A acid issues and concerns?
Doctor, I would like to ask about my use of topical retinoids.
I have been using them for over a year.
Initially, I would apply some retinoid and then follow with a serum, but my skin still felt oily and I continued to break out.
Recently, I went back to see my doctor, who advised that I could stop using other skincare products and just use the retinoid.
After trying this for a while, I noticed that my skin feels less oily, but it seems to have become rougher.
Previously, my skin was very oily but not rough, and now it is less oily but feels coarse.
I would like to know what might be causing this and what I should do.
jak, 30~39 year old female. Ask Date: 2020/09/17
Dr. Wu Yuxin reply Dermatology
It may be due to insufficient application of skincare products, and with the arrival of autumn, moisture loss in the skin has occurred.
It is recommended to continue using the original skincare products.
Reply Date: 2020/09/17
More Info
When it comes to managing oily skin and rough texture, particularly with the use of topical retinoids like A Acid (commonly known as tretinoin or retinoid), there are several factors to consider. Your experience of transitioning from oily skin to a rougher texture while using A Acid is not uncommon and can be attributed to a few key reasons.
Firstly, A Acid works by promoting cell turnover, which means it helps to shed dead skin cells and encourages the growth of new ones. This process can initially lead to dryness, peeling, and sometimes a rough texture, especially if the skin is not adequately moisturized. The reduction in oiliness you’ve experienced is likely due to the retinoid's ability to regulate sebum production, but this does not always equate to improved skin texture. In fact, if the skin becomes too dry or irritated, it can lead to a rough appearance.
Secondly, the change in your skincare routine—specifically, the decision to stop using additional moisturizers or serums—may have contributed to the rough texture. While A Acid can be effective on its own, it is essential to maintain a balanced skincare regimen that includes hydration. If your skin is not receiving enough moisture, it can become dehydrated, leading to a rough and flaky texture.
To address these concerns, here are some recommendations:
1. Reintroduce Moisturizers: Consider reintroducing a lightweight, non-comedogenic moisturizer into your routine. Look for products that contain hydrating ingredients such as hyaluronic acid, glycerin, or ceramides. These can help maintain moisture levels without adding excess oil.
2. Adjust A Acid Usage: If you are experiencing significant dryness or roughness, it may be beneficial to adjust the frequency of A Acid application. Instead of applying it every night, you might try using it every other night or a few times a week, allowing your skin to acclimate to the treatment.
3. Gentle Exfoliation: Incorporating a gentle exfoliant, such as a chemical exfoliant with alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs), can help improve skin texture. However, be cautious not to over-exfoliate, as this can lead to further irritation.
4. Sun Protection: Always apply sunscreen during the day, especially when using A Acid, as it can increase your skin's sensitivity to the sun. A broad-spectrum SPF of at least 30 is recommended.
5. Consult a Dermatologist: If your skin does not improve or if you have concerns about the rough texture, it is advisable to consult with a dermatologist. They can provide personalized recommendations and may suggest alternative treatments or adjustments to your current regimen.
In summary, while A Acid can be an effective treatment for oily skin and acne, it is crucial to maintain a balanced skincare routine that includes hydration and gentle exfoliation. By reintroducing moisturizers and possibly adjusting the frequency of A Acid application, you can help improve your skin's texture while managing oiliness. Always listen to your skin and consult a professional if you have any concerns.
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