Avoid Skin Purging with Retinoids and AHA's | 5 Steps to PREVENT SKIN PURGING

Avoid skin purging with retinoids, ahas, retinol, tretinoin and adapalene. How to prevent skin purging. Skin purging with new products. Can you stop skin purging?
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Watch My Other Skin Purging Videos
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Timeline | Chapters
00:00 - Intro
1:05 - Why Does it Happen?
1:48 - Understanding the Cycle
2:24 - 1st Step
3:27 - 2nd Step
3:42 - 3rd Step
4:14 - 4th Step
4:54 - 5th Step
What is skin purging or acne purging.
Skin purging happens to your skin when an active ingredient triggers cell turnover which is just fancy for pushing everything underneath the skin to the surface, think of it like cleaning out the pipes. So out with the old skin, and in with the new. So things like excess sebum, flakes, and buildup all rise to the top of the skin and cause breakouts.
Skin purging vs breaking out. Skin purging how long does it last.
Its going to look different from person to person, but essentially you can get a mix of whiteheads, blackheads, papules, pustules, cysts, and even the tiny ‘pre-pimples’. Generally speaking, it’s said that the skin renews itself approximately every 28 days, while that might be true, as we grow older, this skin cycle slows to about 45-60 days in our 40's and 50's. But remember, this entire cycle is about to get revved up and things are going to turnover faster, but not everyone will be at the same pace, which explains why some of you purge for only 1-2 weeks, while some of you can purge up to 6 or more weeks.
How to prevent skin purging. How to stop skin purging immediately.
First Tip is after youv'e done a patch test to make sure you dont react to it: You want to start slow. Slowly introduce a new product into your routine to give your skin some time to adjust. So for example with a retinol, try using the product once in the first week, maybe twice in the second week, then three times in the third week, and so on until you're using the product every day or every other day depending on how sensitive your skin is. For other products, going in for the lower concentration first and starting at a smaller amount, maybe just a tad smaller than a pea sized amount before gradually increasing to the recommended amount over some time, can be a good practice.
How to prevent skin purging. Skin purging tips.
Second Tip is to Absolutely don't touch your face. If you absolutely have to, make sure your hands are clean first. Adding extra oil or bacteria to your face can throw everything off which could make the breakouts worse.
Tips for skin purging. How to prevent skin purging retinol.
Third Tip is to Stay hydrated, 3.7 liters of water a day for men, and 2.7 liters of water a day for women. The 8 cups of water per day advice, lacks evidence, and personally I think that's not enough, especially if you are active. You see, People who are adequately hydrated with water are less likely to form acne scars, wrinkles, and guess what, they won't show as many signs of aging as those who drink little amounts of water.
Skin purging differin. How to prevent skin purging differin.
Fourth tip is to apply your product over a moisturizer. This allows the moisturizer to act as a buffer and prevent the chances of having a tough purge and overall irritation. This is especially true with tretinoin as it can help minimize harsh drying effects that a lot of people experience which leads to giving up the product.
Skin purging tretinoin. How to stop skin purging tretinoin.
Once you start with the active ingredient that is said to purge, you want to have literally the most gentle skincare routine you can possibly get while still delivering the results you want, what do I mean? Be aware of every single product in your skincare routine, familiarize yourself with all the ingredients you use, as some can be aggravating and you may never even know. So what I would do is, For the first six weeks, only use a gentle cleanser and sensitive skin moisturizers, and avoid all harsh products. This means peels, exfoliating scrubs, and any other AHAs. You want to account for everything.
DISCLAIMER:
This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Dr. Arsalan Aspires has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.
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#tretinoin

[@lankanikai8056]

I watched like 100 vidoes of the purging phase to remind my self its going to get better, it came first as dry flaky skin,then purging -it was so hard mentally to get thru , waking up to new whiteheada and bumpy skin for 2 months and now im officially out of that phase. Now i have a lot of hyperpigmentation from them but i can see good skin coming up. Anyone going thru purging - keep pushing girl ❤

[@ArsalanAspires]

Thank you for sharing your experience and words of encouragement!

[@abhirami3980]

Did you stopped applying tretinoin?

