Should You Stop Using Topical A Acid If You Experience Discomfort? - Dermatology

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When using topical retinoids, such as A acid (tretinoin), it's common to experience some degree of discomfort, especially during the initial phase of treatment. This discomfort can manifest as redness, peeling, dryness, or a burning sensation. Here’s a detailed response to your concerns:
1. Discomfort and Skin Reactions: The initial discomfort you are experiencing, including stinging and redness, is often referred to as "retinization." This is a normal reaction as your skin adjusts to the active ingredient. Many dermatologists advise that these symptoms may subside after a few weeks of consistent use. However, if the discomfort is severe or persists beyond a reasonable timeframe (usually a few weeks), it may be wise to reconsider your usage.
If the discomfort is mild, you might continue using the product but consider reducing the frequency of application. For example, instead of applying it every night, you could start with every other night or even twice a week, gradually increasing the frequency as your skin adjusts. Additionally, applying a moisturizer before or after the retinoid can help mitigate irritation.

2. Breakouts and Acne: The appearance of new acne lesions, especially in areas where you did not apply the A acid, can be concerning. This phenomenon is often referred to as "purging." When starting a retinoid, it can accelerate the turnover of skin cells, which may bring underlying comedones (clogged pores) to the surface, resulting in temporary breakouts. This is generally considered a normal part of the process, especially if you have a history of acne.

However, if the breakouts are excessive or if you notice a significant worsening of your skin condition, it might be a sign that the product is not suitable for you, or that you may need to adjust how you are using it. In such cases, consulting with your dermatologist is advisable. They can assess your skin's reaction and determine whether to continue, adjust, or discontinue the treatment.


Recommendations:
- Consult Your Dermatologist: Given your symptoms, it’s essential to communicate with your dermatologist about your experiences. They can provide personalized advice based on your skin type and condition.

- Adjust Usage: If you decide to continue using the A acid, consider applying it less frequently and always follow up with a good moisturizer to help reduce irritation.

- Monitor Your Skin: Keep a close eye on how your skin responds over the next few weeks. If the irritation worsens or if you develop more severe breakouts, it may be necessary to stop using the product altogether.

- Hydration and Sun Protection: Ensure you are using a gentle cleanser and a hydrating moisturizer. Also, remember that retinoids can increase your skin's sensitivity to the sun, so applying sunscreen daily is crucial.

In summary, while some discomfort is normal when starting A acid, it’s important to listen to your skin. If the irritation is too much or if you have concerns about new breakouts, consulting with your dermatologist is the best course of action. They can help you navigate your treatment plan effectively and ensure that you achieve the desired results without compromising your skin's health.