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.
“The term 'skin purging' refers to a reaction to an active ingredient that is increasing skin cell turnover rate,” Dr. Deanne Mraz Robinson, a board-certified dermatologist, tells Healthline. As skin cell turnover speeds up, the skin starts shedding dead skin cells faster than normal.
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").
When introducing a new skincare product into your routine, you can sometimes experience an adverse reaction like an increase in breakouts or dry, flaky skin. While this may seem like you should stop using a new product, it may actually be a sign that it's working. This process is known as skin purging.
Using a different product every few days can also irritate your skin, causing new breakouts. If a treatment works for you, you should notice some improvement in 4 to 6 weeks. It can take two to three months or longer to see clearing. If you notice improvement, keep using the treatment.
Adolescents and young adults between ages 12 and 24 tend to be the most affected group. It usually begins during the start of puberty, affecting girls earlier than boys. Typically people will outgrow acne but about 12 percent of women and 3 percent of men may still have acne even in their 40s.
Acne falls into the "mild" category if you have fewer than 20 whiteheads or blackheads, fewer than 15 inflamed bumps, or fewer than 30 total lesions. Mild acne is usually treated with over-the-counter topical medicine. It may take up to eight weeks to see a significant improvement.
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 is neither good nor bad. It can happen after using excellent products but, equally, it also frequently occurs when the skin barrier is compromised prior to starting with a product or treatment.
"Ideally the skin is smooth, supple, and uniform in color," Waldorf said. If your skin feels less bumpy, the size of your pores has been reduced, and you're noticing less marks, acne, and discoloration, your products are likely working.
Does Curology make your skin worse? If your Curology cream has new active ingredients in it that you've never used before (like retinoids or acids), then yes, your skin might “purge," aka temporarily break out while your skin adjusts to the new exfoliating ingredients.
Some refer to this phenomenon as skin getting worse before it gets better. ... As salicylic acid penetrates the pore lining, it thins the thick, sticky oil (sebum) buildup as it loosens and reduces the size of clogs residing deeper in skin.
Retinoids such as Tretinoin, acids such as salicylic, and benzoyl peroxide are just a few of the products that cause purging. These products contain active ingredients that increase the skin cell turnover rate, therefore causing your skin to purge.
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.
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.
Most niacinamide products also contain a variety of other ingredients. If any of these ingredients increase skin cell turnover then they may be behind any 'purging'. Some ingredients can also be 'comedogenic' which means that they are more likely to clog pores and cause breakouts.
Salicylic acid also improves the shape of the pore lining, and once the pore is normalized, the backed-up, smaller clog can more easily come to the surface, appearing as new clogged pores (blackheads or white bumps).
Purging pimples do not leave marks or blemishes on your skin. It actually heals the skin to form fresher skin cells. Breakouts don't benefit the skin; they leave marks and blemishes when they go. The cell turnover is faster to remove dead cells.
A purge can last as long as two months, and you should start seeing an improvement by the six-week point, if not sooner. On the other side of a purge is cleaner, clearer skin!
If you want to prevent skin purging or limit a purge's severity, make sure you introduce your new acne treatment products slowly into your routine. This is true of other skincare products for most skin conditions! Slow and steady usually wins the race.
Given the increase in oil production, she says your skin will usually look greasier and slightly more inflamed. Zeichner adds that stress acne can also look like a combination of blackheads, whiteheads, red bumps, and pus pimples.
The four stages of acne (comedones, papules, pustules and cysts) are graded 1 through 4.
The last 4 types—papules, pustules, nodules, and cysts—are types of inflammatory acne that can be harder to treat.
Most people have acne on and off for several years before their symptoms start to improve as they get older. Acne often disappears when a person is in their mid-20s. In some cases, acne can continue into adult life.