[@user-mb5se4ry9w]

It is so hard ,l am crying😭

[@faridadanmaliki]

I really love your videos, I want show you my problem before starting using it

[@shahniemadi610]

Thanks for the great tips 👍👍👍💕

[@marktwain3083]

Great video, doc! Could you please make a video comparing topical tretinoin to topical isotretinoin gel? There's nothing on youtube about it so far, very few people even know that isotretinoin gels exist.

[@njidekambeledogu3478]

Thank you do much for this info. They are really helpful. I got Retin A but somehow scared to use it because of the purging stage. At least with this vid of yours, my fears have lessen. Presently, i use CeraVe acne foaming cleanser. Can i use it alongside this or do i get another type of cleanser? Is there any difference between Tetinon & Retin A?

[@Acord718]

I appreciate how calm you are. You explain very well yoo

[@ArsalanAspires]

Any time! Feel free to turn the bell 🔔 on to stay up to date with new weekly videos.

[@feliznuevayork5471]

Love your peaceful demeanor. Is there an OTC moisturizer you recommend? Apply and wait how long b4 applying tretinoin? Thanks 😊

[@mostakalnoor5576]

Which moisturizer would u suggest? And can I use salicylic acid every other day after I start doing tretinon treatment for couple of weeks?

[@Queen-sm8go]

The video is really helpful but a quick question. So I use the cerave normal to oily skin cleanser and the cerave normal to dry skin moisturizer. So as the tretinoin will dry my face and cause irritation, should I use the normal to dry skin cleanser?

[@chanreka]

Wish I would have known this years ago ☺️. I hope people listen to this it is great advice!

[@jenmessier2195]

Thank you for all the tips 🙏🏻

[@ArsalanAspires]

Most welcome!

[@ashleygeorgiou4046]

Very helpful, thank you!

[@ArsalanAspires]

Glad 😊

[@lphan4876]

Thank you for the video. I'm trying to get to a dermatologist but I had get a consult from my PCP first. They wanted to help me out since it's going to be a long wait to see one and didn't want to start from scratch so they prescribed tretinoin 0.025% and spironolactone to cover all bases. PCPs are jack of all trades and masters of none so they can't answer my ultra specific questions I can't google myself. I knew I was going to have to start on some retinoid so prior I worked on building a good barrier with using products with nicinamides, ceramides, hyaluronic acid, etc. because I have sensitive skin already. I hope it's not a bother but I'm curious if I'll get an answer. Prior to applying tretinoin instead of a moisturizer would it be beneficial at all to apply hyaluronic acid. I have been using Vichy Mineral 89 hyaluronic acid and I had thought it would be ok to use prior to seeing videos that all specifically say use a moisturizer. I've only used tretinoin once. I used Vanicream and La Roche Thermal Water mist then waited 20 min and applied directly. Waited 20 min again then did serum Cerve ultra light pm, and Eucerin emollient for extremely dry skin. I plan to do it for my 2nd time tomorrow which would be 2 nights post. It just feels weird to do moisturizer before serum lol. What are your thoughts about it? I found a couple of sites that just mention it's ok to use it but not in a specific order. I know hyaluronic acid absorbs better with wet skin vs. dry so is that's why it's not a good idea? Sorry for the lengthy post

[@juniemontes3408]

Thank you very much!!!

[@ArsalanAspires]

Glad I could help! Hit the bell 🔔 to stay up to date with new weekly videos!

[@amritabasu2269]

I understood the tretinoin assignement but what about the other days? What not to mix even in the am skincare routine ? What can we use with tretinoin (in the same routine)? What are you guys doing on the rest of the 6 days when you dont use tretinoin?

[@anureddy106]

Hi Doc, im using tretinoin since 2wk and my skin is irritating and not tolerating hydra moisturizer also, so im using alovera gel which has Glycerine and vitmE. Can i use this instead of moisturizer for few days untill ny skin feels better ?

[@eliannablumenthal]

Just got my tretinoin in and I’ve been watching your vids leading up to this day :)) very excited for this new journey

[@ArsalanAspires]

That’s awesome! Happy you are here! Feel free to share an update. 😃

[@gen3671]

You are great Dr. Arsalan, based on my experience after using tretinoin my skin get irritation because I don’t know the proper way, very important to watch before to start after learning my skin slowly adopt the tolerance purging really scary but please don’t give up after all your skin become soft and clear.

