Treatment FAQ

how common is a purge when starting a new acne treatment

by Ward Schroeder Published 2 years ago Updated 2 years ago

Skin purging is a term used to describe the flare-up, or worsening, of acne after starting a new treatment plan or medication. Not all people are prone to purging, but those who are will know they have to let their skin have time to adjust to a new treatment. A good way to define purging is to consider it a quickening of existing acne breakout.

Full Answer

Is skin purging normal after a new acne treatment?

This initial purge doesn’t happen for everyone —just an “extra lucky” group of us—but it is a totally normal thing for roughly 20-25% of people who start a new, medical-grade acne treatment. What exactly is skin purging, why does it happen, and what can you do to reduce it? Read on for dermatologist insight and recommendations.

Which topical acne treatments can cause purging?

Topical acne treatments that can cause acne purging: 1 (AHAs) Alpha Hydroxy acids (ex. glycolic acid, mandelic acid) 2 (BHAs) Beta hydroxy acid (ex. lactic acid, salicylic acid) 3 Retinoids (ex. retinol, tretinoin, adapalene, tazarotene, retinyl palmitate) 4 Benzoyl Peroxide 5 Vitamin C More ...

How long should I purge my skin care products?

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. You can’t speed the purge, but you can help make it tolerable

Can a purge period cause pimples?

She notes a purge period can prompt all kinds 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.

What to do if your skin is purging?

How to tell if it's purging or a breakout?

How long does it take for a pimple to shrink?

Can you purge your skin from exfoliating acids?

Can purge period cause pimples?

Is purging a horror movie?

Does purging cause pimples?

See more

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Is purging normal when using new skincare?

When you start a new skin care routine or you incorporate new products into your current regimen, you may experience breakouts or skin flaking. This process is sometimes called purging. This is a normal, short-term condition where the skin will rid itself of underlying oil, bacteria, or dirt, according to Dr.

How long after using a new product does purging start?

Purging can last for anything from one or two weeks to one or two months. Breakouts can last a while; there is no time period that indicates when the breakouts will go away. The cell turnover speed is usual. The purging of the skin starts after a few days of using a new product.

Does skin clear up after purging?

Generally, skin purging lasts as long as a full cycle of skin turnover. It's the length of time it takes for the new skin—the fresh shiny skin you've been suffering for—to get from the lowest layer of the epidermis to the surface as older layers naturally fall away. On average, a cycle takes between four to six weeks3.

What does acne purging look like?

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.

How can you tell the difference between Breakout and purge?

So what's the difference between a skin purge and a breakout? Skin purging is when your skin is adjusting to the new product. Spots appear where you frequently get them and they go away faster than a normal pimple. Purging is a sign that the product is working and you should continue with the treatment as prescribed.

Why is my skin getting worse when I take care of it?

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.

How long does an acne purge last?

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.

Can you speed up skin purging?

Remembering to stay hydrated and moisturized can help you with tolerating the purging process. However, it is unlikely that you will be able to further speed up a natural skin cycle while already using retinoids. Remember that purging is very worth the wait and remaining patient is part of the process.

How do you treat acne that is 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.”

Does salicylic acid make you purge?

Skin purges typically result from chemicals that exfoliate your skin, like retinols, alpha and beta hydroxy acids, and acne-fighting ingredients like salicylic acid and benzoyl peroxide.

How do I know if my skin is purging?

Skin purging and acne breakout may look the same, but their causes are different....Purging vs. acne breakout.Skin purgingAcne breakoutlocated in areas where a person typically gets breakoutscan occur in any areadry, flaky skin and peelingnodules, cysts, or bothmay be tendertypically more painful and swollen4 more rows•Jun 28, 2017

Does salicylic acid make acne worse before it gets better?

Breakouts caused by acne shouldn't worsen when starting a product known to improve acne. The comedones triggered when skin purges happen at the start of using a product known to cause purging. Dr.

Purging vs Breakouts: When to Ditch Your Skincare

A lot of “all-natural” companies like to claim that their products are causing purging because your skin is detoxifying from all the synthetic chemicals you’ve been using previously – this is a big fat lie. Why would your skin suddenly get angry about having less synthetic chemicals on it? (Even if synthetic chemicals were bad – which they’re not!

