Is Long-Term Use of Astringent Water Causing Sensitive Skin?

Using astringent for acne?

Hello, doctor.
Ever since I started having acne, I have been using astringent toners with a high alcohol content for my skincare routine...
for a whole year.
Out of fear of breaking out, I tend to use a large amount each time, about the size of a 50-cent coin, applying it directly to my cheeks without using a cotton pad...
three times a day.
After a year of continuous use, I noticed that while the acne has decreased, my pores have become larger, and my skin often appears red, especially on my cheeks, which also experience peeling.
Although the acne is less frequent, it still persists.
Before using the toner, I didn't have issues with redness or peeling.
I would like to ask the doctor if long-term use of astringent toners could lead to sensitive skin.
Also, is an alcohol-containing astringent toner alkaline or acidic?

n, 20~29 year old female. Ask Date: 2007/02/18

Dr. Jiang Zheen reply Dermatology

Prolonged exposure of the skin to alcohol-containing substances can damage the stratum corneum, making the skin more prone to allergies, so it should be used sparingly.
Wishing you peace, Jesus loves you.

Reply Date: 2007/02/18

More Info

Long-term use of astringent products, particularly those containing alcohol, can indeed lead to sensitive skin and exacerbate various skin issues, including redness, peeling, and enlarged pores. Astringents are designed to tighten the skin and reduce oiliness, which can be beneficial for acne-prone skin. However, when used excessively, they can strip the skin of its natural oils, leading to a compromised skin barrier. This can result in increased sensitivity, irritation, and even a condition known as contact dermatitis.

In your case, using a strong astringent containing alcohol three times a day for an entire year is likely to have contributed to the sensitivity and redness you are experiencing. Alcohol-based astringents can be quite harsh, especially for individuals with already sensitive or acne-prone skin. The frequent application and the amount used (approximately the size of a 50-cent coin) can further aggravate the situation, leading to a cycle of irritation and increased oil production as the skin attempts to compensate for the dryness caused by the astringent.

Regarding the pH of alcohol-based astringents, they are typically acidic due to the presence of other ingredients that help to balance the formulation. However, the alcohol itself can have a drying effect, which may not be suitable for all skin types. The pH of the skin is naturally slightly acidic (around 4.5 to 5.5), which helps to maintain the skin barrier and prevent the growth of harmful bacteria. Disrupting this balance with harsh products can lead to various skin issues.

To address your concerns, it is advisable to reconsider your skincare routine. Here are some recommendations:
1. Stop Using Astringents: Cease the use of alcohol-based astringents immediately. Instead, look for gentle, alcohol-free toners that can help hydrate and soothe your skin without causing irritation.

2. Moisturize: Incorporate a good moisturizer into your routine. Look for products that contain hydrating ingredients such as hyaluronic acid, glycerin, or ceramides. These can help restore the skin barrier and reduce sensitivity.

3. Gentle Cleansing: Use a mild, non-comedogenic cleanser that does not strip the skin of its natural oils. Avoid harsh scrubs or exfoliants that can further irritate your skin.

4. Consult a Dermatologist: Given your ongoing issues with acne and sensitivity, it may be beneficial to consult a dermatologist. They can provide personalized advice and may recommend treatments such as topical retinoids, which can help with acne without the harsh effects of astringents.

5. Patch Test New Products: When trying new skincare products, always perform a patch test to see how your skin reacts before applying them to your entire face.

6. Consider a Balanced Approach: Instead of focusing solely on drying out acne, consider a balanced approach that includes hydration and barrier repair. This can help reduce the occurrence of breakouts while also addressing sensitivity.

In summary, while astringents can be effective for managing acne, their long-term use—especially those containing alcohol—can lead to increased skin sensitivity and other issues. Transitioning to gentler products and consulting with a skincare professional can help restore your skin's health and balance.

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