[@ArsalanAspires]

You bring up an excellent point! Thank you.

[@jayreszy4398]

You need some Flonase!!

[@sharmishthabanik186]

What about cerave resurfacing retinol serum. I have acne prone sensitive skin. Could you tell me how to use cerave resurfacing retinol serum.

[@ArsalanAspires]

Thanks for your question. For that specific product, use it at night and apply it after a gentle cleanser and before moisturizing. You can also apply it after your moisturizer but wait 15 minutes after. With washed hands, use a pea-sized amount on your forehead, nose, cheeks and chin and evenly distribute it.

[@lotuscabrio2937]

While you are purging, can I perform my guasha tool?

[@sc9683]

Hi Handsome doctor. Should I persist with using my tretinoin as I build tolorence if my skin is dry and scalp in some areas but not itchy or stinging? I am ready mixed opinions. Also, how many days can you go without using tretinoin before you have to ‘start again’ and lose the progress of the tolorence you are building? ❤

[@ArsalanAspires]

Hello and thank you for your question! The dry skin is expected with products that increase skin cell turnover. It is a normal process. Stinging and itching are some signs of irritation/reactions. So from what I hear, you seem like you are tolerating the product so far. 🙂 It depends on the strength. But a good rule of thumb is to 2-3 days while listening to how your skin adapts to the on and off periods, this is so you minimize the length of time with purging. I hope this was helpful! 🤞

[@sc9683]

@@ArsalanAspires Hi, Thank you I am in Australia. Do you offer any kind of long distance consultations? I had perfect flawless skin (I was using tretinoin 0.1% for 10 years and then I lost tolorence because a medication gave me dermatitis (on my face). Now I just don’t seem to be able to get that tolorence back and I have acne. It’s so depressing. I would like to have personal guidance from someone like you. Is this possible? What is your instagram? Sarah xx

[@rosyolivia4170]

I am using cera ve 4% benzoyl peroxide face wash for my acne, and I am going through a terrible skin purging, and it's painful sometimes......please help...

[@sherrykhelawan3047]

Thank you! I think my skin is starting to purge from using tretinoin once a week & although I know it will pay off, I kind of want to stop but I'll keep going.

[@ArsalanAspires]

Feel free to share an update here! Wishing you success with it.

[@faridadanmaliki]

Hello sir, please can I ask you something?? Because I just went to see my doctor as I have mino acne on forehead and chin so he prescribe retin A 0.05 for 2 week

[@kdub2627]

My Derm prescribed Tret 0.05 . I don't even have acne... im scared to use it 😂😂😂😂

[@Alicia-gf6cd]

Me too! Im supposed to start today but I’m afraid lol

[@AAmxs]

​@Alicia fun fact, tret is not used only for acne, it was supposed to an anti aging cream

[@bonitabelle3336]

And I'm thinking of getting it what is the beginner friendly low percentage tret 0.0 ??? I heard it do wonders for ance prone texture skin 😅

[@Alicia-gf6cd]

@@bonitabelle3336 i think the lowest is 0.01

[@bonitabelle3336]

@@Alicia-gf6cd thankyou for your suggestion 💓

[@prayagacharya5184]

what about skin cycling?

[@rachelgreen1527]

Hey what about PANOXYL. I just used tretinoin for first time tonight. Can I still use panoxyl during the day? And tretinoin at night?

[@amonikmelaco1]

I used to use both and had the best skin of my life

[@Danm2201]

How scientific is the acne face map at 1:34? I've never seen this before, but I'm intrigued

[@jaci7974]

If I’ve used retinol for a couple years and now have to stop due to pregnancy, will I purge again once I start using retinol again?

[@blancadavis5309]

I’m about to start my Tretinoin journey. I have used retinaldehyde for almost 3 years. Can I continue using my vitamin c in the morning while starting tretinoin in the evening?

[@natalieawino3662]

No please, use the vitamin c only on the days you're not using the treat, but most importantly avoid any other actives during your test days

[@ryxgzr]

Use both at night but on different days and use spf on the morning

[@santinodagostino02]

For step 4 I should moisturise first before applying my retinoid? (Differin) or apply first then moisturise??

