin undergoes during the retinoid purging phase.
05% strength tretinoin cream is more than enough to reduce acne and improve your skin. Avoid touching or scratching your face. 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.
Home remedies, such as cleansing the skin, applying ice, and using benzoyl peroxide, can help shrink a cystic pimple. However, in some cases, cystic acne may require dermatological help. Cystic acne is a severe form of acne that causes large bumps to form under the skin.
However, when adapalene 0.1% and tretinoin 0.05% gel, tretinoin has the edge anti-acne. So overall, tretinoin may be slightly more effective in combating acne. However, patients experience better tolerability with adapalene versus tretinoin.
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.
Tretinoin, a topical retinoid, has proven to be a game-changer in the world of skincare. Its ability to stimulate collagen production and accelerate cell turnover can significantly diminish the appearance of deep smile lines, giving you a more youthful and rejuvenated look.