Managing Lip Inflammation After Discontinuing A-Retinoids: Tips and Care - Dermatology

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The side effects of using retinoids for cheilitis?


I have been taking isotretinoin for almost a year and stopped for a month.
I have been experiencing cheilitis for a year as well.
Although it has slightly improved after stopping the medication for a month, my lip skin keeps peeling and regenerating.
There is also a red, slightly swollen ring around my lips.
I'm unsure if just using lip balm without applying medication will help, or if I should continue using an ointment.
What kind of care should I maintain regularly?

Dong Dong Jun, 10~19 year old female. Ask Date: 2015/12/05

Dr. Wu Yuxin reply Dermatology


Apply lip balm or petroleum jelly frequently, approximately every 2 hours.

Reply Date: 2015/12/05

More Info


Managing lip inflammation after discontinuing A-retinoids can be a challenging process, especially if you've been experiencing symptoms like cheilitis (lip inflammation) for an extended period. A-retinoids, such as tretinoin, are commonly used for acne and skin rejuvenation, but they can lead to dryness and irritation, particularly around the lips. Here are some tips and care strategies to help manage your symptoms effectively.


Understanding Your Symptoms
After discontinuing A-retinoids, it is not uncommon for the skin to go through a period of adjustment. The symptoms you describe—flaky lips, redness, mild swelling, and persistent inflammation—are often a result of the skin barrier being compromised during treatment. The skin may become more sensitive and reactive, leading to the symptoms you are experiencing.


Lip Care Tips
1. Hydration is Key: Keeping your lips well-hydrated is crucial. Use a high-quality lip balm that contains occlusive agents like petrolatum or beeswax to lock in moisture. Look for products that are fragrance-free and formulated for sensitive skin to avoid further irritation.

2. Avoid Irritants: Steer clear of products that contain potential irritants, such as fragrances, alcohol, or strong exfoliants. These can exacerbate inflammation and dryness.

3. Gentle Cleansing: When washing your face, use a gentle, hydrating cleanser. Avoid scrubbing the lip area too harshly, as this can further irritate the skin.

4. Topical Treatments: If your symptoms persist, consider consulting a dermatologist for topical treatments. They may recommend a mild corticosteroid cream to reduce inflammation or a barrier repair cream that contains ingredients like ceramides or hyaluronic acid to help restore the skin barrier.

5. Avoid Licking Your Lips: This can lead to further dryness and irritation. Instead, apply lip balm regularly to keep your lips moisturized.

6. Sun Protection: If you are going outside, protect your lips from sun exposure. Use a lip balm with SPF to prevent further irritation from UV rays.

7. Diet and Hydration: Ensure you are drinking plenty of water and consuming a balanced diet rich in vitamins and minerals. Omega-3 fatty acids, found in fish and flaxseeds, can also help improve skin health.

8. Gradual Reintroduction of Products: If you plan to reintroduce any topical treatments, do so gradually. Start with a small amount and monitor how your skin reacts.

9. Consult a Dermatologist: If your symptoms do not improve or worsen, it is essential to seek professional advice. A dermatologist can assess your condition and may prescribe medications or recommend specific treatments tailored to your needs.


Conclusion
While using just a lip balm may provide some relief, it is essential to monitor your symptoms closely. If you notice that your condition is not improving or is getting worse, it may be necessary to incorporate additional treatments. Remember that healing can take time, especially after prolonged use of A-retinoids. Be patient with your skin and give it the care it needs to recover fully. With the right approach, you should see improvement in your lip inflammation and overall skin health.

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