Managing Excess Oil After Using A Acid: Tips and Solutions

Severe oiliness after using retinoids?

Hello Doctor: I have been experiencing irregular sleep patterns and sudden stress, which has caused a breakout of acne.
A month ago, I visited a dermatologist who prescribed me two doxycycline enteric-coated capsules daily, along with applying Clindamycin and Tretinoin gel to my entire face in the morning and evening.
I have also been using a toner and sunscreen in the morning, and a toner and moisturizer at night, and I have continued this regimen until now.
The initial large number of acne and comedones has significantly improved, but my skin has become excessively oily, producing oil all over my face within two hours.
Even after washing my face, it feels oily rather than clean and smooth.
When I blot my face with tissue, a lot of lint sticks to my skin, which is a problem that has arisen after starting the medication.
I would like to ask the following questions: 1.
I have one week left of the oral medication, and I still have two full tubes of both gels.
Should I continue using them until they are finished? 2.
How can I improve the oiliness of my skin? 3.
I currently have many scars on my cheeks (red spots that feel flat, with no acne or indentations).
How can I improve this without considering cosmetic procedures?

dolly, 30~39 year old female. Ask Date: 2021/11/04

Dr. Wu Yuxin reply Dermatology

1.
You should consult your attending physician about this issue, as they are most familiar with your condition and can help you choose the appropriate medication.
2.
There are many types of scars, such as red acne scars, dark acne scars, and atrophic scars.
Topical ointments may be effective for red and dark acne scars, but atrophic scars still require laser treatment.

Reply Date: 2021/11/04

More Info

Managing excess oil after using A acid can be a challenging issue, especially for individuals with oily skin. It’s great to hear that your acne and comedones have improved significantly with the treatment you’ve been following. However, the increase in oiliness you’re experiencing is a common concern among patients undergoing similar treatments. Let’s address your questions and provide some insights into managing this condition effectively.

1. Continuation of Medication: It’s essential to follow your dermatologist's advice regarding the continuation of your oral medication (doxycycline) and topical treatments (like the gels you mentioned). Since you have one week left of the oral medication and two full tubes of the topical gels, it’s generally advisable to complete the course as prescribed. Stopping treatment prematurely can lead to a resurgence of acne. However, if you feel that the oiliness is becoming unmanageable, it’s crucial to discuss this with your dermatologist. They may adjust your treatment plan based on your current skin condition.

2. Managing Excess Oil: Excess oil production can be exacerbated by various factors, including hormonal changes, stress, and even the use of certain medications. Here are some strategies to help manage oiliness:
- Gentle Cleansing: Use a gentle, oil-free cleanser twice a day to help remove excess oil without stripping your skin. Avoid harsh scrubs or cleansers that can irritate your skin and potentially increase oil production.

- Non-Comedogenic Products: Ensure that all skincare and makeup products you use are labeled as non-comedogenic, meaning they won’t clog pores. This is crucial for preventing further breakouts.

- Oil-Free Moisturizers: Even oily skin needs hydration. Look for lightweight, oil-free moisturizers that can help maintain your skin's moisture balance without adding excess oil.

- Blotting Papers: Carrying blotting papers can be a quick fix for excess oil throughout the day. They absorb oil without disturbing your makeup.

- Consider a Clay Mask: Using a clay mask once or twice a week can help absorb excess oil and prevent clogged pores. Look for masks containing ingredients like kaolin or bentonite clay.

3. Improving Red Scars: The red spots you’re experiencing are likely post-inflammatory erythema, which can occur after acne lesions heal. Here are some non-invasive methods to help improve their appearance:
- Topical Treatments: Consider using products with ingredients like niacinamide, azelaic acid, or vitamin C, which can help reduce redness and improve skin tone. These ingredients are known for their anti-inflammatory and skin-brightening properties.

- Sun Protection: Always apply a broad-spectrum sunscreen during the day. Sun exposure can worsen redness and lead to hyperpigmentation, making scars more noticeable.

- Patience and Consistency: Red marks can take time to fade. Consistent use of the right products and sun protection will gradually improve their appearance.

In conclusion, managing excess oil while using A acid requires a balanced approach that includes proper cleansing, hydration, and targeted treatments for scars. Always consult with your dermatologist before making significant changes to your skincare routine, especially when dealing with prescription medications. They can provide personalized recommendations based on your skin type and concerns. Remember, it’s essential to be patient as your skin adjusts to the treatment and to give it time to heal properly.

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