A Doctor's Guide To Skin Purging: The Dos & Don’ts | British Vogue

It is difficult to know whether skin is breaking out or if it is simply purging. Dr Ifeoma Ejikeme shares all on what skin purging is, how to differentiate the process from breakouts and how to best deal with purging breakouts.

What to do if your skin is purging?

That means just the basics: a sulfate-free cleanser, a soothing moisturizer, and sunscreen during the day.

How to tell if it's purging or a breakout?

How to tell if it’s purging or a breakout. There’s a difference between purging and having a bad reaction to a new topical product. The former is a necessary evil. The latter is… well, unnecessary. Purging from a product. Breakout or reaction from a product. happens where you frequently break out.

How long does it take for a pimple to shrink?

disappears faster than a normal pimple. typically takes 8 to 10 days to appear, mature, and shrink. First of all, irritation from a new product that’s not from retinoids, acids, or peels is likely a case of an allergic reaction or sensitivity. “If you’re seeing breakouts [or dryness] in an area of your face where you don’t normally break out, ...

Can you purge your skin from exfoliating acids?

You may experience skin purging from exfoliating acids, too . “Certain facials that involve a chemical peel component may also trigger this reaction,” Mraz Robinson says, “because again, it’s all about a reaction in response to an accelerated exfoliation.”.

Can purge period cause pimples?

She notes a purge period can prompt all kinds 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.

Is purging a horror movie?

It’s annoying — but also a good sign. No two words can send a shiver down the spine of a beauty enthusiast like “the purge.”. No, not the dystopian horror film — although some might say the skin care version of purging is just as heart-stoppingly scary. “The term ‘skin purging’ refers to a reaction to an active ingredient ...

Does purging cause pimples?

In other words: If you’re prone to cysts around your jawline or occasional flaking under your nostrils, purging will take it to the max. There’s one good thing about purge pimples, though: “Pimples that arise from purging will appear and disappear faster than a ‘normal’ pimple,” Mraz Robinson says.

What is the best treatment for acne?

Some options include: Your doctor may recommend starting treatment with a lower dose of Accutane. Antibiotics may be prescribed to lessen an acne exacerbation. Steroid treatments are sometimes used to control exacerbations and breakouts associated with skin purging.

What is the generic for acne?

Accutane (gener ic version: isotretinoin) is a prescription acne medication commonly used for severe or resistant cases of acne. At the Advanced Acne Institute w e prescribe it for severe cases of acne that don’t respond to at-home remedies or prescription-strength pills and creams.

What is the best medication for acne?

Accutane can be an incredible weapon in your fight against acne, but it is so important for new patients to understand the phases of Accutane usage and what to expect from the well-known “Accutane Purge.”. Accutane (generic version: isotretinoin) is a prescription acne medication commonly used for severe or resistant cases of acne.

Can acne breakouts be severe?

Although the breakout can be minor — with just a few more pimples than usual — it can also be somewhat severe, with large pimples and cystic breakouts. Like any acne breakout, it can cause prominent scarring, which is why it is important to check in with your dermatologist at the first sign of an increase in acne after starting Accutane treatment.

Can you have a lot of blackheads with acne?

Some have noted that patients who have a lot of blackheads or who have at least one or two very large, deep pimples called “nodules” may be more likely to experience the Accutane Purge, although at the Advanced Acne Institute we have seen it emerge in all different forms of acne.

Does Accutane work on acne?

Many patients believe that Accutane works by forcing all of the deeper pimples to the surface in order to finally rid the skin of acne. The truth is, however, that we don’t really know what is behind the “purging” process. Accutane, which is a form of Vitamin A called a retinoid, has many different effects on the skin, ...

Is the Accutane purge a big concern?

The “Accutane Purge” is certainly a big concern for many patients, and we understand why! Starting a medication to reduce acne only to experience an increase in acne symptoms can be frustrating and discouraging. Let’s explore the facts about the Accutane purge so that you can be fully prepared for what to expect.

What Is Skin Purging?

Skin purging is a process that occurs when you start using a new skincare product that increases the rate of cellular turnover. Because your skin cells are turning over more quickly, lingering breakouts that might’ve taken weeks (or even months) to surface all appear at once.

How Long Does Skin Purging Last?

This is a really difficult question to answer because there is no definitive time period. The length of time your skin purges can depend on a number of things, including how many clogged pores you have to begin with and the strength of the product you started using.

What Kind of Skincare Ingredients Can Cause Purging?

