A Acid: Will Short-Term Use Cause Skin Flare-Ups? - Dermatology

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The use of retinoic acid?


Hello doctor, I recently used an acne cream containing retinoic acid, but I found it too irritating and decided to stop after using it twice.
Since continuous use of retinoic acid can lead to a period of worsening, will I still experience this worsening phase after only applying it twice?

Mr. Li, 10~19 year old female. Ask Date: 2017/05/10

Dr. Wu Yuxin reply Dermatology


Using the medication only twice and then stopping should not result in any adverse reactions.

Reply Date: 2017/05/10

More Info


When it comes to the use of A Acid (commonly known as retinoic acid or tretinoin), many individuals experience a range of skin reactions, especially during the initial phases of treatment. Your question about whether short-term use of A Acid can cause skin flare-ups is quite pertinent, especially for those with sensitive or reactive skin.

Firstly, it’s important to understand that A Acid is a potent derivative of Vitamin A, primarily used for its ability to promote cell turnover, reduce acne, and improve skin texture. However, it can also lead to irritation, dryness, peeling, and even a temporary worsening of acne, often referred to as the "purging phase." This purging occurs because A Acid accelerates the turnover of skin cells, which can bring underlying impurities to the surface more quickly than they would normally appear.

In your case, since you have only used the A Acid product twice, it is less likely that you would experience a full-blown purging phase or significant flare-ups. Typically, the purging phase is more pronounced in individuals who use A Acid consistently over a longer period, usually several weeks. However, even short-term use can lead to irritation or sensitivity, particularly if the skin is not accustomed to such active ingredients.
If you found the product too stimulating after just two applications, it’s wise to discontinue its use. The skin can react differently to various formulations, and what works for one person may not work for another. If you experience redness, excessive peeling, or discomfort, these are signs that your skin may be reacting negatively to the product.
For those who are considering reintroducing A Acid into their skincare routine, it’s advisable to start slowly. Begin with a lower concentration and apply it less frequently, such as once or twice a week, and gradually increase the frequency as your skin builds tolerance. Additionally, pairing A Acid with a robust moisturizing routine can help mitigate dryness and irritation. Look for non-comedogenic moisturizers that contain soothing ingredients like hyaluronic acid or ceramides, which can help maintain hydration without clogging pores.

Regarding your concern about flare-ups, while it is possible to experience some initial worsening of acne or skin texture when starting A Acid, this is typically more pronounced with consistent use over time. Since you have only used the product a couple of times, it is unlikely that you will see significant flare-ups as a direct result of those applications. However, if you notice any adverse reactions, it’s best to consult with a dermatologist who can provide personalized advice and alternative treatment options.

In summary, while short-term use of A Acid may not lead to a significant purging phase, it can still cause irritation and sensitivity. If you experience discomfort, it’s best to stop using the product and consider consulting a dermatologist for guidance on how to safely incorporate A Acid into your skincare routine in the future. Always remember to prioritize skin health and listen to your body’s signals when it comes to active ingredients in skincare.

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