[@jodyculbertson5853]

My ARNP said to apply moisturizer after applying RetinA

[@girishsalunkhe857]

He said apply the product over the moisturiser. That means first apply the moisturiser and then apply the product so that your moisturiser acts as a shield and helps keep your skin moisturised

[@karlavonschwarzenblut979]

Can you tell me if this composition is good for me from RetinA cream ( PEG 400, PEG 4000, Polysorbate 80, Retinyl Palmitate 200.000) I am 36 years old, I have no wrinkles, except for a slight nasolabial fold and a couple of spots that are visible to me, but I want to remove them as well as two wrinkles on my neck. First of all, RetinA treatment is important to me as a preventive measure. My pores are slightly enlarged, and my skin is mostly dry. I use moisturizers for sensitive skin because my skin is normal to dry, but sensitive at the same time. I use serums based on Retinol 1% in squalane almost every day, except when I use peptides. Serums based on peptides occasionally twice a week, serum Vitamin C 15% daily. Pro-retinol creams that contain SPF 25 daily and also SPF 50+ in particular. I use mix booster serum for the area around the eyes based on caffeine, collagen and retinyl every day, morning and evening. The sunscreen 50+ that I use is intended for children because it also bothers me if it is not medical.

[@panda_____ff]

Does tretinoin cures the scar and dark spots??

[@mwbjsadler]

Where can you get the Tretinoin without having to make a appt with a Derm, waiting months to get an appt, and then finding they won't order it. My pcp won't order it either. It frustrates me. Very strict in Massachusetts. Not sure why. It seems like no one else is having this problem getting the Tretinoin. Anywhere online I can buy it. Your help would truly be appreciated. I am 64 and looking to use it in your suggested skin regime. I always have just used a cleaner and moisturizer. Neutrogena cleanser and moisturizer. But I lately notice I am getting some wrinkles and need help. I also have been getting clogged pores on my eyes and dark circles. Can you suggest any treatment for that as well. Great tutorial, so informative.Very calm presentation. Make it seem if used correctly and consistently, it can help you. I am hooked. Sorry for all the questions but I am brand new to your site. Hope to hear from you soon. Thank you, Barbara S.

[@lilacsr4me]

if you do a search, sometimes you can find a mexican, canadian, india pharmacy that requires no script.

[@Oksadess]

Try good rx gold, a physician will diagnose you and send the prescription to your chosen pharmacy☺️ Hope this helps!

[@glamoraymuah]

What wash do you recommend?

[@glamoraymuah]

I use the CeraVe SA.

[@prashantk3287]

I have 3 important questions, doctor please advice me. 1. Does purging causes cystic acne..? How many months this cycle takes if I start tretinon 2 times a week for 15 days. 3 times a week for next 30 days. 5 times a week then onwords. So technically i would start applying daily after 45 days of exposure..! Slow but steady. 2. If i used adaplene erlier for 2-3 months , and now i switch to tretinoin do i still get purge and cyctic acne..? 3. How many monthd it takes to see visible diffrance on skin texture, pigmentation,acne and other issues..?

[@Nusratjahan-kp2nk]

I am using tretinoin 0.025%. It's my 4th month running. But still my skin purg. Is it normal?

[@jennabinion2166]

i was on 0.025% of tretinoin for approximately 2.5 months. my derm increased it to 0.05% a few weeks ago. i purged pretty badly with 0.025% and have been having more breakouts recently after switching to 0.05% however, they haven’t been cystic like i’m used to. mostly whiteheads. is it normal to have a purge after increasing the percentage? i feel like i have been purging forever. my skin care routine in the morning consists of a hydrating face wash by la roche posay, 2% salicylic acid, followed by sunscreen. at night it is the same cleansers, tretinoin after my skin dries, and moisturizer about 20 minutes later. is there anything i should change or add in?

[@anerostika7619]

I think you have to change your facial wash to mild facial wash. Salicy acid is active ingredients that doesnt suit to use with retinol . Use the mild facial wash like cerave

[@AmalDi-zz3iz]

At what age I should start using Diffren to protect my skin from age's wrinkles??? ...ps: I am 27 years old

[@morgianasartre6709]

Adapalene is not studied for anti-aging do I wouldn't recommend banking on Differin. At 27 you can def already start at least the otc retinol or retinal and perhaps eventually go on prescription tretinoin which is the gold standard for anti-aging.