Ironically, the ingredients that typically cause skin purging are also the ones that are best for treating breakouts (weird, right?). As I mentioned before, these are the ingredients that encourage skin cells to turn over in a faster, more efficient way.

Other Possible Causes of Breakouts

When breakouts start to increase around the same time we start using a new product, most of us are quick to blame the product. It makes sense, right? While this can definitely be the case, there are so many other factors that may contribute to an increase in breakout activity.

How to prevent breakouts from purging?

To prevent a full on breakout during a purge, choose a product that doesn’t work too fast. You should not use other skincare products when your skin is getting used to a new product that has caused purging.

What is purging skin?

When you use a certain new product, it brings all the dead skin cells, bacteria, oil and dirt that are beneath your skin to the surface, before getting rid of them. This leads to breakouts , which is known as purging. Purging often occurs when you use retinoid creams [ 1] or chemical based exfoliators for acne or anti ageing [ 2 ].

What causes skin to purge?

While several products and chemical procedures can cause skin purging, usually, the presence of alpha hydroxy acid [ 3] and beta hydroxy acid [ 4] in exfoliators are common causes. These exfoliate the inner layers of your skin by making them slightly loose on application and clearing dirt and oil.

Why do masks purge your skin?

These ingredients are known to cause skin purging because their function is to help your skin generate new cells in place of the old. Some detox masks and other facial masks can also get your skin to purge if they contain any of these ingredients.

How to stop pimples from popping?

Don’t touch your face and avoid popping the pimples. Keep your bed linen and pillow covers clean at all times. When your skin is purging, keep soaps, exfoliants and products with harsh chemicals away from it to prevent further irritation.

How long does a breakout last?

The cell turnover is faster to remove dead cells. Purging can last for anything from one or two weeks to one or two months.

Is it good to wrap up after a purge?

Wrapping Up. When your skin is going through a purge, don’t control or try to stop it. It is actually good for your skin as the process is removing all the excess dirt and bacteria lodged in the inner layers of your skin. But, it makes sense to know whether it is a purge or a breakout. Go for solutions accordingly.

Signs to Watch Out For

What do you need to look out for to determine whether you’re experiencing skin purging or breakouts?

Treatment and Care to Reduce the Severity of Purging Symptoms

While purging may be a frustrating part of your new skincare routine, it usually disappears faster than a normal pimple. Here are some steps you can follow to reduce the severity of purging symptoms:

Your Journey to Better Skin

Purging can be an agonizing endeavor while you’re waiting for your skin to adjust to the new product you’re using, but it’s not something that you should worry about. It’s a common occurrence and it will go away on its own after a few weeks. Taking proactive steps to protect and help your skin recover quickly during this period also helps.

What to do if your skin is purging?

That means just the basics: a sulfate-free cleanser, a soothing moisturizer, and sunscreen during the day.

How to tell if it's purging or a breakout?

How to tell if it’s purging or a breakout. There’s a difference between purging and having a bad reaction to a new topical product. The former is a necessary evil. The latter is… well, unnecessary. Purging from a product. Breakout or reaction from a product. happens where you frequently break out.

How long does it take for a pimple to shrink?

disappears faster than a normal pimple. typically takes 8 to 10 days to appear, mature, and shrink. First of all, irritation from a new product that’s not from retinoids, acids, or peels is likely a case of an allergic reaction or sensitivity. “If you’re seeing breakouts [or dryness] in an area of your face where you don’t normally break out, ...

Can you purge your skin from exfoliating acids?

You may experience skin purging from exfoliating acids, too . “Certain facials that involve a chemical peel component may also trigger this reaction,” Mraz Robinson says, “because again, it’s all about a reaction in response to an accelerated exfoliation.”.

Can purge period cause pimples?

She notes a purge period can prompt all kinds 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.

Is purging a horror movie?

It’s annoying — but also a good sign. No two words can send a shiver down the spine of a beauty enthusiast like “the purge.”. No, not the dystopian horror film — although some might say the skin care version of purging is just as heart-stoppingly scary. “The term ‘skin purging’ refers to a reaction to an active ingredient ...

Does purging cause pimples?

In other words: If you’re prone to cysts around your jawline or occasional flaking under your nostrils, purging will take it to the max. There’s one good thing about purge pimples, though: “Pimples that arise from purging will appear and disappear faster than a ‘normal’ pimple,” Mraz Robinson says.

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