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Can Retinol Make Acne Worse Initially? Everything You Need to Know

Can Retinol Make Acne Worse Initially? Everything You Need to Know

02/08/25

Can Retinol Make Acne Worse Initially? Everything You Need to Know

At Soma Medical Spa in Glendale, CA, we’re committed to helping you navigate the world of skincare with expert advice and personalized solutions. One common question we hear from our clients is, “Can retinol make acne worse initially?” If you’ve recently started using retinol and noticed your skin breaking out, you’re not alone. This reaction, often referred to as the “retinol purge,” can be a normal part of the process.
Here, we’ll explain why this happens, how to manage it, and why retinol is still one of the best ingredients for achieving clear, radiant skin.

What is Retinol and How Does It Work?

Retinol is a type of vitamin A derivative that works by increasing cell turnover, unclogging pores, and stimulating collagen production. It’s widely used to treat acne, smooth fine lines, and improve skin texture and tone.
When you apply retinol, it accelerates the shedding of dead skin cells and encourages new ones to rise to the surface. While this process is excellent for long-term skin health, it can initially bring clogged pores and underlying acne to the surface, leading to a temporary increase in breakouts.

What is the Retinol Purge?

The retinol purge refers to the initial breakout period that some people experience when starting retinol. As the skin adjusts to the increased cell turnover, it pushes out trapped oil, dead skin cells, and impurities that were lingering beneath the surface.

What to Expect During a Retinol Purge:

  • Increased Breakouts: You may notice small whiteheads, blackheads, or pustules.
  • Dryness and Flaking: Retinol can initially dry out the skin, leading to peeling or flaking.
  • Redness or Irritation: Mild redness or sensitivity is common, especially in the first few weeks.

How Long Does the Retinol Purge Last?

The purging phase typically lasts 4–6 weeks as your skin adjusts to the retinol. If your breakouts persist beyond this timeframe, it’s worth consulting with a skincare professional to determine whether the product or concentration is suitable for your skin.

Tips to Manage the Retinol Purge

At Soma Medical Spa, we believe that a thoughtful approach to introducing retinol can make all the difference. Here are our top tips for managing the purging phase:
  • Start Slow
    • Use retinol 1–2 times per week initially, gradually increasing frequency as your skin builds tolerance.
  • Moisturize Regularly
    • Pair retinol with a hydrating moisturizer containing hyaluronic acid or ceramides to reduce dryness and irritation.
  • Use Sunscreen Daily
    • Retinol makes your skin more sensitive to the sun. Apply a broad-spectrum SPF 30+ every morning to protect your skin.
  • Avoid Harsh Products
    • Skip exfoliants, scrubs, and other strong active ingredients during the initial adjustment period to prevent over-irritation.
  • Be Patient
    • Remember, the purging phase is temporary, and the long-term benefits of retinol are worth the wait.

Why Retinol is Worth It

While the initial purge can be frustrating, retinol remains one of the most effective ingredients for acne treatment and anti-aging. Over time, retinol helps to:
  • Clear breakouts and prevent future acne.
  • Minimize the appearance of pores.
  • Smooth fine lines and wrinkles.
  • Improve skin tone and texture for a radiant glow.
At Soma Medical Spa, we often recommend medical-grade retinol products that are tailored to your skin type and concerns. These formulations are designed to deliver maximum results with minimal irritation.

Is Retinol Right for You?

If you’re unsure about incorporating retinol into your routine, our experienced team at Soma Medical Spa can help. We’ll assess your skin and recommend the right retinol strength, frequency, and complementary treatments to ensure you see the best results.

Why Choose Soma Medical Spa?

At Soma Medical Spa in Glendale, CA, we’re dedicated to helping you achieve your skin goals with personalized care and cutting-edge treatments. Whether you’re dealing with acne, signs of aging, or other skin concerns, we’re here to guide you every step of the way.