[@danaroberts3643]

I am six weeks into Differin and I'm at my wits end. The purge has caused acne that is the worst I've ever experienced in my life. What I can't figure out is much purging is normal? At what point does someone need to stop?

[@saragboa]

that’s what I was wondering for some time. did it ever get better for you?

[@ruthiwuoha2072]

I’ve used Tretnoin for over a year and my skin still sheds/peels every 5 days

[@ArsalanAspires]

Hi Ruth, sorry to hear that. Have you tried applying the moisturizer first before tretinoin? Some say it can help with peeling. Feel free to ask any questions!

[@ruthiwuoha2072]

@@ArsalanAspires thank you Doc. I will try that.

[@sumirapaudel6418]

​@@ArsalanAspireseven though i apply moisturizer before and after using tretinoin, my skin still sheds

[@anishnehete]

​@@ArsalanAspiresbut doesn't that reduce the efficacy of tretinoin?

[@jcoop3230]

Weueu❤🎉😢😮😅😊❤❤❤😂😂😂😂😂❤❤😂😂 Everybody come to high 01, my favorite friend and then to cancel mine down everybody call your name

[@ladys3086]

Hi I'm on month 3 of tretinoin my skin is very red and litterly so dry and falling off... my question is should I carry on using it every night or give my skin a rest in between ,,??

[@ladys3086]

I'm on the highest strength to I also apply over a good moisturiser

[@ladys3086]

Could you recommend a good moisturiser please to go with it

[@ArsalanAspires]

For best results consult with your dermatologist, this way they can see that It may be that you need a dose adjustment. Most seem to do well with the vanicream moisturizer. But others can be great solutions too.

[@mrss4225]

Every night seems to much. Cut back once week

[@kwangsooisnotafool7362]

Hey how's your skin now .

[@bonitabelle3336]

I want to use tret but don't know which tret % should i get and I've texture sensitive acne prone sebum skin doc which one i should get for my skin 😓

[@AmareProfunde]

I would say that a dermatologist is best to advise you but I went to 2 and they wanted to give me the strongest and 2nd strongest ones. I don't know why. It would seem to make sense to start low and get accustomed to using it then go higher when ready. Starting this week. I'm scared...I should have said I wanted the low dose 😢

[@AmareProfunde]

Did you start on one? How's it going?

[@bonitabelle3336]

Girl just try egg white on face like a mask and leave it off for 7min and wash your face and at night time use Benzoyl peroxide and wake up and touch your face you'll not feel your face like rock I've alot of whiteheads and texture skin i wasted alot of money in serums and I get breakouts everytime I add new products on my skin now I'm sticking to the simplest step by step routine my face is glowing and smooth and no sebum I hope it helps

[@bonitabelle3336]

And tret takes alot of time and I've no patience to wait that long to work on my face if you're a risk taker go for it but I won't use tret without derm adv and this is too strong for me but might work for others

[@YussaraMartinez]

Is it possible to have headaches with the use of RetinA?

[@ArsalanAspires]

It is not common, but it might for some.

[@goddessnoir290]

❤❤❤❤❤

[@sophianraden6913]

Thankyou for your gnosis

[@ArsalanAspires]

Thank you for being here!

[@kendraalala5314]

Could I use adapalene only once a week or is it not effective at such a low rate? I started adapalene and have used it once a week for the past two weeks, and my skin is reacting well so far. I’m really scared of purging 😂 Thank you Dr. Arsalan!

[@danaroberts3643]

Are you still using adapalene? Is it working well for you?

[@kendraalala5314]

@@danaroberts3643 Ya! After using it once a week for two weeks, I increased the usage to every 4th night (like skin cycling). My skin is pretty clear now but not completely clear yet; I still have hyperpigmentation/acne scars, and occasionally get one or two pimples. I didn’t go through a crazy purge (I’d say for a couple weeks it was normal amount of acne for a bad day and then it just slowly decreased). I use vanicream cleanser and lotion which has really helped keep my skin moisturized and I didn’t have any dry skin or peeling!

[@nobodyknows490]

@@kendraalala5314how is your skin now

[@dinosemr8141]

💖❤️💖❤️🙏❤️💖❤️💖❤️

[@ArsalanAspires]

Thank you for all your support!

[@Helen11Johnson]

Slow haha