There is a red patch on the face?
Hello Doctor, I previously had a patch of many pimples and closed comedones on the right side of my face.
In order to heal quickly, I used a facial cleanser with exfoliating ingredients for a while in addition to applying medication.
After some time, I noticed that the area where the pimples and comedones were has turned into a completely red patch, and occasionally I experience a slight itching sensation.
Could this be due to excessive exfoliation leading to damage to the skin's epidermis? For the past few days, I've only been washing my face with water.
Although it's not as severe as before, there is still some redness, and combined with the acne scars, it looks quite unsightly.
I would like to ask if this red area will eventually fade away.
Thank you for your response, Doctor.
steve, 20~29 year old female. Ask Date: 2012/06/20
Dr. Lin Xinpeng reply Dermatology
Hello: Improper use of exfoliating agents, especially on inflamed skin conditions, can indeed lead to irritant contact dermatitis.
Since you have applied acne medication, if it contains retinoids, alpha hydroxy acids, or antibacterial agents, combined with excessive use of cleansers, your condition may have already caused damage to the skin's stratum corneum.
Therefore, during the acute inflammatory phase, it is advisable to minimize external irritants and consult a dermatologist as soon as possible to address the acute inflammation and acne issues, preventing unnecessary pigmentation and complications.
Additionally, you can seek professional advice on selecting suitable cleansing products for your skin.
Reply Date: 2012/06/20
More Info
Redness on the face can be a common and distressing issue for many individuals. It can arise from various causes, including skin conditions, environmental factors, and even emotional responses. Understanding the underlying reasons for facial redness is crucial for effective treatment and management.
One of the most common causes of facial redness is rosacea, a chronic inflammatory skin condition characterized by facial flushing, redness, and sometimes acne-like breakouts. It often affects the central part of the face and can be triggered by factors such as heat, spicy foods, alcohol, and stress. While rosacea is not curable, it can be managed with topical treatments, oral medications, and lifestyle modifications.
Another potential cause of facial redness is contact dermatitis, which can occur when the skin reacts to certain products or allergens. Overuse of exfoliating products, such as those containing alpha-hydroxy acids or scrubs, can lead to skin irritation and redness. This seems to be a concern in your case, as you mentioned using a face wash with exfoliating ingredients. Over-exfoliation can strip the skin of its natural barrier, leading to increased sensitivity, redness, and even a burning sensation.
In your situation, it is possible that the redness and occasional itching you are experiencing are indeed due to over-exfoliation. When the skin barrier is compromised, it becomes more susceptible to irritation and inflammation. This can result in a cycle of redness and discomfort, making it essential to allow your skin to heal.
To address the redness and promote healing, consider the following steps:
1. Gentle Cleansing: Since you have already switched to using only water for cleansing, this is a good start. If you decide to reintroduce a cleanser, opt for a mild, hydrating formula that is free from exfoliating agents and fragrances.
2. Moisturization: Use a gentle, non-comedogenic moisturizer to help restore the skin barrier. Look for products containing ingredients like ceramides, hyaluronic acid, or glycerin, which can help hydrate and soothe the skin.
3. Avoid Irritants: Steer clear of products that contain alcohol, fragrances, or harsh exfoliants until your skin has fully healed. This will help minimize further irritation.
4. Sun Protection: Protect your skin from sun exposure, as UV rays can exacerbate redness and irritation. Use a broad-spectrum sunscreen with at least SPF 30 daily, even on cloudy days.
5. Consult a Dermatologist: If the redness persists or worsens, it is advisable to consult a dermatologist. They can assess your skin condition and recommend appropriate treatments, which may include topical corticosteroids for inflammation or prescription medications for underlying conditions like rosacea or dermatitis.
6. Patience and Care: Healing takes time. Be patient with your skin as it recovers from irritation. Avoid picking at any blemishes or scabs, as this can lead to scarring and prolonged redness.
In summary, facial redness can stem from various causes, including over-exfoliation, rosacea, and contact dermatitis. By adopting a gentle skincare routine, avoiding irritants, and seeking professional advice if necessary, you can effectively manage and reduce redness on your face. Remember, the skin is resilient, and with proper care, the redness should diminish over time.
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