Managing Acne with Adapalene: Tips for Safe Application and Care - Dermatology

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Acne and issues related to retinoids?


Hello, doctor.
I am currently using Adapalene gel, and I found out that it contains third-generation retinoid (Adapalene).
I would like to ask if I can apply the medication on broken and unhealed acne wounds, or should I avoid it? I usually apply the medication along with toner and moisturizer on my face right after showering at night.
What is the best order of application for my skin? If my skin is already peeling, should I stop using it? Additionally, I would like to know if the raised scars from acne will fade over time.
What care methods can help maintain better skin condition?

Zhao Hanjie, 20~29 year old female. Ask Date: 2023/04/06

Dr. Wu Yuxin reply Dermatology


It can still be used.
I personally recommend applying AHA about half an hour after using skincare products.

Reply Date: 2023/04/06

More Info


Managing acne with topical treatments like Adapalene can be effective, but it’s essential to use it correctly to minimize side effects and maximize benefits. Adapalene is a third-generation retinoid that helps to regulate skin cell turnover, reduce inflammation, and prevent clogged pores, making it a popular choice for acne treatment.


Application on Open Wounds
When it comes to applying Adapalene on broken or healing acne lesions, caution is advised. Applying the gel directly on open wounds can cause irritation and may lead to increased discomfort or a burning sensation. It’s generally recommended to avoid applying Adapalene to open or broken skin until the area has healed. Instead, focus on applying it to unaffected areas and wait until the lesions have closed before resuming application on those spots.


Recommended Application Order
For optimal results, the order of application is crucial. Here’s a suggested routine:
1. Cleanser: Start with a gentle, non-comedogenic cleanser to remove dirt and excess oil from your skin. Avoid harsh scrubs that can irritate the skin.


2. Toner (optional): If you use a toner, ensure it is alcohol-free to avoid drying out your skin.

3. Adapalene Gel: After your skin is clean and dry, apply a thin layer of Adapalene gel. It’s best to use it at night since retinoids can make your skin more sensitive to sunlight.

4. Moisturizer: Follow up with a non-comedogenic moisturizer to help hydrate your skin and reduce the potential for dryness and peeling.

5. Sunscreen (morning routine): In the morning, always apply a broad-spectrum sunscreen with at least SPF 30, as retinoids can increase sun sensitivity.


Managing Side Effects
If you experience peeling or excessive dryness, it may be a sign that your skin is adjusting to the treatment. You don’t necessarily need to stop using Adapalene altogether, but you might consider reducing the frequency of application (e.g., using it every other night instead of nightly) or using a more hydrating moisturizer. If the irritation persists, consult your dermatologist for personalized advice.


Scarring and Skin Care
As for the raised scars left by acne, these can improve over time, but the process can be slow. Treatments such as silicone gel sheets, chemical peels, or laser therapy may be beneficial for reducing the appearance of scars. Additionally, maintaining a consistent skincare routine that includes gentle exfoliation can help improve skin texture.


General Skin Care Tips
1. Avoid Picking: Refrain from picking at acne lesions, as this can lead to further scarring and infection.

2. Stay Hydrated: Drink plenty of water to keep your skin hydrated from the inside out.

3. Healthy Diet: A balanced diet rich in antioxidants (fruits and vegetables) can support skin health.

4. Regular Follow-ups: Regular check-ins with your dermatologist can help tailor your treatment plan and address any concerns.

In summary, while Adapalene can be an effective treatment for acne, it’s essential to apply it correctly and be mindful of your skin’s response. Avoid using it on open wounds, follow a structured skincare routine, and consult with a dermatologist for ongoing care and management of acne and scarring.

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