Skincare and Medication: Expert Tips for Acne Treatment - Dermatology

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Medications & Skincare Products


Hello, doctor.
I recently visited a dermatologist regarding my acne, and I was prescribed oral medication.
1.
Borymycin for nighttime application, 2.
Differin Gel for daytime application, and 3.
Acne-H.
I would like to ask if I can apply a barrier cream or sunscreen after using the daytime product.
Additionally, can I use face masks during this period? Is it okay to wash my face, apply toner, and wait a while before applying the medication?

T, 20~29 year old female. Ask Date: 2010/09/29

Dr. Huang Ruiyun reply Dermatology


Hello: 1.
Yes.
2.
In principle, yes.
However, topical medications have exfoliating effects, so it is not advisable to use products that are too irritating, nor should other exfoliating ingredients be used concurrently.
If you choose to use them, it is recommended to conduct a patch test carefully.
3.
Yes.
Wishing you all the best.

Reply Date: 2010/09/29

More Info


When it comes to managing acne with topical and oral medications, it's essential to follow a structured skincare routine to maximize the benefits while minimizing potential side effects. Based on your current regimen, which includes Borymycin at night, Differin Gel during the day, and Acne-H, here are some expert tips and recommendations.


Application Order and Timing
1. Cleansing: Always start with a gentle cleanser suitable for your skin type. This helps remove dirt, oil, and impurities, preparing your skin for medication.

2. Toner/Essence: After cleansing, you can apply a toner or essence. This step can help hydrate your skin and restore its pH balance. However, ensure that the product is alcohol-free to avoid further drying out your skin.

3. Topical Medications:
- Differin Gel: Apply this in the morning after your toner. Differin (Adapalene) is a retinoid that helps prevent clogged pores and reduces inflammation. Allow it to absorb for about 20-30 minutes before applying any other products.

- Borymycin: Use this at night after cleansing. Borymycin is an antibiotic that helps reduce acne-causing bacteria.
4. Moisturizer: After applying your medications, use a non-comedogenic moisturizer to help combat dryness and irritation that may arise from the use of retinoids and antibiotics.

5. Sunscreen: In the morning, after applying Differin and moisturizer, always finish with a broad-spectrum sunscreen with at least SPF 30. This is crucial as retinoids can increase your skin's sensitivity to the sun.


Additional Products
- Makeup and Sunscreen: Yes, you can apply a makeup primer or sunscreen after Differin Gel has dried. Just ensure that the products you choose are non-comedogenic and suitable for sensitive skin.

- Face Masks: While using acne treatments, be cautious with face masks. Hydrating masks can be beneficial, but avoid those with strong exfoliating agents or harsh ingredients that may irritate your skin. Opt for soothing masks that contain ingredients like aloe vera or hyaluronic acid.


Timing and Layering
- Waiting Period: After applying your toner, it's advisable to wait about 20-30 minutes before applying Differin. This allows your skin to absorb the toner fully and reduces the risk of irritation from layering products too quickly.


Managing Side Effects
- Dryness and Peeling: It's common to experience dryness and peeling when starting retinoids. If this becomes excessive, consider reducing the frequency of application (e.g., using Differin every other day) until your skin adjusts.

- Hydration: Incorporate a rich moisturizer to help alleviate dryness. Look for products containing ceramides or glycerin, which are excellent for maintaining skin hydration.


Long-term Care
- Scarring: If you have post-acne scars, they may fade over time, but this process can take several months. Treatments like vitamin C serums or products containing niacinamide can help improve skin texture and tone.

- Consultation: If you notice persistent irritation or if your acne worsens, consult your dermatologist. They may adjust your treatment plan or suggest additional therapies, such as chemical peels or laser treatments, for better results.

In summary, a structured skincare routine that includes proper application of medications, adequate hydration, and sun protection is key to effectively managing acne. Always listen to your skin and adjust your routine as needed, and don't hesitate to reach out to your dermatologist for personalized advice.

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